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A Study on Stress of Victims of the Great Hanshin Earthquake--The Analysis of the survey and reports on disaster victims in the volunteer work "Kokoro no Care Network"

阪神大地震灾民压力研究--志愿服务“心无忧网”灾民调查报告分析

基本信息

批准号：
08670416
负责人：
KONISHI Takako
金额：
$ 1.34万
依托单位：
Tokyo Medical and Dental University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08670416/
关键词：
Disaster Trauma Volunteer Mental health Victim Adolescent

项目摘要

(1)Genetic risk factors for cerebral amyloid angiopathy (CAA) :The interviews with earthquake victims in the emergency shelters were conducted by non-professional volunteers after the Great Hanshin Earthquake and the analysis was made to assess victim's main interests right after the earthquake, the personal relationship in the shelters and the mental problems of the adolescents in the shelters. The authors, moreover, looked at the change of the scores of GHQ before and after the psychological "Healing Camp" organized for children, conducted the longitudinal survey for victin's mental health, and analyzed the unstructured interviews with volunteers.This study makes it clear that Posttraumatic Stress Disorder is not a main issue considering the long-term mental health. There thought to be two reasons for this. First, the prevalence of PTSD is not high in the disaster. Second, social adaptation issue is more critical than PTSD in considering the long-term influences of the mental health in the disaster.It is very difficult for non-clinicians to understand the symptoms such as numbing, hypomania, minor depression, anxiety, depersonalization and altered states. However, not only PTSD but also those symptoms should be considered as reactions to trauma. Despite of the difficulties, it should be noted that many Acute Stress Reactions were discovered in this survey right after the earthquake. Immediate intervention is effective in trauma care to mitigate ASR and prevent maladjustment in the aftermath of the disaster.

（1）脑淀粉样血管病（CAA）的遗传危险因素：在神户大地震后，由非专业志愿者对紧急避难所的地震灾民进行访谈，分析灾民在地震后的主要兴趣、避难所内的人际关系以及避难所内青少年的心理问题。此外，作者还观察了儿童心理“康复营”前后GHQ得分的变化，对受害者心理健康状况进行了纵向调查，并对志愿者的非结构化访谈进行了分析，表明创伤后应激障碍不是长期心理健康的主要问题。人们认为这有两个原因。首先，灾难中PTSD的患病率并不高。第二，社会适应问题在考虑灾难中心理健康的长期影响方面比PTSD更重要，非临床医生很难理解麻木、轻躁狂、轻度抑郁、焦虑、人格解体和改变状态等症状。然而，不仅PTSD，而且这些症状也应该被认为是对创伤的反应。尽管困难重重，但值得注意的是，许多急性应激反应是在地震发生后立即发现的。立即干预是有效的创伤护理，以减轻ASR和预防适应不良的灾难后。