Narratives of resilience in medical students following the 3/11 triple disaster: Using thematic analysis to examine paths to recovery

PSYCHIATRY RESEARCH

卷:292

Article

Kaye-Kauderer, Halley³  Rodriguez, Ana³  Levine, Jake³  Takeguchi, Yuzo⁴  Machida, Moeko⁵  Feingold, Jordyn³  Sekine, Hideharu⁶  Katz, Craig^2,3  Yanagisawa, Robert¹ 

[1] Icahn Sch Med Mt Sinai, Dept Internal Med, New York, NY 10029 USA

[2] Icahn Sch Med Mt Sinai, Dept Psychiat, New York, NY 10029 USA

[3] Icahn Sch Med Mt Sinai, Dept Med Educ, New York, NY 10029 USA

[4] Fukushima Med Univ, Dept Med Educ, Fukushima, Tohoku, Japan

[5] Shirakawa Kosei Gen Hosp, Dept Med Educ, Fukushima, Tohoku, Japan

[6] Fukushima Med Univ, Int Exchange Affairs, Fukushima, Tohoku, Japan

关键词: Triple Disaster;    Disaster mental health;    Disaster psychiatry;    Global mental health;    Natural disasters;    Adolescent resilience;   

DOI  :  10.1016/j.psychres.2020.113348

来源: Elsevier

【 摘 要 】

In March of 2011, a 9.0 magnitude earthquake, tsunami, and nuclear explosion damaged northeastern Japan. While nine years have passed, the memory of this disaster continues to linger. This qualitative study had three main goals. First it aimed to explore the reactions and interpretations of adolescents living in areas affected by the disaster. Second, it sought to examine the behaviors and beliefs that enabled these students to not only recover but thrive. Third, it strived to build a more global and dynamic framework of resilience. A convenience sample of 18 students participated in semi-structured face-to-face interviews. Their narratives were qualitatively analyzed using thematic content analysis. Overall, four themes, each with four codes or sub-themes, emerged as sources of resilience including social support (social networks, role models, and community service), hopeful future orientation (cognitive reappraisal, optimism, and motivation to be physician), active emotions (rational compassion, luck, and suppression) and sense of purpose or duty (sharing of personal story, motivation to educate others, and Fukushima image). These findings reveal the experiences of highly resilient youth facing trauma and the connection between childhood adversity and career choices. They also begin to uncover the unique ways that culture, society, and tradition impact processes of recovery.

【 授权许可】

Free