RESULTS: Among the respondents, 4.6% experienced injuries within their families, 82.3% reported house damage, and thus 83.3% were affected by the Great East Japan Earthquake. Post-traumatic stress symptoms were significantly higher among the affected group and those with chronic diseases. After adjusting for the demographic and occupational characteristics, the likelihood of post-traumatic stress symptoms was greater in the low resilience group (Odds ratio: 2.10 [95% confidence interval = 1.31-3.37]). A significant negative relationship was observed between resilience and post-traumatic stress symptoms particularly in the affected group.