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首页> 外文期刊>Journal of Clinical Medicine Research >Depression, Suicide Ideation, and Thyroid Tumors Among Ukrainian Adolescents Exposed as Children to Chernobyl Radiation
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Depression, Suicide Ideation, and Thyroid Tumors Among Ukrainian Adolescents Exposed as Children to Chernobyl Radiation

机译：切尔诺贝利射线暴露于儿童中的乌克兰青少年的抑郁，自杀观念和甲状腺肿瘤

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Background: The Chernobyl Childhood Illness Program (CCIP) was a humanitarian assistance effort funded by the United States Congress. Its purpose was to assist the Ukrainian Government to identify and treat adolescents who developed mental and physical problems following their exposure as young children to Chernobyl radiation. Thirteen years after the Chernobyl nuclear plant accident in 1986, the CCIP examined 116,655 Ukrainian adolescents for thyroid diseases. Of these, 115,191 were also screened for depression, suicide ideation, and psychological problems. The adolescents lived in five of Ukraine’s seven most Chernobyl radiation contaminated provinces. They were up to 6 years of age or in utero when exposed to nuclear fallout, or were born up to 45 months after Chernobyl.Methods: Ukrainian endocrinologist and ultrasonographers used physical examination and ultrasonography of the neck to evaluate the adolescents for thyroid tumors. The adolescents were then screened for depression by the Children’s Depression Inventory (CDI). After this, Ukrainian psychologists conducted individual psychological interviews to corroborate the adolescents’ CDI responses.Results: Papillary thyroid carcinoma was diagnosed in eight adolescents, a high prevalence rate similar to that reported by other studies from the Soviet Union. Screening identified thyroid nodules in 1,967 adolescents (1.7%). Depression was diagnosed in 15,399 adolescents (13.2%), suicide ideation in 813 (5.3%), and attempted suicide in 354 (2.3%). Underlying components of the participants’ depression were negative mood, interpersonal difficulties, negative self-esteem, ineffectiveness, and anhedonia. Depression was greater in females (77%). Those with thyroid and psychological problems were referred for treatment.Conclusions: The adolescents screened by CCIP represent the largest Ukrainian cohort exposed to Chernobyl radiation as children who were evaluated for both thyroid tumors and depression. The group had an increased prevalence of thyroid cancer, thyroid tumors, depression, and suicide ideation. CCIP demonstrated that psychological problems among Chernobyl exposed adolescents began earlier in life than previously reported. They also experienced socioeconomic problems from their relocation from radiation-affected areas and from the Soviet’s inadequate responses to their health needs. CCIP’s findings underscore the requirement that governments prepare plans to deal promptly with the diagnosis and treatment of nuclear accident victims’ medical and psychological problems.J Clin Med Res. 2015;7(5):332-338doi: http://dx.doi.org/10.14740/jocmr2018w
机译：背景：切尔诺贝利儿童疾病计划（CCIP）是美国国会资助的一项人道主义援助工作。其目的是协助乌克兰政府查明和治疗在年幼儿童接触切尔诺贝利辐射后出现精神和身体问题的青少年。 1986年切尔诺贝利核电站事故发生十三年后，CCIP检查了116655名乌克兰青少年的甲状腺疾病。其中，对115,191人进行了抑郁，自杀意念和心理问题筛查。这些青少年居住在乌克兰切尔诺贝利地区受辐射最严重的七个省份中的五个省。他们的年龄不超过6岁，或者在子宫内暴露于核辐射下，或者出生在切尔诺贝利事故发生后的45个月内。方法：乌克兰内分泌学家和超声检查师通过颈部的体格检查和超声检查来评估青少年的甲状腺肿瘤。然后，通过儿童抑郁量表（CDI）对青少年进行抑郁症筛查。之后，乌克兰心理学家进行了个人心理访谈，以证实青少年对CDI的反应。结果：八名青少年被诊断出乳头状甲状腺癌，其患病率很高，与苏联其他研究报告的相似。筛查确定了1,967名青少年（1.7％）的甲状腺结节。 15399名青少年（13.2％）被诊断为抑郁症，813名（5.3％）为自杀意念，354名（2.3％）企图自杀。参与者情绪低落，人际交往困难，自尊心消极，效率低下和快感低下的根本原因。女性的抑郁感更大（77％）。结论：经CCIP筛查的青少年是接受了切尔诺贝利放射治疗的儿童中最大的乌克兰人群，他们均接受了甲状腺肿瘤和抑郁症的评估。该组的甲状腺癌，甲状腺肿瘤，抑郁和自杀观念的患病率增加。 CCIP证明，切尔诺贝利接触青少年的心理问题比以前报道的要早。他们还因受辐射影响地区的搬迁以及苏联对其健康需求的反应不足而遇到了社会经济问题。 CCIP的调查结果突显了要求政府制定计划以迅速处理核事故受害者的医疗和心理问题的诊断和治疗的要求。JClin Med Res。 2015; 7（5）：332-338doi：http://dx.doi.org/10.14740/jocmr2018w

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