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Long-Term Mental Health Consequences of Chornobyl

切尔诺贝利事故对心理健康的长期影响

基本信息

批准号：
7172663
负责人：
EVELYN J BROMET
金额：
$ 39.38万
依托单位：
STATE UNIVERSITY NEW YORK STONY BROOK
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-09-30 至 2009-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7172663
关键词：
12 year old 18 year old Accidents Accounting Acute Adolescence Adolescent Affect Affective Age Anxiety Anxiety Disorders Area Behavioral Symptoms Belief Birth Blood Tests Calculi Characteristics Child Child health care Childhood Chronic Classification Condition Congenital Abnormality Control Groups Controlled Study Daily Data Diagnosis Diffuse Disease Domestic Violence Evaluation Event Family Family health status Family member Fright Future Gender Health Health behavior Incidence Infant Interview Knowledge Life Light Malignant Neoplasms Malignant neoplasm of thyroid Measures Mediating Medical Mental Health Mental disorders Modeling Mood Disorders Morbidity - disease rate Mothers Neuropsychological Tests Nuclear power plant accident Numbers Outcome Participant Patient Self-Report Perception Performance Personal Satisfaction Phase Physical Examination Physicians Population Power Plants Prevalence Prevalence Study Psychiatric Diagnosis Radiation Rate Reporting Research Personnel Respondent Risk Risk Factors Sampling Schools Shadowing (Histology)Social support Source Stress Stress Tests Substance Use Disorder Surveys Symptoms Teenagers Testing Thyroid carcinoma Time Trauma Ukraine Well in self Work base child well being cohort depressive symptoms deprivation follow-up in utero interest leukemia news psychologic response spelling stressor teenage mother

项目摘要

DESCRIPTION (provided by applicant): This competing renewal of MH51947 seeks to examine the long-term well-being of a cohort of mothers and children in Kyiv, Ukraine, first interviewed in 1997, 11 years after the Chornobyl accident. The proposed follow-up field work will be conducted in 2004-05. Our 1997 study focused on children born between 2/1/85 -1/31/87 to families evacuated to Kyiv from the contaminated region around Chornobyl. The control group was composed of gender matched classmates and their mothers. The 1997 results showed that compared with controls, the evacuee mothers reported more health problems in their children, had more anxiety, depressive, somatic, and post-traumatic stress symptoms, and were more concerned about their health and their family's health because of the Chornobyl accident. At that time, there were few differences in the medical evaluations or self-reported well-being of the evacuee children, who were 10-12 years old, compared to classmate controls. We propose to extend our original study by reevaluating the cohort with the CIDI and other measures when the children are age approximately 18, i.e., when depressive, anxiety, and substance disorders emerge, and by including physical examinations and blood tests. This cohort is the highest risk group for thyroid cancer and thus the focus of increased societal concern. To redress the limitation of having only Kyiv controls, the study will be expanded to include population-based controls selected from participants in the national co-morbidity survey of Ukraine conducted in 2002 (MH61905) who are the same age as the evacuee children and live in areas uncontaminated by radiation. The response rate for the original study was close to 90%, and we anticipate a better than 90% follow-up rate because of the residential stability of the sample. The analysis will focus on a set of specific hypotheses, including the prediction that both groups of Kyiv children and mothers will be more symptomatic at follow-up, and that the evacuee teens will report significantly more somatic and psychological symptoms and Chornobyl-related anxiety and will have higher rates of affective, anxiety, and substance use disorders than classmate controls. We further predict that the Kyiv control mothers and children will be more symptomatic and fearful about Chornobyl than the population-based controls. In light of current events, the opportunity to further our understanding of responses to prolonged threat to health is a key strength.

描述（由申请人提供）：这次对MH 51947航班的更新旨在研究乌克兰基辅一群母亲和儿童的长期福祉，第一次采访是在1997年，也就是Chornovsky事故发生11年后。建议的跟进实地工作将于2004-05年度进行。我们1997年的研究重点是85年2月1日至87年1月31日之间出生的儿童，这些儿童的家庭是从切尔诺贝利周围受污染地区疏散到基辅的。对照组由性别匹配的同学及其母亲组成。1997年的研究结果表明，与对照组相比，撤离的母亲报告了更多的健康问题，在他们的孩子，有更多的焦虑，抑郁，躯体和创伤后应激症状，更关心自己的健康和他们的家人的健康，因为Chornocolate事故。当时，10-12岁的撤离儿童的医疗评估或自我报告的幸福感与同学对照组相比几乎没有差异。我们建议在儿童年龄约为18岁时，通过重新评估CIDI和其他措施来扩展我们的原始研究，即，当出现抑郁、焦虑和物质障碍时，包括体检和验血。这一群体是甲状腺癌的最高风险群体，因此成为社会关注的焦点。为了弥补仅在基辅进行控制的局限性，将扩大研究范围，以包括从2002年进行的乌克兰全国共病调查（MH 61905）的参与者中选出的基于人口的控制，这些参与者与撤离儿童年龄相同，生活在未受辐射污染的地区。原始研究的响应率接近90%，由于样本的居住稳定性，我们预计随访率将超过90%。分析将集中在一组特定的假设，包括预测，这两组基辅儿童和母亲将在后续症状，并撤离青少年将报告显着更多的身体和心理症状和Chornobyl相关的焦虑，并将有更高的比率的情感，焦虑和物质使用障碍比同学控制。我们进一步预测，基辅对照组的母亲和儿童将比基于人口的对照组更有症状和对Chornopathy的恐惧。鉴于当前的事态发展，有机会进一步了解我们对长期健康威胁的反应是一个关键的优势。

项目成果

期刊论文数量（16）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Emotional consequences of nuclear power plant disasters.

DOI：
10.1097/hp.0000000000000012
发表时间：
2014-02
期刊：
Health physics
影响因子：
2.2
作者：
Bromet EJ
通讯作者：
Bromet EJ

Subjective health legacy of the Chornobyl accident: a comparative study of 19-year olds in Kyiv.

DOI：
10.1186/1471-2458-9-417
发表时间：
2009-11-17
期刊：
BMC public health
影响因子：
4.5
作者：
Bromet EJ;Taormina DP;Guey LT;Bijlsma JA;Gluzman SF;Havenaar JM;Carlson H;Carlson GA
通讯作者：
Carlson GA

The Chornobyl accident and cognitive functioning: a follow-up study of infant evacuees at age 19 years.

切尔诺贝利事故和认知功能：对 19 岁婴儿撤离者的后续研究。

DOI：
10.1017/s0033291707002462
发表时间：
2008
期刊：
Psychological medicine
影响因子：
6.9
作者：
Taormina,DP;Rozenblatt,S;Guey,LT;Gluzman,SF;Carlson,GA;Havenaar,JM;Zakhozha,V;Kotov,R;Bromet,EJ
通讯作者：
Bromet,EJ

School and neuropsychological performance of evacuated children in Kyiv 11 years after the Chornobyl disaster