J Korean Med Assoc.  2003 Oct;46(10):898-909. 10.5124/jkma.2003.46.10.898.

Psychiatric Aspects of Radiation Accidents

• Cho SJ

• KMID: 1957984
• DOI: http://doi.org/10.5124/jkma.2003.46.10.898

Abstract

Radiation disasters have a potential to cause a widespread feeling of destruction of safety in life and severe and complicated psychiatric problems to individuals and community. When a radiation accident occurs, it is essential to recognize the importance of psychosocial issues and to focus on the mental health aspect of victims. A radiation accident can produce profound psychological impacts at all levels of society, affecting individuals, families, communities, and the nation as a whole. These psychological effects may create longer-term problems, and the social stigma can be powerful and pervasive. The "post-traumatic stress reaction" has a broad range of disturbances from hyperarousal to psychiatric disorders, and can produce a marked deterioration in the quality of life. The strategy of the continuing care has been modest, based on promoting the victims' self-esteem and ability to cope with the disaster, while providing both social and life support. Rapid and appropriate intervention containing 'information management' is essential to prevent the progression of psychiatric disorders. Consideration of psychosocial factors needs to be an integral part of domestic preparedness efforts including multidimensional approach (planning, education, training, forum, and response operations). Therefore mental health care should be incorporated into the global strategy for victims' care, and this has to be done at a very early stage after the accident.

Keyword

Radiation disaster; Psychiatric problems; Quality of Life; Information management; Multidimensional approach

MeSH Terms

Disasters
Education
Humans
Information Management
Mental Health
Psychology
Quality of Life
Radioactive Hazard Release*
Social Stigma

Reference

1. Tyhurst JS. Psychological and social aspects of civilian disaster. Canadian Med Assoc J. 1957. 76:386–393.

2. Hemplemann LH, Lisco H, Hoffman JG. The acute radiation syndrome. A study of nine cases and a review of the problem. Ann Int Med. 1952. 36:279.

3. Goldman M. The Russian radiation legacy:its integrated impact and lessons. Environmental Health Perspectives. 1997. 105:1385–1391.

4. Hempelmann LH, Lushbaugh CC, Voelz GL. Hubner KF, Fry SA, editors. What happened to the survivors of the early Los Alamos nuclear accident. The Medical Basis for Radiation Accident Preparedness. 1980. New York: Elsevier North Holland;105–112.

5. Shipman TL. Acute radiation death resulting from an accident nuclear excursion. J Occup Med. 1961. 3(3):146–191.

6. Hodgkinson PE. Technological disaster-survival and bereavement. Social Science & Medicine. 1989. 29:351–356.

7. Parmentier NC, Nenot JC, Jammer HJ. Hubner KF, Fry SA, editors. A dosimetric study of the Belgian (1965) and Italian (1975) accidents. The Medical Basis for Radiation Accident Preparedness. 1980. New York: Elsevier North Holland;105–112.

8. Brucer M. The Acute Radiation Syndrome : A Medical Report on the Y-12 Accident. ORINS-25 Biology and Medicine. 1959. United States Atomic Energy Commission;253–281.

9. Sloan P. Posttraumatic stress in survivors of an airplane crashlanding : A clinical and exploratory research intervention. Journal of Traumatic Stress. 1998. 1:211–229.

10. Smith EM, North CS, McCool RE, Shea JM. Acute post-disaster psychiatric disorders:Identification of persons at risk. Am J Psychiatry. 1990. 147:202–206.

11. Davidson JRT. Posttraumatic stress disorder and acute stress disorder. Comprehensive Textbook of Psychiatry. 1995. vol. 1:6th ed. Baltimore: Williams & Wilkins;1227–1236.

12. Shore JH, Tatum EJ, Vollmer WM. The Mount St. Helens stress response syndrome. Disaster Stress Studies : New Methods and Findings. 1996. Washington DC: American Psychiatric Press;77–97.

13. Steinglass P, Gerrity E. Natural disasters and posttraumatic stress disorder : Short-term vs. long-term recovery in two disaster-affected communities. Journal of Applied Social Psychology. 1990. 20:1746–1765.

14. Bond VP, Fliedner TM, Archambeau JO. Mammalian Radiation Lethality. 1965. New York: Academic Press.

15. Chemtob CM, Tomas S, Law W, Cremniter D. Postdisaster psychosocial intervention:a field study of the impact of debriefing on psychological distress. American Journal of Psychiatry. 1997. 154:415–417.