{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T10:57:50Z","timestamp":1790679470936,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examined the longitudinal association between age and mental health status to identify the risk factors for severe psychological distress in youth who experienced the Great East Japan Earthquake of 2011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A two\u2010wave longitudinal study was conducted using data from the Mental Health and Lifestyle Survey of Japan after the event for fiscal years (FY) 2011 and 2016. Multiple logistic regression analyses were conducted using age subcohorts from the baseline, FY2011, and psychological distress from FY2016. Ultimately, 23,682 participants aged 16\u201324, 25\u201364, and \u2265 65 years (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009711, 13,756, and 9215, respectively, at the FY2011 baseline) were analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Multiple logistic regression analyses revealed that, after adjustment for covariates, the 16\u201324 age range was significantly and positively associated with severe psychological distress in FY2016 compared with the \u2265 65 age range. Moreover, for the 16\u201324\u2010year age group, baseline psychological distress, post\u2010traumatic stress disorder (PTSD) symptoms, and bereavement were significantly correlated with severe psychological distress in FY2016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggested that youths showed higher rates of severe psychological distress following the Fukushima disaster. PTSD symptoms and bereavement may have been risk factors for severe psychological distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70377","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T09:11:56Z","timestamp":1784106716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Five\u2010year follow\u2010up of the risk factors for psychological distress in youth after the Great East Japan Earthquake and nuclear disaster: The Fukushima Health Management Survey"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5057-078X","authenticated-orcid":false,"given":"Hideki","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Disaster Psychiatry Fukushima Medical University School of Medicine Fukushima Japan"},{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaharu","family":"Maeda","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"},{"name":"Fukushima Mental Health and Welfare Center Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rie","family":"Mizuki","sequence":"additional","affiliation":[{"name":"Department of Disaster Psychiatry Fukushima Medical University School of Medicine Fukushima Japan"},{"name":"Faculty of Psychology Iryo Sosei University Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4355-943X","authenticated-orcid":false,"given":"Naoko","family":"Horikoshi","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"},{"name":"Department of Public Health Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5837-2825","authenticated-orcid":false,"given":"Shuntaro","family":"Itagaki","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2133-5809","authenticated-orcid":false,"given":"Itaru","family":"Miura","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"},{"name":"Department of Neuropsychiatry Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4532-7165","authenticated-orcid":false,"given":"Tetsuya","family":"Ohira","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"},{"name":"Department of Epidemiology Fukushima Medical University School of Medicine Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4715-2840","authenticated-orcid":false,"given":"Seiji","family":"Yasumura","sequence":"additional","affiliation":[{"name":"Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Medical University Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-824098-4.00012-X"},{"key":"e_1_2_14_3_1","first-page":"2021","article-title":"Report","year":"2021","journal-title":"United Nations Scientific Committee on the Effects of Atomic Radiation"},{"key":"e_1_2_14_4_1","article-title":"Report of the Fukushima Health Management Survey 2011\u20102020","author":"Kamiya K","year":"2021","journal-title":"Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University"},{"key":"e_1_2_14_5_1","unstructured":"Fukushima PrefectureTransition of the number of evacuees. 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