Department of Disaster Psychiatry, School of Medicine, Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima, Japan.
Fukushima Center for Disaster Mental Health, Fukushima, Japan.
Psychiatry Clin Neurosci. 2016 Sep;70(9):413-20. doi: 10.1111/pcn.12414. Epub 2016 Aug 2.
The Great East Japan Earthquake and in particular, the Fukushima Daiichi Nuclear Power Plant accident, have had a serious psychological impact on not only residents, but also relief workers in Fukushima. Although public employees work in highly stressful situations and play a very important role in long-term relief, their psychiatric features have yet to be clarified. The two aims of this study were to identify the current prevalence rate of depression and post-traumatic stress disorder among public employees working in the disaster area using diagnostic interviews, and to speculate on the psychosocial factors affecting their mental condition.
We conducted diagnostic interviews and self-administered questionnaires with 168 public employees working in two coastal towns in Fukushima.
Results showed that the current prevalence of depression among public employees is as high as 17.9%, in contrast to the relatively low prevalence of post-traumatic stress disorder (4.8%). Based on the results of self-administered questionnaires and interview contents, frequent exposure to strong complaints or anger from residents and role conflicts were considered the cause of the high prevalence of depression.
The present study reveals the serious mental status of public employees working in Fukushima and sheds light on the urgent need to establish an efficient care network to provide adequate psychiatric intervention.
东日本大地震，尤其是福岛第一核电站事故，不仅对福岛居民，也对福岛救援人员造成了严重的心理影响。虽然公共部门员工在高压力的环境下工作，在长期救援中发挥着非常重要的作用，但他们的精神特征尚未得到明确。本研究的两个目的是使用诊断访谈来确定在灾区工作的公共部门员工中目前抑郁和创伤后应激障碍的患病率，并推测影响他们精神状况的社会心理因素。
我们对福岛两个沿海城镇的 168 名公共部门员工进行了诊断访谈和自我管理问卷调查。
结果表明，公共部门员工目前的抑郁患病率高达 17.9%，而创伤后应激障碍的患病率相对较低（4.8%）。根据自我管理问卷和访谈内容的结果，频繁接触居民强烈的抱怨或愤怒以及角色冲突被认为是导致高抑郁患病率的原因。
本研究揭示了福岛工作的公共部门员工严重的精神状况，并凸显了建立有效关怀网络以提供充分精神干预的迫切需要。
