Time-Course Stress Response among the Disaster-Relief Workers Affected by the Great East Japan Earthquake

We assessed the stress response of 139 disaster-relief workers who were affected by the Great East Japan Earthquake. The assessment was conducted in two phases-three months and one year after the earthquake-using the Impact of Event Scale-Revised (IES-R). We investigated the association between the...

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Published inJournal of Japan Society of Nursing Research Vol. 42; no. 1; pp. 1_123 - 1_133
Main Authors Kanoya, Yuka, Shoji, Masae, Honda, Yukiko
Format Journal Article
LanguageJapanese
Published Japan Society of Nursing Research 20.04.2019
一般社団法人 日本看護研究学会
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ISSN2188-3599
2189-6100
DOI10.15065/jjsnr.20181031041

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Abstract We assessed the stress response of 139 disaster-relief workers who were affected by the Great East Japan Earthquake. The assessment was conducted in two phases-three months and one year after the earthquake-using the Impact of Event Scale-Revised (IES-R). We investigated the association between the subjects' stress response and the status of those who experienced damage as a result of the earthquake. The results indicated that the subjects who were at high-risk for posttraumatic stress disorder (PTSD) were over 40% in both phases. The IES-R score was significantly higher among subjects who were staff members at the nursing department; who experienced the loss of family, friends, or their home; and who mentioned "safety of family" as the stress-related issue. To conclude, our findings reveal that the disaster-relief workers who were affected by the earthquake need long-term mental health support. Furthermore, the findings suggest that regular psychological training before and an appropriate working environment after disaster strikes need to be provided for the subjects.
AbstractList We assessed the stress response of 139 disaster-relief workers who were affected by the Great East Japan Earthquake. The assessment was conducted in two phases-three months and one year after the earthquake-using the Impact of Event Scale-Revised (IES-R). We investigated the association between the subjects' stress response and the status of those who experienced damage as a result of the earthquake. The results indicated that the subjects who were at high-risk for posttraumatic stress disorder (PTSD) were over 40% in both phases. The IES-R score was significantly higher among subjects who were staff members at the nursing department; who experienced the loss of family, friends, or their home; and who mentioned "safety of family" as the stress-related issue. To conclude, our findings reveal that the disaster-relief workers who were affected by the earthquake need long-term mental health support. Furthermore, the findings suggest that regular psychological training before and an appropriate working environment after disaster strikes need to be provided for the subjects.
We assessed the stress response of 139 disaster-relief workers who were affected by the Great East Japan Earthquake. The assessment was conducted in two phases—three months and one year after the earthquake—using the Impact of Event Scale-Revised (IES-R). We investigated the association between the subjects' stress response and the status of those who experienced damage as a result of the earthquake. The results indicated that the subjects who were at high-risk for posttraumatic stress disorder (PTSD) were over 40% in both phases. The IES-R score was significantly higher among subjects who were staff members at the nursing department; who experienced the loss of family, friends, or their home; and who mentioned “safety of family” as the stress-related issue. To conclude, our findings reveal that the disaster-relief workers who were affected by the earthquake need long-term mental health support. Furthermore, the findings suggest that regular psychological training before and an appropriate working environment after disaster strikes need to be provided for the subjects. 東日本大震災で被災した災害救援者139名を対象として被災3か月後と1年後にストレス反応をImpact of Event Scale Revised(IES-R) で調査し,被害状況等との関連を検討した。その結果,3か月後も1年後も,PTSD高リスク者は4割以上であり,看護部職員であること,家族の死亡,自宅全壊,友人の死亡を経験した者,ストレス内容では,「家族の安否」をあげた者のIES-R得点が有意に高かった。ストレス軽減要因として,3か月後も1年後も「ライフラインが整えられたこと」をあげた者のIES-R得点が有意に低かった。これらより,災害を経験した救援者には長期的な心のケアが必要であり,被災前からのメンタルヘルストレーニングや被災後の勤務調整等の支援が必要になると示唆された。
Author Shoji, Masae
Honda, Yukiko
Kanoya, Yuka
Author_FL 叶谷 由佳
庄司 正枝
本多 由起子
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References 丹野宏昭, 山﨑達枝, 松井 豊(2012). 2007年新潟県中越沖地震の被災介護施設職員のストレス反応(2):被災1年後の質問紙調査結果. 日本集団災害医学会誌, 17(3), 431-437.
