Han Hyesung, Noh Jin Won, Huh Hyu Jung, Huh Seung, Joo Ji Young, Hong Jin Hyuk, Chae Jeong Ho
Department of Psychiatry, The Catholic University of Korea, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Healthcare Management, Eulji University, Seongnam, Korea.
J Korean Med Sci. 2017 Jul;32(7):1173-1180. doi: 10.3346/jkms.2017.32.7.1173.
Few studies have assessed the overall effects of multi-centered, complicated mental health support on the grief process. This study investigated the broader influence of mental health support provided practically to the bereaved family on the severity of complicated grief. Ninety-three bereaved family members of the Sewol ferry accident were recruited. Severity of complicated grief, post-traumatic stress disorder (PTSD) and depressive disorder was assessed through self-reporting questionnaire, inventory of complicated grief (ICG), PTSD Check List-5 (PCL-5) and Patient Health Questionnaire-9 (PHQ-9). We also included demographic, socioeconomic, health-related variables, and Functional Social Support Questionnaire (FSSQ), which affect the ICG score. Participants were divided into 4 groups based on the experience of psychotherapy or psychiatry clinic service before the accident and mental health support after the disaster. In univariate analysis, these 4 groups showed a significant difference in the mean ICG score (P = 0.020). Participants who received mental health support only after the Sewol ferry accident (group 2) showed a lower mean ICG score than those who received neither psychotherapy or psychiatry clinic service before the disaster nor mental health support after the accident (group 4). There was no significant correlation between the ICG score and other variables except for subjective health status measured 1 month after the disaster (P = 0.005). There was no significant difference in PCL-5 (P = 0.140) and PHQ-9 scores (P = 0.603) among groups, respectively. In conclusion, mental health support significantly reduced the severity of grief only in those participants who had not received any psychotherapy or psychiatry clinic service before the accident.
很少有研究评估多中心、复杂的心理健康支持对悲伤过程的总体影响。本研究调查了实际提供给丧亲家庭的心理健康支持对复杂性悲伤严重程度的更广泛影响。招募了93名世越号渡轮事故的丧亲家庭成员。通过自我报告问卷、复杂性悲伤量表（ICG）、创伤后应激障碍检查表-5（PCL-5）和患者健康问卷-9（PHQ-9）评估复杂性悲伤、创伤后应激障碍（PTSD）和抑郁症的严重程度。我们还纳入了影响ICG评分的人口统计学、社会经济、健康相关变量以及功能性社会支持问卷（FSSQ）。根据事故前接受心理治疗或精神科门诊服务的经历以及灾难后的心理健康支持情况，将参与者分为4组。在单因素分析中，这4组在平均ICG评分上存在显著差异（P = 0.020）。仅在世越号渡轮事故后接受心理健康支持的参与者（第2组）的平均ICG评分低于在灾难前既未接受心理治疗或精神科门诊服务也未在事故后接受心理健康支持的参与者（第4组）。除了灾难后1个月测量的主观健康状况外，ICG评分与其他变量之间没有显著相关性（P = 0.005）。各组之间的PCL-5（P = 0.140）和PHQ-9评分（P = 0.603）分别没有显著差异。总之，心理健康支持仅在事故前未接受任何心理治疗或精神科门诊服务的参与者中显著降低了悲伤的严重程度。
