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Psychological trauma and psychiatric outcomes of atomic bomb survivors after 60 years a quantitative epidemiological study on the modification of psychological trauma.

60年后原子弹幸存者的心理创伤和精神结局，心理创伤修正的定量流行病学研究。

基本信息

批准号：
16591144
负责人：
OHTA Yasuyuki
金额：
$ 1.98万
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：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16591144/
关键词：
atomic bomb survivor psychological trauma psychiatric outcome

项目摘要

The results of a psychiatric health survey conducted on survivors of the atomic bombing of Nagasaki clarified that the experience of surviving the atomic bmb blast still causes severe psychological trauma and that even after 60 years, 28.1% of the survivors continue to experience psychiatric symptoms associated with post-traumatic stress disorder. Furthermore, the overall mental health of survivors who continue to experience severe psychological trauma was found to be poor.The survivors were divided into three groups with respect to distance from the epicenter : <2.0km, 2.5-3.0km, and> 3.0km. The proportion of survivors with psychiatric symptoms associated with post-traumatic stress disorder was significantly higher among survivors who were closer to the epicenter. This finding suggests a dose-response relationship between the severity of psychological trauma and the incidence of psychiatric symptoms.Irrespective of age and gender, the incidence of physical diseases was sigunificantly higher for survivors who still experience psychological trauma, and the proportion of survivors who thought that their physical diseases were caused by the atomic bomb blast was significantly higher for the survivors who still experience psychological trauma. In addition, many survivors, paticularly woman and yong people, could not be open about being surviving the atomic bomb blast was a stigma and that they live with a sense of oppression and discrimination.

对长崎原子弹爆炸幸存者进行的精神健康调查的结果表明，原子弹爆炸幸存者的经历仍然造成严重的心理创伤，即使在60年后，28.1%的幸存者仍然患有与创伤后应激障碍有关的精神症状。此外，继续遭受严重心理创伤的幸存者的总体心理健康状况很差。根据离震中的距离，将幸存者分为小于2.0公里、2.5 ~ 3.0公里、3.0公里3组。在离震中更近的幸存者中，有与创伤后应激障碍相关的精神症状的比例明显更高。这一发现提示心理创伤的严重程度与精神症状的发生率之间存在剂量-反应关系。不论年龄和性别，仍有心理创伤的幸存者患身体疾病的比例要高得多，认为自己的身体疾病是由原子弹爆炸造成的幸存者的比例在仍有心理创伤的幸存者中要高得多。此外，许多幸存者，特别是妇女和年轻人，不能公开承认在原子弹爆炸中幸存是一种耻辱，他们生活在一种压迫和歧视的感觉中。