Department of Epidemiology, School of Medicine, Fukushima Medical University, Japan; Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Japan.
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Japan.
J Affect Disord. 2020 Jan 1;260:432-439. doi: 10.1016/j.jad.2019.09.045. Epub 2019 Sep 10.
The present study examined the data from the Fukushima Health Management Survey conducted after the Great East Japan Earthquake to identify disaster-related factors affecting the mental health status of adolescents following the disaster and obtained basic data necessary in providing mental healthcare.
The study included 2808 adolescents aged 15-19 years (male: 1327; female: 1481) who completed the 2011 edition of the registered questionnaire. The Kessler Psychological Distress Scale scores, age, sex, health status, sleep satisfaction level, Great East Japan Earthquake experience, experience of losing a loved one, change in employment status, change in residence, and awareness of the impact of radiation on health were examined.
Psychological distress was significantly correlated with sex, health status, sleep satisfaction of, experience of losing a loved one, change in employment status, extreme anxiety regarding the acute health impact of radiation, and extreme anxiety regarding the impact of radiation on health in adolescents and the next generation.
The present study is limited because of its cross-sectional design, due to which, the causal relationship between each factor and psychological distress could not be clarified.
The results of the present study suggest that appropriate mental healthcare should be administered immediately following an earthquake to adolescents who have lost a loved one and experienced anxiety regarding the health impact of radiation following a nuclear accident.
本研究利用东日本大地震后的福岛健康管理调查数据，调查了灾害相关因素对受灾后青少年心理健康状况的影响，为提供心理健康保健服务获取了必要的基础数据。
本研究共纳入 2808 名 15-19 岁青少年（男 1327 名，女 1481 名），他们完成了 2011 年版登记问卷。采用 Kessler 心理困扰量表评分、年龄、性别、健康状况、睡眠满意度、东日本大地震经历、失去亲人的经历、就业状态变化、居住地点变化和对辐射影响健康的认识等指标进行评估。
心理困扰与性别、健康状况、睡眠满意度、失去亲人的经历、就业状态变化、对辐射对健康即刻影响的极度焦虑、对辐射对健康影响的极度焦虑呈显著相关。
本研究为横断面研究，受此限制，无法明确各因素与心理困扰之间的因果关系。
本研究结果表明，在地震发生后，应立即为失去亲人的青少年和经历核事故后对辐射健康影响感到焦虑的青少年提供适当的心理健康保健。
