Medical and Health Science Journal

  Previous Article | Back to Volume | Next Article
  Abstract | References | Citation | Download | Preview | Statistics
Volume 14
Issue 2
Online publication date 2013-04-25
Title The psychological effects of radiological terrorism - a challenge to the family physician
Author Vili Slavchev Zahariev, Nikolai Milenov Hristov
Abstract Our objective was to assess the ability of family physicians from a capital city to overcome the psychological adverse effects of radiological terrorism and provide psychological support to the victims. We performed a single cross-sectional study in order to collect data and analyse the preparedness of general practitioners. The study was performed in September 2011. The relative share of the studied group of 400 GPs is 45% (out of a total of 890) with a standard error of 2.5% and 95% CI - (40.1% ÷ 49.9%). The knowledge and skills of family physicians are fragmented and superficial. Family physicians are also lacking any practical experience in the medical provision of victims, and in particular in the provision of psychological support. Many problems arise from missing knowledge on ionizing radiation and its influence on humans. Adequate education and practical training of family physicians could be the main factors in overcoming the psychological consequences of radiation accidents.
Citation
References
American Psychiatric Association, 1994. Diagnostic and statistical manual of mental disorders, (4th ed.), Washington, DC: American Psychiatric Press

Becker, S., 2001. “Psychosocial effects of radiation accidents,” In: Gusev, I., Guskova, A., Mettler, F. (eds.) Medical management of radiation accidents, 2nd ed. Boca Raton, FL: CRC Press, pp.519-25

BEIR VII, 2005. Health risks from exposure to low levels of ionizing radiation

Brenner, D., Hall, E., 2007. “Computed tomography-an increasing source of radiation exposure,” N Engl J Med, Vol.357(22), pp.2277-284 

Brenner, D., Sachs, R., 2006. “Estimating radiation-induced cancer risks at very low doses: Rationale for using a linear no-threshold approach,” Radiat Environ Biophys, Vol.44(4), pp.253-56 

Collins, D., de Carvalho, A., 1993. “Chronic stress from the Goiania 137Cs radiation accident,” Behav Med., Vol.18(4), pp.149-57

Dodgen, D., Norwood, A., Becker, S., Perez, J., Hansen, C., 2011. “Social, psychological, and behavioral responses to a nuclear detonation in a US city: Implications for health care planning and delivery,” Disaster Med Public Health Preparedness,Vol.5, pp.54-64

Engel, C., Locke, S., Reissman, D., DeMartino, R., Kutz, I., McDonald, M., Barsky, A., 2007. “Terrorism, trauma, and mass casualty triage: How might we solve the latest mind-body problem?” Biosecur Bioterror, Vol.5(2), pp.155-63

Grossman, K., 2011. “Radiation hormesis an incredible lie,” Press TV, July 27 
Havenaar, J., 1996. “Psychosocial consequences of the Chernobyl disaster,” In: Karaglou, A. et al., (Eds): The radiological consequences of the Chernobyl accident, Proc. of the First International Conference, Minsk, Belarus, 18-22 March

Higson, D., Boreham, D., Brooks, A., Luan, Y-C., 2007. “Effects of low doses of radiation: Joint statement from the following participants at the 15th Pacific Basin Nuclear Conference,” Dose- Response, Vol.5(4), pp.259-62 

International Atomic Energy Agency (IAEA), 1998. Dosimetric and medical aspects of the radiological accident in Goiania in 1987, IAEA-TECDOC-1009, Vienna

International Atomic Energy Agency (IAEA), 2005. Generic procedures for medical response during a nuclear or radiological emergency

International Atomic Energy Agency (IAEA), 1988. The radiological accident in Goiania, STI/PUB/815, Vienna

ICRP, 1991. Recommendations of the International Commission on radiological protection, Ann. ICRP, Vol.21(1-3), Publication 60 

ICRP, 2005. Low-dose extrapolation of radiation-related cancer Risk, Ann. ICRP, Vol.35(4), Publication 99

ICRP, 2006. Protecting people against radiation exposure in the event of a radiological attack,  Publication 96

Nénot,J-C., 2009. “Radiation accidents over the last 60 years,” J Radiol Prot, Vol.29(3), pp.301-20

Luckey,  T., 1980. “Hormesis with lonizing radiation,” CRC Press, Boca Raton

Luckey, T., 1991. “Radiation hormesis,” CRC Press, Boca Raton

Luckey, T., 2011. “Biological effects of ionizing radiation: A perspective for Japan,” Journal of American Physicians and Surgeons, Vol.16(2), pp.45-46

NCRP, 2010. “Responding to a radiological or nuclear terrorism incident: A guide for decision makers,” Report No.165

Radiation Emergency Assistance Center/Training Site (REAC/TS), 2011.The medical aspects of radiation incidents

Rossi, H., Kellerer, A., 1972. “Radiation carcinogenesis at low doses”, Science, Vol.175(18), pp.200-207

Royal College of Psychiatrists, 2012. Post-traumatic stress disorder, March 

Scott, B., 2008. “Low-dose radiation risk extrapolation fallacy associated with the linear-no-threshold model,” Hum Exp Toxicol, Vol.27(2), pp.163-68 

Scott, B., Sanders, C., Mitchel, R., Boreham, D., 2008. “CT scans may reduce rather than increase the risk of cancer,” J.Am.Phys Surg, Vol.13, pp.8-11

Tubiana, M., Aurengo, A., 2005. “Dose-effect relationship and estimation of the carcinogenic effects of low doses of ionizing radiation,” The joint report of the Acadamie des Sciences (Paris) and of the Acadamie Nationale de Medecine

United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), 2010. Summary of low-dose radiation effects on health, Report 

Ware, W., 2008. “Low-dose radiation exposure and risk of cancer,” International Health News, November

Yehuda, R., 2002. “Post-traumatic stress disorder,” N Engl J Med., Vol.346(2), pp.108-14

Keywords Psychological effects, radiological terrorism, radiation accidents, family physicians
DOI http://dx.doi.org/10.15208/mhsj.2013.11
Pages 71-77
Download Full PDF Download
  Previous Article | Back to Volume | Next Article
Share
Search in articles
Statistics
Journal Published articles
MHSJ 940
Journal Hits
MHSJ 2211872
Journal Downloads
MHSJ 16946
Total users online -