Mental disorders among Chernobyl cleanup workers from Estonia: A clinical assessment

Psychol Trauma. 2017 Aug;9(Suppl 1):93-97. doi: 10.1037/tra0000195. Epub 2016 Sep 26.

Abstract

Objective: To assess, at a clinical level, the mental health of former Chernobyl cleanup workers from Estonia by comparing them with same-age controls.

Method: The Mini International Neuropsychiatric Interview (MINI) was administered during 2011-2012 to 99 cleanup workers and 100 population-based controls previously screened for mental health symptoms.

Results: Logistic regression analysis showed that cleanup workers had higher odds of current depressive disorder (odds ratio [OR] = 3.07, 95% confidence interval [CI: 1.34, 7.01]), alcohol dependence (OR = 3.47, 95% CI [1.29, 9.34]), and suicide ideation (OR = 3.44, 95% CI [1.28, 9.21]) than did controls. Except for suicide ideation, associations with Chernobyl exposure became statistically nonsignificant when adjusted for education and ethnicity.

Conclusion: A quarter of a century after the Chernobyl accident, Estonian cleanup workers were still at increased risk of mental disorders, which was partly attributable to sociodemographic factors. (PsycINFO Database Record

MeSH terms

  • Chernobyl Nuclear Accident*
  • Cohort Studies
  • Educational Status
  • Environmental Restoration and Remediation*
  • Estonia / epidemiology
  • Humans
  • Interview, Psychological
  • Logistic Models
  • Male
  • Mental Disorders / epidemiology*
  • Middle Aged
  • Occupational Stress / epidemiology
  • Odds Ratio
  • Radiation Exposure
  • Self Report