{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:56:59Z","timestamp":1781769419248,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate psychological distress and subjective sleep-related outcomes among individuals exposed to the Kahramanmara\u015f earthquakes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross-sectional observational study comparing 68 earthquake survivors with 66 non-exposed controls. Participants\u2019 levels of anxiety and depression, daytime sleepiness, sleep quality, post-traumatic stress, and risk of obstructive sleep apnea (OSA) were assessed using validated Turkish versions of standardized questionnaires. Between-group comparisons were performed using nonparametric tests, followed by age-adjusted regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Earthquake survivors exhibited significantly higher anxiety, depression, post-traumatic stress, and poorer subjective sleep quality (Pittsburgh Sleep Quality Index) compared with controls, and these associations remained significant after age adjustment (all p &lt; 0.05). Daytime sleepiness (Epworth Sleepiness Scale) did not differ between groups. Although STOP-BANG scores differed in unadjusted analyses, this association was no longer significant after adjustment for age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Earthquake exposure was associated with persistent psychological distress and impaired subjective sleep quality approximately one\u00a0year after the disaster, independent of age differences. These findings underscore the importance of integrated mental health care and assessment of sleep complaints in disaster-affected populations, while highlighting the need for future studies incorporating objective sleep measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261458899","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T03:50:24Z","timestamp":1781581824000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological distress and subjective sleep quality after the Kahramanmara\u015f earthquakes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9438-6052","authenticated-orcid":false,"given":"Hande","family":"Yuce Ozdemir","sequence":"first","affiliation":[{"name":"Samandag State Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayri Can","family":"Ozden","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hande","family":"Celik","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basaran","family":"Demir","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Ugur","family":"Demir","sequence":"additional","affiliation":[{"name":"Hacettepe University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.04.046"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.4274\/jtsm.galenos.2023.87059"},{"key":"e_1_3_6_4_2","first-page":"e45926","article-title":"Mental health disorders due to disaster exposure: a systematic review and meta-analysis","volume":"15","author":"Keya TA","year":"2023","unstructured":"Keya TA, Leela A, Habib N, et al. 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Bak\u0131rk\u00f6y Ruh ve Sinir Hastal\u0131klar\u0131 Hastanesi, \u0130stanbul 1993."},{"key":"e_1_3_6_9_2","first-page":"3","article-title":"Beck depresyon Envanteri\u2019nin \u00fcniversite \u00f6\u011frencileri i\u00e7in ge\u00e7erlili\u011fi ve g\u00fcvenilirli\u011fi [A reliability and validity study of the beck depression inventory in a university student sample]","volume":"7","author":"Hisli N","year":"1989","unstructured":"Hisli N. Beck depresyon Envanteri\u2019nin \u00fcniversite \u00f6\u011frencileri i\u00e7in ge\u00e7erlili\u011fi ve g\u00fcvenilirli\u011fi [A reliability and validity study of the beck depression inventory in a university student sample]. T\u00fcrk Psikol Derg 1989; 7: 3\u201313.","journal-title":"T\u00fcrk Psikol Derg"},{"key":"e_1_3_6_10_2","first-page":"64","volume-title":"STOP, THAT and One Hundred Other Sleep Scales","author":"Beck AT","year":"2012","unstructured":"Beck AT, Steer RA, Brown GK. Beck depression inventory. 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