{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:26:53Z","timestamp":1785421613592,"version":"3.56.0"},"reference-count":58,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec id=\"S205647242612016X_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Earthquakes present significant threats to community mental health, yet post-disaster resource limitations and high demand restrict access to care. The 2023 T\u00fcrkiye\u2013Syria earthquakes affected millions, increasing psychological problems and highlighting the urgent need for scalable interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612016X_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study assessed (a) the feasibility of procedures prior to a fully powered randomised controlled trial (RCT) and (b) the potential effectiveness of Problem Management Plus (PM+), a scalable psychological intervention, in reducing common mental health problems among Turkish earthquake survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612016X_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      A two-arm, single-blind pilot RCT was conducted with survivors residing in temporary housing in T\u00fcrkiye. Participants were randomly allocated (1:1) to PM+ (\n                      <jats:italic>n<\/jats:italic>\n                      = 38) or enhanced care-as-usual (E-CAU;\n                      <jats:italic>n<\/jats:italic>\n                      = 38) and assessed at baseline, 1 week post intervention and at the 1-month follow-up. The primary outcome was depression (Patient Health Questionnaire, PHQ-9); secondary outcomes were self-identified problems (Psychological Outcome Profiles, PSYCHLOPS), functional impairment (World Health Organization Disability Assessment Schedule, WHODAS 2.0), psychological distress (Kessler-10 Psychological Distress Scale, K-10), anxiety (Generalised Anxiety Disorder Scale, GAD-7) and post-traumatic stress (Post-traumatic Stress Disorder Checklist, PCL-5). The trial was prospectively registered (NCT06026306).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612016X_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Recruitment, retention (74%) and treatment adherence (79%) supported feasibility. At post-assessment, PM+ showed greater reductions than E-CAU across all outcomes: PHQ-9 (adjusted mean difference \u22125.91, 95% CI \u20138.23 to \u20133.58), PSYCHLOPS (\u22126.94, \u20138.88 to \u20135.01), WHODAS 2.0 (\u22128.77, \u201312.50 to \u20135.03), K-10 (\u22129.66, \u201313.35 to \u20135.97), GAD-7 (\u22124.31, \u20136.39 to \u20132.24) and PCL-5 (\u221218.72, \u201325.97 to \u201311.47). At follow-up, improvements remained significant for psychological distress and self-identified problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612016X_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings provide preliminary evidence that PM+ is a feasible and potentially effective intervention for alleviating common mental health problems among Turkish earthquake survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12016","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:26:58Z","timestamp":1781699218000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Problem Management Plus for improving mental health among earthquake-affected individuals in T\u00fcrkiye: pilot randomised controlled trial"],"prefix":"10.1192","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6525-8059","authenticated-orcid":false,"given":"Ay\u015fenur","family":"Co\u015fkun Toker","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00jzwgz36","id-type":"ROR","asserted-by":"publisher"}],"name":"Ko\u00e7 University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7820-1230","authenticated-orcid":false,"given":"G\u00fcl\u015fah","family":"Kurt","sequence":"additional","affiliation":[{"name":"The University of New South Wales Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6khan","family":"Malko\u00e7","sequence":"additional","affiliation":[{"name":"Istanbul Medipol University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-1554","authenticated-orcid":false,"given":"Ceren","family":"Acarturk","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00jzwgz36","id-type":"ROR","asserted-by":"publisher"}],"name":"Ko\u00e7 University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"S205647242612016X_ref38","doi-asserted-by":"publisher","DOI":"10.1027\/1015-5759\/a000136"},{"key":"S205647242612016X_ref43","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"S205647242612016X_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113236"},{"key":"S205647242612016X_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(23)00059-7"},{"key":"S205647242612016X_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-018-0221-3"},{"key":"S205647242612016X_ref48","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"S205647242612016X_ref25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003949"},{"key":"S205647242612016X_ref44","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-016-9571-9"},{"key":"S205647242612016X_ref27","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21129"},{"key":"S205647242612016X_ref34","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S205647242612016X_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0891-9"},{"key":"S205647242612016X_ref13","volume-title":"IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings","year":"2007"},{"key":"S205647242612016X_ref36","first-page":"460","article-title":"Turkish reliability of the Patient Health Questionnaire-9","volume":"27","author":"Sar\u0131","year":"2016","journal-title":"Biomed Res"},{"key":"S205647242612016X_ref19","volume-title":"Task Shifting: Global Recommendations and Guidelines","year":"2008"},{"key":"S205647242612016X_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2243-z"},{"key":"S205647242612016X_ref18","doi-asserted-by":"publisher","DOI":"10.4103\/jets.jets_46_23"},{"key":"S205647242612016X_ref37","doi-asserted-by":"publisher","DOI":"10.1080\/14733140412331383913"},{"key":"S205647242612016X_ref24","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003621"},{"key":"S205647242612016X_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20255"},{"key":"S205647242612016X_ref49","doi-asserted-by":"publisher","DOI":"10.1080\/24750573.2017.1342769"},{"key":"S205647242612016X_ref46","doi-asserted-by":"publisher","DOI":"10.4274\/npa.y6308"},{"key":"S205647242612016X_ref41","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.288"},{"key":"S205647242612016X_ref4","unstructured":"4 United Nations Office for the Coordination of Humanitarian Affairs. 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