ArticleBMC public health2024
The effect of earthquake exposure on PTSD symptoms is mediated by intrusive rumination and moderated by gender: a cross-sectional study on the 2023 Kahramanmaraş earthquake survivors.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of psychological interventions for adult survivors of the 2023 Kahramanmaraş earthquakes: a systematic review and meta-analysis.Frontiers in psychology · 2025Pooled it
- Remote EMDR versus CBT for PTSD after the Kahramanmaraş earthquakes: a randomized trial.Frontiers in psychiatry · 2026Trial
- Sex disparities in psychosocial distress among medical students with indirect exposure to the 2023 Kahramanmaras earthquakes.Global health action · 2026Article
- The relationship between death distress and fertility intentions in married women after the earthquake.Primary health care research & development · 2026Article
- Posttraumatic Stress Disorder-Related Mental Health Problems and Risk Factors After an Earthquake.Psychiatry and clinical psychopharmacology · 2025Article
- Post-Earthquake PTSD and the Role of Telepsychiatry: A Six-Month Follow-Up Study After the 2023 Kahramanmaraş Earthquakes.Medicina (Kaunas, Lithuania) · 2025Observational
- Unraveling Youth Trauma and Parental Influence After Twin Earthquakes.Healthcare (Basel, Switzerland) · 2025Article
- The effect of post-traumatic stress disorder on misinformation beliefs among survivors of the 2008 China earthquake: the mediating roles of rumination and fear of missing out.BMC psychology · 2025Article
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2 authors.
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Abstract
backgroundEvidence suggests that natural disasters, such as earthquakes, can lead to post-traumatic stress disorder (PTSD), with women being particularly vulnerable. However, there is a dearth of knowledge about the underlying mechanisms linking traumatic experiences to PTSD as well as gender differences in the operation of these mechanisms. This study examined the mediating effect of intrusive rumination and the moderating effect of gender on the relationship between earthquake exposure level and PTSD symptoms.
methodsThis cross-sectional study was conducted 12 months after the devastating earthquake in Kahramanmaraş, Turkey. The sample included 632 adult survivors of the earthquake, including 374 females (59.2%) and 258 males (40.8%). Participants completed a set of questionnaires assessing their demographic information, level of earthquake exposure, intrusive rumination, and PTSD symptoms. Correlation analysis, mediation analysis, and conditional process analysis were employed to evaluate the research hypotheses.
resultsFindings revealed significant associations between the level of earthquake exposure, intrusive rumination and PTSD symptoms. The level of earthquake exposure significantly predicted PTSD symptoms. Moreover, intrusive rumination partially mediated the relationship between earthquake exposure level and PTSD symptoms. Additionally, the mediating effect of intrusive rumination was more pronounced among females than males.
conclusionThis study revealed the significant mediating role of intrusive rumination in the development of post-earthquake PTSD symptoms. By uncovering gender differences in this mechanism, it also emphasized the importance of designing interventions that are sensitive to the varying needs of different demographic groups affected by the disaster in post-disaster mental health interventions.
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