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PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident

The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disord...

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Autores principales: Hori, Arinobu, Takebayashi, Yoshitake, Tsubokura, Masaharu, Kim, Yoshiharu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500185/
https://www.ncbi.nlm.nih.gov/pubmed/32943446
http://dx.doi.org/10.1136/bcr-2020-236725
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author Hori, Arinobu
Takebayashi, Yoshitake
Tsubokura, Masaharu
Kim, Yoshiharu
author_facet Hori, Arinobu
Takebayashi, Yoshitake
Tsubokura, Masaharu
Kim, Yoshiharu
author_sort Hori, Arinobu
collection PubMed
description The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disorder following the Great East Japan Earthquake. The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. However, 3.5 years later, when he suffered further psychological damage, his PTSD symptoms became evident. In addition to treating mood disorders, trauma-focused psychotherapy was required for his recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery.
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spelling pubmed-75001852020-09-28 PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident Hori, Arinobu Takebayashi, Yoshitake Tsubokura, Masaharu Kim, Yoshiharu BMJ Case Rep Global Health The global threat posed by the COVID-19 pandemic has highlighted the need to accurately identify the immediate and long-term postdisaster impacts on disaster-relief workers. We examined the case of a local government employee suffering from post-traumatic stress disorder (PTSD) and bipolar II disorder following the Great East Japan Earthquake. The complex and harsh experience provoked a hypomanic response such as elated feelings with increased energy, decreased need for sleep and an increase in goal-directed activity, which allowed him to continue working, even though he was adversely affected by the disaster. However, 3.5 years later, when he suffered further psychological damage, his PTSD symptoms became evident. In addition to treating mood disorders, trauma-focused psychotherapy was required for his recovery. Thereafter, we considered the characteristics of mental health problems that emerge in disaster-relief workers, a long time after the disaster, and the conditions and treatments necessary for recovery. BMJ Publishing Group 2020-09-17 /pmc/articles/PMC7500185/ /pubmed/32943446 http://dx.doi.org/10.1136/bcr-2020-236725 Text en © BMJ Publishing Group Limited 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Global Health
Hori, Arinobu
Takebayashi, Yoshitake
Tsubokura, Masaharu
Kim, Yoshiharu
PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title_full PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title_fullStr PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title_full_unstemmed PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title_short PTSD and bipolar II disorder in Fukushima disaster relief workers after the 2011 nuclear accident
title_sort ptsd and bipolar ii disorder in fukushima disaster relief workers after the 2011 nuclear accident
topic Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500185/
https://www.ncbi.nlm.nih.gov/pubmed/32943446
http://dx.doi.org/10.1136/bcr-2020-236725
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