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  • Cited by 2
  • Print publication year: 2009
  • Online publication date: May 2010

26 - The Long-Term Mental Health Impacts of the Chernobyl Accident

from Part Six - Case Studies


This chapter reviews the empirical evidence regarding mental health consequences of disasters in older adults. In addition, important implications for disaster policy and planning for the needs of the aging population are discussed. A recent quantitative review of mental health in a broad range of disaster survivors reported differential protective effects associated with older age in only 2 of 17 distinct samples that included older adults. Two themes of relative deprivation were identified in older adults: the loss of symbolic assets, and the preoccupation with time. The empirical literature on the effects of natural disasters such as floods, hurricanes, and earthquakes on the mental health of older adults is equivocal and varies according to a variety of factors. Compared to natural disasters, much less is known about the effects of human-made catastrophes in the lives of older adults. Technological disasters can be caused by human error or major industrial accidents.


Adams, R. E., Bromet, E. J., Panina, N., & Golovakha, E. (2007). The Chernobyl nuclear power plant disaster and the well-being of mothers with children 20 years later. Presented at the Society for the Study of Social Problems, New York City.
Adams, R. E., Bromet, E. J., Panina, N., Golovakha, E., Goldgaber, D., & Gluzman, S. (2002). Stress and well-being in mothers of young children 11 years after the Chornobyl nuclear power plant accident. Psychological Medicine, 32, 143–156.
Bar Joseph, N., Reisfeld, D., Tirosh, E., Silman, Z., & Rennert, G. (2004). Neurobehavioral and cognitive performances in children exposed to low-dose radiation in the Chernobyl accident: The Israeli Chernobyl Health Effects Study. American Journal of Epidemiology, 160, 453–459.
Baverstock, K., & Williams, D. (2006). The Chernobyl accident 20 years on: An assessment of the health consequences and the international response. Environmental Health Perspectives, 114, 1312–1317.
Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). .First responders: Mental health consequences of natural and human-made disasters for public health and public safety workers. Annual Review of Public Health, 28, 55–68.
Braithwaite, J., & Hoopengardner, T. (1997). Who are Ukraine’s poor? In P. K. Cornelius & P. Lenain (Eds.), Ukraine: Accelerating the transition to market. Washington, D.C.: International Monetary Fund.
Bromet, E. J., Gluzman, S. F., Paniotto, V. I., Webb, C. P., Tintle, N. L., Zakhozha, V., Havenaar, J. M., et al. (2005). Epidemiology of psychiatric and alcohol disorders in Ukraine: Findings from the Ukraine World Mental Health Survey. Social Psychiatry and Psychiatric Epidemiology, 40, 481–690.
Bromet, E. J., Gluzman, S., Schwartz, J. E., & Goldgaber, D. (2002). Somatic symptoms in women 11 years after the Chornobyl accident: Prevalence and risk factors. Environmental Health Perspectives, 110(Suppl. 4), 625–629.
Bromet, E. J., Goldgaber, D., Carlson, G., Panina, N., Golovakha, E., Gluzman, S. F., et al. (2000). Children’s well-being 11 years after the Chornobyl catastrophe. Archives of General Psychiatry, 57, 563–571.
Bromet, E. J., & HavenaarJ. M. (2002). Mental health consequences of disasters. In N. Sartorius, W. Gaebel, J. J. Ibor-Lopez, & M. Maj (Eds.), Psychiatry in society. London: Wiley.
Bromet, E. J., & HavenaarJ. M. (2006). Basic epidemiologic approaches to disaster research: value of face-to-face procedures. In F. H. Norris, S. Galea, M. J. Friedman, & P. J. Watson (Eds.), Methods for disaster mental health research. New York: Guilford Press.
Bromet, E. J., Parkinson, D. K., & Dunn, L. O. (1990). Long-term mental health consequences of the accident at Three Mile Island. International Journal of Mental Health, 19, 48–60.
