{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T16:10:13Z","timestamp":1782576613825,"version":"3.54.5"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"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":["J Health Psychol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>This study aimed to examine post-earthquake psychological trauma and its contributing factors among pregnant women who were exposed to the large-scale twin earthquakes that occurred on February 6, 2023, in T\u00fcrkiye. This cross-sectional study was conducted with 5227 pregnant women and found that 72.2% experienced post-earthquake psychological trauma following the earthquakes, including behavioral, sleep-related, emotional, and cognitive symptoms. The most significant factors contributing to this trauma were exposure to the earthquake in the most severely affected centers or in center with the highest number of aftershocks, as well as a sense of helplessness. The independent variables accounted for 21.7% of the variance in psychological trauma. These findings highlight that pregnant women experienced difficulties with emotional regulation, sensory processing, cognitive restructuring, and sleep disturbances after the large-scale twin earthquakes in T\u00fcrkiye. This underscores the need for strategic planning to strengthen mental health for pregnant women in the aftermath of disasters.<\/jats:p>","DOI":"10.1177\/13591053251362774","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T08:50:13Z","timestamp":1757148613000},"page":"1947-1965","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing psychological trauma levels and contributory factors among pregnant women following seismic events"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6710-6713","authenticated-orcid":false,"given":"P\u0131nar","family":"Kara","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing, Karacasu Campus, Kahramanmara\u015f\u0130stiklal University, Dulkadiro\u011flu, Kahramanmara\u015f, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5464-4467","authenticated-orcid":false,"given":"Ev\u015fen","family":"Nazik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nursing, Balcal\u0131 Campus, \u00c7ukurova University Faculty of Health Sciences, Sar\u0131\u00e7am, Adana, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.worlddev.2023.106283"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118993811.ch21"},{"key":"e_1_3_3_4_1","unstructured":"Bo\u011fazi\u00e7i University Kandilli Observatory and Earthquake Research Institute Regional Earthquake-Tsunami Monitoring and Evaluation Center (2024) Y\u0131ll\u0131k Deprem Harita Grafik ve Tablolar\u0131. Available at: http:\/\/www.koeri.boun.edu.tr\/sismo\/2\/deprem-verileri\/yillik-deprem-haritalari\/ (accessed 15 August 2024)."},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0168747"},{"key":"e_1_3_3_6_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988","unstructured":"Cohen J (1988) Statistical Power Analysis for the Behavioral Sciences. Routledge Academic."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.07.045"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.10.009"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.091850"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2023.2199345"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2024.2402789"},{"key":"e_1_3_3_12_1","first-page":"117","volume-title":"Do\u011fum, Kad\u0131n Sa\u011fl\u0131\u011f\u0131 Ve Hastal\u0131klar\u0131 Hem\u015fireli\u011fi","author":"\u0130\u015fbir GG","year":"2022","unstructured":"\u0130\u015fbir GG (2022) Perinatal d\u00f6nemde psikolojik de\u011fi\u015fiklikler ve hem\u015firelik yakla\u015f\u0131mlar\u0131. In: Nazik E (ed.) Do\u011fum, Kad\u0131n Sa\u011fl\u0131\u011f\u0131 Ve Hastal\u0131klar\u0131 Hem\u015fireli\u011fi. Akademisyen Kitabevi, pp.117\u2013130."},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.24869\/psyd.2021.231"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1986-2"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.12.016"},{"key":"e_1_3_3_16_1","volume-title":"Stress, Appraisal, and Coping","author":"Lazarus RS","year":"1984","unstructured":"Lazarus RS, Folkman S (1984) Stress, Appraisal, and Coping. Springer."