Takahashi Sho, Shigemura Jun, Takahashi Yoshitomo, Nomura Soichiro, Yoshino Aihide, Tanigawa Takeshi
1Department of Disaster Psychiatry,Faculty of Medicine,University of Tsukuba,Tsukuba,Japan.
3Department of Psychiatry,National Defense Medical College,Tokorozawa,Japan.
Disaster Med Public Health Prep. 2018 Aug;12(4):460-463. doi: 10.1017/dmp.2017.111. Epub 2017 Oct 10.
The 2011 Fukushima Daiichi nuclear accident was the worst nuclear disaster since Chernobyl. The Daiichi workers faced multiple stressors (workplace trauma, victim experiences, and public criticism deriving from their company's post-disaster management). Literatures suggest the importance of workplace interpersonal support (WIS) in enhancing psychological health among disaster workers. We sought to elucidate the role of their demographics, disaster-related experiences, and post-traumatic stress symptoms on perceived WIS.
We analyzed self-report questionnaires of 885 workers 2-3 months post-disaster. We used sociodemographic and disaster exposure-related variables and post-traumatic stress symptoms (measured by the Impact of Event Scale-Revised) as independent variables. We asked whether WIS from colleagues, supervisors, or subordinates was perceived as helpful, and used yes or no responses as a dependent variable. Logistic regression analyses were performed to assess correlates of WIS.
Of the participants, one-third (34.7%) reported WIS. WIS was associated with younger age (20-28 years [vs 49-], adjusted odds ratio [aOR]: 3.25, 95% CI: 1.99-5.32), supervisory work status (aOR: 2.30, 95% CI: 1.35-3.92), and discrimination or slur experience (aOR: 1.65, 95% CI: 1.08-2.53).
Educational programs focusing on WIS might be beneficial to promote psychological well-being among nuclear disaster workers, especially younger workers, supervisors, and workers with discrimination experiences. (Disaster Med Public Health Preparedness. 2018;12:460-463).
2011年福岛第一核电站事故是自切尔诺贝利事故以来最严重的核灾难。第一核电站的工作人员面临多种压力源(工作场所创伤、受害者经历以及来自公司灾后管理的公众批评)。文献表明工作场所人际支持(WIS)对于提升灾难救援人员的心理健康很重要。我们试图阐明人员统计学特征、与灾难相关的经历以及创伤后应激症状对感知到的WIS的作用。
我们分析了885名工作人员在灾后2至3个月的自我报告问卷。我们将社会人口统计学和灾难暴露相关变量以及创伤后应激症状(通过事件影响量表修订版测量)作为自变量。我们询问来自同事、上级或下级的WIS是否被认为有帮助,并将“是”或“否”的回答作为因变量。进行逻辑回归分析以评估WIS的相关因素。
在参与者中,三分之一(34.7%)报告有WIS。WIS与较年轻的年龄(20 - 28岁[对比49岁及以上],调整优势比[aOR]:3.25,95%置信区间[CI]:1.99 - 5.32)、管理工作状态(aOR:2.30,95% CI:1.35 - 3.92)以及遭受歧视或辱骂的经历(aOR:1.65,95% CI:1.08 - 2.53)相关。
关注WIS的教育项目可能有助于促进核灾难救援人员的心理健康,尤其是年轻工作人员、管理人员以及有过歧视经历的工作人员。(《灾难医学与公共卫生防范》。2018年;12:460 - 463)