Ralph H. Johnson Department of Veterans Affairs Medical Center, South Carolina, Charleston 29401, USA.
Int J Psychiatry Med. 2013;45(2):159-74. doi: 10.2190/PM.45.2.e.
The current article describes the results of posttraumatic stress educational outreach and screening offered to 141 citizens of Japan who attended a public-service mental health training regarding post-disaster coping 40 days after a 6.8 Richter Scale earthquake, local and regional deaths, and an ongoing nuclear radiation threat. Attendees were given access to anonymous questionnaires that were integrated into the training as a tool to help enhance mental health literacy and bridge communication gaps. Questionnaires were turned in by a third of those in attendance. Among respondents, multiple exposures to potentially-traumatic events were common. More than a quarter of respondents met criteria for probable PTSD. Physical health and loss of sense of community were related to PTSD symptoms. Associations and diagnosis rates represented in these data are not generalizable to the population as a whole or intended for epidemiological purposes; rather, they are evidence of a potentially useful approach to post-disaster clinical screening, education, and engagement. Results are presented in the context of previous findings in Japan and ecologically-supportive post-disaster field research is discussed.
当前文章描述了创伤后应激教育外展和筛查的结果,这些结果是针对 141 名参加公共服务心理健康培训的日本公民提供的,这些公民是在 6.8 级地震、当地和地区死亡以及持续的核辐射威胁发生后 40 天接受培训的。培训中提供了匿名问卷,作为帮助提高心理健康素养和弥合沟通差距的工具。有三分之一的与会者提交了问卷。在受访者中,常见的是多次接触潜在创伤性事件。超过四分之一的受访者符合创伤后应激障碍的标准。身体健康和社区感丧失与创伤后应激障碍症状有关。这些数据中呈现的关联和诊断率不能推广到整个人群或用于流行病学目的;相反,它们是一种在灾后进行临床筛查、教育和参与的潜在有效方法的证据。结果是在日本的先前发现的背景下呈现的,并讨论了具有生态支持的灾后实地研究。