权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Psychological trauma and long-term social outcome in populations that have survived disaster --- An epidemiological study of the effects of mass evacuation and losing a home on disaster victims ---

灾难幸存者的心理创伤和长期社会后果——大规模疏散和失去家园对灾民影响的流行病学研究——

基本信息

批准号：
13671015
负责人：
OHTA Yasuyuki
金额：
$ 0.9万
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：
2001
资助国家：
日本
起止时间：
2001 至 2002
项目状态：
已结题

项目摘要

The eruption of Mt. Fugen in November 1990 resulted in a large-scale pyroclastic flow that claimed the lives of 43 people in June 1991. As a result of this disaster, a large number of local residents entered an unfortunate new and long-lasting chapter in their lives, as evacuees. Since 1991, we have been undertaking continuous maintenance of the mental health of these evacuees.The present study investigated volcanic eruption evacuees who lost their homes due to the disaster and therefore had no choice but to be evacuated and then re-housed as a group under a government initiative. The psychological influence of changes to lifestyle caused by mass re-housing on the victims was analyzed using GHQ-30, and the prevalence of post-traumatic stress disorder (PTSD) was documented.A total of 210 residents completed all GHQ-30 items in this study. The incidence of subjects with high scores (【greater than or equal】8) decreased from 72.0% to 32.4%, and mean score shifted from 13.6 points to 6.5 points. Decreases were observed in mean score of the factor "anxiety, tension and insomnia" from 17.2 to 10.6, of "anergia and social dysfunction" from 10.7 to 8.6, of "depression" from 6.4 to 4.4, and of "anhedonia" from 3.7 to 2.9. All these results suggested a statistically significant improvement of symptoms. Conversely, the mean score of "interpersonal dysfunction" displayed a significant increase from 1.7 to 1.9, implying that interpersonal difficulties remained.A total of 134 evacuees underwent CAPS interviews. Of these, 64 evacuees met Criterion A for PTSD diagnosis. Seventeen evacuees fulfilled the criteria for symptoms of PTSD, and lifetime prevalence of PTSD was 26.6%. Twenty-five evacuees fulfilled the criteria for partial PTSD, and lifetime prevalence of partial PTSD was 39.1%. Two evacuees (3.1%) displayed symptoms of PTSD and 4 (6.3%) showed symptoms of PTSD at the time of interview.

火山爆发1990年11月的Fugen火山爆发导致大规模火山碎屑流，1991年6月造成43人死亡。由于这场灾难，大量当地居民作为疏散人员进入了他们生活中不幸的新而持久的篇章。从1991年开始，我们一直在进行这些避难者的心理健康的持续维护。本研究调查了火山爆发避难者谁失去了他们的家园，由于灾难，因此别无选择，只能被疏散，然后重新安置为一组根据政府的倡议。采用GHQ-30量表对210名居民进行问卷调查，分析大规模拆迁后生活方式的改变对灾民心理的影响，并记录其创伤后应激障碍（PTSD）的患病率。高分（≥ 8分）受试者的发生率从72.0%降至32.4%，平均评分从13.6分变为6.5分。观察到“焦虑、紧张和失眠”因素的平均得分从17.2降至10.6，“运动能力丧失和社会功能障碍”从10.7降至8.6，“抑郁”从6.4降至4.4，“快感缺乏”从3.7降至2.9。所有这些结果表明症状有统计学显著改善。相反地，“人际关系障碍”的平均分数则由1.7分增加至1.9分，显示出人际关系的困难。其中，64名撤离人员符合PTSD诊断标准A。17名撤离人员符合PTSD症状的标准，PTSD的终生患病率为26.6%。25名撤离人员符合部分PTSD的标准，部分PTSD的终生患病率为39.1%。两名撤离人员（3.1%）表现出创伤后应激障碍的症状和4（6.3%）表现出创伤后应激障碍的症状在采访时。