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原子弹爆炸幸存者后代与非后代心理因素的调查与比较:心理健康指标的代际差异

Survey and comparison of psychological factors between descendants and non-descendants of survivors of the atomic bomb: Generational differences in mental health indicators.

作者信息

Kamite Yuka, Kitani Tomoko, Ikeda Tatsuya, Abe Kazuaki, Kabir Russell Sarwar, Morishima Yasunori

机构信息

Hiroshima University, Japan.

Elisabeth University of Music, Japan.

出版信息

J Psychiatr Res. 2021 Apr;136:398-401. doi: 10.1016/j.jpsychires.2021.01.043. Epub 2021 Feb 1.

Abstract

BACKGROUND

The effects of the atomic bomb experience on survivors and their children have been a topic of human and research interest since early in the postwar era. The topic has centered around knowledge of physical health and studies on germline genetic effects in the second-generation offspring of survivors. However, comparatively little has been done to understand the psychological impact.

PURPOSE

The present study focuses on generational factors related to the psychological makeup of second and third generation descendants of atomic bomb survivors. Specifically, this study takes depressive symptoms and factors related to health anxiety into consideration as mental health indicators to offer preliminary evidence that addresses this gap.

OBJECTIVE

Data was collected from participants with and without familial affiliation to atomic bomb survivors stratified by age. This resulted in 50 participants that reported having at least one parent who was an atomic bomb survivor categorized as second-generation descendants, 50 participants with at least one grandparent that was an atomic bomb survivor, 50 unrelated participants within an age range of 50-69, and 50 unrelated participants within an age range of 30-49.

METHOD

Depressive symptom severity among participants was examined with the Center for Epidemiologic Studies Depression Scale (CES-D), and health anxiety was examined using the Sense of Health Anxiety Scale (SHAS).

RESULT

A significant difference was observed for participants without relatives who experienced the atomic bomb such that depressive symptom scores for second generation participants were higher than third generation participants (F (1, 197) = 8.38, p < .01, η = 0.04). A between-group difference for third generation participants with and without relatives who experienced the atomic bomb was observed such that third-generation participants with relatives had higher CES-D scores (F (1, 197) = 6.36, p < .01, η = 0.03). The levels of health anxiety did not differ between generations with or without relatives of atomic bomb survivors.

CONCLUSION

Our findings indicated a difference in depressive symptom tendencies between second and third generation individuals related to atomic bomb survivors. These results suggest that future studies examine the difference in psychological effects between generations as they relate to possible processes that lead to an increase in depressive symptoms.

摘要

背景

自战后早期以来,原子弹经历对幸存者及其子女的影响一直是人们关注和研究的课题。该课题主要围绕身体健康知识以及对幸存者第二代后代的生殖系基因效应的研究。然而,在了解心理影响方面所做的工作相对较少。

目的

本研究聚焦于与原子弹幸存者第二代和第三代后代心理构成相关的代际因素。具体而言,本研究将抑郁症状和与健康焦虑相关的因素作为心理健康指标,以提供初步证据来填补这一空白。

目标

从有和没有与原子弹幸存者家族关系的参与者中按年龄分层收集数据。这产生了50名报告至少有一位父母是原子弹幸存者的参与者,被归类为第二代后代;50名至少有一位祖父母是原子弹幸存者的参与者;50名年龄在50 - 69岁之间的无亲属关系参与者;以及50名年龄在30 - 49岁之间的无亲属关系参与者。

方法

使用流行病学研究中心抑郁量表(CES - D)检查参与者的抑郁症状严重程度,并使用健康焦虑感量表(SHAS)检查健康焦虑情况。

结果

在没有经历过原子弹爆炸亲属的参与者中观察到显著差异,即第二代参与者的抑郁症状得分高于第三代参与者(F(1, 197) = 8.38,p <.01,η = 0.04)。在有和没有经历过原子弹爆炸亲属的第三代参与者之间观察到组间差异,即有亲属的第三代参与者的CES - D得分更高(F(1, 197) = 6.36,p <.01,η = 0.03)。在有或没有原子弹幸存者亲属的各代人中,健康焦虑水平没有差异。

结论

我们的研究结果表明,与原子弹幸存者相关的第二代和第三代个体在抑郁症状倾向方面存在差异。这些结果表明,未来的研究应考察代际之间心理影响的差异,因为它们与可能导致抑郁症状增加的过程有关。

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