Evidence map›Paper›PMID 42036873›Full record

ArticlePsychology and psychotherapy2026

Determinants of mental health in earthquake survivors: Trauma memories, cognitions, identity and safety-seeking behaviours in PTSD and CPTSD models.

Fatmanur Çimen, İsmail Seçer, Abdurrahman Kasım Pakiş, Alice Alberici

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Article in Psychology and psychotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Fatmanur ÇimenPsychological Counselling and Guidance Department, Atatürk University, Erzurum, Türkiye.ORCID https://orcid.org/0000-0001-6068-430X
İsmail SeçerPsychological Counselling and Guidance Department, Atatürk University, Erzurum, Türkiye.
Abdurrahman Kasım PakişDepartment of Child Care and Youth Services, Van Yüzüncü Yıl University, Van, Türkiye.
Alice AlbericiChildren and Young Person's Diabetes Team, Level 10 Royal Alexandra Children's Hospital, University Hospital Sussex, Brighton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine the determinants of mental health among adult earthquake survivors by testing conceptual models of post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD). Specifically, the study investigated how trauma memories, post-traumatic cognitions, trauma identity and safety-seeking behaviours interact to influence mental health outcomes.

methodsA cross-sectional design was employed with a sample of 285 adults (65.3% female) who experienced the 2023 Kahramanmaraş earthquakes in Türkiye. Participants completed self-report measures assessing trauma memories, post-traumatic cognitions, safety-seeking behaviours, trauma identity, PTSD and CPTSD symptoms, and overall mental health. Two structural equation models-one for PTSD and one for CPTSD-were tested to evaluate the pathways linking trauma-related variables to mental health.

resultsStructural equation modelling indicated that trauma memories significantly and positively predicted post-traumatic cognitions, which in turn predicted both trauma identity and safety-seeking behaviours. These mediators were positively associated with PTSD and CPTSD symptoms, which negatively predicted mental health. In the PTSD model, trauma identity had a stronger effect, whereas in the CPTSD model, safety-seeking behaviours were more influential. Both models demonstrated good fit indices, confirming the hypothesized pathways.

conclusionsThe findings underscore the pivotal role of trauma memories and post-traumatic cognitions in shaping trauma-related behavioural and identity processes that contribute to PTSD and CPTSD symptoms. Targeting these mechanisms in clinical interventions may enhance mental health outcomes in individuals exposed to large-scale natural disasters.

Indexed as

EarthquakesStress Disorders, Post-TraumaticSurvivorsAdultCognitionCross-Sectional StudiesFemaleHumansMaleMemoryMiddle AgedModels, Psychologicalmental healthpost‐traumatic cognitionspost‐traumatic safety‐seeking behaviourstrauma identitytrauma memories

Identifiers

PMID42036873
PMCPMC13456354

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.