Psychiatric Outpatients After the 3.11 Complex Disaster in Fukushima, Japan

Ann Glob Health. 2016 Sep-Oct;82(5):798-805. doi: 10.1016/j.aogh.2016.09.010.

Abstract

Background: After the 3.11 complex disaster, fear of radioactive contamination and forced evacuation influenced a number of residents to seek psychiatric care.

Objectives: This study assessed the sequential changes in the number of new outpatients and patients with acute stress disorder (ASD), post-traumatic stress disorder (PTSD), adjustment disorder, and depression after the Fukushima disaster.

Methods: We distributed questionnaires to 77 psychiatric institutions to determine the number of new outpatients between March and June in 2010, 2011, and 2012.

Findings: There were 771, 1000, and 733 new patients in 2010, 2011, and 2012, respectively. We observed a statistically significant increase in new patients with ASD or PTSD and a significant decrease in patients with depression in 2011, which returned to predisaster levels in 2012.

Conclusions: There were time- and disease-dependent changes in the numbers of psychiatric care-seeking individuals after the 3.11 complex disaster in Fukushima.

Keywords: Fukushima; acute stress disorder; adjustment disorder; depression; disaster; evacuation; nuclear power plant accident; post-traumatic stress disorder.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Disasters
  • Earthquakes*
  • Female
  • Fukushima Nuclear Accident*
  • Health Surveys
  • Hospitalization / trends*
  • Hospitals, Psychiatric / statistics & numerical data*
  • Humans
  • Japan / epidemiology
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Middle Aged
  • Outpatients
  • Prevalence
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress, Psychological / epidemiology*
  • Tsunamis*
  • Young Adult