Post-traumatic stress disorder and depression prevalence and associated risk factors among local disaster relief and reconstruction workers fourteen months after the Great East Japan Earthquake: a cross-sectional study.
Post-traumatic stress disorder and depression prevalence and associated risk factors among local disaster relief and reconstruction workers fourteen months after the Great East Japan Earthquake: a cross-sectional study.
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DOI：
10.1186/s12888-015-0440-y
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发表时间：
2015-03-24
期刊：
影响因子：
4.4
通讯作者：
Matsumoto K
中科院分区：
文献类型：
--
作者：
Sakuma A;Takahashi Y;Ueda I;Sato H;Katsura M;Abe M;Nagao A;Suzuki Y;Kakizaki M;Tsuji I;Matsuoka H;Matsumoto K
自2011年3月11日东日本大地震（GEJE）以来，许多当地工人参与了救援和重建工作。作为幸存者、救灾和重建工作者，这些工人不断面对各种各样的压力。然而，人们对这些工人的心理后遗症知之甚少。因此，我们评估了该人群中可能的创伤后应激障碍（PTSD）、可能的抑郁症和高度一般心理困扰的患病率和个人/工作场所风险因素。参与者（N = 1294，总应答率82.9%）是宫城县沿海地区的工作人员（消防员，N = 327；当地市政工作人员，N = 610；医院医务人员，N = 357）。该研究是横断面的，在GEJE后14个月进行，使用自填问卷，包括PTSD检查表-特定版本，患者健康问卷-9和K6量表。双变量分析的重要风险因素，如流离失所、家庭成员死亡或失踪、濒死经历、灾难相关工作、缺乏沟通和缺乏休息，被认为是可能的创伤后应激障碍、可能的抑郁和高度的一般心理困扰的潜在因素，并被纳入多变量logistic回归模型。市政工作人员（分别为6.6%、15.9%和14.9%）和医疗工作人员（分别为6.6%、14.3%和14.5%）的可能的PTSD、可能的抑郁症和高度一般心理困扰的患病率高于消防员（分别为1.6%、3.8%和2.6%）。市政和医务工作者缺乏休息与创伤后应激障碍和抑郁症的风险增加有关；缺乏沟通与医务工作者的创伤后应激障碍风险增加以及市政当局和医务工作者的抑郁症有关；参与与灾害有关的工作与市政工作人员的创伤后应激障碍和抑郁风险增加有关。目前的结果表明，在GEJE后14个月，不同职业的心理健康后果不同。高度的准备、早期的心理健康干预和正常工作条件的恢复可能有助于消防员的相对心理健康恢复能力。与灾害的直接影响不同，灾后工作场所的风险因素是可以调整的；因此，我们应该制定对策，改善当地救灾和重建人员的工作条件。
Many local workers have been involved in rescue and reconstruction duties since the Great East Japan Earthquake (GEJE) on March 11, 2011. These workers continuously confront diverse stressors as both survivors and relief and reconstruction workers. However, little is known about the psychological sequelae among these workers. Thus, we assessed the prevalence of and personal/workplace risk factors for probable post-traumatic stress disorder (PTSD), probable depression, and high general psychological distress in this population. Participants (N = 1294; overall response rate, 82.9%) were workers (firefighters, n = 327; local municipality workers, n = 610; hospital medical workers, n = 357) in coastal areas of Miyagi prefecture. The study was cross-sectional and conducted 14 months after the GEJE using a self-administered questionnaire which included the PTSD Checklist–Specific Version, the Patient Health Questionnaire-9, and the K6 scale. Significant risk factors from bivariate analysis, such as displacement, dead or missing family member(s), near-death experience, disaster related work, lack of communication, and lack of rest were considered potential factors in probable PTSD, probable depression, and high general psychological distress, and were entered into the multivariable logistic regression model. The prevalence of probable PTSD, probable depression, and high general psychological distress was higher among municipality (6.6%, 15.9%, and 14.9%, respectively) and medical (6.6%, 14.3%, and 14.5%, respectively) workers than among firefighters (1.6%, 3.8%, and 2.6%, respectively). Lack of rest was associated with increased risk of PTSD and depression in municipality and medical workers; lack of communication was linked to increased PTSD risk in medical workers and depression in municipality and medical workers; and involvement in disaster-related work was associated with increased PTSD and depression risk in municipality workers. The present results indicate that at 14 months after the GEJE, mental health consequences differed between occupations. High preparedness, early mental health interventions, and the return of ordinary working conditions might have contributed to the relative mental health resilience of the firefighters. Unlike the direct effects of disasters, workplace risk factors can be modified after disasters; thus, we should develop countermeasures to improve the working conditions of local disaster relief and reconstruction workers.
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影响因子：
11.9
作者：
Kawakami, N;Takeshima, T;Kikkawa, T
通讯作者：
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