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Musculoskeletal Pain is Associated With New-Onset Psychological Distress in Survivors of the Great East Japan Earthquake

Published online by Cambridge University Press:  12 June 2018

Yutaka Yabe
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Yoshihiro Hagiwara*
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Takuya Sekiguchi
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Yumi Sugawara
Affiliation:
Division of Epidemiology, Department of Health informatics and Public Health, Tohoku University Graduate School of Public Health, Sendai, Japan
Masahiro Tsuchiya
Affiliation:
Tohoku Fukushi University, Sendai, Japan
Masashi Koide
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Nobuyuki Itaya
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Shinichiro Yoshida
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Yasuhito Sogi
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Toshihisa Yano
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
Ichiro Tsuji
Affiliation:
Division of Epidemiology, Department of Health informatics and Public Health, Tohoku University Graduate School of Public Health, Sendai, Japan
Eiji Itoi
Affiliation:
Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan
*
Correspondence and reprint requests to Yoshihiro Hagiwara, Department of Orthopaedic Surgery, Tohoku University School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan (e-mail: hagi@med.tohoku.ac.jp).

Abstract

Objective

Psychological distress is a common symptom after natural disasters. Although musculoskeletal pain also increases after natural disasters, its relation to psychological distress is not known. This study aimed to examine the association of musculoskeletal pain with new-onset psychological distress among survivors of the Great East Japan Earthquake.

Methods

A panel study was conducted with survivors at 2 and 3 years after the Great East Japan Earthquake. New-onset psychological distress was defined as psychological distress absent at 2 years and present at 3 years after the disaster. The number of musculoskeletal pain sites at 2 years after the disaster was divided into 3 categories (0, 1, and ≥2). Multivariate logistic regression models were used to calculate the odds ratio and 95% confidence interval for new-onset psychological distress according to the number of musculoskeletal pain sites.

Results

The rate of new-onset psychological distress was 6.7%. Musculoskeletal pain was associated with new-onset psychological distress. Using “0” as a reference, the adjusted odds ratios (95% confidence interval) were 1.65 (0.92-2.95) in “1” and 2.12 (1.24-3.64) in “≥2” (P for trend=.02).

Conclusions

Musculoskeletal pain is associated with new-onset psychological distress among survivors of the Great East Japan Earthquake. (Disaster Med Public Health Preparedness. 2019;13:295–300)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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