{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:50:51Z","timestamp":1791895851683,"version":"4.3.4"},"reference-count":56,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Earthquakes can lead to serious psychological consequences such as reduced resilience, loss of hope, and post\u2010traumatic stress. Effective interventions are needed to support the mental health of survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT)\u2010based psychoeducation in improving resilience and hope, and reducing post\u2010traumatic stress symptoms among earthquake survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomized controlled trial was conducted with 80 participants (40 intervention, 40 control; 10 participants later withdrew) residing in container cities in southeastern T\u00fcrkiye. Data were collected using the Brief Resilience Scale (BRS), Dispositional Hope Scale (DHS), and PTSD Scale (PTSD\u2010S). The intervention group received ACT\u2010based group psychoeducation over 8\u2009weeks; the control group received no intervention. Assessments were conducted at baseline, post\u2010intervention, and at a 3\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pre\u2010test scores showed no significant differences between the groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Post\u2010test and 3\u2010month follow\u2010up results indicated significantly higher resilience and hope levels, and lower PTSD symptoms in the intervention group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Within\u2010group analysis revealed consistent improvements across all variables for the intervention group. In the control group, a slight increase in resilience and a limited reduction in post\u2010traumatic stress symptoms were observed. The effects of the intervention were maintained at the 3\u2010month follow\u2010up; while hope levels remained stable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05), PTSD symptoms in the intervention group continued to decrease significantly (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Resilience scores showed a decrease from post\u2010test to follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); however, follow\u2010up resilience levels remained significantly higher than baseline levels (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>ACT\u2010based psychoeducation appears effective in promoting psychological resilience and hope while reducing trauma symptoms among disaster\u2010affected individuals. These findings support the use of structured ACT interventions in post\u2010disaster mental health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\u0130mplications<\/jats:title>\n                    <jats:p>ACT\u2010based psychoeducation can be effectively used by mental health professionals in disaster settings to enhance resilience and hope while reducing PTSD symptoms. Its structured group format makes it a practical and accessible intervention for post\u2010disaster mental health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier: NCT06536205\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70214","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:16:25Z","timestamp":1791893785000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of\n                    <scp>ACT<\/scp>\n                    \u2010Based Psychoeducation on Hope, Resilience and Stress Levels in Individuals Experiencing Earthquake: A Randomized Controlled Trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4723-1714","authenticated-orcid":false,"given":"Hacer","family":"Kabako\u011flu","sequence":"first","affiliation":[{"name":"Hatay Mustafa Kemal University, Vocational School of Health Services, Elderly Care Program  Antakya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9466-1357","authenticated-orcid":false,"given":"Nurg\u00fcl","family":"\u00d6zdemir","sequence":"additional","affiliation":[{"name":"Department of Psychiatric Nursing Faculty of Health Sciences, Gaziantep University  Gaziantep T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"1","key":"e_1_2_16_2_1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1159\/000365764","article-title":"A Meta\u2010Analysis of the Efficacy of Acceptance and Commitment Therapy for Clinically Relevant Mental and Physical Health Problems","volume":"84","author":"A\u2010tjak J. 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