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Psychological trauma and long-term social outcome in populations that have survived disaster --- An epidemiological study of the effects of mass evacuation and losing a home on disaster victims ---

Research Project

Project/Area Number 13671015
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Psychiatric science
Research InstitutionNagasaki University

Principal Investigator

OHTA Yasuyuki  School of Health Sciences, Nagasaki University, Professor, 医学部, 教授 (50108304)

Project Period (FY) 2001 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2002: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordsmass evacuation / psychological distress / change in status of living and health / post traumatic stress disorder / General Health Questionnaire-30 item version (GHQ-30) / 外傷後ストレス障害 / GHQ-30項目版
Research Abstract

The eruption of Mt. Fugen in November 1990 resulted in a large-scale pyroclastic flow that claimed the lives of 43 people in June 1991. As a result of this disaster, a large number of local residents entered an unfortunate new and long-lasting chapter in their lives, as evacuees. Since 1991, we have been undertaking continuous maintenance of the mental health of these evacuees.
The present study investigated volcanic eruption evacuees who lost their homes due to the disaster and therefore had no choice but to be evacuated and then re-housed as a group under a government initiative. The psychological influence of changes to lifestyle caused by mass re-housing on the victims was analyzed using GHQ-30, and the prevalence of post-traumatic stress disorder (PTSD) was documented.
A total of 210 residents completed all GHQ-30 items in this study. The incidence of subjects with high scores (【greater than or equal】8) decreased from 72.0% to 32.4%, and mean score shifted from 13.6 points to 6.5 points. Decreases were observed in mean score of the factor "anxiety, tension and insomnia" from 17.2 to 10.6, of "anergia and social dysfunction" from 10.7 to 8.6, of "depression" from 6.4 to 4.4, and of "anhedonia" from 3.7 to 2.9. All these results suggested a statistically significant improvement of symptoms. Conversely, the mean score of "interpersonal dysfunction" displayed a significant increase from 1.7 to 1.9, implying that interpersonal difficulties remained.
A total of 134 evacuees underwent CAPS interviews. Of these, 64 evacuees met Criterion A for PTSD diagnosis. Seventeen evacuees fulfilled the criteria for symptoms of PTSD, and lifetime prevalence of PTSD was 26.6%. Twenty-five evacuees fulfilled the criteria for partial PTSD, and lifetime prevalence of partial PTSD was 39.1%. Two evacuees (3.1%) displayed symptoms of PTSD and 4 (6.3%) showed symptoms of PTSD at the time of interview.

Report

(3 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • Research Products

    (18 results)

All Other

All Publications (18 results)

  • [Publications] 太田保之: "災害と社会精神医学"最新精神医学. 6巻4号. 383-388 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 太田保之: "長期避難生活と地域精神保健対策"自然災害科学. 20巻1号. 18-20 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 太田保之: "災害精神医学"最新精神医学. 7巻5号. 449-456 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Yasuyuki Ohta, et al.: "Psychological distress among evacuees of a volcanic eruption in Japan : A follow-up study"Psychiatry and Clinical Neurosciences. 57巻1号. 105-111 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 太田保之: "人は傷つくとどうなるのか"日本評論社(編集:加藤進昌、樋口輝彦). 221 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ohta Y.: "Disaster and social psychiatry"The Japanese Journal of Psychiatry. 6. 383-388 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ohta Y.: "Disaster Psychiatry"The Japanese Journal of Psychiatry. 7. 449-456 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ohta Y.: "Psychological distress among evacuees of a volcanic eruption in Japan ; A follow-up study"Psychiatry and Clinical neurosciences. 57. 105-111 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 太田保之: "災害と社会精神医学"最新精神医学. 6巻4号. 383-388 (2001)

    • Related Report
      2002 Annual Research Report
  • [Publications] 太田保之: "長期避難生活と地域精神保健対策"自然災害科学. 20巻1号. 18-20 (2001)

    • Related Report
      2002 Annual Research Report
  • [Publications] 太田保之: "災害精神医学"最新精神医学. 7巻5号. 449-456 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Yasuyuki Ohta, et al.: "Psychological distress amang evacuees of a volcanic eruption in Japan : A follow-up study"Psychiatry and Clinical Neurosciences. 57巻1号. 105-111 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 太田保之: "人は傷つくとどうなるか"日本評論者(編集:加藤進昌、樋口輝彦). 221 (2001)

    • Related Report
      2002 Annual Research Report
  • [Publications] 太田保之: "普賢岳噴火災害と避難住民のPTSD"臨床精神医学. 29巻 1号. 11-16 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Ohta, Y., Mine, M.et al.: "Psychological effect of Nagasaki atomic bombing on survivors after half a century"Psychiatry and clinical Neurosciences. 54巻 1号. 97-103 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] 太田保之: "長期避難生活と地域精神保健対策"自然災害科学. 20巻 1号. 18-20 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 太田保之: "災害と社会精神医学"最新精神医学. 6巻 4号. 383-388 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] 太田保之: "人は傷つくとどうなるのか"日本評論社(編集:加藤進昌、樋口輝彦). 221 (2001)

    • Related Report
      2001 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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