| Ma Lingxuan,Chen Huifang,Fu Ximing,Yuan Long,Lei Cuiping.The impact of three major nuclear accidents on the mental health of emergency responders: a systematic review[J].Chinese Journal of Radiological Medicine and Protection,2023,43(10):797-804 |
| The impact of three major nuclear accidents on the mental health of emergency responders: a systematic review |
| Received:April 14, 2023 |
| DOI：10.3760/cma.j.cn112271-20230414-00120 |
| KeyWords:Nuclear accidents Mental health Emergency responders Systematic review |
| FundProject:中国疾病预防控制中心辐射防护与核安全医学所青年科学研究所长基金(2020-05) |
| Author Name | Affiliation | E-mail | | Ma Lingxuan | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | Chen Huifang | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | Fu Ximing | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | Yuan Long | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | | | Lei Cuiping | Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China | leicuiping@nirp.chinacdc.cn |
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| Abstract:: |
| Objective To systematically evaluate the impact of the three major nuclear accidents at Three Mile Island, Chernobyl and Fukushima on the mental health status of emergency responders. Methods MeSH and Entry Terms were searched. Relevant literature on the mental health consequences of the emergency responders to the Three Mile Island, Chernobyl, and Fukushima nuclear accidents were retrieved from PubMed, Web of Science, and APA PsycINFO databases, and screened and reviewed. Results Totally 37 studies were included. General psychological distress, depression, anxiety, post-traumatic stress disorder and other abnormal psychological problems are prevalent among emergency responders following nuclear accidents. The psychological impact of the Chernobyl nuclear accident was most profound, causing serious mental disorders such as organic mental disorder and personality disorder among the clean-up workers. The mental health condition of emergency responders was associated with disaster-related emergency response tasks and the social factors brought in nuclear accidents. Conclusions General psychological distress, anxiety, depression, post-traumatic stress reaction/disorder, severe mental disorder and other long-term abnormal psychological problems are common among first responders after nuclear accidents, and baseline mental health and psychological interventions require further study. |
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