Funakoshi Shunichi, Ohno Takashi, Kodaka Akira, Okuyama Junko, Honda Nami, Inoue Takao, Sato Yuki, Miyajima Maki, Tomita Hiroaki, Denda Kenzou, Matsuoka Hiroo
Seishin Shinkeigaku Zasshi. 2014;116(7):541-54.
The purpose of this study was to investigate factors associated with the psychological impact of the Great East Japan Earthquake on high school students 1 year and 4 months after the disaster, and clarify support needs of the students. In the outreach program for students of three high schools in coastal areas of southern Miyagi Prefecture, Japan, 1,973 students were surveyed after obtaining informed consent for participation. Questionnaires included: the Quick Inventory of Depressive Symptomatology (QIDS-J), Self-rating Anxiety Scale (SAS), Impact of Event Scale-revised (IES-R), and Connor-Davidson Resilience Scale (CD-RISC10). All scores were compared using SPSS 20.0 J between school grades, locations of the schools, and extent of damage due to the Great East Japan Earthquake. Our analysis showed a significant positive correlation between school grades and the level of anxiety. PTSR scores, but not anxiety nor depressive scores, of students whose lives have suffered extensive damage were significantly higher than those of students who have not. Students of high schools which have suffered extensive damage and use temporary buildings showed significantly higher levels of depression and anxiety, and significantly lower resilience, compared to students of high schools which were not damaged. Although previous findings demonstrated that younger children have a higher risk of being influenced by disasters, symptoms related to PTSR and depression were found frequently in the high school students as well. Among the high school students, our analysis showed a positive correlation between the level of anxiety and school grades, probably because the disaster has affected an influential and pivotal point in their lives.
本研究旨在调查东日本大地震灾难发生1年零4个月后,与高中生心理影响相关的因素,并明确学生的支持需求。在针对日本宫城县南部沿海地区三所高中学生的外展项目中,在获得学生参与的知情同意后,对1973名学生进行了调查。问卷包括:抑郁症状快速检查表(QIDS-J)、自评焦虑量表(SAS)、事件影响量表修订版(IES-R)和康纳-戴维森复原力量表(CD-RISC10)。使用SPSS 20.0 J对所有分数在学校年级、学校位置以及东日本大地震造成的破坏程度之间进行比较。我们的分析表明,学校年级与焦虑水平之间存在显著正相关。生活遭受广泛破坏的学生的创伤后应激障碍(PTSR)得分显著高于未遭受破坏的学生,但焦虑和抑郁得分并非如此。与未受损高中的学生相比,遭受广泛破坏并使用临时建筑的高中学生的抑郁和焦虑水平显著更高,复原力显著更低。尽管先前的研究表明年幼的儿童受灾难影响的风险更高,但在高中生中也经常发现与创伤后应激障碍和抑郁相关的症状。在高中生中,我们的分析表明焦虑水平与学校年级之间存在正相关,这可能是因为灾难影响了他们生活中一个有影响力的关键节点。