PREDICTORS OF TEMPORAL PATTERNS OF PSYCHIATRIC DISTRESS DURING 10 YEARS FOLLOWING THE NUCLEAR ACCIDENT AT THREE-MILE-ISLAND

PREDICTORS OF TEMPORAL PATTERNS OF PSYCHIATRIC DISTRESS DURING 10 YEARS FOLLOWING THE NUCLEAR ACCIDENT AT THREE-MILE-ISLAND
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DOI:
10.1007/bf00802091
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发表时间:
1993-04-01
影响因子:
4.4
通讯作者:
BROMET, EJ
BROMET, EJ
中科院分区:
医学2区
文献类型:
--
作者:
DEW, MA;BROMET, EJ

文献摘要

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本研究探讨精神症状水平在10年期间在社区样本的幼儿母亲。所有这些都是在1979年三里岛核事故发生后的早期发现的,并一直持续到1989年事故发生一周年。使用聚类分析来识别研究期间的长期痛苦特征;发现女性的时间特征要么(a)在所有测量点上稳定且处于低的、临床上不显着的痛苦水平,要么(B)持续升高,临床显着水平随着事故后事件的时间而变化,例如未受损反应堆的重启和10周年纪念日。随后的多变量分析表明,事故前的特点,以及参数反映受访者的最初参与,并对事故的反应,是重要的区分妇女在两个时间剖面组。政策制定和持续研究的结果显着的环境压力的影响进行了讨论。
The present study examines psychiatric symptom levels during a 10-year period in a community sample of mothers of young children. All were identified in the early aftermath of the 1979 Three Mile Island nuclear accident, and followed through the accident's 1989 anniversary. Cluster analysis was used to identify long-term distress profiles during the study period; women's temporal profiles were found to be either (a) stable and at low, clinically nonsignificant levels of distress across all measurement points or (b) at consistently elevated, clinically significant levels that varied with the timing of postaccident events such as the restart of the undamaged reactor and the 10th anniversary. Subsequent multivariate analyses indicated that preaccident characteristics, as well as parameters reflecting respondents' initial involvement with, and reactions to the accident, were important for distinguishing between women within the two temporal profile groups. Implications of the results for both policy formulation and continued research on significant environmental stressors is discussed.