Psychological resilience,inflexibility,meaning in life,and religious coping as mediators between earthquake risk perception and self-generated stress among Turkish earthquake survivors
Restricted accessResearch articleFirst published online 2026
Psychological resilience,inflexibility,meaning in life,and religious coping as mediators between earthquake risk perception and self-generated stress among Turkish earthquake survivors
Several studies have examined the relationship between perceived earthquake risk and self-generated stress; however, limited attention has been paid to the mechanisms that explain this relationship. This study addressed this gap by testing the mediating roles of psychological resilience, psychological inflexibility, meaning in life, and positive religious coping among Turkish adults. Data were collected from 1011 participants (mean age = 28.3; SD = 10.34) across Türkiye through a paper-and-pencil survey. A mediation model was conducted to examine the indirect effects of these psychological variables. Results showed that all four variables significantly mediated the relationship between earthquake risk perception and self-generated stress. These insights may inform psychological preparedness programs and support the development of resilience-focused interventions in natural disaster contexts.
Abu-RaiyaHPargamentKIMahoneyA, et al (2008) A psychological measure of Islamic religiousness: Development and evidence for reliability and validity. International Journal for the Psychology of Religion18(4): 291–315.
2.
Abu-RaiyaHPargamentKIMahoneyA (2011) Examining coping methods with stressful interpersonal events experienced by Muslims living in the United States following the 9/11 attacks. Psychology of Religion and Spirituality3(1): 1–14.
3.
Adhikari BaralIBhagawatiKC (2019) Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Sychiatry 19(1), 118. https://doi.org/10.1186/s12888-019-2090-y
4.
AktepeZGDenizMEErişenY, et al (2025) Hope and death obsession after the Maras earthquake: Psychological inflexibility and psychache as serial mediators. International Journal of Disaster Risk Reduction121: 105416.
5.
AlfuqahaOAAl-MasarwahUMFarahRI, et al (2023) The impact of Turkey and Syria earthquakes on university students: Posttraumatic stress disorder symptoms, meaning in life, and social support. Behavioral Sciences13(7): 587.
6.
AlsamaraKKakajeASoqiaJ, et al (2024) Exploring women’s religious coping strategies and psychological impact after the 2023 earthquake in Syria. Journal of Religion and Health63(3): 2314–2326.
7.
AnoGGVasconcellesEB (2005) Religious coping and psychological adjustment to stress: A meta-analysis. Journal of Clinical Psychology61(4): 461–480.
8.
AntonovskyA (1987) Health promoting factors at work: The sense of coherence. In: KalimoREl-BatawiMACooperCL (eds) Psychosocial Factors at Work and Their Relation to Health. WHO, pp.153–167.
9.
AoYZhangHYangL, et al (2021) Impacts of earthquake knowledge and risk perception on earthquake preparedness of rural residents. Natural Hazards107(2): 1287–1310.
10.
BartonJRGutiérrez-AntinopaiFEscalona UlloaM (2021) Adaptive capacity as local sustainable development: Contextualizing and comparing risks and resilience in two Chilean regions. Sustainability13(9): 4660.
11.
BatthyanyARussoNP (2014) Meaning in Positive and Existential Psychology. Springer.
12.
BendimeradF (2021) The role of earthquake insurance in earthquake risk reduction and resilience building. In: AkkarSIlkiAGoksuC, et al. (eds) Advances in Assessment and Modeling of Earthquake Loss. Springer International Publishing, pp.277–286.
13.
BondFWHayesSCBaerRA, et al (2011) Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance: a revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy42(4): 676–688.
14.
BondFWHayesSCBarnesHD (2013) Psychological flexibility, ACT, and organizational behavior. In: HayesSCBondFWBarnes-HolmesD, et al. (eds) Acceptance and Mindfulness at Work. Routledge, pp.25–54.
15.
BryneBM (2016) Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming. Routledge.
16.
CampbellDCampbellKNessJW (2008) Resilience through leadership. In: Lukey BJ and Tepe V (eds) Biobehavioral Resilience to Stress. Routledge, pp.79–110.
17.
CherryKMHoevenEVPattersonTS, et al (2021) Defining and measuring “psychological flexibility”: A narrative scoping review of diverse flexibility and rigidity constructs and perspectives. Clinical Psychology Review84: 101973.
18.
CurranPJWestSGFinchJF (1996) The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods1(1): 16–29.
19.
DencklaCACicchettiDKubzanskyLD, et al (2020) Psychological resilience: An update on definitions, a critical appraisal, and research recommendations. European Journal of Psychotraumatology11(1): 1822064.
20.
DoğanT (2015) Kısa Psikolojik Sağlamlık Ölçeği’nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being3(1): 93–102.
21.
EkşiHSayınM (2016) The adaptation of Religious Coping Scale into Turkish language: A study of bilingual equivalance3, validity and reliability. AGP Humanities and Social Sciences Conference, BAU International Berlin University, Berlin, Germany, 16-25 May.
