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The Cohort survey on mental health of elderly Atomic bomb survivors

老年原子弹幸存者心理健康状况队列调查

基本信息

批准号：
18K07566
负责人：
中根秀之
金额：
$ 2.83万
依托单位：
Nagasaki University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2018
资助国家：
日本
起止时间：
2018 至 2019
项目状态：
已结题

项目摘要

本研究の目的 : ①被爆後72年が経過した現在の被爆者の精神医学的問題を明らかにする。②同じ地域に住む被爆者と非被爆者との現在の健康度を調べ、被爆との関連を調べる。③調査対象群での認知症症状の出現率を調べ、被爆者と非被爆者で差異を検証する。方法 : 145名の被爆者(平均年齢77歳、男性68名、女性77名)と70名の非被爆者(平均年齢79歳、男性7名、女性63名)を対象にした。第1段階として、認知機能及び精神健康状態を評価し、そこで問題が認められた群に対して、第2段階の調査への参加を依頼し、第2段階で詳細な認知症状と、精神症状、QOLなどを評価した。結果 : 年齢、MoCA-J、GHQ-12、WHO-DAS2.0では、被爆者と非被爆者の間に有意差を認めなかった。第1段階での被爆者における認知症症状の出現率は、非被爆者の0.69倍(95%CI、0.38-1.26)であったが、有意差は認めなかった。第1段階での被爆者における精神健康問題の出現率は、非被爆者の2.12倍(95%CI、0.82-5.44)であったが、有意差は認めなかった。第2段階での被爆者における精神健康問題の出現率は、非被爆者の0.83倍(95%CI、0.19-3.56)であったが、有意差を認めなかった。結論 : 被爆後72年経過した被爆者と非被爆者との間で認知機能と精神医学的状態及び日常生活能力において、統計学的に有意な差は認めなかった。

The purpose of this study is: (1) 72 years after the explosion, the psychiatric problems of the exposed patients were investigated. (2) those who live in the same area, those who are exposed, those who are not exposed, those who are now living in the same area, and those who are exposed, are now living in the same area. (3) the elephant group knows the symptoms, the incidence rate, and the person who is exposed is not the person who is exposed. Methods: 145 exposed persons (average age 77, male 68, female 77) and 70 non-exposed subjects (average age 79, male 7, female 63) were enrolled in this study. Paragraph 1: mental health status, mental health, mental health and mental health. Results: the age, MoCA-J, GHQ-12, WHO-DAS2.0 exposure, those who were exposed were not those who were exposed, and those who were exposed were not those who were exposed. In the first paragraph, the incidence of symptoms was known to those who were exposed, and those who were not exposed were 0.69 times higher than those without exposure (95%CI, 0.38-1.26). In the first paragraph, the incidence of mental health problems in those who were exposed was 2.12 times higher than that in those who were not exposed (95%CI, 0.825.44). In the second paragraph, the incidence of mental health problems was 0.83 times higher than that of those who were not exposed (95%CI, 0.19-3.56). Results: seventy-two years after the exposure, those who were not exposed were not aware of the status of mechanical psychiatry, ability of daily living (ADL) and statistics.