Journal of radiological protection : official journal of the Society for Radiological Protection · 2026
Worry, coping, and psychological distress under low-dose ionizing radiation exposure: long-term psychological impact among residents of radiation-contaminated buildings.
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Chen Bo-Jun, Li Ren-Hau, Huang Shu-Ling, Tang Feng-Cheng
Аннотация
UNLABELLED: Long-term psychological effects of low-dose radiation exposure have received limited attention. This study examined radiation-related worry, coping, and psychological distress among residents exposed to contaminated buildings in Taiwan, and tested the mediating roles of approach and avoidant coping.
METHODS: a cross-sectional survey (2022-2023) recruited 268 residents with prior exposure. Radiation-related worry, coping strategies, and psychological distress were assessed using validated scales. Correlation and multiple regression analyses evaluated associations and mediation.
RESULTS: overall worry and distress were low, yet they were modestly but significantly correlated (r= .207,p< .01). Approach coping partially mediated the relationship between worry and distress, and was also directly associated with higher distress (β= 0.158,p< .01). Avoidant coping was positively associated with distress (β= 0.247,p< .01) but was not significantly related to worry, and thus did not serve as a mediator.
CONCLUSIONS: even decades later, radiation-related worry remains positively associated with psychological distress. Coping strategies appear to play complex roles: approach coping may be linked to higher distress in uncontrollable contexts, while avoidant coping is independently associated with distress. In long-term, low-dose radiation exposure contexts, interventions focusing on managing excessive engagement and recalibrating active coping strategies may help individuals to achieve better psychological adjustment.
METHODS: a cross-sectional survey (2022-2023) recruited 268 residents with prior exposure. Radiation-related worry, coping strategies, and psychological distress were assessed using validated scales. Correlation and multiple regression analyses evaluated associations and mediation.
RESULTS: overall worry and distress were low, yet they were modestly but significantly correlated (r= .207,p< .01). Approach coping partially mediated the relationship between worry and distress, and was also directly associated with higher distress (β= 0.158,p< .01). Avoidant coping was positively associated with distress (β= 0.247,p< .01) but was not significantly related to worry, and thus did not serve as a mediator.
CONCLUSIONS: even decades later, radiation-related worry remains positively associated with psychological distress. Coping strategies appear to play complex roles: approach coping may be linked to higher distress in uncontrollable contexts, while avoidant coping is independently associated with distress. In long-term, low-dose radiation exposure contexts, interventions focusing on managing excessive engagement and recalibrating active coping strategies may help individuals to achieve better psychological adjustment.