Fukushima Medical University School of Medicine, Fukushima, Japan.
Front Public Health. 2022 Jul 14;10:839442. doi: 10.3389/fpubh.2022.839442. eCollection 2022.
This study examined whether disaster resilience affects the recovery of mental health states and mitigates psychosocial anxiety 10 years later the Fukushima Daiichi nuclear power plant accident. The survey was conducted in Fukushima's evacuation-directed and non-evacuation-directed areas in January 2020. The 695 participants responded to a questionnaire including items on radiation-related anxiety regarding the Fukushima Daiichi accident, an action-oriented approach as a resilience factor, psychological distress, and demographic information. The structural equation modeling showed that the action-oriented approach also eased radiation-related anxiety by mediating with improving mental health states. Moreover, a multi-group model analysis was conducted for evacuation-directed and non-directed areas. In the evacuation-directed area, we found stronger associations among resilience, mental health states, and radiation-related anxiety, and a direct effect of resilience factors on radiation risk anxiety. These findings emphasize the importance of resilience in post-disaster contexts, at least for a decade, where mental health deteriorates and various psychosocial issues become more complex.
本研究旨在探讨灾害复原力是否会影响福岛第一核电站事故 10 年后心理健康状态的恢复，并减轻心理社会焦虑。该调查于 2020 年 1 月在福岛的撤离指导区和非撤离指导区进行。695 名参与者对包括福岛第一核电站事故相关辐射焦虑、作为复原力因素的行动导向方法、心理困扰以及人口统计学信息在内的问卷做出了回应。结构方程模型显示，行动导向方法也通过改善心理健康状态来缓解与辐射相关的焦虑。此外，还针对撤离指导区和非指导区进行了多组模型分析。在撤离指导区，我们发现复原力、心理健康状态和与辐射相关的焦虑之间存在更强的关联，以及复原力因素对辐射风险焦虑的直接影响。这些发现强调了在灾后环境中复原力的重要性，至少在十年内，心理健康状况恶化，各种心理社会问题变得更加复杂。
