Nakaya Naoki, Nakamura Tomohiro, Tsuchiya Naho, Tsuji Ichiro, Hozawa Atsushi, Tomita Hiroaki
1Department of Preventive Medicine and Epidemiology,Tohoku Medical Megabank Organization,Sendai,Japan.
Disaster Med Public Health Prep. 2015 Aug;9(4):374-81. doi: 10.1017/dmp.2015.52. Epub 2015 Apr 27.
Physical disease patients are known to experience high levels of psychological distress. This study examined the association between the medical treatment of physical diseases and psychological distress in the coastal area affected by the Great East Japan Earthquake.
Using cross-sectional data, we studied 3032 individuals aged ≥40 years who lived in Shichigahama, Miyagi, Japan. We examined the associations between 8 medical treatments for physical diseases and psychological distress, defined as Kessler Psychological Distress scale score ≥13 of 24 points. To investigate the associations, we performed multiple logistic regression analyses.
There were statistically significant associations between psychological distress and medical treatments for myocardial infarction/angina pectoris (odds ratio [OR]=1.8, 95% confidence interval [CI]=1.0-3.0) and liver disease (OR=3.1, 95% CI=1.0-7.7). The other 4 medical treatments for physical diseases had ORs of 1.3 or higher and were positively associated with psychological distress: cancer, hyperlipidemia, kidney disease, and diabetes mellitus. The degree of damage to homes did not affect the association between most of the medical treatments for physical diseases and psychological distress.
In the disaster area, most of the medical treatments for physical diseases had positive associations with psychological distress, irrespective of the degree of damage to homes.
已知身体疾病患者会经历高水平的心理困扰。本研究调查了在受东日本大地震影响的沿海地区，身体疾病的医学治疗与心理困扰之间的关联。
我们使用横断面数据，对居住在日本宫城县石卷市的3032名年龄≥40岁的个体进行了研究。我们考察了8种身体疾病的医学治疗与心理困扰之间的关联，心理困扰定义为凯斯勒心理困扰量表得分在24分中≥13分。为了研究这些关联，我们进行了多重逻辑回归分析。
心理困扰与心肌梗死/心绞痛的医学治疗（优势比[OR]=1.8，95%置信区间[CI]=1.0 - 3.0）以及肝病的医学治疗（OR=3.1，95% CI=1.0 - 7.7）之间存在统计学上的显著关联。其他4种身体疾病的医学治疗的OR值为1.3或更高，且与心理困扰呈正相关：癌症、高脂血症、肾病和糖尿病。房屋受损程度并未影响大多数身体疾病的医学治疗与心理困扰之间的关联。
在灾区，大多数身体疾病的医学治疗与心理困扰呈正相关，与房屋受损程度无关。
