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Title :Impaired psychological recovery in the elderly after the Niigata-Chuetsu Earthquake in Japan : a population-based study
Authors :Toyabe, Shin-ichi
Shioiri, Toshiki
Kuwabara, Hideki
Endo, Taroh
Tanabe, Naohito
Someya, Toshiyuki
Akazawa, Kouhei
Publisher :BioMed Central
Issue Date :Sep-2006
Journal Title :BMC Health Services Research
Volume :6
Start Page :230-1
End Page :230-9
ISSN :1472-6963
Abstract :Background: An earthquake measuring 6.8 on the Richter scale struck the Niigata-Chuetsu region of Japan at 5.56 P.M. on the 23rd of October, 2004. The earthquake was followed by sustained occurrence of numerous aftershocks, which delayed reconstruction of community lifelines. Even one year after the earthquake, 9,160 people were living in temporary housing. Such a devastating earthquake and life after the earthquake in an unfamiliar environment should cause psychological distress, especially among the elderly. Methods: Psychological distress was measured using the 12-item General Health Questionnaire (GHQ-12) in 2,083 subjects (69% response rate) who were living in transient housing five months after the earthquake. GHQ-12 was scored using the original method, Likert scoring and corrected method. The subjects were asked to assess their psychological status before the earthquake, their psychological status at the most stressful time after the earthquake and their psychological status at five months after the earthquake. Exploratory and confirmatory factor analysis was used to reveal the factor structure of GHQ12. Multiple regression analysis was performed to analyze the relationship between various background factors and GHQ-12 score and its subscale. Results: GHQ-12 scores were significantly elevated at the most stressful time and they were significantly high even at five months after the earthquake. Factor analysis revealed that a model consisting of two factors (social dysfunction and dysphoria) using corrected GHQ scoring showed a high level of goodness-of-fit. Multiple regression analysis revealed that age of subjects affected GHQ-12 scores. GHQ-12 score as well as its factor 'social dysfunction' scale were increased with increasing age of subjects at five months after the earthquake. Conclusion: Impaired psychological recovery was observed even at five months after the Niigata-Chuetsu Earthquake in the elderly. The elderly were more affected by matters relating to coping with daily problems.
Type Local :学術雑誌論文
Language :eng
Format :application/pdf
URI :http://hdl.handle.net/10191/26651
fullTextURL :http://dspace.lib.niigata-u.ac.jp/dspace/bitstream/10191/26651/1/1471-2458-6-230.pdf
DOI :info:doi/10.1186/1471-2458-6-230
Rights :(C) 2006 Toyabe et al; licensee BioMed Central Ltd.
Appears in Collections:10 査読済論文 = Postprint

Please use this identifier to cite or link to this item: http://hdl.handle.net/10191/26651