{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:10:12Z","timestamp":1792419012127,"version":"4.5.0"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T00:00:00Z","timestamp":1777161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to examine the determinants of mental health among adult earthquake survivors by testing conceptual models of post\u2010traumatic stress disorder (PTSD) and complex post\u2010traumatic stress disorder (CPTSD). Specifically, the study investigated how trauma memories, post\u2010traumatic cognitions, trauma identity and safety\u2010seeking behaviours interact to influence mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional design was employed with a sample of 285 adults (65.3% female) who experienced the 2023 Kahramanmara\u015f earthquakes in T\u00fcrkiye. Participants completed self\u2010report measures assessing trauma memories, post\u2010traumatic cognitions, safety\u2010seeking behaviours, trauma identity, PTSD and CPTSD symptoms, and overall mental health. Two structural equation models\u2014one for PTSD and one for CPTSD\u2014were tested to evaluate the pathways linking trauma\u2010related variables to mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Structural equation modelling indicated that trauma memories significantly and positively predicted post\u2010traumatic cognitions, which in turn predicted both trauma identity and safety\u2010seeking behaviours. These mediators were positively associated with PTSD and CPTSD symptoms, which negatively predicted mental health. In the PTSD model, trauma identity had a stronger effect, whereas in the CPTSD model, safety\u2010seeking behaviours were more influential. Both models demonstrated good fit indices, confirming the hypothesized pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the pivotal role of trauma memories and post\u2010traumatic cognitions in shaping trauma\u2010related behavioural and identity processes that contribute to PTSD and CPTSD symptoms. Targeting these mechanisms in clinical interventions may enhance mental health outcomes in individuals exposed to large\u2010scale natural disasters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.70073","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T04:39:30Z","timestamp":1777264770000},"page":"1106-1123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of mental health in earthquake survivors: Trauma memories, cognitions, identity and safety\u2010seeking behaviours in PTSD and CPTSD models"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-430X","authenticated-orcid":false,"given":"Fatmanur","family":"\u00c7imen","sequence":"first","affiliation":[{"name":"Psychological Counselling and Guidance Department Atat\u00fcrk University  Erzurum T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130smail","family":"Se\u00e7er","sequence":"additional","affiliation":[{"name":"Psychological Counselling and Guidance Department Atat\u00fcrk University  Erzurum T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurrahman Kas\u0131m","family":"Paki\u015f","sequence":"additional","affiliation":[{"name":"Department of Child Care and Youth Services Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University  Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Alberici","sequence":"additional","affiliation":[{"name":"Children and Young Person's Diabetes Team, Level 10 Royal Alexandra Children's Hospital University Hospital Sussex  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,26]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"AFAD. (2023).06 \u015eubat 2023 Pazarc\u0131k\u2010Elbistan (Kahramanmara\u015f) Mw: 7.7 \u2013 Mw: 7.6 Depremleri Raporu. 140 s.https:\/\/deprem.afad.gov.tr\/assets\/pdf\/Kahramanmara%C5%9F%20Depremi%20%20Raporu_02.06.2023.pdf"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2022.03.007"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22332"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1336665"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.07.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719002253"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22723"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22129"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102004"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.54660\/.IJMRGE.2025.6.4.1378\u20101384"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.23164"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010018\u20109938\u20101"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000306"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2025.2590402"},{"key":"e_1_2_9_16_1","unstructured":"\u00c7imen F. &Se\u00e7er \u0130.(2025b).Turkish validity and reliability study of Trauma Memories Questionnaire.22th International Scientific Research Congress Ankara T\u00fcrkiye."},{"key":"e_1_2_9_17_1","unstructured":"\u00c7imen F. &Se\u00e7er \u0130.(2025c).Turkish validity and reliability study of Trauma Identity Questionnaire.22th International Scientific Research Congress Ankara T\u00fcrkiye."},{"key":"e_1_2_9_18_1","volume-title":"Turkish validity and reliability study of Post Traumatic Cognition Inventory Short Form","author":"\u00c7imen F.","year":"2025"},{"key":"e_1_2_9_19_1","unstructured":"\u00c7imen F. &Se\u00e7er \u0130.(2025e).Turkish validity and reliability study of Posttraumatic Safety Behavior Inventory.22th International Scientific Research Congress Ankara T\u00fcrkiye."},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591045251396299"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.70168"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2015.00104"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22454"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12956"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2599"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/int0000239"},{"issue":"1","key":"e_1_2_9_27_1","first-page":"49","article-title":"The validity and reliability of the mental health continuum short form","volume":"48","author":"Demirci I.","year":"2015","journal-title":"Ankara University, Journal of Faculty of Educational Sciences"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/09658211.2020.1809679"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(99)00123\u20100"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010020\u20104176\u20108"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(23)00181-5"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v5.24221"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010024\u201005707\u20100"},{"key":"e_1_2_9_34_1","volume-title":"Prolonged exposure for PTSD emotional processing of traumatic experiences","author":"Foa B. E.","year":"2007"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.11.3.303"},{"key":"e_1_2_9_36_1","volume-title":"Posttraumatic stress disorder: Scientific and professional dimensions","author":"Ford J. D.","year":"2015"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2024.03.003"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2023.2199345"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs15091248"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2023.2177571"},{"key":"e_1_2_9_41_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2010based approach","author":"Hayes A. F.","year":"2017"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260513511697"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/rev0000418"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22272"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2024.102898"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.01.039"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hsr.2023.100147"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653\u2010019\u201000255\u20103"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.5281\/zenodo.8200759"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1745"},{"key":"e_1_2_9_51_1","unstructured":"Kenny D. A.(2015).Measuring model fit.https:\/\/davidakenny.net\/cm\/fit.htm"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.73.3.539"},{"key":"e_1_2_9_53_1","volume-title":"Principles and practice of structural equation modeling","author":"Kline R. B.","year":"2011"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36682"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1767349"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.3783"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13918"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22756"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00311"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.133.3.419"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.14812\/cufej.567439"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.3031"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010023\u201004660\u20109"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032638"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/13\u2010098"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1037\/pri0000092"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejtd.2025.100504"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191116685401"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2023.104407"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049\u2010015\u20100109\u2010z"},{"key":"e_1_2_9_71_1","volume-title":"ICD\u201011: International classification of diseases 11th revision","author":"World Health Organization","year":"2018"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.63175\/tjts.14"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.3390\/rs15133327"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.70073","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papt.70073","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.70073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:07:01Z","timestamp":1786385221000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.70073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,26]]},"references-count":72,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/papt.70073"],"URL":"https:\/\/doi.org\/10.1111\/papt.70073","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,26]]},"assertion":[{"value":"2025-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}