{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:44:13Z","timestamp":1783467853133,"version":"3.55.0"},"reference-count":71,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T00:00:00Z","timestamp":1629676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>This narrative review synthesizes the literature on the psychological consequences of the Three Mile Island nuclear accident of 1979, the Chernobyl nuclear disaster of 1986, and the Fukushima nuclear disaster of 2011. A search was conducted on OVID for studies in English from 1966 to 2020. Fifty-nine studies were included. Living through a nuclear disaster is associated with higher levels of PTSD, depression, and anxiety. Decontamination workers, those living in closest proximity to the reactor, and evacuees experience higher rates of mental health problems after a nuclear disaster. Those with greater psychological resilience and social supports experience lower rates of psychological distress. Individual-level interventions, such as mindfulness training, behavioral activation, and cognitive reappraisal training, have shown modest benefits on improving psychological wellbeing. At the population level, many of the measures in place aimed at reducing exposure to radiation actually increase individuals\u2019 anxiety. Technology-based supports have been studied in other types of natural disasters and it may be beneficial to look at mobile-based interventions for future nuclear disasters.<\/jats:p>","DOI":"10.3390\/bs11080113","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T21:59:00Z","timestamp":1629755940000},"page":"113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Social and Mental Health Impact of Nuclear Disaster in Survivors: A Narrative Review"],"prefix":"10.3390","volume":"11","author":[{"given":"Caley","family":"Longmuir","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2743-0372","authenticated-orcid":false,"given":"Vincent I. O.","family":"Agyapong","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1037\/0022-006X.54.3.303","article-title":"Chronic stress and posttraumatic stress disorders","volume":"54","author":"Davidson","year":"1986","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1037\/0022-006X.51.4.565","article-title":"Emotional, behavioral, and physiological effects of chronic stress at Three Mile Island","volume":"51","author":"Baum","year":"1983","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1001\/archpsyc.1982.04290060069014","article-title":"Reactions of psychiatric patients to the Three Mile Island nuclear accident","volume":"39","author":"Bromet","year":"1982","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/BF00919277","article-title":"A comparative analysis of two community stressors\u2019 long-term mental health effects","volume":"15","author":"Dew","year":"1987","journal-title":"Am. J. Community Psychol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/jts.2490080104","article-title":"Psychological adaptation among residents following restart of Three Mile Island","volume":"8","author":"Rooney","year":"1995","journal-title":"J. Trauma. Stress"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1080\/00224545.1988.9924556","article-title":"Psychological symptoms of residents in the aftermath of the Three Mile Island nuclear accident and restart","volume":"128","author":"Rooney","year":"1988","journal-title":"J. Soc. Psychol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/BF00594987","article-title":"Stress, social support and affective disorders in mothers of pre-school children\u2014a test of the stress-buffering effect of social support","volume":"20","author":"Solomon","year":"1985","journal-title":"Soc. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.scitotenv.2013.10.029","article-title":"Comparison of the Chernobyl and Fukushima nuclear accidents: A review of the environmental impacts","volume":"470","author":"Steinhauser","year":"2014","journal-title":"Sci. Total Environ."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/S0140-6736(15)61106-0","article-title":"Health effects of radiation and other health problems in the aftermath of nuclear accidents, with an emphasis on Fukushima","volume":"386","author":"Hasegawa","year":"2015","journal-title":"Lancet"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1017\/S1092852920000164","article-title":"Mental health consequences for survivors of the 2011 Fukushima nuclear disaster: A systematic review. Part 1: Psychological consequences","volume":"26","author":"Shigemura","year":"2020","journal-title":"CNS Spectr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1017\/S1092852920000115","article-title":"Mental health consequences for survivors of the 2011 Fukushima nuclear disaster: A systematic review. Part 2: Emotional and behavioral consequences","volume":"26","author":"Terayama","year":"2020","journal-title":"CNS Spectr."