Living in temporary housing and later psychological distress after the Great East Japan Earthquake of 2011: A cross-lagged panel model
Living in temporary housing and later psychological distress after the Great East Japan Earthquake of 2011: A cross-lagged panel model
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DOI：
10.1016/j.ssmph.2020.100629
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发表时间：
2020-07
期刊：
影响因子：
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通讯作者：
R. Morishima;S. Usami;S. Ando;T. Kiyono;M. Morita;S. Fujikawa;T. Araki;K. Kasai
中科院分区：
文献类型：
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作者：
R. Morishima;S. Usami;S. Ando;T. Kiyono;M. Morita;S. Fujikawa;T. Araki;K. Kasai
住在临时住房是自然灾害后心理痛苦的一个风险因素。由于临时住房是受灾者的基本资源，因此需要调查可能介导临时住房生活和心理困扰的因素。这是一项针对2011年东日本大地震受灾地区的一般人群的队列研究。数据来自2014年至2016年年度健康检查中关于居住情况的自我报告问卷（例如，预制或私人租赁的临时住房）、心理困扰、睡眠障碍、社会支持和协变量。在三个时间点，使用交叉滞后面板模型评估睡眠障碍和社会支持对临时住房和心理困扰之间关系的中介作用。2014年，在3，116名参与者中，约12%居住在预制或私人租赁的临时住房中。居住在预制房屋（β= 0.046，p = 0.031）和私人租赁的临时房屋（β= 0.043，p = 0.042）对以后的心理困扰有预测作用。睡眠障碍（预制临时住房：β= 0.001，p = 0.620;私人租赁临时住房：β=-0.001，p = 0.467）或社会支持（预制临时住房：β<0.001，p = 0.748;私人租赁临时住房：β<0.001，p = 0.435）没有中介作用。CLPM还显示，住在临时住房与睡眠问题增加或社会支持减少之间没有关系。自然灾害发生三年后，居住在预制或私人租赁的临时住房中的居民可能需要心理健康支持，而仅关注居住在临时住房中的居民的睡眠障碍或社会支持的支持可能不足以帮助减少心理困扰。
Living in temporary housing is a risk factor for psychological distress after a natural disaster. As temporary housing is an essential resource for those affected by disasters, investigation of factors which potentially mediate living in temporary housing and psychological distress is needed. This is a cohort study in general population of areas affected by the Great East Japan Earthquake in 2011. Data were obtained from self-report questionnaires in annual health checks between 2014 and 2016 regarding residential situation (e.g., prefabricated or privately-rented temporary housing), psychological distress, sleep disturbances, social support, and covariates. Mediation effects of sleep disturbances and social support on the relationship between temporary housing and psychological distress were evaluated using a cross-lagged panel model during three time points. Among 3,116 participants in 2014, approximately 12% lived in prefabricated or privately-rented temporary housing. Living in prefabricated (β= 0.046,p= 0.031) and privately-rented temporary housing (β= 0.043,p= 0.042) predicted later psychological distress. There was no mediation effect by sleep disturbances (prefabricated temporary housing:β= 0.001,p= 0.620; privately-rented temporary housing:β= −0.001,p= 0.467) or social support (prefabricated temporary housing:β< 0.001,p= 0.748; privately-rented temporary housing:β< 0.001,p= 0.435). CLPM also showed no relationship between living in temporary housing and increased sleep problems or decreased social support. Mental health support may be required for residents who lived in prefabricated or privately-rented temporary housing three years after a natural disaster, whereas support focusing only on sleep disturbances or social support in residents who lived in temporary housing may not be enough to contribute to reducing psychological distress.