Persistent distress after psychological exposure to the Nagasaki atomic bomb explosion
Persistent distress after psychological exposure to the Nagasaki atomic bomb explosion
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DOI：
10.1192/bjp.bp.110.085472
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发表时间：
2011-11-01
影响因子：
10.5
通讯作者：
Kikkawa, Takehiko
中科院分区：
文献类型：
--
作者：
Kim, Yoshiharu;Tsutsumi, Atsuro;Kikkawa, Takehiko
背景尽管有人推测，由于心理压力，生活在核灾难附近的个人的心理健康状况持续恶化，目的：确定在长崎原子弹爆炸附近，在没有大量暴露于辐射的情况下，半个多世纪后当地居民的心理健康是否受到影响。随机从居住在原子弹爆炸附近未受污染的长崎郊区的个人中招募。这一样本（n=347）按性别、年龄、对爆炸的看法和当前居住区进行分层。对照组（n=288）是在原子弹爆炸后5-15年从长崎以外迁入该地区的个人中招募的，性别、年龄和居住区相匹配。主要结果测量是基于一般健康问卷的28项版本的精神障碍高危人群的比例，截止点为5/6。其他参数有关的个人感知的爆炸，健康状况，生活事件和habites.ResultsHaving在爆炸附近的是最显着的因素（OR=5.26，95%CI 2.56-11.11），有助于较差的心理健康;错误的知识，放射性危害表现出轻度关联。在样本组中，得知潜在放射性危害后的焦虑与心理健康状况差显著相关（P
BackgroundAlthough there is speculation that individuals living in the vicinity of nuclear disasters have persistent mental health deterioration due to psychological stress, few attempts have been made to examine this issue.AimsTo determine whether having been in the vicinity of the Nagasaki atomic bomb explosion in the absence of substantial exposure to radiation affected the mental health of local inhabitants more than half a century later.MethodParticipants were randomly recruited from individuals who lived in the vicinity of the atomic bomb explosion in uncontaminated suburbs of Nagasaki. This sample (n=347) was stratified by gender, age, perception of the explosion and current district of residence. Controls (n=288) were recruited from among individuals who had moved into the area from outside Nagasaki 5-15 years after the bombing, matched for gender, age and district of residence. The primary outcome measure was the proportion of those at high risk of mental disorder based on the 28-item version of the General Health Questionnaire, with a cut-off point of 5/6. Other parameters related to individual perception of the explosion, health status, life events and habits were also assessed.ResultsHaving been in the vicinity of the explosion was the most significant factor (OR=5.26, 95% CI 2.56-11.11) contributing to poorer mental health; erroneous knowledge of radiological hazard showed a mild association. In the sample group, anxiety after learning of the potential radiological hazard was significantly correlated with poor mental health (P