Ongoing Mental Health Concerns in Post-3/11 Japan

Ongoing Mental Health Concerns in Post-3/11 Japan
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DOI:
10.1016/j.aogh.2014.04.005
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发表时间:
2014-03-01
影响因子:
2.9
通讯作者:
Katz, Craig L.
Katz, Craig L.
中科院分区:
医学4区
文献类型:
--
作者:
Karz, Adam;Reichstein, Jonathan;Katz, Craig L.

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背景资料:2011年3月11日袭击东北地区的三重灾难对日本人民造成了巨大的精神、社会和身体影响。巨大的生命和财产损失以及持续的核灾难极大地影响了该国的恢复能力。为了更好地了解受灾地区目前的社会、健康和心理健康需求,并分享9/11事件的教训,一个由9/11幸存者和西奈山伊坎医学院的医生组成的小组前往福岛、宫城和岩手县的各个地点。方法:对这次访问中的文化和医疗交流的记录进行了定性分析,以确定灾难发生后近3年的恢复工作所面临的问题的相关主题。出现的重要主题包括严重的辐射焦虑,对解决精神卫生保健的相当大的耻辱,整个地区的精神卫生保健短缺,以及持续的精神症状,如失眠,焦虑和酒精滥用。结论:这些问题继续使恢复工作复杂化,但为今后的干预提供了途径。(C)2014年伊坎医学院在西奈山。
Background: The triple disaster that struck the Tohoku region on March 11, 2011, has had massive psychiatric, social, and physical effects on the people of Japan. A staggering loss of life and property, as well as an ongoing nuclear disaster, has dramatically affected the ability of the country to recover.Objective: In an effort to better understand the current social, health, and mental health needs of the region affected by the disaster and to share lessons from 9/11, a group of 9/11 survivors and doctors from the Icahn School of Medicine at Mount Sinai traveled to sites throughout the Fukushima, Miyagi, and Iwate prefectures.Methods: A qualitative analysis was performed on transcripts of the cultural and medical exchanges, which occurred on this trip to identify relevant themes about the problems confronting the recovery effort almost 3 years after the disaster.Findings: Significant themes that emerged included a crippling radiation anxiety, a considerable stigma toward addressing mental health care, and a shortage of mental health care throughout the region, as well as ongoing psychiatric symptoms such as insomnia, anxiety, and alcohol misuse.Conclusions: These issues continue to complicate the recovery effort but suggest avenues for future interventions. (C) 2014 Icahn School of Medicine at Mount Sinai.