High Prevalence of Post-Traumatic Stress Symptoms in Relation to Social Factors in Affected Population One Year after the Fukushima Nuclear Disaster.
High Prevalence of Post-Traumatic Stress Symptoms in Relation to Social Factors in Affected Population One Year after the Fukushima Nuclear Disaster.
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DOI：
10.1371/journal.pone.0151807
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Mollica RF
中科院分区：
文献类型：
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作者：
Tsujiuchi T;Yamaguchi M;Masuda K;Tsuchida M;Inomata T;Kumano H;Kikuchi Y;Augusterfer EF;Mollica RF
本研究调查了福岛核灾难发生一年后，受影响人群的创伤后应激症状。此外，我们还调查了社会因素，如被迫流离失所，我们假设这是造成创伤后应激障碍高发的原因。最后，我们报告了从受影响人群中收集的书面叙述。采用事件影响量表（IES-R），对2011户福岛县流离失所者在埼玉县临时居住的家庭进行问卷调查。在490个回复中；350人符合纳入研究的标准。采用多元logistic回归分析检验社会因素作为可能的创伤后应激障碍（PTSD）预测因子的几个特征和变量。IES-R平均得分为36.15±21.55分，其中59.4%得分在30分及以上，可能存在PTSD。高危人群的百分比在性别、年龄、疏散区域、房屋损坏、海啸影响、家庭破裂、熟人支持等方面无显著差异。多元logistic回归分析结果显示，慢性躯体疾病（OR = 1.97）、慢性精神疾病（OR = 6.25）、生计担忧（OR = 2.27）、失业担忧（OR = 1.71）、失去社会联系（OR = 2.27）、薪酬担忧（OR = 3.74）是PTSD发生的显著预测因子。尽管基于自我报告IES-R的PTSD诊断存在局限性，但我们的研究结果表明，创伤后应激障碍的高风险与核灾难及其随后的疏散和流离失所密切相关。因此，恢复工作不仅必须注重医疗和心理治疗，而且还必须注重与流离失所有关的社会和经济问题。
This study investigated post-traumatic stress symptoms in relation to the population affected by the Fukushima Nuclear Disaster, one year after the disaster. Additionally, we investigated social factors, such as forced displacement, which we hypothesize contributed to the high prevalence of post-traumatic stress. Finally, we report of written narratives that were collected from the impacted population. Using the Impact of Event Scale-Revised (IES-R), questionnaires were sent to 2,011 households of those displaced from Fukushima prefecture living temporarily in Saitama prefecture. Of the 490 replies; 350 met the criteria for inclusion in the study. Multiple logistic regression analysis was performed to examine several characteristics and variables of social factors as predictors of probable post-traumatic stress disorder, PTSD. The mean score of IES-R was 36.15±21.55, with 59.4% having scores of 30 or higher, thus indicating a probable PTSD. No significant differences in percentages of high-risk subjects were found among sex, age, evacuation area, housing damages, tsunami affected, family split-up, and acquaintance support. By the result of multiple logistic regression analysis, the significant predictors of probable PTSD were chronic physical diseases (OR = 1.97), chronic mental diseases (OR = 6.25), worries about livelihood (OR = 2.27), lost jobs (OR = 1.71), lost social ties (OR = 2.27), and concerns about compensation (OR = 3.74). Although there are limitations in assuming a diagnosis of PTSD based on self-report IES-R, our findings indicate that there was a high-risk of PTSD strongly related to the nuclear disaster and its consequent evacuation and displacement. Therefore, recovery efforts must focus not only on medical and psychological treatment alone, but also on social and economic issues related to the displacement, as well.