Psychological distress in an earthquake-devastated area with pre-existing high rate of suicide
Psychological distress in an earthquake-devastated area with pre-existing high rate of suicide
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自杀率高的地震灾区的心理困扰
DOI：
10.1016/j.psychres.2014.01.028
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Someya T
中科院分区：
文献类型：
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作者：
Tachibana A;Kitamura H;Shindo M;Honma H;Someya T
2011 年 3 月 12 日，日本新泻县十日町市的松野山和松台地区发生地震。这些地区的自杀率很高，尤其是老年人。我们调查了震后5个月受灾者的心理健康状况是否恶化，以及这些变化与哪些因素有关。向 1923 名 40 岁以上居民发放了一份包含 15 项的调查问卷，其中利用地震相关变量和凯斯勒 10 级心理困扰量表来衡量心理困扰。总共 1731 名受访者（男性 805 名；女性 926 名）的平均年龄 (S.D.) 为 68.2 (13.1) 岁。其中，我们评估了 1346 名受访者的 K10 分数。 K10 和 K6（从 K10 中选择的六个项目）的平均分数 (S.D.) 分别为 5.8 (6.3) 和 3.4 (3.9)。受访者中，K10 ≥15 分和 K6 ≥13 分的受访者分别为 9.1% 和 3.2%。与现有的社区数据相比，这些分数显示心理困扰略高，尤其是老年人。分类回归分析显示，初始心理影响、睡眠时间减少、高龄以及社区内人际关系下降对 K10 评分有显着且相对较强的影响。最后一项表明社会环境因素对灾后心理健康的重要性。
On 12 March 2011 an earthquake devastated the Matsunoyama and Matsudai districts of Tōkamachi City, Niigata, Japan. These areas had high pre-existing suicide rates, especially among the elderly. We investigated whether mental health status became worse among the sufferers 5 months after the earthquake, and what kind of factors were implicated in any changes. A 15-item questionnaire that tapped earthquake-related variables and the Kessler 10 Psychological Distress Scale to measure psychological distress were distributed to 1923 residents aged over 40 years. The mean age (S.D.) of the total 1731 respondents (male, 805; female, 926) was 68.2 (13.1) years. Of these, we assessed K10 scores from 1346 respondents. The mean scores (S.D.) for K10 and K6 (six selected items from the K10) were 5.8 (6.3) and 3.4 (3.9), respectively. Among the respondents, 9.1% and 3.2% obtained a score of K10 ≥15 and K6 ≥13, respectively. These scores showed slightly higher psychological distress, especially among the elderly, in comparison with existing community-based data. Categorical regression analysis revealed significant and relatively strong effects of initial psychological impact, decrease in sleep hours, advanced age, and decrease in interpersonal relationships within the community on the K10 score. The last item suggests the importance of socio-environmental factors in post-disaster mental health.