{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:04:32Z","timestamp":1785409472152,"version":"3.56.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"unspecified","delay-in-days":102,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326103565_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the behavioral characteristics of psychiatric inpatients following disasters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103565_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 2 psychiatric hospitals in Japan, 1 affected by the Northern Osaka Earthquake (magnitude 6.1, seismic intensity 6) on June 18, 2018, and the other impacted by torrential rainstorms (total rainfall reaching 1800 mm; 224 fatalities, 8 missing) between June 28 and July 8, 2018. Focus group interviews were conducted with 24 nursing staff members from each hospital, divided into 8 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103565_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 158 inpatient behaviors were identified and organized into 19 themes. To delineate behavioral patterns, these behaviors were interpreted as adaptive (53.1%), maladaptive (22.2%), or unclassifiable (24.7%). Among maladaptive behaviors requiring prioritized care, 56.8% were associated with psychiatric disorders, while 43.2% reflected general disaster-related reactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326103565_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychiatric inpatients demonstrated adaptive responses alongside typical disaster-related behaviors, with some behaviors attributable to underlying psychiatric conditions. Post-disaster care for psychiatric inpatients should emphasize strategies that support adaptability and protection. Additionally, targeted care for maladaptive behaviors specific to psychiatric conditions and vigilant observation of patients who do not display overtly agitated behaviors are critical.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10356","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T10:05:16Z","timestamp":1776074716000},"source":"Crossref","is-referenced-by-count":0,"title":["Behaviors and Their Characteristics in Psychiatric Inpatients after Disasters: Analysis from an Adaptation Perspective"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1774-3919","authenticated-orcid":false,"given":"Yuko","family":"Tategaki","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03t78wx29","id-type":"ROR","asserted-by":"publisher"}],"name":"Hiroshima University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Okamura","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03t78wx29","id-type":"ROR","asserted-by":"publisher"}],"name":"Hiroshima University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"S1935789326103565_r2","first-page":"495","article-title":"Research on the DMAT response to the 2011 East Japan Earthquake","volume":"60","author":"Koido","year":"2011","journal-title":"J Natl Inst Public Health."},{"key":"S1935789326103565_r4","unstructured":"4. Fire and Disaster Management Agency. Chapter 2. Outline of Disaster, Section 1. In: Human Damage: Overview of the 2011 White Paper on Fire Service. Tokyo: Fire and Disaster Management Agency; 2011. Accessed January 9, 2026. https:\/\/www.fdma.go.jp\/publication\/hakusho\/h23\/cat-2\/1\/496.html"},{"key":"S1935789326103565_r1","unstructured":"1. Fire and Disaster Management Agency. About the Great Hanshin-Awaji Earthquake (Final Report). In: White Paper on Disaster Management 2006 Summary. Tokyo: Fire and Disaster Management Agency; 2006. Accessed January 9, 2026. https:\/\/www.fdma.go.jp\/disaster\/info\/assets\/post1.pdf"},{"key":"S1935789326103565_r6","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2022-SPCN01"},{"key":"S1935789326103565_r21","unstructured":"21. World Health Organization. Mental Health in Emergencies. Geneva: World Health Organization; 2025. Accessed January 9, 2026. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/mental-health-in-emergencies"},{"key":"S1935789326103565_r26","volume-title":"General Psychopathology","author":"Jaspers","year":"1962"},{"key":"S1935789326103565_r13","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01470-5"},{"key":"S1935789326103565_r7","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2014-0008"},{"key":"S1935789326103565_r24","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-025-07149-9"},{"key":"S1935789326103565_r10","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.89"},{"key":"S1935789326103565_r23","doi-asserted-by":"publisher","DOI":"10.1101\/lm.94705"},{"key":"S1935789326103565_r27","volume-title":"Psychiatry-Symptomatology: An Introduction to Psychiatric Symptoms","author":"Utsumi","year":"2021"},{"key":"S1935789326103565_r16","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2024055"},{"key":"S1935789326103565_r8","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2016-0010"},{"key":"S1935789326103565_r12","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.12317"},{"key":"S1935789326103565_r20","volume-title":"Training Manual for Mental Health and Human Service Workers in Major Disasters","author":"DeWolfe","year":"2000"},{"key":"S1935789326103565_r28","first-page":"3","article-title":"The history of preventive psychiatry in Japan-reducing vulnerability and enhancing resilience","volume":"2","author":"Ogura","year":"2017","journal-title":"Jpn J Prev Psychiatry."},{"key":"S1935789326103565_r3","first-page":"10","article-title":"The role of the Disaster Medical Assistance Team in disaster","volume":"71","author":"Yamaguchi","year":"2012","journal-title":"J Nihon Univ Med Assoc."},{"key":"S1935789326103565_r5","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2014-1.2"},{"key":"S1935789326103565_r17","first-page":"701","article-title":"A psychiatrist\u2019s view as a member of the medical rescue team for the Hanshin-Awaji earthquake","volume":"37","author":"Yamaguchi","year":"1995","journal-title":"Clin Psychiatry."},{"key":"S1935789326103565_r9","first-page":"129","article-title":"Impact of a natural disaster on a psychiatric inpatient population: clinical observations","volume":"21","author":"Stout","year":"1990","journal-title":"Psychiatr Hosp."},{"key":"S1935789326103565_r22","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2019-0011"},{"key":"S1935789326103565_r29","doi-asserted-by":"publisher","DOI":"10.24298\/hedn.2014-1.1"},{"key":"S1935789326103565_r15","volume-title":"The Roy Adaptation Model","author":"Roy","year":"1991"},{"key":"S1935789326103565_r19","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182010752"},{"key":"S1935789326103565_r14","volume-title":"Stress, Appraisal, and Coping","author":"Lazarus","year":"1984"},{"key":"S1935789326103565_r18","first-page":"48","article-title":"Study of education on natural disaster preparedness for psychiatric patients","volume":"28","author":"Sakairi","year":"2019","journal-title":"J Jpn Soc Med Health Sci."},{"key":"S1935789326103565_r25","first-page":"e231","article-title":"Nurse perceptions of knowledge and preparedness for disasters","volume":"17","author":"U\u00e7ar K\u00fc\u00e7\u00fck","year":"2023","journal-title":"Disaster Med Public Health Prep."},{"key":"S1935789326103565_r11","doi-asserted-by":"publisher","DOI":"10.1111\/appy.12307"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326103565","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T10:05:21Z","timestamp":1776074721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326103565\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":29,"alternative-id":["S1935789326103565"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10356","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e86"}}