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The Psychological and Welfare Consequences of the Chernobyl Disaster
Samet, Jonathan M ; Patel, Sonny S
Samet, Jonathan M
Patel, Sonny S
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Abstract
On April 26, 1986, a nuclear disaster occurred at the Chernobyl Nuclear Power Plant, contaminating areas of what are now modern-day Belarus, Moldova, Russia, and Ukraine. Beyond radiation exposure and cancer risks, the disaster led to the imposition of diverse acute and chronic stressors on the people living around the site. Principal among these health effects are psychological consequences, including ongoing psychological stress, posttraumatic stress disorder, and diminished well-being. Substantial time has now passed since the disaster occurred and the possibility of health effects other than cancer has not been sufficiently addressed. This report assesses the research conducted on these health effects, particularly quality of life, functioning, and neuropsychological status among the victims of the disaster. Through a systematic review approach, this report documents the range of studies that have been carried out—largely cross-sectional surveys with several cohort (follow-up) studies. This report includes 50 publications; their results have been considered within the outcomes of anxiety, depression, post-traumatic stress disorder, well-being, and cognition. Based on this systematic review, we find that there is evidence for adverse psychological and welfare consequences of the Chernobyl disaster. The extent of the available research, however, was limited and the various Chernobyl-affected groups have not been systematically investigated. In research subsequent to the disaster, emphasis has been given to cancer risk, as a result of the widespread radiation exposure to workers and the population. Nonetheless, the studies conducted show consistent indication that exposure to the Chernobyl disaster, broadly construed, has led to adverse psychological consequences. They point to a range of adverse effects that might be mitigated through evidence-based interventions. However, the available data are again limited in their coverage of affected populations and they fail to provide a picture of ongoing challenges to well-being faced by the populations in the area affected by the accident.
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2011-04-18
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With permission of the license/copyright holder