{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:02:08Z","timestamp":1785315728987,"version":"3.55.0"},"reference-count":38,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"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":["Br J Psychiatry"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec id=\"S0007125025000017_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Kahramanmara\u015f earthquakes in February 2023 represented a disaster within a disaster, as northwest Syria had been affected by years of war. Literature on the immediate psychological impact of such natural disasters in high-adversity populations is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000017_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine prevalences, longitudinal trajectories and cognitive predictors of post-traumatic stress disorder (PTSD), depression and generalised anxiety disorder (GAD) in survivors of armed conflict in northwest Syria exposed to the Kahramanmara\u015f earthquakes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000017_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We assessed self-reported PTSD, depression and GAD symptoms, as well as self-efficacy and repetitive negative thinking (RNT), at 4, 11 and 18 weeks post-earthquake (T1, T2 and T3, respectively) in 204 war survivors exposed to recent earthquakes. Retention rates for T2 and T3 were 84.4 and 75.8%, respectively. To determine trajectories of PTSD, depression and GAD, we conducted latent class growth analyses with time, self-efficacy and RNT as predictors, and trauma history, education and gender as covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000017_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prevalences of probable PTSD, depression and GAD according to questionnaire cut-offs were 80.4, 79.9 and 70.1% at T1; 62.2, 57.2 and 54.2% at T2; and 62.1, 55.2 and 51.1% at T3. Across all disorders, three developmental trajectories emerged, with most participants following a recovery or low-symptom trajectory. RNT was associated with protracted recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125025000017_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Natural disasters are associated with poor mental health in individuals in war-torn regions. Although latent class growth analyses indicated prevailing recovery trajectories, prevalence remained alarmingly high across time. RNT emerged as a potential transdiagnostic factor across disorders. Research and interventions should prioritise northwest Syrians\u2019 unprecedented mental health needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2025.1","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T23:08:01Z","timestamp":1745190481000},"page":"220-228","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["When an earthquake hits a war-affected population: longitudinal growth trajectories of psychopathology in individuals in northwest Syria"],"prefix":"10.1192","volume":"228","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9939-3905","authenticated-orcid":false,"given":"Dana","family":"Churbaji","sequence":"first","affiliation":[{"name":"University of 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}