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Prevalence and Risk Factors for Post-Traumatic Stress Reaction Among Resident Survivors of the Tsunami That Followed the Great East Japan Earthquake, March 11, 2011

  • Chieko Matsubara (a1), Hitoshi Murakami (a1), Koubun Imai (a2), Tetsuya Mizoue (a3), Hidechika Akashi (a1), Chiaki Miyoshi (a1) and Tamotsu Nakasa (a1)...
Abstract
Objective

The Great East Japan Earthquake triggered a massive tsunami that devastated the coasts of northern Japan on March 11, 2011. Despite the large number of “resident survivors,” who have continued to reside on the upper floors of damaged houses, few studies have examined the mental health of these residents. We explored the prevalence and risk factors of post-traumatic stress reaction (PTSR) among resident survivors.

Methods

A cross-sectional household screening for health support needs was conducted among resident survivors in Higashi-Matsushima city, Miyagi, 2 to 4 months after the tsunami. Questions assessing PTSR were included in the screening interviews.

Results

Of 5103 resident survivors, 5.7% experienced PTSR. PTSR risk factors, identified via regression analysis, differed according to the height of house flooding. When house flooding remained below the ground floor, PTSR was significantly associated with being female and regular psychotropic medication intake. These 2 factors in addition to being middle-aged or elderly and living alone were also risk factors when flood levels were above the ground floor.

Conclusions

Following the tsunami, PTSR was found in a considerable number of resident survivors. Attention and support for people who use psychiatric medication, their families, and people living alone are suggested as possible directions for public health strategies. (Disaster Med Public Health Preparedness. 2016;page 1 of 8)

