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GINMU >
03 紀要 >
031 Journal of Nara Medical Association >
Vol.48 No.6 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/399
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| Title: | DISASTER PSYCHIATRIC SERVICE AT A GENERAL HOSPITAL FOLLOWING THE GREAT HANSHIN EARTHQUAKE |
| Authors: | Tohyama, Teruhiko
Senko, Yoshitaka |
| Keywords: | disaster psychiatry
earthquake
natural disaster
post-traumatic stress disorder
general hospital psychiatry |
| Issue Date: | 31-Dec-1997 |
| Publisher: | 奈良医学会 |
| Citation: | 奈良医学雑誌 Vol.48 No.6 p.317-326 |
| Abstract: | This report is a kind of empirical study on disaster psychiatric services
following the Great Hanshin Earthquake.
Our work was performed at a general hospital (the Higashi-Kobe Hospital) located in
the middle of the disaster area. Before the quake there were no psychiatric facilities at that
hospital ; nevertheless many patients with mental problems visited there. And our team;
consisting of several volunteer psychiatrists from all over Japan and some nurses of that
hospital, immediately set up psychiatric emergency service at the hospital, and started to
work on Jan. 19, 1995. We report our experience and some findings through it.
We consulted 289 patients from Jan. 19, 1995 to Jan. 31, 1996. However in this report, we
refor only to 204 outpatients that we saw during that period, with special reference to
"disaster-related" cases.
There were 145"disaster-related" cases and these "disaster-related" cases have still been
appearing for a year after the disaster. The numbers of female patients was larger than
that of males, and most of them were between 40 and 80 years old. Concerning psychopath-
ological states, depressive and anxiety states were most often observed, and then PTSD
(post-traumatic stress disorder) or PTSR (post-traumatic stress reaction) and acute
psychotic state followed.
"Relatively severe psychiatric cases" were observed during the rather earlier period
following the quake. On the other hand the number of "relatively mild cases" increased
since the second month after the quake.
From our experience when a large city is hit by a catastrophic disaster, it is effective to
set up psychiatric emergency services not only at public health centers or mental hospitals
but also at general hospitals. Additionally, cooperation between psychiatric services and
other medical services, such as internal medicine, surgery and so on, is very important and
necessary in catastrophic conditions. |
| URI: | http://hdl.handle.net/10564/399 |
| ISSN: | 04695550
13450069 |
| Appears in Collections: | Vol.48 No.6
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| 317-326p.DISASTER PSYCHIATRIC SERVICE.pdf | | 1209Kb | Adobe PDF | View/Open |
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