Henderson, S.E., Elsass, P., and Berliner, P. (2016). Mental and social health in disaster: The Sphere standards and post-tsunami psychosocial interventions in Asia. Disasters, 40(3), 432-451.
Asukai, N., Kato, H., Kawamura, N., Kim, Y., Yamamoto, K., Kishimoto, J., Miyake, Y., and Nishizono-Maher, A. (2002). Reliability and validity of the Japanese-language version of the impact of event scale-revised (IES-R-J): Four studies of different traumatic events. The Journal of Nervous and Mental Disease, 190(3), 175-182.
大塚映美, 松本じゅん子(2007). 災害救援者の二次受傷とメンタルヘルス対策に関する検討. 長野県看護大学紀要, 9, 19-27.
飛鳥井望, 西園マーハ文, 三宅由子(1999). 改訂出来事インパクト尺度(IES-R)日本語版およびPTSD診療診断面接尺度(CAPS)日本語版開発. 平成10年度厚生労働省精神・神経疾患研究委託費「外傷ストレス関連障害の病態と治療ガイドラインに関する研究班」研究報告会抄録.
スフィア・プロジェクト(2011). 人道憲章と人道対応に関する最低基準. 4-5, 難民支援協会. https://www.refugee.or.jp/sphere/The_Sphere_Project_Handbook_2011_J.pdf (検索日2016年8月12日)
Goenjian, A.K., Najarian, L.M., Pynoos, R.S., Steinberg, A.M., Manoukian, G., Tavosian, A. and Fairbanks, L.A. (1994). Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. The American Journal of Psychiatry, 151(6), 895-901.
Wilson, J.P. and Keane, T.M. (1996). Assessing psychological trauma and PTSD. 399-411, New York: The Guilford Press.
van Griensven, F., Chakkraband, M.L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., Mock, P.A., Ekassawin, S., Varangrat, A., Gotway, C., Sabin, M., and Tappero, J,W. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296(5), 537-548.
Kang, P., Lv, Y., Hao, L., Tang, B., Liu, Z., Liu, X., Liu, Y., and Zhang, L. (2015). Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: A neglected problem. Psychiatry Research, 230(2), 517-523.
総務省消防庁(2013). 大規模災害時等に係る惨事ストレス対策研究会報告書. 52-57.
丹野宏昭, 山﨑達枝, 松井 豊, 山影有利佐(2011). 2007年新潟県中越沖地震の被災介護施設職員のストレス反応. 日本集団災害医学会誌, 16(1), 19-26.
山﨑達枝(2011). 救援者に必要とされる心のケア. Nursing Today, 26(4), 38-40.
加藤 寛, 飛鳥井望(2004). 災害救援者の心理的影響:阪神・淡路大震災で活動した消防隊員の大規模調査から. トラウマティック・ストレス, 2(1), 51-59.
Kawashima, Y., Nishi, D., Noguchi, H., Usuki, M., Yamashita, A., Koido, Y., Okubo, Y., and Matsuoka, Y.J. (2016). Post-Traumatic stress symptoms and burnout among medical rescue workers 4 years after the Great East Japan Earthquake: A longitudinal study. Disaster Medicine and Public Health Preparedness, 10(6), 848-853.
飛鳥井望(1999). 不安障害:外傷後ストレス障害(PTSD). 臨床精神医学, 28(増刊), 171-177.
References_xml – reference: Henderson, S.E., Elsass, P., and Berliner, P. (2016). Mental and social health in disaster: The Sphere standards and post-tsunami psychosocial interventions in Asia. Disasters, 40(3), 432-451.
