TY - JOUR PY - 2021// TI - Exacerbation of subthreshold PTSD symptoms in a Great East Japan Earthquake survivor in the context of the COVID-19 pandemic JO - Case reports in psychiatry A1 - Hori, Arinobu A1 - Sawano, Toyoaki A1 - Ozaki, Akihiko A1 - Tsubokura, Masaharu SP - e6699775 EP - e6699775 VL - 2021 IS - N2 - BACKGROUND: In 2011, the people of Fukushima, Japan, experienced the Great East Japan Earthquake (GEJE), a complex disaster of earthquake, tsunami, and nuclear accident. Its residents are experiencing a second global disaster, a COVID-19 pandemic in 2020.

OBJECTIVE: In this article, we aimed at discussing the effects of subthreshold PTSD in a previous disaster on an exacerbation of PTSD symptoms in another disaster.

METHOD: We present a case of subthreshold PTSD in the context of a nuclear accident and exacerbation of symptoms due to the COVID-19 pandemic.

RESULTS: Exacerbation of subthreshold PTSD symptoms was likely due to the reemergence of an urgent atmosphere similar to the previously experienced traumatic event.

CONCLUSIONS: PTSD may occur not only in those who experience the actual life-threatening like ICU admission but in those who experience the atmospheric change of society. This case demonstrated the characteristics of subthreshold PTSD caused by two disasters that shared a similar sense of insecurity, the scale of impact on the society, invisibility of the threat, restricted movement, and authoritative conflicts. These commonalities led to a recurrence and exacerbation of initial symptoms. This finding should be shared with those involved in the care system for victims' mental health suffering from a large-scale disaster, and we need further research about the issue.

Language: en

LA - en SN - 2090-682X UR - http://dx.doi.org/10.1155/2021/6699775 ID - ref1 ER -