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Effects of Disaster Damage and Working Conditions on Mental Health Among Public Servants 16 Months After the Great East Japan Earthquake

Published online by Cambridge University Press:  15 February 2018

Maiko Fukasawa ,
Yuriko Suzuki ,
Akiko Obara  and
Yoshiharu Kim
Maiko Fukasawa*
Affiliation:
Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
Yuriko Suzuki
Affiliation:
Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
Akiko Obara
Affiliation:
Miyagi Mental Health and Welfare Center, Miyagi, Japan
Yoshiharu Kim
Affiliation:
Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan National Information Center of Disaster Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
*
Correspondence and reprint requests to Maiko Fukasawa, Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan (e-mail: s05fukasawa@ncnp.go.jp; fukasawamaiko@hotmail.com).
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Abstract

Objective

To explore whether stressors after a disaster have later effects on the mental health of public servants who engage in disaster response and to estimate the proportion of those experiencing persistent mental distress.

Methods

We analyzed the data of health surveys conducted in Miyagi Prefecture for all prefectural public servants at 2, 7, and 16 months after the Great East Japan Earthquake (n=3174). We investigated relationships between mental distress (defined as K6≥10) at 16 months after the earthquake and earthquake damage and working conditions at 2 months. We also calculated the proportion of participants who scored K6≥10 on all 3 surveys.

Results

The experience of living someplace other than one’s own home was significantly related with mental distress at 16 months after the earthquake. Few participants consistently scored K6≥10 throughout all 3 surveys.

Conclusions

The effects of stressors in the aftermath of a disaster could remain for a long time. Few public servants experienced persistent mental distress. Disaster Med Public Health Preparedness. 2018;12:622–630

