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Effects of the Integrated Grief Therapy on Psychological Resilience, Post-Traumatic Growth, Traumatic Stress, and Grief Processes in Earthquake Survivors

8 de junio de 2026 actualizado por: Burçin Çakır, Sakarya University

Effects of the Integrated Grief Therapy on Earthquake Survivors

This study evaluates the effectiveness of an Integrated Grief Therapy (IGT) group program for adults affected by the February 6, 2023 earthquake in Türkiye. Many earthquake survivors experience psychological difficulties such as traumatic stress, grief, and reduced resilience after losing loved ones, homes, and a sense of safety. This study aims to determine whether a structured group-based therapy program can help improve psychological well-being and reduce distress.

A total of 190 adult participants who experienced the earthquake were included in the study. Participants were randomly assigned to either an experimental group or a waitlist control group. The experimental group participated in an 8-session Integrated Grief Therapy program delivered face-to-face by trained mental health professionals. The program included psychoeducation about grief, emotional expression, cognitive and behavioral coping strategies, and activities designed to support meaning-making and adaptation after loss. The control group continued to receive routine psychosocial support services available in the community but did not participate in the structured therapy during the study period.

All participants completed standardized psychological assessments before and after the intervention. These assessments measured psychological resilience, post-traumatic growth, grief-related difficulties, and traumatic stress symptoms.

The study aims to determine whether participants who receive the Integrated Grief Therapy program show greater improvements in resilience and post-traumatic growth, and greater reductions in traumatic stress and grief symptoms, compared to those who do not receive the intervention during the same period.

The findings from this study may help inform the development of effective, scalable mental health interventions for individuals affected by large-scale disasters.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Actual)

190

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Mersin, Turquía (Türkiye)
        • Psychosocial Support and Grief Therapy Center

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Adults aged 18 to 45 years
  • Individuals who were present in Hatay, Türkiye during the 2023 Türkiye-Syria earthquakes
  • Individuals directly affected by the earthquake
  • Ability to provide informed consent
  • Willingness to participate in group-based psychological intervention sessions

Exclusion Criteria:

  • Current diagnosis of a psychotic disorder or severe mental disorder
  • Severe cognitive impairment or neurological condition
  • Acute suicidal risk requiring immediate intervention or hospitalization
  • Currently receiving intensive psychiatric or psychological treatment
  • Substance use disorder in an acute or severe phase
  • Inability to commit to attending the full intervention program
  • Declined or withdrew informed consent

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Integrated Grief Therapy (IGT)
Participants receiving 8-session group-based Integrated Grief Therapy program
Integrated Grief Therapy (IGT) is a structured, 8-session group intervention developed to support individuals coping with loss after a disaster. The program integrates elements of cognitive-behavioral therapy, humanistic approaches, and grief-focused techniques. It includes psychoeducation about grief, identification and restructuring of maladaptive thoughts, emotional expression, interpersonal sharing, and meaning-making activities such as memory exercises and completion letters. The intervention aims to enhance psychological resilience, promote post-traumatic growth, and reduce traumatic stress and grief symptoms.
Sin intervención: Waitlist Control / Treatment as Usual
Participants receiving routine psychosocial support only

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Psychological Resilience Score
Periodo de tiempo: 8 week
Psychological resilience will be assessed using the Psychological Resilience Scale for Adults. Total scores range from 33 to 165, with higher scores indicating greater psychological resilience.
8 week

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Depression Score
Periodo de tiempo: 8 week
Depression symptoms will be assessed using the Depression subscale of the Depression Anxiety Stress Scales, a self-report instrument. The subscale consists of 7 items with total scores ranging from 0 to 42. Higher scores indicate greater depression severity.
8 week

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

12 de abril de 2024

Finalización primaria (Estimado)

1 de agosto de 2026

Finalización del estudio (Estimado)

30 de septiembre de 2026

Fechas de registro del estudio

Enviado por primera vez

11 de abril de 2026

Primero enviado que cumplió con los criterios de control de calidad

8 de junio de 2026

Publicado por primera vez (Actual)

11 de junio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

11 de junio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

8 de junio de 2026

Última verificación

1 de junio de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

Group Therapy Intervention Plan

Title of the intervention:

Structured Group Therapy Program for Individuals Exposed to Trauma and Loss

Purpose of the intervention:

The purpose of this group therapy program is to reduce psychological distress among individuals who have experienced traumatic events and loss, provide a safe environment for emotional sharing, strengthen coping skills, enhance perceived social support, and improve overall psychosocial functioning.

Target group:

Adults experiencing psychological distress following earthquake exposure, displacement, bereavement, uncertainty, grief, and trauma-related experiences.

A separate protocol may be developed for adolescents if needed.

Mode of delivery:

Face-to-face, closed-group format

Group structure:

Each group will consist of 8-12 participants. Each group will be facilitated by one group therapist and one co-facilitator/observer.

Facilitators:

Psychologists or mental health professionals trained in trauma, grief, crisis inter

Marco de tiempo para compartir IPD

Understanding trauma and grief reactions

Objective:

To normalize participants' reactions and provide psychoeducation regarding trauma and grief.

Content:

Common emotional, cognitive, and physical reactions after trauma The individual and variable nature of grief Addressing the question: "Are my reactions normal?" Increasing awareness of symptoms and stress responses

Techniques:

Psychoeducation, group sharing, emotion-awareness exercises

Criterios de acceso compartido de IPD

Inclusion Criteria Age 18 years or older Exposure to trauma, loss, displacement, or related distressing experiences Self-reported psychological distress related to these experiences Willingness to participate in group sessions Ability to attend sessions regularly Provision of informed consent Exclusion Criteria Active psychotic symptoms Severe cognitive impairment Acute suicide risk Severe substance intoxication during participation Clinical instability that would significantly impair participation in a group setting

Participants meeting exclusion criteria will be referred to appropriate mental health services when necessary.

Safety and Ethical Considerations Written or verbal informed consent will be obtained from all participants. Confidentiality will be emphasized at the beginning of the group process. Participants may withdraw from the study/intervention at any time without penalty.

Individuals who experience significant emotional distress during sessions will be assessed individ

Tipo de información de apoyo para compartir IPD

  • RSC

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

producto fabricado y exportado desde los EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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