Mental health disorders were an important long-term health effect of the Chernobyl accident.17 (link)–27 (link) Deaths of close relatives, loss of home and property, and fearful experiences during the disaster resulted in psychological trauma for many residents of Fukushima Prefecture. Furthermore, some may have been mentally affected by evacuation, and others may have experienced anxiety regarding radiation exposure. To prevent excess mortality, it is essential to assess their mental health and lifestyle, prevent lifestyle-related diseases, and provide care as necessary.
Target: The target cohort was the same as that for the comprehensive health check, 210 189 people.
Methods: Questionnaires have been mailed since 18 January 2012.
Survey items: The survey items vary according to age category (there are 3 age categories for children and 1 for adults) but mainly ask about current mental and physical status, lifestyle (diet, sleep, smoking, alcohol, and exercise), activities during the last 6 months, and experience during the earthquake (Table2 ). Parents of children aged 4 through 15 years are asked to evaluate their children using the Strength and Difficulties Questionnaire (SDQ).28 (link) The K6 scale and PTSD Checklist Stressor-Specific Version (PCL) are self-administered for people 16 years or older.29 (link),30 Support after the survey: Clinical psychologists and other specialists on the mental health support team offer telephone counseling as necessary based on answers to the questionnaires. When telephone counseling reveals a need for medical support, 93 registered doctors in medical institutions in Fukushima Prefecture are available for introduction. Further treatment is given by a specialist at Fukushima Medical University if necessary. These registered doctors are mainly psychiatrists or pediatricians who agreed to be registered and who attended a relevant seminar or are certified by Fukushima Medical University.
When telephone counseling reveals a need for care by a doctor specialized in radiation, a member of the Radiation Health Consultation Team, which consists of faculty at Fukushima Medical University, will be introduced.
Target: The target cohort was the same as that for the comprehensive health check, 210 189 people.
Methods: Questionnaires have been mailed since 18 January 2012.
Survey items: The survey items vary according to age category (there are 3 age categories for children and 1 for adults) but mainly ask about current mental and physical status, lifestyle (diet, sleep, smoking, alcohol, and exercise), activities during the last 6 months, and experience during the earthquake (Table
When telephone counseling reveals a need for care by a doctor specialized in radiation, a member of the Radiation Health Consultation Team, which consists of faculty at Fukushima Medical University, will be introduced.
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