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Takebayashi, Y., Lyamzina, Y., Suzuki, Y., and Murakami, M. (2017). Risk Perception and Anxiety Regarding Radiation after the 2011 Fukushima Nuclear Power Plant Accident: A Systematic Qualitative Review. Int. J. Environ. Res. Public Health, 14.","DOI":"10.3390\/ijerph14111306"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Kuroda, Y., Iwasa, H., Orui, M., Moriyama, N., Nakayama, C., and Yasumura, S. (2018). Association between Health Literacy and Radiation Anxiety among Residents after a Nuclear Accident: Comparison between Evacuated and Non-Evacuated Areas. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15071463"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1620\/tjem.241.103","article-title":"Decontamination Reduces Radiation Anxiety and Improves Subjective Well-Being after the Fukushima Accident","volume":"241","author":"Murakami","year":"2017","journal-title":"Tohoku J. Exp. Med."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Nakayama, C., Sato, O., Sugita, M., Nakayama, T., Kuroda, Y., Orui, M., Iwasa, H., Yasumura, S., and Rudd, R.E. (2019). Lingering health-related anxiety about radiation among Fukushima residents as correlated with media information following the accident at Fukushima Daiichi Nuclear Power Plant. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0217285"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Orui, M., Nakayama, C., Kuroda, Y., Moriyama, N., Iwasa, H., Horiuchi, T., Nakayama, T., Sugita, M., and Yasumura, S. (2020). The Association between Utilization of Media Information and Current Health Anxiety Among the Fukushima Daiichi Nuclear Disaster Evacuees. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17113921"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Sugimoto, A., Nomura, S., Tsubokura, M., Matsumura, T., Muto, K., Sato, M., and Gilmour, S. (2013). The relationship between media consumption and health-related anxieties after the Fukushima Daiichi nuclear disaster. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0065331"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"n160","DOI":"10.1136\/bmj.n160","article-title":"PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"282","DOI":"10.33145\/2304-8336-2017-22-282-291","article-title":"Influence of polymorphic variants of the SLC6A4 gene on the frequency of detection of depressive states in the group of the clean up workers of consequences of Chornobyl accident in the remote period after the Chornobyl catastrophe","volume":"22","author":"Abramenko","year":"2017","journal-title":"Probl. Radiac. Med. Ta Radiobiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1177\/0020764011415204","article-title":"Psychological well-being and risk perceptions of mothers in Kyiv, Ukraine, 19 years after the Chornobyl disaster","volume":"57","author":"Adams","year":"2011","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1289\/ehp.02110s4625","article-title":"Somatic symptoms in women 11 years after the Chornobyl accident: Prevalence and risk factors","volume":"110","author":"Bromet","year":"2002","journal-title":"Environ. Health Perspect."},{"key":"ref_22","first-page":"1545","article-title":"Two-year follow up study of stress-related disorders among immigrants to Israel from the Chernobyl area","volume":"105","author":"Cwikel","year":"1997","journal-title":"Environ. Health Perspect."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"305","DOI":"10.2190\/7VRQ-EBW0-VRW7-D0U9","article-title":"Coping with the stress of immigration among new immigrants to Israel from Commonwealth of Independent States (CIS) who were exposed to Chernobyl: The effect of age","volume":"46","author":"Cwikel","year":"1998","journal-title":"Int. J. Aging Hum. Dev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1037\/0002-9432.72.4.492","article-title":"The long-term mental health effects of nuclear trauma in recent Russian immigrants in the United States","volume":"72","author":"Foster","year":"2002","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1017\/S0033291707002371","article-title":"The mental health of clean-up workers 18 years after the Chernobyl accident","volume":"38","author":"Loganovsky","year":"2008","journal-title":"Psychol. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1017\/S109285291200096X","article-title":"Cerebral basis of posttraumatic stress disorder following the Chernobyl disaster","volume":"18","author":"Loganovsky","year":"2013","journal-title":"CNS Spectr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/j.annepidem.2006.07.006","article-title":"Suicide risk among Chernobyl cleanup workers in Estonia still increased: An updated cohort study","volume":"16","author":"Rahu","year":"2006","journal-title":"Ann. Epidemiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s11126-015-9381-3","article-title":"Post-traumatic Stress and Growth Among Medical Student Volunteers After the March 2011 Disaster in Fukushima, Japan: Implications for Student Involvement with Future Disasters","volume":"87","author":"Anderson","year":"2016","journal-title":"Psychiatr. Q."