},{"key":"e_1_3_3_17_1","unstructured":"Ministry of Interior Disaster and Emergency Management Presidency [DEMP] (2023) 06 \u015eubat 2023 Pazarc\u0131k-Elbistan Kahramanmara\u015f (Mw: 7.7 \u2013 Mw: 7.6) depremleri raporu. Available at: https:\/\/deprem.afad.gov.tr\/home-page (accessed 15 September 2023)."},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-013-0365-8"},{"issue":"1","key":"e_1_3_3_19_1","first-page":"34","article-title":"Post-traumatic stress disorder","volume":"2","author":"\u00d6zgen F","year":"1999","unstructured":"\u00d6zgen F, Ayd\u0131n H (1999) Post-traumatic stress disorder. Turkish Journal of Clinical Psychiatry 2(1): 34\u201341.","journal-title":"Turkish Journal of Clinical Psychiatry"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-05926-6"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-019-00980-6"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.08.021"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0135809"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2014.62"},{"key":"e_1_3_3_25_1","unstructured":"Republic of T\u00fcrkiye Minisrty of National Defence (2023) \u0130l ve il\u00e7e y\u00fcz \u00f6l\u00e7\u00fcmleri. Available at: https:\/\/www.harita.gov.tr\/il-ve-ilce-yuzolcumleri (accessed 15 September 2023)."},{"key":"e_1_3_3_26_1","unstructured":"Republic of T\u00fcrkiye Presidency Ministry of Strategy and Budget (2023) 2023 Kahramanmara\u015f ve Hatay depremleri raporu. Available at: https:\/\/www.sbb.gov.tr\/2023-kahramanmaras-ve-hatay-depremleri-raporu\/ (accessed 2 July 2025)."},{"issue":"2","key":"e_1_3_3_27_1","first-page":"1013","article-title":"The validity and reliability work of the scale that determines the level of the trauma after the earthquake","volume":"13","author":"Tanhan F","year":"2013","unstructured":"Tanhan F, Kayri M (2013) The validity and reliability work of the scale that determines the level of the trauma after the earthquake. Educational Sciences Theory & Practice 13(2): 1013\u20131025.","journal-title":"Educational Sciences Theory & Practice"},{"issue":"27","key":"e_1_3_3_28_1","first-page":"1","article-title":"The prevalence of psychological distress during pregnancy in Miyagi Prefecture for 3 years after the Great East Japan earthquake","volume":"26","author":"Tanoue K","year":"2021","unstructured":"Tanoue K, Watanabe Z, Nishigori H, et al. (2021) The prevalence of psychological distress during pregnancy in Miyagi Prefecture for 3 years after the Great East Japan earthquake. Environmental Health and Preventive Medicine 26(27): 1\u201313.","journal-title":"Environmental Health and Preventive Medicine"},{"key":"e_1_3_3_29_1","unstructured":"T\u00fcrkiye \u0130nsani \u00c7al\u0131\u015fmalar Y\u0131ll\u0131\u011f\u0131 (2025) T\u00fcrkiye\u2019nin afetler tarihinde bir milat olarak 6 \u015eubat depremleri. Available at: https:\/\/yillik.kizilayakademi.org.tr\/turkiyenin-afetler-tarihinde-bir-milat-olarak-6-subat-depremleri\/ (accessed 2 July 2025)."},{"key":"e_1_3_3_30_1","unstructured":"United Nations Population Fund (UNFPA) (2023) T\u00fcrkiye depremleri ve devam eden ihtiya\u00e7lar. Available at: https:\/\/turkiye.unfpa.org\/tr\/deprem (accessed 15 September 2023)."},{"issue":"18","key":"e_1_3_3_31_1","article-title":"Determinants of psychosocial health status in pregnant and postpartum women experiencing earthquake in Turkey","volume":"2","author":"Yalniz Dilcen H","year":"2024","unstructured":"Yalniz Dilcen H, \u00c7ak\u0131r Ko\u00e7ak Y, Ada G, et al. (2024) Determinants of psychosocial health status in pregnant and postpartum women experiencing earthquake in Turkey. Disaster Medicine and Public Health Preparedness 2(18): e16.","journal-title":"Disaster Medicine and Public Health Preparedness"}],"container-title":["Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251362774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591053251362774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591053251362774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:32:54Z","timestamp":1777451574000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591053251362774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,6]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/13591053251362774"],"URL":"https:\/\/doi.org\/10.1177\/13591053251362774","relation":{},"ISSN":["1359-1053","1461-7277"],"issn-type":[{"value":"1359-1053","type":"print"},{"value":"1461-7277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,6]]}}}