22.
ErolMTemurMErolA, et al (2025) Emotional and psychological well-being, emotion regulation, and intent attribution of children whose earthquake bereaved. OMEGA - Journal of Death and Dying. Epub ahead of print 16 April 2025. DOI: 10.1177/00302228251334230.
23.
FaryabiRRezabeigi DavaraniFDaneshiS, et al (2023) Investigating the effectiveness of protection motivation theory in predicting behaviors relating to natural disasters, in the households of southern Iran. Frontiers in Public Health11: 1201195.
24.
FaulFErdfelderELangAG, et al (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods39(2): 175–191.
25.
FederAAhmadSLeeEJ, et al (2013) Coping and PTSD symptoms in Pakistani earthquake survivors: Purpose in life, religious coping and social support. Journal of Affective Disorders147(1–3): 156–163.
26.
FengXXiaotianW (2025) Adaptive time management: A life-history framework integrating mental time travel, mortality awareness, and anticipatory decision-making. Lifespan Development and Mental Health1(4): 10017.
27.
FirstJMHoustonJB (2022) The mental health impacts of successive disasters: Examining the roles of individual and community resilience following a tornado and COVID-19. Clinical Social Work Journal50(2): 124–134.
28.
FlettGLHewittPLNeponT (2020) The self-generated stress scale: Development, psychometric features, and associations with perfectionism, self-criticism, and distress. Journal of Psychoeducational Assessment38(1): 69–83.
29.
FlynnMKecmanovicJAlloyLB (2010) An examination of integrated cognitive-interpersonal vulnerability to depression: The role of rumination, perceived social support, and interpersonal stress generation. Cognitive Therapy and Research34(5): 456–466.
30.
FuFChowALiJ, et al (2018) Emotional flexibility: Development and application of a scale in adolescent earthquake survivors. Psychological Trauma Theory Research Practice and Policy10(2): 246–252.
31.
GlawXKableAHazeltonM, et al (2017) Meaning in life and meaning of life in mental health care: An integrative literature review. Issues in Mental Health Nursing38(3): 243–252.
32.
GökçayGÇevirmeAİncirkuş KüçükH, et al (2024) The relationship between earthquake risk perceptions, religious orientation, spiritual well-being in individuals with and without earthquake experience: A cross-sectional study. Scientific Reports14(1): 5928.
33.
GülerAGülSYıldırımM (2024) Social comparison, resilience, life satisfaction, depression, and anxiety among earthquake survivors in Turkey. International Journal of Disaster Risk Reduction105: 104426.
34.
GülerAGİmrekY (2023) The earthquake disaster in Türkiye: A review from child and adolescent psychiatry perspective. Düzce Medical Journal25(1): 6–14.
35.
HayesAF (2009) Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs76(4): 408–420.
36.
HayesAF (ed.) (2022) Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach, 3rd edn. Guilford Press.
37.
HayesAFPreacherKJ (2014) Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology67(3): 451–470.
38.
HayesSCStrosahlKDWilsonKG (2011) Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. Guilford Press.
39.
HoMShawDLinS, et al (2008) How do disaster characteristics influence risk perception?Risk Analysis28(3): 635–643.
40.
HuangCXieJOwusuaT, et al (2021) Is psychological flexibility a mediator between perceived stress and general anxiety or depression among suspected patients of the 2019 coronavirus disease (COVID-19)?Personality and Individual Differences183: 111132.
41.
IonescuDIacobCIAvramE, et al (2021) Emotional distress related to hazards and earthquake risk perception. Natural Hazards109(3): 2077–2094.
42.
KahleoğullarıG (2017) Validity, reliability and factor structure of the revised Turkish version of the purpose in life scale, meaning in life questionnaire and life orientation test. Master's thesis, Hasan Kalyoncu University, Türkiye.
43.
KieuMSenanayakeG (2023) Perception, experience and resilience to risks: A global analysis. Scientific Reports13(1): 19356.
44.
KungYChenS (2012) Perception of earthquake risk in Taiwan: Effects of gender and past earthquake experience. Risk Analysis32(9): 1535–1546.
45.
KurzASBethayJSLadner-GrahamJM (2014) Mediating the relation between workplace stressors and distress in ID support staff: Comparison between the roles of psychological inflexibility and coping styles. Research in Developmental Disabilities35(10): 2359–2370.
46.
LeamanSCGeeCB (2012) Religious coping and risk factors for psychological distress among African torture survivors. Psychological Trauma Theory Research Practice and Policy4: 457–465.
47.
LiXLyuH (2020) Epidemic risk perception, perceived stress, and mental health during Covid-19 pandemic: A moderated mediating model. Frontiers in Psychology11: 563741.
48.
