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. 1997 Dec;105(Suppl 6):1533–1537. doi: 10.1289/ehp.97105s61533

Health effects of the Chernobyl disaster: illness or illness behavior? A comparative general health survey in two former Soviet regions.

J Havenaar 1, G Rumyantzeva 1, A Kasyanenko 1, K Kaasjager 1, A Westermann 1, W van den Brink 1, J van den Bout 1, J Savelkoul 1
PMCID: PMC1469920  PMID: 9467078

Abstract

Results are described of a general health survey (n = 3044) that was conducted 6.5 years after the Chernobyl accident in 1986 in a seriously contaminated region in Belarus and a socioeconomically comparable, but unaffected, region in the Russian Federation. The purpose of the study was to investigate whether there are differences in the general health status of the inhabitants of the two regions that may be attributed to the Chernobyl disaster. A broad-based population sample from each of these regions was studied using a variety of self-report questionnaires. A subsample (n = 449) was further examined with a standardized physical and psychiatric examination. The results show significantly higher scores on the self-report questionnaires and higher medical service utilization in the exposed region. No significant differences were observed in global clinical indices of health. Although there were trends for some disorders to be more prevalent in the exposed region, none of these could be directly attributed to exposure to ionizing radiation. The results of this study suggest that the Chernobyl disaster had a significant long-term impact on psychological well-being, health-related quality of life, and illness behavior in the exposed population.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bertazzi P. A. Industrial disasters and epidemiology. A review of recent experiences. Scand J Work Environ Health. 1989 Apr;15(2):85–100. doi: 10.5271/sjweh.1867. [DOI] [PubMed] [Google Scholar]
  2. Bromet E., Dew M. A. Review of psychiatric epidemiologic research on disasters. Epidemiol Rev. 1995;17(1):113–119. doi: 10.1093/oxfordjournals.epirev.a036166. [DOI] [PubMed] [Google Scholar]
  3. Cunny K. A., Perri M., 3rd Single-item vs multiple-item measures of health-related quality of life. Psychol Rep. 1991 Aug;69(1):127–130. doi: 10.2466/pr0.1991.69.1.127. [DOI] [PubMed] [Google Scholar]
  4. Davidson L. M., Baum A. Chronic stress and posttraumatic stress disorders. J Consult Clin Psychol. 1986 Jun;54(3):303–308. doi: 10.1037//0022-006x.54.3.303. [DOI] [PubMed] [Google Scholar]
  5. Fairley M., Langeluddecke P., Tennant C. Psychological and physical morbidity in the aftermath of a cyclone. Psychol Med. 1986 Aug;16(3):671–676. doi: 10.1017/s0033291700010412. [DOI] [PubMed] [Google Scholar]
  6. Havenaar J. M., Poelijoe N. W., Kasyanenko A. P., Van den Bout J., Koeter M. W., Filipenko V. V. Screening for psychiatric disorders in an area affected by the Chernobyl disaster: the reliability and validity of three psychiatric screening questionnaires in Belarus. Psychol Med. 1996 Jul;26(4):837–844. doi: 10.1017/s0033291700037867. [DOI] [PubMed] [Google Scholar]
  7. Havenaar J. M., Rumyantzeva G. M., Filipenko V. V., van den Brink W., Poelijoe N. W., van den Bout J., Romasenko L. Experiences with a checklist for DSM-III-R in the Russian Federation and Belarus. A study about the interrater reliability and the concurrent validity of the Munich Diagnostic Checklist for DSM-III-R. Acta Psychiatr Scand. 1995 Dec;92(6):419–424. doi: 10.1111/j.1600-0447.1995.tb09606.x. [DOI] [PubMed] [Google Scholar]
  8. Havenaar J. M., Van den Brink W., Van den Bout J., Kasyanenko A. P., Poelijoe N. W., Wholfarth T., Meijler-Iljina L. I. Mental health problems in the Gomel region (Belarus): an analysis of risk factors in an area affected by the Chernobyl disaster. Psychol Med. 1996 Jul;26(4):845–855. doi: 10.1017/s0033291700037879. [DOI] [PubMed] [Google Scholar]
  9. Hiller W., Zaudig M., Mombour W. Development of diagnostic checklists for use in routine clinical care. A guideline designed to assess DSM-III-R diagnoses. Arch Gen Psychiatry. 1990 Aug;47(8):782–784. doi: 10.1001/archpsyc.1990.01810200090013. [DOI] [PubMed] [Google Scholar]
  10. Viinamäki H., Kumpusalo E., Myllykangas M., Salomaa S., Kumpusalo L., Kolmakov S., Ilchenko I., Zhukowsky G., Nissinen A. The Chernobyl accident and mental wellbeing--a population study. Acta Psychiatr Scand. 1995 Jun;91(6):396–401. doi: 10.1111/j.1600-0447.1995.tb09799.x. [DOI] [PubMed] [Google Scholar]
  11. Watson D., Pennebaker J. W. Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev. 1989 Apr;96(2):234–254. doi: 10.1037/0033-295x.96.2.234. [DOI] [PubMed] [Google Scholar]
  12. Williams D. Epidemiology. Chernobyl, eight years on. Nature. 1994 Oct 13;371(6498):556–556. doi: 10.1038/371556a0. [DOI] [PubMed] [Google Scholar]

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