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence and reprint requests to Chieko Matsubara, Bureau of International Medical Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan (e-mail: c-matsubara@it.ncgm.go.jp).
References
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1. The National Police Agency. Police measures and damage situation of the Tohoku-Pacific Ocean Earthquake, 2011 (as of 11 March, 2013) (in Japanese). http://www.npa.go.jp/archive/keibi/biki/higaijokyo.pdf. Published 2014. Accessed September 28, 2014.
2. Cabinet Office, Government of Japan. White paper on disaster management 2011 (in Japanese). http://www.bousai.go.jp/kaigirep/hakusho/h23/bousai2011/html/honbun/index.htm. Published 2011. Accessed September 28, 2014.
3. Higashi-Matsushima city. The situation of the earthquake damage (as of 1 September, 2014) (in Japanese). http://www.city.higashimatsushima.miyagi.jp/cnt/saigai_20110311/index.html. Published 2014. Accessed September 28, 2014.
4. Department of Health and Welfare, Higashi-Matsushima city, Miyagi Prefecture. Overcome together the Great East Japan Earthquake: Report of public health nurse, dietitian activity at Higashi-Matsushima city (in Japanese). Published 2013.
5. Cabinet Office, Government of Japan. Estimation of the tsunami heights, the inundation areas and damage after the Nankai Trough Great Earthquake (in Japanese). http://www.bousai.go.jp/jishin/nankai/nankaitrough_info.html. Published 2012. Accessed September 28, 2014.
6. Fan, F, Zhang, Y, Yang, Y, et al. Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan Earthquake in China. J Trauma Stress. 2011;24(1):44-53. doi: 10.1002/jts.20599; 10.1002/jts.20599.
7. Zhang, Z, Ran, MS, Li, YH, et al. Prevalence of post-traumatic stress disorder among adolescents after the Wenchuan Earthquake in China. Psychol Med . 2012;42(8):1687-1693. doi: 10.1017/S0033291711002844.
8. Hussain, A, Weisaeth, L, Heir, T. Posttraumatic stress and symptom improvement in Norwegian tourists exposed to the 2004 tsunami--a longitudinal study. BMC Psychiatry. 2013;13:232-244X-13-232. doi: 10.1186/1471-244X-13-232.
9. Adams, ZW, Sumner, JA, Danielson, CK, et al. Prevalence and predictors of PTSD and depression among adolescent victims of the spring 2011 tornado outbreak. J Child Psychol Psychiatry. 2014;55(9):1047-1055. doi: 10.1111/jcpp.12220.
10. Rosendal, S, Salcioglu, E, Andersen, HS, et al. Exposure characteristics and peri-trauma emotional reactions during the 2004 tsunami in Southeast Asia--what predicts posttraumatic stress and depressive symptoms? Compr Psychiatry. 2011;52(6):630-637. doi: 10.1016/j.comppsych.2010.12.004; 10.1016/j.comppsych.2010.12.004.
11. Kristensen, P, Weisaeth, L, Heir, T. Psychiatric disorders among disaster bereaved: an interview study of individuals directly or not directly exposed to the 2004 tsunami. Depress Anxiety. 2009;26(12):1127-1133. doi: 10.1002/da.20625; 10.1002/da.20625.
12. Chen, H, Chen, Y, Au, M, et al. The presence of post-traumatic stress disorder symptoms in earthquake survivors one month after a mudslide in southwest china. Nurs Health Sci . 2014;16(1):39-45. doi: 10.1111/nhs.12127.
13. Galea, S, Ahern, J, Resnick, H, et al. Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346(13):982-987. doi: 10.1056/NEJMsa013404.
14. van Griensven, F, Chakkraband, ML, Thienkrua, W, et al. Mental health problems among adults in tsunami-affected areas in southern Thailand. JAMA. 2006;296(5):537-548. doi: 10.1001/jama.296.5.537.
15. Udomratn, P. Prevalence of tsunami-related PTSD and MDD in Thailand. Asian J Psychiatr. 2009;2(4):124-127. doi: 10.1016/j.ajp.2009.10.008; 10.1016/j.ajp.2009.10.008.
16. Tayama, J, Ichikawa, T, Eguchi, K, et al. Tsunami damage and its impact on mental health. Psychosomatics . 2012;53(2):196-197. doi: 10.1016/j.psym.2011.11.005; 10.1016/j.psym.2011.11.005.
17. Thavichachart, N, Tangwongchai, S, Worakul, P, et al. Posttraumatic mental health establishment of the tsunami survivors in Thailand. Clin Pract Epidemiol Ment Health. 2009;5:11-0179-5-11. doi: 10.1186/1745-0179-5-11; 10.1186/1745-0179-5-11.
18. Kawachi, I, Berkman, LF. Social ties and mental health. J Urban Health . 2001;78(3):458-467. doi: 10.1093/jurban/78.3.458.
19. Schweitzer, R, Melville, F, Steel, Z, et al. Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry . 2006;40(2):179-187. doi: 10.1111/j.1440-1614.2006.01766.x.
20. Cluver, L, Fincham, DS, Seedat, S. Posttraumatic stress in AIDS-orphaned children exposed to high levels of trauma: the protective role of perceived social support. J Trauma Stress . 2009;22(2):106-112. doi: 10.1002/jts.20396; 10.1002/jts.20396.
21. Seplaki, CL, Goldman, N, Weinstein, M, et al. Before and after the 1999 Chi-Chi earthquake: traumatic events and depressive symptoms in an older population. Soc Sci Med. 2006;62(12):3121-3132. doi: 10.1016/j.socscimed.2005.11.059.
22. Harville, EW, Xiong, X, Smith, BW, et al. Combined effects of Hurricane Katrina and Hurricane Gustav on the mental health of mothers of small children. J Psychiatr Ment Health Nurs. 2011;18(4):288-296. doi: 10.1111/j.1365-2850.2010.01658.x.
23. Ozer, EJ, Best, SR, Lipsey, TL, et al. Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull . 2003;129(1):52-73.
24. The American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association; 1994.
25. Breslau, N, Peterson, EL, Kessler, RC, et al. Short screening scale for DSM-IV posttraumatic stress disorder. Am J Psychiatry . 1999;156(6):908-911.
26. World Health Organization. Definition of an older or elderly person. http://www.who.int/healthinfo/survey/ageingdefnolder/en/. Accessed September 28, 2014.
27. Tani, K. Distribution of the number of deaths and the death rate on the Great East Japan Earthquake. Occasional paper of Department of Geography, Saitama University. 2012(32):1-26.
28. Kawakami, N, Takeshima, T, Ono, Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: Preliminary finding from the World Mental Health Japan survey 2002-2003. Psychiatry Clin Neurosci. 2005;59(4):441-452. doi: 10.1111/j.1440-1819.2005.01397.x.
29. Miyatake, K. Countermeasures of river management facilities for earthquake and tsunami based on the Great East Japan Earthquake (in Japanese). JICE Report: Report of Japan Institute of Construction Engineering. 2011 (20):39-46.
30. Basoglu, M, Kilic, C, Salcioglu, E, et al. Prevalence of posttraumatic stress disorder and comorbid depression in earthquake survivors in Turkey: an epidemiological study. J Trauma Stress . 2004;17(2):133-141. doi: 10.1023/B:JOTS.0000022619.31615.e8.
31. Ministry of Land, Infrastructure, Transport and Tourism. Guidelines for disaster management of inundation in underground space (in Japanese). http://www.mlit.go.jp/river/basic_info/jigyo_keikaku/saigai/tisiki/chika/. Accessed September 28, 2014.
32. National Institute for Land and Infrastructure Management. River glossary (in Japanese). http://www.nilim.go.jp/lab/rcg/newhp/yougo/words/043/043.html. Accessed September 28, 2014.
33. Nishi, D, Koido, Y, Nakaya, N, et al. Peritraumatic distress, watching television, and posttraumatic stress symptoms among rescue workers after the Great East Japan Earthquake. PLoS One . 2012;7(4):e35248. doi: 10.1371/journal.pone.0035248; 10.1371/journal.pone.0035248.
34. Brunet, A, Weiss, DS, Metzler, TJ, et al. The peritraumatic distress inventory: a proposed measure of PTSD criterion A2. Am J Psychiatry . 2001;158(9):1480-1485.
35. Suga, K, Uesaka, T, Yoshida, T, et al. Preliminary study of feasible safe evacuation in flood disaster. Annual Journal of Hydraulic Engineering. 1995;39:879-882.
36. Antonovsky, A. Unraveling the Mystery of Health: How People Manage Stress and Stay Well. Jossey-Bass; 1987.
37. Tsuno, YS, Yamazaki, Y. Relationships among sense of coherence, resources, and mental health in urban and rural residents in Japan. BMC Public Health . 2012;12:1107-2458-12-1107.
38. Togari, T, Yamazaki, Y, Nakayama, K, et al. Development of a short version of the sense of coherence scale for population survey. J Epidemiol Community Health . 2007;61(10):921-922. doi: 61/10/921.
39. Fullerton, CS, Ursano, RJ, Kao, TC, et al. Disaster-related bereavement: acute symptoms and subsequent depression. Aviat Space Environ Med . 1999;70(9):902-909.
40. Frankenberg, E, Friedman, J, Gillespie, T, et al. Mental health in Sumatra after the tsunami. Am J Public Health . 2008;98(9):1671-1677. doi: 10.2105/AJPH.2007.120915; 10.2105/AJPH.2007.120915.
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