Trial reportPloS one2016
Severe Psychological Distress of Evacuees in Evacuation Zone Caused by the Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey.
Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed.
- Five-year follow-up of the risk factors for psychological distress in youth after the Great East Japan Earthquake and nuclear disaster: The Fukushima Health Management Survey.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Difficulties and Coping Strategies of Psychiatric Visiting Nurses After the Noto Peninsula Earthquake: A Qualitative Descriptive Study.Nursing reports (Pavia, Italy) · 2026Article
- Article
- Exploring the qualities and adaptive professional capabilities required of physicians for disaster response through perspective transformation among physicians in Fukushima, Japan.Frontiers in medicine · 2026Article
- Mental health needs in the acute and subacute phases of the 2024 Noto Peninsula earthquake: Emergency Medical Information System data analysis in Disaster Psychiatric Assistance Team activities.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Article
- Case Report: Difficulties faced by a home oxygen therapy patient who died after the Fukushima Daiichi nuclear power plant accident.Frontiers in public health · 2024Article
- Associations between media exposure and mental health among children and parents after the Great East Japan Earthquake.European journal of psychotraumatology · 2023Article
- Flooding and emergency department visits: Effect modification by the CDC/ATSDR Social Vulnerability Index.International journal of disaster risk reduction : IJDRR · 2022Article
- Lessons learned from psychosocial support and mental health surveys during the 10 years since the Great East Japan Earthquake: Establishing evidence-based disaster psychiatry.Psychiatry and clinical neurosciences · 2022Review
- Subjective Wellbeing and Related Factors of Older Adults Nine and a Half Years after the Great East Japan Earthquake: A Cross-Sectional Study in the Coastal Area of Soma City.International journal of environmental research and public health · 2022Article
- Supporting adolescents' mental health during COVID-19 by utilising lessons from the aftermath of the Great East Japan Earthquake.Humanities & social sciences communications · 2022Review
- Long-Term, Community-based Approach for Affected People Having Problems With Mental Health and Lifestyle Issues After the 2011 Fukushima Disaster: the Fukushima Health Management Survey.Journal of epidemiology · 2022Article
- Associations Between External Radiation Doses and the Risk of Psychological Distress or Post-traumatic Stress After the Fukushima Daiichi Nuclear Power Plant Accident: the Fukushima Health Management Survey.Journal of epidemiology · 2022Article
- Scientometric Analysis of Disaster Risk Perception: 2000-2020.International journal of environmental research and public health · 2021Article
- Association between Laughter and Lifestyle Diseases after the Great East Japan Earthquake: The Fukushima Health Management Survey.International journal of environmental research and public health · 2021Article
- Exposure Worry: The Psychological Impact of Perceived Ionizing Radiation Exposure in British Nuclear Test Veterans.International journal of environmental research and public health · 2021Article
- Relationship between physical activity/exercise habits and the frequency of new onset of lifestyle-related diseases after the Great East Japan Earthquake among residents in Fukushima: the Fukushima Health Management Survey.Journal of radiation research · 2021Article
- Survey on Public Psychological Intervention Demand and Influence Factors Analysis.International journal of environmental research and public health · 2021Article
- Factors Hindering Social Participation among Older Residents from Evacuation Zones after the Nuclear Power Plant Accident in Fukushima: The Fukushima Health Management Survey.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFollowing the Great East Japan Earthquake on March 11, 2011, the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant has continued to affect the mental health status of residents in the evacuation zone. To examine the mental health status of evacuee after the nuclear accident, we conducted the Mental Health and Lifestyle Survey as part of the ongoing Fukushima Health Management Survey.
methodsWe measured mental health status using the Kessler 6-item psychological distress scale (K6) in a total of 73,569 (response rate: 40.7%) evacuees aged 15 and over who lived in the evacuation zone in Fukushima Prefecture. We then dichotomized responders using a 12/13 cutoff on the K6, and compared the proportion of K6 scores ≥13 and ≤12 in each risk factor including demographic information, socioeconomic variables, and disaster-related variables. We also performed bivariate analyses between mental health status and possible risk factors using the chi-square test. Furthermore, we performed multivariate regression analysis using modified Poisson regression models.
resultsThe median K6 score was 5 (interquartile range: 1-10). The number of psychological distress was 8,717 (14.6%). We found that significant differences in the prevalence of psychological distress by almost all survey items, including disaster-related risk factors, most of which were also associated with increased Prevalence ratios (PRs). Additionally, we found that psychological distress in each evacuation zone was significantly positively associated with the radiation levels in their environment (r = 0.768, p = 0.002).
conclusionThe earthquake, tsunami and subsequent nuclear accident likely caused severe psychological distress among residents in the evacuation zone in Fukushima Prefecture. The close association between psychological distress and the radiation levels shows that the nuclear accident seriously influenced the mental health of the residents, which might be exacerbated by increased risk perception. To provide prompt and appropriate support, continued psychosocial intervention for evacuees is strongly recommended.
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