Psychiatric Outpatients After the 3.11 Complex Disaster in Fukushima,
                        Japan

Hori, Arinobu; Hoshino, Hiroshi; Miura, Itaru; Hisamura, Masaki; Wada, Akira; Itagaki, Shuntaro; Kunii, Yasuto; Matsumoto, Junya; Mashiko, Hirobumi; Katz, Craig L.; Niwa, Shin Ichi

doi:10.1016/j.aogh.2016.09.010

Cited by 15 publications

(14 citation statements)

References 14 publications

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“…Second, it may be related to the cultural and social factors. Unlike surveys after disasters all over the world, Hori et al reported that in 2011 after 3.11 new outpatients of the depressive episode or other mood disorders in Fukushima Prefecture had decreased visits and estimated the cultural background [ 17 ]. They speculated that altruistic feelings of unity and nationalistic eagerness for recovery prevailed in Japan after disaster, and many residents in disaster-stricken areas may have had a heightened sense of purpose to overcome the threat of radiation exposure and to rebuild their hometowns [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Sleep Time and Mental Health Problems According to the Strengths and Difficulties Questionnaire in Children after an Earthquake Disaster: The Fukushima Health Management Survey

Itagaki

Ohira

Nagai

et al. 2018

IJERPH

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A cross-sectional study was performed on the adverse effects of sleep time on the mental health of children after the Great East Japan Earthquake and subsequent nuclear reactor accident in March 2011. The target participants were children aged 4–15 years living inside the government-designated evacuation zone as of 11 March 2011 (n = 29,585). The participants’ parents/guardians completed the Strengths and Difficulties Questionnaire (SDQ) and sleep time data were obtained from the 2011 Fukushima Health Management Survey. A total of 18,745 valid responses were returned. We excluded questionnaires with incomplete answers leaving 13,272 responses for the final analysis. First, we divided the children into three age groups for analysis. Second, we divided each age group into four or five groups based on sleep time per day. We used SDQ scores ≥16 to indicate a high risk of mental health problems. In the 4–6-year-old group, those with a sleep time of <9 h had a higher risk. In the 7–12-year-old group, those with ≥10 h of sleep time had a higher risk. In the 13–15-year-old group, those with ≥9 h of sleep time had a higher risk. Shorter sleep time was associated with a higher risk of mental health in 4–6-year-olds. On the other hand, oversleeping was associated with a high risk of mental health in 7–15-year-olds.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Sleep Time and Mental Health Problems According to the Strengths and Difficulties Questionnaire in Children after an Earthquake Disaster: The Fukushima Health Management Survey

Itagaki

Ohira

Nagai

et al. 2018

IJERPH

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“…21 For non-FHMS studies (n = 46; 60.5%), a large number of the studies used convenience samples and focused on evacuees (living in and out of the Fukushima prefecture), children, and older adults. Other study populations focused on specific populations, such as hospital patients, 15,23,45,47,54,85,86 caregivers, 19,71 students, 16,30,33,42,[48][49][50]62 and workers of various occupations. Specifically, a series of studies were conducted among the NPP workers.…”

Section: Study Characteristicsmentioning

confidence: 99%

Mental health consequences for survivors of the 2011 Fukushima nuclear disaster: a systematic review. Part 1: psychological consequences

et al. 2020

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To integrate scholastic literature regarding the prevalence and characteristics of the psychological consequences faced by survivors of the 2011 Fukushima earthquake/tsunami/nuclear disaster, we conducted a systematic review of survivor studies concerning the Fukushima disaster. In August 2019, four literature databases (PubMed, PsycINFO, Psychology and Behavioral Sciences Collection, and ICHUSHI) were used in the literature search. Peer-reviewed manuscripts reporting psychological consequences, either in English or Japanese, were selected. A total of 79 studies were selected for the review. Twenty-four studies (30.4%) were conducted as part of the Fukushima Health Management Survey—large-scale cohort study recruiting the residents of the entire Fukushima prefecture. Study outcomes were primarily nonspecific psychological distress, depressive symptoms, post-traumatic stress symptoms, and anxiety symptoms. The rates of high-risk individuals determined by the studies varied significantly owing to methodological differences. Nevertheless, these rates were mostly high (nonspecific psychological distress, 8.3%-65.1%; depressive symptoms, 12%-52.0%; and post-traumatic stress symptoms, 10.5%-62.6%). Many studies focused on vulnerable populations such as children, mothers of young children, evacuees, and nuclear power plant workers. However, few studies reported on the intervention methods used or their effect on the survivors. As a conclusion, high rates of individuals with psychological conditions, as well as a wide range of mental conditions, were reported among the Fukushima nuclear disaster survivors in the first 8 years after the disaster. These findings demonstrate the substantial impact of this compound disaster, especially in the context of a nuclear catastrophe.

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“…Post-traumatic stress disorder (PTSD) and depression significantly impair the social functioning of those affected and are often recognised as the most visible mental health effects on survivors, as was the case with the Great East Japan Earthquake (GEJE) of 2011. [1][2][3][4] In the present study, however, we would like to focus on manic and hypomanic episodes that occurred in the victims of the GEJE. 5 6 While bipolar disorder requires medical treatment, social functioning of the patient tends to be maintained during the hypomanic episode.…”

Section: Introductionmentioning

confidence: 99%

PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident

Hori¹,

Takebayashi

Tsubokura

et al. 2020

BMJ Case Rep

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The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disorder following the Great East Japan Earthquake. The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. However, 3.5 years later, when he suffered further psychological damage, his PTSD symptoms became evident. In addition to treating mood disorders, trauma-focused psychotherapy was required for his recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery.

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Psychiatric Outpatients After the 3.11 Complex Disaster in Fukushima, Japan

Abstract: There were time- and disease-dependent changes in the numbers of psychiatric care-seeking individuals after the 3.11 complex disaster in Fukushima.

Cited by 15 publications

References 14 publications

The Relationship between Sleep Time and Mental Health Problems According to the Strengths and Difficulties Questionnaire in Children after an Earthquake Disaster: The Fukushima Health Management Survey

The Relationship between Sleep Time and Mental Health Problems According to the Strengths and Difficulties Questionnaire in Children after an Earthquake Disaster: The Fukushima Health Management Survey

Mental health consequences for survivors of the 2011 Fukushima nuclear disaster: a systematic review. Part 1: psychological consequences

PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident

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