Cited by 126Posttraumatic Stress Disorder ResearchDisaster Response and ManagementMigration, Health and Trauma

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A randomized controlled study of single-session behavioural treatment of earthquake-related post-traumatic stress disorder using an earthquake simulator

BAŞOĞLU, METİN, ŞALCIOĞLU, EBRU, LIVANOU, MARIA·2007·Psychological Medicine

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Abstract

Background. Brief interventions are needed in dealing with traumatic stress problems in large survivor populations after devastating earthquakes. The present study examined the effectiveness of a single session of exposure to simulated tremors in an earthquake simulator and self-exposure instructions in reducing post-traumatic stress disorder (PTSD). Method. Participants were consecutively recruited from among survivors screened during field surveys in the disaster region in Turkey. Thirty-one earthquake survivors with PTSD were assigned either to a single session of behavioural treatment (n=16) or to repeated assessments (RA; n=15). Assessments in the treatment group were at 4, 8, 12, 24 weeks and 1–2 years post-treatment. The RA cases were assessed at baseline and 4 and 8 weeks after trial entry, after which they received the same treatment and were followed up at 4, 12, 24 weeks and 1–2 years. Results. Between-group treatment effects at week 8 were significant on measures of fear, PTSD and self- and assessor-rated global improvement. Improvement rates were 40% at week 4, 72% at week 12, 80% at week 24, and 80% at 1–2-years' follow-up, with large effect sizes on fear and PTSD measures. Post-session reduction in fear of earthquakes and increased sense of control over fear at follow-up related to improvement in PTSD. Conclusion. The study provided further evidence of the effectiveness of a single session of behavioural treatment in reducing fear and PTSD in earthquake survivors. Future research needs to examine the usefulness of earthquake simulators in increasing psychological preparedness for earthquakes.

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Authors: BAŞOĞLU, M., ŞALCIOĞLU, E., & LIVANOU, M.
Affiliations: University of London (GB)
ORCID: LIVANOU, MARIA
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2006-10-23
Volume: 37
Issue: 2
Pages: 203-213
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291706009123
OpenAlex: W1968330132
Cited by: 126
References: 26
Citations by year: 2026: 1 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 9 · 2016: 5 · 2015: 5 · 2014: 8 · 2013: 11 · 2012: 5
FWCI: 8.84
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
UBIR (University of Greater Manchester) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords: post-traumatic stress disorder, earthquake survivors, earthquake simulator, brief psychological intervention, earthquake fear, perceived control, disaster mental health, psychological preparedness
MeSH terms: Adult, Analysis of Variance, Behavior Therapy, Computer Simulation, Disasters, Fear, Female, Humans, Male, Middle Aged, Stress Disorders, Post-Traumatic, Turkey, Prevalence, Survivors

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A randomized controlled study of single-session behavioural treatment of earthquake-related post-traumatic stress disorder using an earthquake simulator

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