MesidorJKSlyKF (2019) Religious coping, general coping strategies, perceived social support, PTSD symptoms, resilience, and posttraumatic growth among survivors of the 2010 earthquake in Haiti. Mental Health Religion & Culture22(2): 130–143.
49.
MeyerECKotteAKimbrelNA, et al (2019) Predictors of lower-than-expected posttraumatic symptom severity in war veterans: The influence of personality, self-reported trait resilience, and psychological flexibility. Behaviour Research and Therapy113: 1–8.
50.
MızrakSÖzdemirAAslanR (2021) Adaptation of hurricane risk perception scale to earthquake risk perception and determining the factors affecting women’s earthquake risk perception. Natural Hazards109(3): 2241–2259.
51.
NieRHanYXuJ, et al (2018) Illness perception, risk perception and health promotion self-care behaviors among Chinese patient with type 2 diabetes: A cross-sectional survey. Applied Nursing Research39: 89–96.
52.
OkuyamaJFunakoshiSTomitaH, et al (2018) Longitudinal characteristics of resilience among adolescents: A high school student cohort study to assess the psychological impact of the Great East Japan earthquake. Psychiatry and Clinical Neurosciences72(11): 821–835.
53.
O’GradyKARollisonDGHannaTS, et al (2012) Earthquake in Haiti: Relationship with the sacred in times of trauma. Journal of Psychology and Theology40(4): 289–301.
54.
PanQFuWZhangY (2024) Exploring the relationship between coping styles and well-being among Chinese university students: A longitudinal study based on the transactional stress model. Applied Psychology: Health and Well-Being16(4): 1584–1605.
55.
PargamentKI (1997) The Psychology of Religion and Coping: Theory, Research, Practice. Guilford Press.
56.
PargamentKIKoenigHGPerezLM (2000) The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology56(4): 519–543.
57.
PetersAMcEwenBSFristonK (2017) Uncertainty and stress: Why it causes diseases and how it is mastered by the brain. Progress in Neurobiology156: 164–188.
58.
PrayagGOzanneLKSpectorS (2021) A psychological wellbeing perspective of long-term disaster recovery following the Canterbury earthquakes. International Journal of Disaster Risk Reduction63: 102438.
59.
PreacherKJKelleyK (2011) Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods16(2): 93–115.
60.
QingCGuoSDengX, et al (2021) Farmers' disaster preparedness and quality of life in earthquake-prone areas: The mediating role of risk perception. International Journal of Disaster Risk Reduction59: 102252.
61.
RaghavanSSSandanapitchaiP (2019) Cultural predictors of resilience in a multinational sample of trauma survivors. Frontiers in Psychology10: 131.
62.
SmithBWDalenJWigginsK, et al (2008) The Brief Resilience Scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine15(3): 194–200.
63.
SouthwickSMSippelLKrystalJ, et al (2016) Why are some individuals more resilient than others: The role of social support. World Psychiatry15(1): 77–79.
64.
StegerMFFrazierPOishiS, et al (2006) The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology53(1): 80–93.
65.
TangJSFengJY (2018) Residents’ disaster preparedness after the Meinong Taiwan earthquake: A test of protection motivation theory. IJERPH15(7): 1434.
66.
TimalsinaRSongwathanaPSae-SiaW (2022) Factors explaining resilience among Nepalese older adults experiencing disasters: A cross-sectional study. International Journal of Disaster Risk Reduction69: 102756.
67.
TrumboCWPeekLMeyerMA, et al (2016) A cognitive-affective scale for hurricane risk perception. Risk Analysis36(12): 2233–2246.
68.
TruongTTHNguyenTTVNguyenTHH, et al (2025) The role of resilience, risk perception, efficacy belief on protective behaviours and travel intention during a crisis. Sage Open15(2): 21582440251337199.
69.
TuranME (2021) Empathy and video game addiction in adolescents: Serial mediation by psychological resilience and life satisfaction. International Journal of Progressive Education17(4): 282–296.
70.
UylasSDArslanN (2020) Stress scale: Investigating the psychometric properties. Journal of Family Counseling and Education5(2): 40–45.
71.
VázquezCCervellónPPérez-SalesP, et al (2005) Positive emotions in earthquake survivors in El Salvador (2001). Journal of Anxiety Disorders19(3): 313–328.
72.
WuQLiR (2024) The driving mechanism of citizens’ protective behaviors for rainstorm flood disasters in China: An empirical study based on the protection motivation theory and protective action decision model. Heliyon10(22): e38482.
73.
YavuzFUlusoySIskinM, et al (2016) Turkish version of acceptance and action questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples. Bulletin of Clinical Psychopharmacology26(4): 397–408.
74.
YıldırımMTuranMEAlbeladiNS, et al (2023) Resilience and perceived social support as predictors of emotional well-being. Journal of Health and Social Sciences8(1): 59–75.
75.
YingLWuXLinC, et al (2014) Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS One9(2): e89401.
