{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:47:57Z","timestamp":1782913677835,"version":"3.54.5"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Phantom earthquake sensations (PES) are poorly understood. This study investigated relationships between phantom perception, spatial context, earthquake-related anxiety (EAS), and post-traumatic stress (IES-R) following a non-destructive earthquake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 157 participants (81 female, 76 male) who experienced the Mw 6.2 Istanbul earthquake. Data were collected within 4\u202fweeks via surveys assessing phantom sensations, EAS, and IES-R. Non-parametric tests, Chi-square, and Spearman rank correlations were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Context was a significant modulator. Participants at home reported higher EAS (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.037) and IES-R (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.033) scores, plus more frequent (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.044) and prolonged (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.049) phantom sensations. Counter-intuitively, participants perceiving the tremor as \u201cvery mild\u201d reported the highest anxiety (Mean\u202f=\u202f47), significantly exceeding the \u201cmoderate\u201d group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.012), whereas no significant difference was observed with the \u201csevere\u201d group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.609). EAS correlated weakly with total IES-R (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u202f=\u202f0.283,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.033) and moderately with the \u201cintrusion\u201d subscale (\u03c1\u202f=\u202f0.375,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PES is a complex biopsychosocial phenomenon shaped by spatial context (home\/solitude) and perceptual ambiguity, rather than by seismic intensity alone. The link to anxiety appears driven by cognitive re-experiencing (intrusion) over generalized fear. Findings support a clinical triad of vestibular rehabilitation, anxiety management, and trigger control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1848434","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:16:24Z","timestamp":1782911784000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Phantom earthquake sensations: a cross-sectional analysis of context, perceptual ambiguity, and cognitive intrusion"],"prefix":"10.3389","volume":"14","author":[{"given":"Kerem","family":"Ersin","sequence":"first","affiliation":[{"name":"Department of Audiology, Faculty of Health Sciences, Istanbul Medipol University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eeyma Tu\u011fba","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Audiology, College of Heath Sciences, Istanbul Medipol University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fnbeh.2018.00091","article-title":"Post-earthquake distress and development of emotional expertise in young adults","volume":"12","author":"Pistoia","year":"2018","journal-title":"Front Behav Neurosci"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1590\/2237-6089-2016-0029","article-title":"Posttraumatic stress disorder: a serious post-earthquake complication","volume":"39","author":"Farooqui","year":"2017","journal-title":"Trends Psychiatry Psychother"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0255816","article-title":"Post-earthquake dizziness syndrome following the 2016 Kumamoto earthquakes, Japan","volume":"16","author":"Miwa","year":"2021","journal-title":"PLoS 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