ArticleJournal of eating disorders2026
Traumatic stress and eating-related behaviours after the 6 February 2023 Kahramanmaraş earthquakes: a cross-sectional comparative study.
Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveLarge earthquakes may be associated with traumatic stress and eating-related outcomes, but evidence from Turkey remains limited. This study examined the associations between direct earthquake exposure, post-earthquake traumatic stress, and eating-related outcomes approximately two years after the 6 February 2023 Kahramanmaraş-centred earthquakes.
methodThis cross-sectional comparative online survey was conducted in Turkey between March and June 2025. Adults were classified as directly exposed (n = 602) or comparison (n = 615) based on residence in the 11 affected provinces and self-reported earthquake experience. Participants completed the Post-Earthquake Trauma Level Determination Scale (PETLDS), Salzburg Emotional Eating Scale (SEES), Mindful Eating Questionnaire (MEQ), and SCOFF eating disorder screening tool, together with sociodemographic and self-reported anthropometric measures. Adjusted group differences were estimated using multivariable regression models controlling for age, BMI, gender, marital status, education, employment, income status, and earthquake-related loss. Additional adjusted models examined whether PETLDS total score was independently associated with eating-related outcomes.
resultsDirect exposure was strongly associated with higher traumatic stress (PETLDS total: B = 12.30, 95%CI 10.66 to 13.94; p < 0.001) and with higher scores on most PETLDS subscales, whereas the PETLDS emotional subscale was higher in the comparison group (B=-1.09, 95%CI -1.37 to -0.81; p < 0.001). Direct exposure was not independently associated with SEES total score (p = 0.153), MEQ total score (p = 0.584), or a positive SCOFF screen (OR = 1.286, 95%CI 0.969 to 1.706; p = 0.081), although small exploratory subscale differences were observed. In additional adjusted models, higher PETLDS total score was associated with lower MEQ total score and greater odds of a positive SCOFF screen (both p < 0.001), but not with SEES total score.
conclusionDirect exposure was strongly associated with traumatic stress, whereas eating-related associations were limited. Traumatic stress severity was more clearly associated with lower mindful eating and higher eating disorder risk screening positivity, supporting trauma-informed post-disaster care and nutritional screening in highly stressed individuals.
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