Centers for Disease Control and Prevention (CDC). (2004). Mental health status of World Trade Center rescue and recovery workers and volunteers – New York City, July 2002–August 2004. Morbidity and Mortality Weekly Report, 53, 812–815.
Derogatis, L. R. (1983). Symptom Checklist- 90-Revised: Administration, scoring, and procedures manual-II. Towson, MD: Clinical Psychometric Research.
Drabick, D. A. G., Gadow, K. D., Carlson, G. A., & Bromet, E. J. (2004). ODD and ADHD symptoms in Ukrainian children: External validators and comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 735–743.
Gamache, G. L., Levinson, D. M., Reeves, D. L., Bidyuk, P. I., & Brantley, K. K. (2005). Longitudinal neurocognitive assessments of Ukrainians exposed to ionizing radiation after the Chernobyl nuclear accident. Archives of Clinical Neuropsychology, 20, 81–93.
Gluzman, S. F. (1991). Abuse of psychiatry: Analysis of the guilt of medical personnel. Journal of Medical Ethics, 17, 19–20.
Gluzman, S., & Kostyuchenko, S. (2006). Psychiatry in Ukraine. Bulletin of the Board of International Affairs of the Royal College of Psychiatrists, 3, 12–14.
Goldberg, D., McDowell, I., & Newell, C. (1996). Measuring health: A guide to rating scales and questionnaires. 2nd ed. New York: Oxford University Press.
Hatch, M., Ron, E., Bouville, A., Zablotska, L., & Howe, G. (2005). The Chernobyl disaster: Cancer following the accident at the Chernobyl nuclear power plant. Epidemiologic Reviews, 27, 56–66.
Havenaar, J. M., Cwikel, J., & Bromet, E. (Eds.). (2002). Toxic turmoil: Psychological and societal consequences of ecological disasters. New York: Plenum.
Havenaar, J. M., van den Brink, W., Kasyanenko, A. P., van den Bout, J., Meijler-Iljina, L. I., Poelijoe, N. W., et al. (1996). Mental health problems in the Gomel Region (Belarus). An analysis of risk factors in an area affected by the Chernobyl disaster. Psychological Medicine, 26, 845–855.
Havenaar, J. M., Rumyantzeva, G. M., van den Brink, W., Poelijoe, N. W., van den Bout, J., van Engeland, H., & Koeter, M. W. J. (1997). Long-term mental health effects of the Chernobyl disaster: An epidemiological survey in two former Soviet Regions. American Journal of Psychiatry, 154, 1605–1607
Havenaar, J. M., Rumyantzeva, G. M., Kasyanenko, A. P., Kaasjager, K., Westermann, A. M., van den Brink, W., et al. (1997). Health effects of the Chernobyl disaster: illness or illness behaviour? A comparative general health survey in two former Soviet Regions. Environmental Health Perspectives, 105(Suppl. 6), 1533–1537.
Havenaar, J. M., de Wilde, E. J., van den Bout, J., Drottz-Sjöberg, B.-M., & van de Brink, W. (2003). Perception of risk and subjective health among victims of the Chernobyl disaster. Social Science and Medicine, 56, 569–572.
Huizink, A. C., Dick, D. M., Sihvola, E., Pulkkinen, L., Rose, R. J., & Kaprio, J. (2007). Chernobyl exposure as stressor during pregnancy and behaviour in adolescent offspring. Acta Psychiatrica Scandinavica, 116(6), 438–446.
Igumnov, S., & DrozdovitchV. (2000). The intellectual development, mental and behavioral disorders in children from Belarus exposed in utero following the Chernobyl accident. European Psychiatry, 15, 244–253.
Imamura, Y., Nakane, Y., Ohta, Y., & Kondo, H. (1999). Lifetime prevalence of schizophrenia among individuals prenatally exposed to atomic bomb radiation in Nagasaki City. Acta Psychiatrica Scandinavica, 100, 344–349.
Kessler, R. C., & Üstün, T. B. (2004). The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.