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1911","DOI":"10.1007\/s00127-014-0903-3","article-title":"Time-related changes in suicide attempts after the nuclear accident in Fukushima","volume":"49","author":"Aoki","year":"2014","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1037\/a0035422","article-title":"Emotion reactivity and regulation are associated with psychological functioning following the 2011 earthquake, tsunami, and nuclear crisis in Japan","volume":"14","author":"Cavanagh","year":"2014","journal-title":"Emotion"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Goto, A., Bromet, E.J., and Fujimori, K. (2015). Pregnancy and Birth Survey Group of Fukushima Health Management Survey. Immediate effects of the Fukushima nuclear power plant disaster on depressive symptoms among mothers with infants: A prefectural-wide cross-sectional study from the Fukushima Health Management Survey. BMC Psychiatry, 15.","DOI":"10.1186\/s12888-015-0443-8"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"139S","DOI":"10.1177\/1010539516684945","article-title":"Pregnancy and Birth Survey Group of the Fukushima Health Management Survey. The Fukushima Nuclear Accident Affected Mothers\u2019 Depression but Not Maternal Confidence","volume":"29","author":"Goto","year":"2017","journal-title":"Asia-Pac. J. Public Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1539\/joh.15-0152-OA","article-title":"Effect of age and social connection on perceived anxiety over radiation exposure among decontamination workers in Fukushima Prefecture, Japan","volume":"58","author":"Hidaka","year":"2016","journal-title":"J. Occup. Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1016\/j.aogh.2016.09.010","article-title":"Psychiatric Outpatients After the 3.11 Complex Disaster in Fukushima, Japan","volume":"82","author":"Hori","year":"2016","journal-title":"Ann. Glob. Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1936","DOI":"10.1017\/S0033291717000320","article-title":"Longitudinal effects of disaster-related experiences on mental health among Fukushima nuclear plant workers: The Fukushima NEWS Project Study","volume":"47","author":"Ikeda","year":"2017","journal-title":"Psychol. Med."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Imamura, K., Sekiya, Y., Asai, Y., Umeda, M., Horikoshi, N., Yasumura, S., Yabe, H., Akiyama, T., and Kawakami, N. (2016). The effect of a behavioral activation program on improving mental and physical health complaints associated with radiation stress among mothers in Fukushima: A randomized controlled trial. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3819-x"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"56S","DOI":"10.1177\/1010539516684534","article-title":"Pregnancy and Birth Survey of the Fukushima Health Management Survey","volume":"29","author":"Ishii","year":"2017","journal-title":"Asia-Pac. J. Public Health"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1620\/tjem.236.115","article-title":"Mental Health Problems among Undergraduates in Fukushima, Tokyo, and Kyoto after the March 11 Tohoku Earthquake","volume":"236","author":"Ishikawa","year":"2015","journal-title":"Tohoku J. Exp. Med."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Ito, S., Sasaki, M., Okabe, S., Konno, N., and Goto, A. (2018). Depressive Symptoms and Associated Factors in Female Students in Fukushima Four Years after the Fukushima Nuclear Power Plant Disaster. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15112411"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"580","DOI":"10.2486\/indhealth.2018-0094","article-title":"Characteristics of anxiety and the factors associated with presence or absence of each anxiety among radiation decontamination workers in Fukushima","volume":"57","author":"Kakamu","year":"2019","journal-title":"Ind. Health"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Kashiwazaki, Y., Takebayashi, Y., and Murakami, M. (2020). Relationships between radiation risk perception and health anxiety, and contribution of mindfulness to alleviating psychological distress after the Fukushima accident: Cross-sectional study using a path model. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0235517"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Kawakami, N., Fukasawa, M., Sakata, K., Suzuki, R., Tomita, H., Nemoto, H., Yasumura, S., Yabe, H., Horikoshi, N., and Umeda, M. (2020). Onset and remission of common mental disorders among adults living in temporary housing for three years after the triple disaster in Northeast Japan: Comparisons with the general population. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09378-x"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"N1","DOI":"10.1088\/0952-4746\/35\/1\/N1","article-title":"What have we learned from a questionnaire survey of citizens and doctors both inside and outside Fukushima?: Survey comparison between 2011 and 2013","volume":"35","author":"Kohzaki","year":"2015","journal-title":"J. Radiol. Prot."