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东日本大地震对日本陆上自卫队人员的心理影响:一项为期一年的三波纵向研究。

The Psychological Impact of the Great East Japan Earthquake on Japan Ground Self-Defense Force Personnel: A Three-Wave, One-Year Longitudinal Study.

作者信息

Nagamine Masanori, Yamamoto Taisuke, Shigemura Jun, Tanichi Masaaki, Yoshino Aihide, Suzuki Go, Takahashi Yoshitomo, Miyazaki Masaki, Uwabe Yasuhide, Harada Nahoko, Shimizu Kunio

出版信息

Psychiatry. 2018 Fall;81(3):288-296. doi: 10.1080/00332747.2017.1333340. Epub 2018 Feb 27.

DOI:10.1080/00332747.2017.1333340
PMID:29485350
Abstract

OBJECTIVE

Approximately 70,000 Japan Ground Self-Defense Force (JGSDF) personnel were dispatched in the wake of the 2011 Great East Japan Earthquake and the tsunami and nuclear disaster that followed. This study was conducted to evaluate the mental health of the JGSDF personnel and the correlates.

METHODS

Data collected from 56,753 participants at three time points (one, six, and 12 months after mission completion) were analyzed. Those who scored 25 or more points on the Impact of Events Scale-Revised (IES-R) and the Kessler Psychological Distress Scale (K10) were allocated into the high posttraumatic stress response (high-PTSR) group, and the high general psychological distress (high-GPD) group, respectively.

RESULTS

The multiple logistic regression analysis identified the following factors as the significant risk factor related to high-PTSR or high-GPD status, with odds ratios of 2.0 or higher: deployment length of three or more months, being personally affected by the disaster, and being overworked continuously for three or more months after mission completion. No significant association was observed for duties with radiation exposure risk.

CONCLUSIONS

Our findings suggest that disaster workers may be able to conduct disaster relief activities more safely with mission-related considerations of shorter deployment length and recognizing the effects on personnel personally affected by the disaster, in addition to avoiding overworking personnel after mission completion.

摘要

目的

2011年东日本大地震及随后的海啸和核灾难发生后,约7万名日本陆上自卫队人员被派遣。本研究旨在评估日本陆上自卫队人员的心理健康状况及其相关因素。

方法

对在三个时间点(任务完成后1个月、6个月和12个月)从56,753名参与者收集的数据进行分析。在事件影响量表修订版(IES-R)和凯斯勒心理困扰量表(K10)上得分25分及以上的参与者分别被归入高创伤后应激反应(高PTSR)组和高一般心理困扰(高GPD)组。

结果

多元逻辑回归分析确定以下因素为与高PTSR或高GPD状态相关的显著风险因素,比值比为2.0或更高:部署时长三个月或更长、个人受到灾难影响、任务完成后连续三个月或更长时间过度劳累。未观察到与辐射暴露风险职责有显著关联。

结论

我们的研究结果表明,除了避免任务完成后人员过度劳累外,灾难救援人员若能在任务相关方面考虑缩短部署时长并认识到对受灾难个人影响人员的作用,可能能够更安全地开展救灾活动。

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