– reference: 大塚映美, 松本じゅん子(2007). 災害救援者の二次受傷とメンタルヘルス対策に関する検討. 長野県看護大学紀要, 9, 19-27.
– reference: Asukai, N., Kato, H., Kawamura, N., Kim, Y., Yamamoto, K., Kishimoto, J., Miyake, Y., and Nishizono-Maher, A. (2002). Reliability and validity of the Japanese-language version of the impact of event scale-revised (IES-R-J): Four studies of different traumatic events. The Journal of Nervous and Mental Disease, 190(3), 175-182.
– reference: 山﨑達枝(2011). 救援者に必要とされる心のケア. Nursing Today, 26(4), 38-40.
– reference: 飛鳥井望, 西園マーハ文, 三宅由子(1999). 改訂出来事インパクト尺度(IES-R)日本語版およびPTSD診療診断面接尺度(CAPS)日本語版開発. 平成10年度厚生労働省精神・神経疾患研究委託費「外傷ストレス関連障害の病態と治療ガイドラインに関する研究班」研究報告会抄録.
– reference: 丹野宏昭, 山﨑達枝, 松井 豊, 山影有利佐(2011). 2007年新潟県中越沖地震の被災介護施設職員のストレス反応. 日本集団災害医学会誌, 16(1), 19-26.
– reference: Wilson, J.P. and Keane, T.M. (1996). Assessing psychological trauma and PTSD. 399-411, New York: The Guilford Press.
– reference: Kawashima, Y., Nishi, D., Noguchi, H., Usuki, M., Yamashita, A., Koido, Y., Okubo, Y., and Matsuoka, Y.J. (2016). Post-Traumatic stress symptoms and burnout among medical rescue workers 4 years after the Great East Japan Earthquake: A longitudinal study. Disaster Medicine and Public Health Preparedness, 10(6), 848-853.
– reference: 総務省消防庁(2013). 大規模災害時等に係る惨事ストレス対策研究会報告書. 52-57.
– reference: 飛鳥井望(1999). 不安障害:外傷後ストレス障害(PTSD). 臨床精神医学, 28(増刊), 171-177.
– reference: Kang, P., Lv, Y., Hao, L., Tang, B., Liu, Z., Liu, X., Liu, Y., and Zhang, L. (2015). Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: A neglected problem. Psychiatry Research, 230(2), 517-523.
– reference: 丹野宏昭, 山﨑達枝, 松井 豊(2012). 2007年新潟県中越沖地震の被災介護施設職員のストレス反応(2):被災1年後の質問紙調査結果. 日本集団災害医学会誌, 17(3), 431-437.
– reference: van Griensven, F., Chakkraband, M.L., Thienkrua, W., Pengjuntr, W., Lopes Cardozo, B., Tantipiwatanaskul, P., Mock, P.A., Ekassawin, S., Varangrat, A., Gotway, C., Sabin, M., and Tappero, J,W. (2006). Mental health problems among adults in tsunami-affected areas in southern Thailand. Journal of the American Medical Association, 296(5), 537-548.
– reference: 加藤 寛, 飛鳥井望(2004). 災害救援者の心理的影響:阪神・淡路大震災で活動した消防隊員の大規模調査から. トラウマティック・ストレス, 2(1), 51-59.
– reference: スフィア・プロジェクト(2011). 人道憲章と人道対応に関する最低基準. 4-5, 難民支援協会. https://www.refugee.or.jp/sphere/The_Sphere_Project_Handbook_2011_J.pdf (検索日2016年8月12日)
– reference: Goenjian, A.K., Najarian, L.M., Pynoos, R.S., Steinberg, A.M., Manoukian, G., Tavosian, A. and Fairbanks, L.A. (1994). Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia. The American Journal of Psychiatry, 151(6), 895-901.
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SubjectTerms Impact of Event Scale Revised (IES-R)
recovery workers
The Great East Japan Earthquake
the stress response
ストレス反応
改訂出来事インパクト尺度
東日本大震災
災害救援者
Title Time-Course Stress Response among the Disaster-Relief Workers Affected by the Great East Japan Earthquake
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