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1111\/pcn.12159","article-title":"Trauma, depression, and resilience of earthquake\/tsunami\/nuclear disaster survivors of Hirono, Fukushima, Japan","volume":"68","author":"Kukihara","year":"2014","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e014339","DOI":"10.1136\/bmjopen-2016-014339","article-title":"Occurrence of depressive tendency and associated social factors among elderly persons forced by the Great East Japan Earthquake and nuclear disaster to live as long-term evacuees: A prospective cohort study","volume":"7","author":"Kuroda","year":"2017","journal-title":"BMJ Open"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Kusama, T., Aida, J., Tsuboya, T., Sugiyama, K., Yamamoto, T., Igarashi, A., and Osaka, K. (2018). The association between socioeconomic status and reactions to radiation exposure: A cross-sectional study after the Fukushima Daiichi nuclear power station accident. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0205531"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s10597-015-9869-1","article-title":"Cross-Sectional Data Within 1 Year of the Fukushima Meltdown: Effect-Size of Predictors for Depression","volume":"52","author":"Lebowitz","year":"2016","journal-title":"Community Ment. Health J."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1007\/s10597-016-9995-4","article-title":"Relational Satisfaction from Providing and Receiving Support is Associated with Reduced Post-Disaster Depression: Data From Within One Year of the 2011 Japan Triple Disaster","volume":"53","author":"Lebowitz","year":"2017","journal-title":"Community Ment. Health J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/pcn.12414","article-title":"Diagnostic interview study of the prevalence of depression among public employees engaged in long-term relief work in Fukushima","volume":"70","author":"Maeda","year":"2016","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1088\/1361-6498\/aae65d","article-title":"Reduction of radiation-related anxiety promoted wellbeing after the 2011 disaster: \u2019Fukushima Health Management Survey\u2019","volume":"38","author":"Murakami","year":"2018","journal-title":"J. Radiol. Prot."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Murakami, M., Takebayashi, Y., Takeda, Y., Sato, A., Igarashi, Y., Sano, K., Yasutaka, T., Naito, W., Hirota, S., and Goto, A. (2018). Effect of Radiological Countermeasures on Subjective Well-Being and Radiation Anxiety after the 2011 Disaster: The Fukushima Health Management Survey. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15010124"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1080\/00332747.2017.1333340","article-title":"The Psychological Impact of the Great East Japan Earthquake on Japan Ground Self-Defense Force Personnel: A Three-Wave, One-Year Longitudinal Study","volume":"81","author":"Nagamine","year":"2018","journal-title":"Psychiatry"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/pcn.12387","article-title":"Three-year trend survey of psychological distress, post-traumatic stress, and problem drinking among residents in the evacuation zone after the Fukushima Daiichi Nuclear Power Plant accident [The Fukushima Health Management Survey]","volume":"70","author":"Oe","year":"2016","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"e013400","DOI":"10.1136\/bmjopen-2016-013400","article-title":"Predictors of severe psychological distress trajectory after nuclear disaster: Evidence from the Fukushima Health Management Survey","volume":"6","author":"Oe","year":"2016","journal-title":"BMJ Open"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"182S","DOI":"10.1177\/1010539516680733","article-title":"Changes of Posttraumatic Stress Responses in Evacuated Residents and Their Related Factors","volume":"29","author":"Oe","year":"2017","journal-title":"Asia-Pac. J. Public Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1027\/0227-5910\/a000509","article-title":"Suicide Rates in Evacuation Areas After the Fukushima Daiichi Nuclear Disaster","volume":"39","author":"Orui","year":"2018","journal-title":"Crisis J. Crisis Interv. Suicide"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1192\/bjp.bp.112.111575","article-title":"Anxiety, distress and anger among British nationals in Japan following the Fukushima nuclear accident","volume":"201","author":"Rubin","year":"2012","journal-title":"Br. J. Psychiatry"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/00332747.2017.1297667","article-title":"Disaster Victim Identification: Psychological Distress and Posttraumatic Stress in Dentists After the 2011 Fukushima Disaster","volume":"81","author":"Shigemura","year":"2018","journal-title":"Psychiatry"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Shigemura, J., Tanigawa, T., Nishi, D., Matsuoka, Y., Nomura, S., and Yoshino, A. (2014). Associations between disaster exposures, peritraumatic distress, and posttraumatic stress responses in Fukushima nuclear plant workers following the 2011 nuclear accident: The Fukushima NEWS Project study. