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2015 ; 128
(11
): 1438-43
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Factors Related to Complicated Grief among Bereaved Individuals after the
Wenchuan Earthquake in China
#MMPMID26021497
Hu XL
; Li XL
; Dou XM
; Li R
Chin Med J (Engl)
2015[Jun]; 128
(11
): 1438-43
PMID26021497
show ga
BACKGROUND: The Wenchuan earthquake in China caused shock and grief worldwide.
Sudden bereavement caused by the earthquake led to physical disorders as well as
psychological disturbances in the bereaved individuals. The bereaved had a high
risk for complicated grief (CG), which may have led to significant distress and
impairment in their health. However, there was few available studies on CG among
disaster-bereaved individuals in China after the disaster. The aim of this study
was to identify factors (demographic characteristics and disaster-related
variables) associated with symptoms of CG among the bereaved 18 months after the
Wenchuan earthquake. METHODS: This study was conducted with a cross-sectional
design and a convenience sample of 271 bereaved individuals from three of the
hardest hit areas. Data were collected by questionnaires and the instruments used
in the study were: General questionnaire and Inventory of CG (ICG). Multivariate
linear regression analysis was used to identify factors associated with symptoms
of CG. RESULTS: The mean score on ICG was 52.77 (standard deviation: 10.00).
Being female and loss of a child were related to higher level of CG while having
another child after the disaster and receiving psychological counseling
experience were associated with lower level of CG. Forty-nine percent of the
variance of CG was explained by these identified factors. CONCLUSIONS: Eighteen
months after the Wenchuan earthquake, the symptoms of CG among the bereaved were
higher than the previous studies with bereaved individuals. This study uncovers a
vulnerable population of the bereaved at high risk for CG. Early assessments,
targeted interventions, and policy support tailored for the disaster-bereaved
individuals are necessary to identify and alleviate symptoms of CG and to improve
their well-being.