Diagnostic interview study of the prevalence of depression among public employees engaged in long-term relief work in Fukushima

Diagnostic interview study of the prevalence of depression among public employees engaged in long-term relief work in Fukushima
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DOI:
10.1111/pcn.12414
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发表时间:
2016-09-01
影响因子:
11.9
通讯作者:
Oe, Misari
Oe, Misari
中科院分区:
医学2区
文献类型:
--
作者:
Maeda, Masaharu;Ueda, Yukiko;Oe, Misari

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目的:日本东部大地震,特别是福岛第一核电站事故,不仅给福岛居民带来了严重的心理影响,也给救援人员带来了严重的心理影响。尽管公职人员在压力很大的情况下工作,并在长期缓解中发挥着非常重要的作用,但他们的精神特征尚未得到澄清。方法对福岛两个沿海城镇的168名公职人员进行诊断性访谈和自填式问卷调查。结果显示,目前公职人员抑郁和创伤后应激障碍的患病率高达17.9%,而创伤后应激障碍的患病率相对较低(4.8%)。根据自填式问卷和访谈内容的结果,频繁接触居民强烈的抱怨或愤怒以及角色冲突被认为是抑郁患病率较高的原因。结论本研究揭示了福岛工作人员严重的心理状况,揭示了迫切需要建立有效的护理网络,提供足够的精神干预。
AimThe Great East Japan Earthquake and in particular, the Fukushima Daiichi Nuclear Power Plant accident, have had a serious psychological impact on not only residents, but also relief workers in Fukushima. Although public employees work in highly stressful situations and play a very important role in long-term relief, their psychiatric features have yet to be clarified. The two aims of this study were to identify the current prevalence rate of depression and post-traumatic stress disorder among public employees working in the disaster area using diagnostic interviews, and to speculate on the psychosocial factors affecting their mental condition.MethodsWe conducted diagnostic interviews and self-administered questionnaires with 168 public employees working in two coastal towns in Fukushima.ResultsResults showed that the current prevalence of depression among public employees is as high as 17.9%, in contrast to the relatively low prevalence of post-traumatic stress disorder (4.8%). Based on the results of self-administered questionnaires and interview contents, frequent exposure to strong complaints or anger from residents and role conflicts were considered the cause of the high prevalence of depression.ConclusionThe present study reveals the serious mental status of public employees working in Fukushima and sheds light on the urgent need to establish an efficient care network to provide adequate psychiatric intervention.