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0087516"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"3117","DOI":"10.1017\/S003329171600194X","article-title":"The longitudinal mental health impact of Fukushima nuclear disaster exposures and public criticism among power plant workers: The Fukushima NEWS Project study","volume":"46","author":"Tanisho","year":"2016","journal-title":"Psychol. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1017\/dmp.2014.5","article-title":"The immediate physical and mental health crisis in residents proximal to the evacuation zone after Japan\u2019s nuclear disaster: An observational pilot study","volume":"8","author":"Tsubokura","year":"2014","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Tsujiuchi, T., Yamaguchi, M., Masuda, K., Tsuchida, M., Inomata, T., Kumano, H., Kikuchi, Y., Augusterfer, E.F., and Mollica, R.F. (2016). High Prevalence of Post-Traumatic Stress Symptoms in Relation to Social Factors in Affected Population One Year after the Fukushima Nuclear Disaster. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0151807"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1017\/dmp.2020.114","article-title":"Coronavirus Disease 2019 Pandemic: Health System and Community Response to a Text Message (Text4Hope) Program Supporting Mental Health in Alberta","volume":"14","author":"Agyapong","year":"2020","journal-title":"Disaster Med. Public Health Prep."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Agyapong, V., Hrabok, M., Shalaby, R., Vuong, W., Noble, J., Gusnowski, A., Mrklas, K., Li, D., Urichuck, L., and Snaterse, M. (2021). Text4Hope: Receiving Daily Supportive Text Messages for 3 Months During the COVID-19 Pandemic Reduces Stress, Anxiety, and Depression. Disaster Med. Public Health Prep., 1\u20135.","DOI":"10.1017\/dmp.2021.27"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"e19292","DOI":"10.2196\/19292","article-title":"Closing the Psychological Treatment Gap During the COVID-19 Pandemic With a Supportive Text Messaging Program: Protocol for Implementation and Evaluation","volume":"9","author":"Agyapong","year":"2020","journal-title":"JMIR Res. Protoc."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Agyapong, V., Shalaby, R., Hrabok, M., Vuong, W., Noble, J., Gusnowski, A., Mrklas, K., Li, D., Snaterse, M., and Surood, S. (2021). Mental Health Outreach via Supportive Text Messages during the COVID-19 Pandemic: Improved Mental Health and Reduced Suicidal Ideation after Six Weeks in Subscribers of Text4Hope Compared to a Control Population. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18042157"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jad.2012.02.040","article-title":"Supportive text messaging for depression and comorbid alcohol use disorder: Single-blind randomised trial","volume":"141","author":"Agyapong","year":"2012","journal-title":"J. Affect. Disord."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-016-1104-2","article-title":"Cross-sectional survey evaluating Text4Mood: Mobile health program to reduce psychological treatment gap in mental healthcare in Alberta through daily supportive text messages","volume":"16","author":"Agyapong","year":"2016","journal-title":"BMC Psychiatry"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-017-1448-2","article-title":"Randomized controlled pilot trial of supportive text messages for patients with depression","volume":"17","author":"Agyapong","year":"2017","journal-title":"BMC Psychiatry"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1093\/alcalc\/agz060","article-title":"Alcohol Use Disorder and Comorbid Depression: A Randomized Controlled Trial Investigating the Effectiveness of Supportive Text Messages in Aiding Recovery","volume":"54","author":"Hagerty","year":"2019","journal-title":"Alcohol Alcholism"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"e24184","DOI":"10.2196\/24184","article-title":"Gender Differences in Satisfaction With a Text Messaging Program (Text4Hope) and Anticipated Receptivity to Technology-Based Health Support During the COVID-19 Pandemic: Cross-sectional Survey Study","volume":"9","author":"Shalaby","year":"2021","journal-title":"JMIR MHealth UHealth"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/11\/8\/113\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:50:09Z","timestamp":1760165409000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/11\/8\/113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,23]]},"references-count":71,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8]]}},"alternative-id":["bs11080113"],"URL":"https:\/\/doi.org\/10.3390\/bs11080113","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,23]]}}}