Disaster Psychiatry: Lessons Learned from the Great Hanshin Awaji Earthquake

Naotaka Shinfuku

doi:10.29478/TJP.201104.0002

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医药卫生 > 社会医学

DOI： 10.29478/TJP

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Disaster Psychiatry: Lessons Learned from the Great Hanshin Awaji Earthquake

灾难精神医学：从阪神淡路大地震所学到的经验

新福尚隆(Naotaka Shinfuku)

台湾精神医学； 25 卷 1 期 (2011 / 04 / 01) ， P3 - 12

英文 DOI： 10.29478/TJP.201104.0002

disaster psychiatry ； earthquate victims ； post-disaster psychiatric symptoms

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摘要 │ 参考文献 (20) │ 被引用文献 (2) │ 国际计量

并列摘要〈TOP〉

Background: In the early morning of January 17, 1995, the Kobe city (1.5 million inhabitants) and surrounding urban areas were devastated by the Great Hanshin Awaji Earthquake. This Earthquate killed more than 5,500 people immediately and made more than 350,000 people homeless. But the Japanese have learned many lessons through experiencing this tragic event. Methods: I personally experienced the Earthquake on spot at that time. I have also been witnessing the recovery process in the Kobe area over 15 years. As a psychiatrist, I have also been observing the changes of psychiatric problems of the Earthquate victims over the time. Results: Inhabitants in the Kobe area started to experience various physical and psychological problems after the disaster. These problems have been changing over the time. The first victims' symptoms were panic attacks, which were gradually replaced with depressive symptoms, alcohol abuse and alcohol-related problems as well as so-called ”solitary death.” But posttraumatic stress disorder was not common among those victims. In one year, those psychopathologic problems had quickly become social problems in Japan. The recovery process was accompanied with the efforts of the Kobe people to transfer their experiences to the victims of similar disasters in Asia and in the world. Conclusion: The Hanshin Awaji Earthquake was tragic. But, the lessons learned in Kobe is being shared by psychiatrists and mental health experts in Asia and in other developing countries. This transfer of experiences has constituted a continuous process in Japanese recovery from the Great Hanshin Awaji Earthquake. One could say, ”sharing is the main source of our recovery from the disaster.”

参考文献 ( 20 ) 〈TOP〉

Aoyama, N、Kinoshita, Y、Kasuga, M(1998)。Peptic ulcer after the Hanshin-Awaji Earthquake-increased incidence of bleeding gastric ulcers。Comprehensive Medical Studies on the Earthquake Victims，Kobe, Japan:
Araki, K.,Nakane, Y.,Ohta, Y.,Kawasaki, N.(1998).The nature of psychiatric problems among disaster victims.Psychiatry Clin Neurosci,52(Suppl),317-9.
Baba, S.,Taniguchi, H.,Nambu, S.(1996).Essay, the great Hanshin earthquake.Lancet,347,307-9.
Chen, CC,Yeh, TL,Yang, YK(2001).Psychiatric morbidity and post-traumatic symptoms among survivors in the early stage following the 1999 earthquake in Taiwan.Psychiatry Res,15,13-22.
Coenjian, AK,Najarian, LM,Pynoos, RS(1994).Posttraumatic stress disorder in elderly and younger adults after the 1988 earthquake in Armenia.Am J Psychiatry,151,895-901.

被引用文献 ( 2 ) 〈TOP〉

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