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日本城户市洪灾后的社会支持网络与发病率。

Post-flood social support networks and morbidity in Jôsô City, Japan.

机构信息

School of Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan.

Department of Psychiatry, University of Tsukuba, Tsukuba, Ibaraki, Japan.

出版信息

Psychiatry Res. 2019 Jan;271:708-714. doi: 10.1016/j.psychres.2018.11.073. Epub 2018 Dec 5.

Abstract

Social support networks are considered beneficial for post-disaster survivor mental health. However, there are family and non-family networks, and support can be received or provided. Therefore, their complex contribution to wellbeing requires analysis. Researching elderly residents of Jôsô City NE of Tokyo (N = 1182 [female: n = 618], Age M = 69.76y, SD = 6.10y) who experienced severe flooding in September 2015 investigated data for mental health outcomes of depression (K6), trauma (IES-R), and existence of recent worry from evacuation and house damage. An original instrument tapped support source and direction, controlled to examine mental health symptom changes. House damage was a higher mental health predictor (η = .10-.16) than evacuation (η = .033-.093). Results indicated family social support may buffer mental health outcomes, but non-family social support may burden them. Overall support network size also indicated burdening compared to social support receiving-providing imbalance.

摘要

社会支持网络被认为有益于灾后幸存者的心理健康。然而,社会支持网络有家庭和非家庭之分,支持既可以来自他人,也可以提供给他人。因此,它们对幸福感的复杂贡献需要进行分析。本研究调查了东京东北部的常総市(N=1182[女性:n=618],年龄 M=69.76 岁,SD=6.10 岁)老年居民的情况,他们在 2015 年 9 月经历了严重的洪水。这些老年人经历了严重的洪水。这些老年人的心理健康结果包括抑郁(K6)、创伤(IES-R)以及因撤离和房屋受损而产生的近期忧虑。一项原始工具调查了支持来源和方向,以控制心理健康症状变化。房屋受损(η=.10-.16)比撤离(η=.033-.093)对心理健康的预测性更高。结果表明,家庭社会支持可能缓冲心理健康结果,但非家庭社会支持可能加重心理健康负担。总的来说,支持网络的规模与社会支持的收支不平衡相比,也表明存在负担。

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