Department of Psychology, Renmin University of China, China.
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
J Affect Disord. 2015 Apr 1;175:218-23. doi: 10.1016/j.jad.2015.01.003. Epub 2015 Jan 13.
Disasters usually involves massive casualties, yet few post-disaster studies explore the prevalence of complicated grief (CG) among survivors. Complicated grief is a distinct psychological disorder, and is associated with impaired physical and psychological functions. Given such gap in the literature and the significance of this topic, this study is hoped to offer more information of complicated grief among survivors who lost their loved ones in disaster. Adopting a large scale survey, the prevalence and risk factors of CG among bereaved survivors one year after the Sichuan earthquake in China were explored.
In total 803 bereaved survivors participated the study by filling a questionnaire on measuring CG symptoms, posttraumatic stress disorder (PTSD) symptoms, intrapersonal factors, earthquake related factors, bereavement related factors, and an interpersonal factor.
There were 71.1% of the participants scored higher than the cutoff point of CG symptoms. Close relationship with the deceased, PTSD symptoms, losing means of livelihood, physical injury, and terrifying experience in the earthquake, were identified to be risk factors for CG.
The study was cross-sectional and the data was collected through a self-reported questionnaire. The sample was recruited from one of the most severely affected counties, thus the generalizability of the results should be interpreted with caution.
A large portion of bereaved earthquake survivors suffered from CG symptoms one year after the disaster. Risk factors found in this study can be used to identify high risk groups, who need special care, support, and bereavement interventions.
灾难通常会导致大量人员伤亡，但很少有灾后研究探讨幸存者中复杂悲伤（CG）的患病率。复杂悲伤是一种独特的心理障碍，与身体和心理功能受损有关。鉴于文献中的这一空白和这个话题的重要性，本研究希望为在灾难中失去亲人的幸存者提供更多关于复杂悲伤的信息。本研究采用大规模调查，探讨了中国汶川地震一年后，丧亲幸存者中 CG 的患病率和风险因素。
共有 803 名丧亲幸存者通过填写一份问卷来参与研究，该问卷用于测量 CG 症状、创伤后应激障碍（PTSD）症状、个体因素、与地震相关的因素、丧亲相关因素和人际因素。
有 71.1%的参与者 CG 症状得分高于临界值。与死者的密切关系、PTSD 症状、失去生计手段、身体受伤和地震中的可怕经历被确定为 CG 的风险因素。
该研究是横断面的，数据是通过自我报告的问卷收集的。样本来自受灾最严重的县之一，因此结果的普遍性应谨慎解释。
大量丧亲地震幸存者在灾难发生一年后出现 CG 症状。本研究中发现的风险因素可用于识别高危人群，他们需要特别的关怀、支持和丧亲干预。