Kolominsky, Y., Igumnov, S., & Drozdovitch, V. (1999). The psychological development of children from Belarus exposed in the prenatal period to radiation from the Chernobyl atomic power plant. Journal of Child Psychology & Psychiatry, 40, 299–305.
Litcher, L., Bromet, E. J., Carlson, G., Squires, N., Goldgaber, D., Panina, N., et al. (2000). School and neuropsychological performance of evacuated children in Kiev 11 years after the Chornobyl disaster. Journal of Child Psychology and Psychiatry, 41, 291–299.
Loganovsky, K., Havenaar, J. M., Tintle, N., Tung, L., Kotov, R. I., & BrometE.J. (2008). The mental health of clean-up workers 18 years after the Chornobyl accident. Psychological Medicine, 38, 481–488.
Loganovsky, K. N., & Loganovskaja, T. K. (2000). Schizophrenia spectrum disorders in persons exposed to ionizing radiation as a result of the Chernobyl accident. Schizophrenia Bulletin, 26, 751–773.
Nicholson, A., Bobak, M., Murphy, M., Rose, R., & Marmot, M. (2005). Alcohol consumption and increased mortality in Russian men and women: A cohort study based on the mortality of relatives. Bulletin of the World Health Organization, 83, 812–819.
Nyagu, A. I., Loganovsky, K. N., & Loganovskaja, T. K. (1998). Psychophysiologic aftereffects of prenatal irradiation. International Journal of Psychophysiology, 30, 303–311.
Otake, M., & Schull, W. J. (1984). In utero exposure to A-bomb radiation and mental retardation: A reassessment. British Journal of Radiology, 57, 409–414.
Parkinson, D. K., & Bromet, E. J. (1983). Correlates of mental health in nuclear and coal-fired power plant workers. Scandinavian Journal of Work, Environment and Health, 9, 341–345.
Polyukhov, A. M., Kobsar, I. V., Grebelnik, V. I., & Voitenko, V. P. (2000). The accelerated occurrence of age-related changes of organism in Chernobyl workers: A radiation-induced progeroidsyndrome? Experimental Gerontology, 35, 105–115.
Rahu, K., Rahu, M., Tekkel, M., & Bromet, E. (2006). Suicide risk among Chernobyl cleanup workers in Estonia still increased: An updated cohort study. Annals of Epidemiology, 16, 917–919.
Rahu, M., Tekkel, M., Veidebaum, T., Pukkala, T., Hakulinen, A., Auvinen, A., et al. (1997). The Estonian study of Chernobyl clean-up workers: II. Incidence of cancer and mortality. Radiation Research, 147, 653–657.
Schull, W. J., & Otake, M. (1999). Cognitive function and prenatal exposure to ionizing radiation. Teratology, 59, 222–226.
Shulman, N., & Adams, B. (2002). A comparison of Russian and British attitudes towards mental health problems in the community. International Journal of Social Psychiatry, 48, 266–278.
Taormina, D. P., Rozenblatt, S., Guey, L. T., Gluzman, S. F., Carlson, G. A., Havenaar, J. M., et al. (2008). The Chornobyl accident and cognitive functioning: A follow-up study of infant evacuees at age 19 years. Psychological Medicine, 38, 489–497.
The Chernobyl Forum 2003–2005. (2006). Chernobyl’s legacy: Health, environmental, and socio-economic impacts. Austria: IAEA.
Ursano, R. J., Fullerton, S., & Norwood, A. E. (Eds.). (2003). Terrorism and disaster. Individual and community mental health interventions. Cambridge: Cambridge University Press.
Viinamäki, H., Kumpusalo, E., Myllykangas, M., Salomaa, S., Kumpusalo, L., Kolmakov, S., et al. (1995). The Chernobyl accident and mental wellbeing – a population study. Acta Psychiatrica Scandinavica, 91, 396–401.
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD. New York: Guilford Press.
World Bank. (2003) Ukraine country brief.
World Health Organization. (1995). Health consequences of the Chernobyl accident. Results of the IPHECA plot projects and related national programmes. Geneva: World Health Organization.