Abstract:
BACKGROUND:We conducted a prospective cohort study to investigate whether psychological distress would have increased the incident risk of functional disability after the 2011 Great East Japan Earthquake. METHODS:First phase data pertaining to psychological distress and other lifestyle factors were collected from 1037 subjects aged ≥ 65 years, from June to December 2011, in four affected areas of Miyagi prefecture in Japan. Psychological distress was measured by the Kessler 6-item psychological distress scale (K6), and classified into three categories (K6 score ≤ 9, 10-12, ≥ 13). Outcome data on functional disability were collected from the public Long-term Care Insurance database. Participants were followed up for about 2.6 years. The Cox model was used to calculate the multivariate hazard ratios (HRs) and 95% confidence intervals (CIs). RESULTS:During the follow-up period, 118 participants were certified as incident disability (43.8 disability events per 1000 person-years). Compared with the lowest category (K6 score ≤ 9), participants in the highest category (K6 score ≥ 13) had a significantly higher risk of functional disability (HR = 2.65, 95% CI = 1.35-5.18, p = 0.002). In order to consider reverse causality, we conducted analysis excluding all incidents and deaths that occurred within the first year of follow-up, but our findings remained unchanged. LIMITATIONS:We did not consider all potential confounders and use of appropriate medication. CONCLUSIONS:The present study has demonstrated that psychological distress was associated with an increased risk of functional disability among elderly survivors of a natural disaster.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Tanji F,Sugawara Y,Tomata Y,Watanabe T,Sugiyama K,Kaiho Y,Tomita H,Tsuji Idoi
10.1016/j.jad.2017.06.030subject
Has Abstractpub_date
2017-10-15 00:00:00pages
145-150eissn
0165-0327issn
1573-2517pii
S0165-0327(16)32140-1journal_volume
221pub_type
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