Concern over radiation exposure and psychological distress among rescue workers following the Great East Japan Earthquake.

Concern over radiation exposure and psychological distress among rescue workers following the Great East Japan Earthquake.
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DOI:
10.1186/1471-2458-12-249
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发表时间:
2012-05-15
期刊:
影响因子:
4.5
通讯作者:
Koido Y
Koido Y
中科院分区:
医学2区
文献类型:
--
作者:
Matsuoka Y;Nishi D;Nakaya N;Sone T;Noguchi H;Hamazaki K;Hamazaki T;Koido Y

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2011年3月11日,东日本大地震和随后发生的海啸对日本东北海岸线和福岛第一核电站造成严重破坏。迄今为止,专门研究日本救援人员心理困扰的报道还很少。此外,目前还不清楚对辐射暴露的担忧在多大程度上给部署在灾区的这些工作人员造成了心理困扰。灾后一个月,部署到灾区的1816名救灾医疗救助队工作人员中的424人(24%)接受了评估。通过一个自我报告的问题来评估对辐射暴露的担忧。一般心理困扰采用凯斯勒 6 级量表 (K6) 进行评估,抑郁症状采用流行病学研究中心抑郁量表 (CES-D) 进行评估,恐惧和无助感采用创伤期痛苦量表 (PDI) 进行评估,创伤后应激症状采用事件影响量表修订版 (IES-R) 进行评估。 39 名 (9.2%) 受访者担心辐射暴露。对辐射暴露的担忧与 K6、CES-D、PDI 和 IES-R 的较高分数显着相关。在控制了年龄、职业、灾难行动经验、观看地震新闻的时间以及既往精神疾病史后,这些关联在男性中仍然显着,但在 CES-D 和 PDI 评分中在女性中并不显着。研究结果表明,对辐射暴露的担忧与心理困扰密切相关。有关辐射暴露的可靠、准确的信息可能会减少灾难救援人员与部署相关的痛苦。
On March 11, 2011, the Great East Japan Earthquake and tsunami that followed caused severe damage along Japans northeastern coastline and to the Fukushima Daiichi nuclear power plant. To date, there are few reports specifically examining psychological distress in rescue workers in Japan. Moreover, it is unclear to what extent concern over radiation exposure has caused psychological distress to such workers deployed in the disaster area. One month after the disaster, 424 of 1816 (24%) disaster medical assistance team workers deployed to the disaster area were assessed. Concern over radiation exposure was evaluated by a single self-reported question. General psychological distress was assessed with the Kessler 6 scale (K6), depressive symptoms with the Center for Epidemiologic Studies Depression Scale (CES-D), fear and sense of helplessness with the Peritraumatic Distress Inventory (PDI), and posttraumatic stress symptoms with the Impact of Event Scale-Revised (IES-R). Radiation exposure was a concern for 39 (9.2%) respondents. Concern over radiation exposure was significantly associated with higher scores on the K6, CES-D, PDI, and IES-R. After controlling for age, occupation, disaster operation experience, duration of time spent watching earthquake news, and past history of psychiatric illness, these associations remained significant in men, but did not remain significant in women for the CES-D and PDI scores. The findings suggest that concern over radiation exposure was strongly associated with psychological distress. Reliable, accurate information on radiation exposure might reduce deployment-related distress in disaster rescue workers.
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