Keywords

disastermental healthpublic servantsworking conditions
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 5 , October 2018 , pp. 622 - 630
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. National Police Agency. Damage and police action after the Great East Japan Earthquake, 2011, as of July 10, 2016. http://www.npa.go.jp/archive/keibi/biki/higaijokyo.pdf. Accessed September 9, 2016 (in Japanese).Google Scholar
2. Reconstruction Agency. Number of deaths owing to the effects of the Great East Japan Earthquake, as of March 31, 2016. http://www.reconstruction.go.jp/topics/main-cat2/sub-cat2-6/20140526131634.html. Accessed September 9, 2016 (in Japanese).Google Scholar
3. Inoue, K, Inoue, K, Kobayashi, T, et al. Consideration on the cases of “workplace-associated mood disorder” in the aftermath of the Great East Japan Earthquake. Rinsho Seisin Igaku. 2012;41:1209-1215 (in Japanese).Google Scholar
4. The Japanese Society of Psychiatry and Neurology. Emergency statement to protect public servants’ health (prefectures and municipalities); 2013. https://www.jspn.or.jp/modules/activity/index.php?content_id=173. Accessed October 6, 2016 (in Japanese).Google Scholar
5. Fukasawa, M, Suzuki, Y, Obara, A, et al. Relationships between mental health distress and work-related factors among prefectural public servants two months after the Great East Japan Earthquake. Int J Behav Med. 2015;22:1-10.Google Scholar
6. Suzuki, Y, Fukasawa, M, Obara, A, et al. Mental health distress and its related factors among prefectural public servants seven months after the Great East Japan Earthquake. J Epidemiol. 2014;24:287-294.Google Scholar
7. Sakuma, A, Takahashi, Y, Ueda, I, et al. Post-traumatic stress disorder and depression prevalence and associated risk factors among local disaster relief and reconstruction workers fourteen months after the Great East Japan Earthquake: a cross-sectional study. BMC Psychiatry. 2015;15:58. http://dx.doi.org/10.1186/s12888-015-0440-y.Google Scholar
8. Kuwahara, Y, Takahashi, S, Matsui, Y. Post traumatic stress in local government officers in earthquake damaged areas of Japan. Jpn J Trauma Stress. 2015;13:161-169.Google Scholar
9. Ehring, T, Razik, S, Emmelkamp, PM. Prevalence and predictors of posttraumatic stress disorder, anxiety, depression, and burnout in Pakistani earthquake recovery workers. Psychiatry Res. 2011;185:161-166. http://dx.doi.org/10.1016/j.psychres.2009.10.018.Google Scholar
10. Fullerton, CS, McKibben, JB, Reissman, DB, et al. Posttraumatic stress disorder, depression, and alcohol and tobacco use in public health workers after the 2004 Florida hurricanes. Disaster Med Public Health Prep. 2013;7:89-95. http://dx.doi.org/10.1017/dmp.2013.6.Google Scholar
11. Bills, CB, Levy, NA, Sharma, V, et al. Mental health of workers and volunteers responding to events of 9/11: review of the literature. Mt Sinai J Med. 2008;75:115-127. http://dx.doi.org/10.1002/msj.20026.Google Scholar
12. Neria, Y, DiGrande, L, Adams, BG. Posttraumatic stress disorder following the September 11, 2001, terrorist attacks: a review of the literature among highly exposed populations. Am Psychol. 2011;66:429-446. http://dx.doi.org/10.1037/a0024791.Google Scholar
13. Bromet, EJ, Havenaar, JM, Guey, LT. A 25 year retrospective review of the psychological consequences of the Chernobyl accident. Clin Oncol (R Coll Radiol). 2011;23:297-305. http://dx.doi.org/10.1016/j.clon.2011.01.501.Google Scholar
14. Loganovsky, K, Havenaar, JM, Tintle, NL, et al. The mental health of clean-up workers 18 years after the Chernobyl accident. Psychol Med. 2007;38:481-488.Google Scholar
15. Rahu, K, Rahu, M, Tekkel, M, et al. Suicide risk among Chernobyl cleanup workers in Estonia still increased: an updated cohort study. Ann Epidemiol. 2006;16:917-919.Google Scholar
16. Miyagi Prefecture. Population and the number of households based on Basic Resident Register, as of June, 2015. http://www.pref.miyagi.jp/soshiki/toukei/juki-tsuki.html. Accessed February 2, 2016 (in Japanese).Google Scholar
17. Kessler, RC, Andrews, G, Colpe, LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959-976.Google Scholar
18. Furukawa, TA, Kawakami, N, Saitoh, M, et al. The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008;17:152-158.Google Scholar
19. Kessler, RC. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60:184-189.Google Scholar
20. Sakurai, K, Nishi, A, Kondo, K, et al. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65:434-441. http://dx.doi.org/10.1111/j.1440-1819.2011.02236.x.Google Scholar
21. Cénat, JM, Derivois, D. Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adults survivors of earthquake in Haiti after 30 months. J Affect Disord. 2014;159:111-117. http://dx.doi.org/10.1016/j.jad.2014.02.025.Google Scholar
22. Gigantesco, A, Mirante, N, Granchelli, C, et al. Psychopathological chronic sequelae of the 2009 earthquake in L’Aquila, Italy. J Affect Disord. 2013;148:265-271. http://dx.doi.org/10.1016/j.jad.2012.12.006.Google Scholar
23. Tracy, M, Norris, FH, Galea, S. Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event. Depress Anxiety. 2011;28:666-675.Google Scholar
24. Kawakami, N. Distribution and associated factors of mental health status by K6 in a national survey in Japan. In: Hashimoto H, ed. Report on Research on Statistics and Information by the Health and Labour Sciences Research Grants; 2006 (in Japanese).Google Scholar
25. National Information Center of Disaster Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry. Special summary report of the Comprehensive Survey of Living Condition; 2010 and 2007. http://saigai-kokoro.ncnp.go.jp/document/medical.html. Accessed February 23, 2016 (in Japanese).Google Scholar
26. Suzuki, K, Sasaki, H, Motohashi, Y. Relationships among mood/anxiety disorder, occupational stress and the life situation: results of survey of a local government staff. Bulletin of Akita University Graduate School of Medicine Doctoral Course in Health Sciences. 2010;18:120-129.Google Scholar
27. Norris, FH, Galea, S. Psychosocial consequences of disaster. In: Norris FH, Galea S, Friedman MJ, Watson PJ, eds. Methods for Disaster Mental Health Research. New York: Guilford Press; 2006:20-42.Google Scholar
28. Kukihara, H, Yamawaki, N, Uchiyama, K, et al. Trauma, depression, and resilience of earthquake/tsunami/nuclear disaster survivors of Hirono, Fukushima, Japan. Psychiatry Clin Neurosci. 2014;68:524-533. http://dx.doi.org/10.1111/pcn.12159.Google Scholar
29. Norris, FH, Tracy, M, Galea, S. Looking for resilience: understanding the longitudinal trajectories of responses to stress. Soc Sci Med. 2009;68:2190-2198. http://dx.doi.org/10.1016/j.socscimed.2009.03.043.Google Scholar
30. Pietrzak, RH, Tracy, M, Galea, S, et al. Resilience in the face of disaster: prevalence and longitudinal course of mental disorders following hurricane Ike. PLoS One. 2012;7:e38964. http://dx.doi.org/10.1371/journal.pone.0038964.Google Scholar
31. Cerdá, M, Bordelois, PM, Galea, S, et al. The course of posttraumatic stress symptoms and functional impairment following a disaster: what is the lasting influence of acute versus ongoing traumatic events and stressors? Soc Psychiatry Psychiatr Epidemiol. 2012;48:385-395. http://dx.doi.org/10.1007/s00127-012-0560-3.Google Scholar