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灾害致流离失所人群的居住重建类型对其社会参与和精神健康的影响。

Impact of type of reconstructed residence on social participation and mental health of population displaced by disasters.

机构信息

Department of Disaster Psychiatry, Tohoku University Graduate School of Medicine, Sendai, Japan.

Health Promotion Section, Shichigahama Town Hall, Shichigahama, Japan.

出版信息

Sci Rep. 2021 Nov 2;11(1):21465. doi: 10.1038/s41598-021-00913-3.

Abstract

After disasters, people are often forced to reconstruct or move to new residences. This study aimed to reveal the association between the types of reconstructed residences and psychosocial or psychiatric conditions among the population. A total of 1071 adult residents in a coastal town, whose houses were destroyed by the tsunami caused by the Great East Japan Earthquake, enrolled in the study five years after the disaster. The type of reconstructed post-disaster residences (reconstructed on the same site/disaster-recovery public condominium/mass-translocation to higher ground/privately moving to remote areas) and the current psychosocial indicators were investigated. The results revealed that individuals living in public condominiums showed significantly worse scores on the Lubben Social Network Scale-6 (p < 0.0001) and the Center for Epidemiologic Studies Depression Scale (p < 0.0001), and slightly worse scores on the Kessler Psychological Distress Scale (p = 0.035) and the Impact of Event Scale-Revised (p = 0.028). Lower psychosocial indicator scores in the public condominium group were more remarkable in younger adults aged < 65 years. Insomnia evaluated using the Athens Insomnia Scale was not different among the four residential types. In summary, residents moving into disaster-recovery public condominiums are likely to have less social interaction, be more depressed, and may need additional interventions.

摘要

在灾难发生后,人们常常被迫重建家园或搬迁到新的住所。本研究旨在揭示受灾人群所居住的重建住宅类型与他们的社会心理或精神状况之间的关联。在东日本大地震引发的海啸摧毁了沿海城镇的房屋五年后,共有 1071 名成年居民参与了这项研究。调查了他们灾后重建住宅的类型(原址重建/灾后重建公共公寓/大规模迁移到高地/私人迁移到偏远地区)和当前的社会心理指标。结果表明,居住在公共公寓的人在 Lubben 社会网络量表-6(p<0.0001)和流行病学研究抑郁量表(p<0.0001)上的得分明显较差,在 Kessler 心理困扰量表(p=0.035)和修订后的事件影响量表(p=0.028)上的得分也略差。在年龄<65 岁的年轻成年人中,公共公寓组的社会心理指标得分较低更为显著。使用雅典睡眠量表评估的失眠在这四种住宅类型之间没有差异。总之,搬入灾后重建公共公寓的居民可能社交互动较少,抑郁程度更高,可能需要额外的干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b68/8563746/9d78a935bcca/41598_2021_913_Fig1_HTML.jpg

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