TY - JOUR
PY - 2017//
TI - Longitudinal effects of disaster-related experiences on mental health among Fukushima nuclear plant workers: the Fukushima NEWS Project Study
JO - Psychological medicine
A1 - Ikeda, A.
A1 - Tanigawa, T.
A1 - Charvat, H.
A1 - Wada, H.
A1 - Shigemura, J.
A1 - Kawachi, I.
SP - 1936
EP - 1946
VL - 47
IS - 11
N2 - BACKGROUND: The Fukushima Nuclear Energy Workers' Support (NEWS) Project Study previously showed that experiences related to the Fukushima nuclear disaster on 11 March 2011 had a great impact on psychological states, including post-traumatic stress response (PTSR) and general psychological distress (GPD), among the Fukushima nuclear plant workers. To determine the causal relationship between disaster-related experiences and levels of psychological states, we conducted a 3-year longitudinal study from 2011 to 2014.
METHOD: PTSR and GPD of the nuclear plant workers were assessed by annual questionnaires conducted from 2011 to 2014. The present study included a total of 1417 workers who provided an assessment at baseline (2011). A total of 4160 observations were used in the present analysis. The relationship between disaster-related experiences and psychological states over time was analysed using mixed-effects logistic regression models.
RESULTS: A declining influence of disaster-related experiences on PTSR over time was found. However, the impact on PTSR remained significantly elevated even 3 years after the disaster in several categories of exposure including the experience of life-threatening danger, experiences of discrimination, the witnessing of plant explosion, the death of a colleague and home evacuation. The associations between GPD and disaster-related experiences showed similar effects.
CONCLUSIONS: The effects of disaster-related experiences on psychological states among the nuclear plant workers reduced over time, but remained significantly high even 3 years after the event.
Language: en
LA - en SN - 0033-2917 UR - http://dx.doi.org/10.1017/S0033291717000320 ID - ref1 ER -