The mental health of clean-up workers 18 years after the Chernobyl accident
The mental health of clean-up workers 18 years after the Chernobyl accident
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DOI：
10.1017/s0033291707002371
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发表时间：
2008-04-01
影响因子：
6.9
通讯作者：
Bromet, E. J.
中科院分区：
文献类型：
--
作者：
Loganovsky, K.;Havenaar, J. M.;Bromet, E. J.
背景切尔诺贝利事故的心理后果被认为是迄今为止事故造成的最大的公共卫生问题。然而，面临最大辐射暴露和生命威胁的清理工人的心理健康尚未得到系统评估。这项研究描述了长期的心理影响，切尔诺贝利在乌克兰的清理工人的样本。队列是1986年至1990年期间被派往切尔诺贝利的295名男性清理工人，在事故发生18年后进行了采访（参与率为71%），并在事故发生16年后进行了乌克兰世界心理健康（WMS）调查，采访了397名地理匹配的对照组。进行了世界卫生组织（WHO）复合国际诊断访谈（CIDI）。我们研究了常见精神疾病、自杀意念和严重头痛的组间差异，疾病对工作日损失的不同影响，以及清洁工人中暴露严重程度与疾病、当前创伤和躯体症状的关系。分析调整了1986年的年龄和事故前的心理健康。事故发生后，与对照组相比，清洁吸头工人经历抑郁（18.0% v.13.1%）和自杀意念（9.2% v.4.1%）的人数相对较多。在访谈前一年，抑郁症（14.9% v.7.1%）、创伤后应激障碍（PTSD）（4.1% v.1.0%）和头痛（69.2% v.12.4%）的发生率升高。受影响的工人比受影响的对照组损失更多的工作日。暴露水平与当前躯体和PTSD症状严重程度相关。在清理工人中观察到切尔诺贝利的长期心理健康后果。
Background. The psychological aftermath of the Chernobyl accident is regarded as the largest public health problem unleashed by the accident to date. Yet the mental health of the clean-up workers, who faced the greatest radiation exposure and threat to life, has not been systematically evaluated. This Study describes the long-term psychological effects of Chernobyl in a sample of clean-up workers in Ukraine.Method. The cohorts were 295 male clean-up workers sent to Chernobyl between 1986 and 1990 interviewed 18 years after the accident (71% participation rate) and 397 geographically matched controls interviewed as part of the Ukraine World Mental Health (WMS) Survey 16 years after the accident. The World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) was administered. We examined group differences in common psychiatric disorders, suicide ideation and severe headaches, differential effects of disorder on days lost from work, and in the clean-up workers, the relationship of exposure severity to disorder and current trauma and somatic symptoms. Analyses were adjusted for age in 1986 and mental health prior to the accident.Results. Relatively more clean-tip workers than controls experienced depression (18.0% v. 13.1%) and suicide ideation (9.2% v. 4.1%) after the accident. In the year preceding interview, the rates of depression (14.9% v. 7.1%), post-traumatic stress disorder (PTSD) (4.1% v. 1.0%) and headaches (69.2% v. 12.4%) were elevated. Affected workers lost more work days than affected controls. Exposure level was associated with current somatic and PTSD symptom severity.Conclusions. Long-term mental health consequences of Chernobyl were observed in clean-up workers.