Mental Health Consequences of the Three Mile Island, Chernobyl, and Fukushima Nuclear Disasters: A Scoping Review.

Mental Health Consequences of the Three Mile Island, Chernobyl, and Fukushima Nuclear Disasters: A Scoping Review.
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三英里岛,切尔诺贝利和福岛核灾难的心理健康后果:范围审查。

DOI:
10.3390/ijerph18147478
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发表时间:
2021-07-13
影响因子:
--
通讯作者:
Maeda M
Maeda M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Oe M;Takebayashi Y;Sato H;Maeda M

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许多受东日本大地震和海啸以及随后的福岛第一核电站事故影响的人继续面临着恢复的挑战。我们回顾了三个主要核电站事故的长期心理健康后果:三哩岛(TMI,1979),切尔诺贝利(1986)和福岛(2011)核灾难。我们检查了相关的前瞻性队列研究和前后研究,涵盖了两个以上的时间点,检索了四个数据库(PubMed,Ichushi,PsyArticles和PTSDPub)。我们共确定了35项研究:TMI,n = 11;切尔诺贝利,n = 6;和福岛,n = 18。对切尔诺贝利和福岛灾难的早期研究(6个月内)数量较少,也可能表明这些时间点的混乱局面,因为大规模的采访是在三哩岛灾难发生后的早期阶段进行的。尽管对心理健康结果的影响模式多种多样,但在我们评估的研究中,超过一半的参与者在所有三场灾难中都被归类为低或阈值以下症状组。在这三次灾害中,由接近度和耻辱感估计的辐射暴露水平是心理健康结果的共同危险因素。我们的研究结果将有助于全面了解历史上最严重的核事故对受影响个人心理健康的影响,我们的研究结果说明了此类灾难的纵向后果。
Many individuals who were affected by the Great East Japan earthquake and tsunami and the subsequent Fukushima Daiichi Nuclear Power Plant accident continue to face a challenging recovery. We reviewed the long-term mental health consequences of three major nuclear power plant accidents: the Three Mile Island (TMI, 1979), Chernobyl (1986), and Fukushima (2011) nuclear disasters. We examined the relevant prospective cohort studies and before-and-after studies that covered more than two timepoints, searching four databases (PubMed, Ichushi, PsyArticles, and PTSDPub). We identified a total of 35 studies: TMI, n = 11; Chernobyl, n = 6; and Fukushima, n = 18. The smaller numbers of early-phase studies (within 6 months) of the Chernobyl and Fukushima disasters may also indicate the chaotic situation at those timepoints, as large-scale interviews were conducted in the early phase after the TMI disaster. Although the patterns of effects on mental health outcomes were diverse, more than half of the participants in the studies we evaluated were categorized into low or under-threshold symptom groups in all three disasters. Across the three disasters, the radiation exposure level estimated by the proximity and stigma were the common risk factors for mental health outcomes. Our findings will contribute to a comprehensive understanding of the impact of the worst nuclear accidents in history on the affected individuals’ mental health, and our results illustrate the longitudinal consequences of such disasters.
DOI: 10.1097/hp.0000000000000012
发表时间: 2014-02
期刊: Health physics
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