福岛第一核电站事故后社会经济状况、损害相关状况和创伤后应激障碍:福岛健康管理调查。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL Fukushima Journal of Medical Science Pub Date : 2021-01-01 DOI:10.5387/fms.2020-24
Tetsuya Shiga, Wen Zhang, Tetsuya Ohira, Yuriko Suzuki, Masaharu Maeda, Hirobumi Mashiko, Hirooki Yabe, Hajime Iwasa, Hironori Nakano, Seiji Yasumura, Kenji Kamiya
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引用次数: 4

摘要

东日本大地震严重破坏了东北和关东地区,福岛县随后面临核灾难。很少有研究报道灾难后社会经济压力因素对个人精神状态的影响。我们分析了60,704名指定限制区域的成年居民对PTSD -应激源特定版本(PCL-S)的反应。采用回归分析分析PCL-S评分与人口学、社会经济和损伤相关变量之间的关系,以预测受试者PTSD症状的严重程度。震后18个月,大约14.1%的撤离者有严重的PTSD症状(PCL-S≥50)。女性、老年人、受教育程度较低的人、有精神病史的人和居住在福岛县以外的人的PCL-S得分较高。PCL-S得分随凯斯勒心理困扰量表得分的增加而增加。创伤暴露应激源和社会经济应激源的数量分别与PCL-S评分增加1.52和3.77相关。此外,心理困扰、失业、收入减少、房屋受损、海啸经历、核电站事故经历以及因灾难而失去亲人与严重PTSD症状的患病率有关。大地震、海啸和核事故的三重灾难造成了重大的社会经济变化,这可能是福岛交通受限地区居民PTSD的重要决定因素。
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Socioeconomic status, damage-related conditions, and PTSD following the Fukushima-daiichi nuclear power plant accident:The Fukushima Health Management Survey.

The Great East Japan Earthquake severely damaged the Tohoku and Kanto districts, and Fukushima Prefecture faced a subsequent nuclear disaster. Few studies have reported the effects of socioeconomic stressors on individuals' mental status following disasters. We analyzed the responses of 60,704 adult residents of a designated restricted area to the PTSD Checklist-Stressor-Specific Version (PCL-S). The relationships between the PCL-S scores and demographic, socioeconomic, and damage-related variables were analyzed using regression analysis to predict participants' severity of PTSD symptoms. Approximately 14.1% of evacuees had severe PTSD symptoms (PCL-S ≥50) eighteen months post-earthquake. The PCL-S scores were higher among women, older adults, less educated people, those with a history of mental illness, and those living outside Fukushima Prefecture. The PCL-S scores increased with participants' scores on the Kessler Psychological Distress Scale. The number of trauma-exposure stressors and socioeconomic stressors were associated with 1.52 and 3.77 increases in the PCL-S score, respectively. Furthermore, psychological distress, unemployment, decreased income, house damage, tsunami experience, nuclear power plant accident experience, and loss of someone close due to the disaster were associated with the prevalence of severe PTSD symptoms. The complex triple disaster of a major earthquake, tsunami, and nuclear accident created significant socioeconomic changes that may be important determinants of PTSD among residents of restricted access areas in Fukushima.

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来源期刊
Fukushima Journal of Medical Science
Fukushima Journal of Medical Science MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
12.50%
发文量
24
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