Prevalence and risk factors of complicated grief among Sichuan earthquake survivors

Jiang, Li; Chow, Amy; Shi, Zhanbiao; Chan, Cecilia L. W.

doi:10.1016/j.jad.2015.01.003

Cited by 48 publications

(70 citation statements)

References 46 publications

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“…Previous studies also showed that number of losses is unrelated to psychopathology levels (Li et al, 2015; Stammel et al, 2013). …”

Section: Discussionmentioning

confidence: 81%

“…Kristensen et al’s (2010) study showed that suffering multiple disaster-related losses concurrently seems to be associated with elevated psychopathology levels. In contrast, other studies showed that the effect of multiple losses disappeared when the nature of the relationship to the deceased was taken into account (Li et al, 2015; Stammel et al, 2013). Kristensen et al (2010) also found longer time to confirmation of death to be associated with elevated psychopathology levels.…”

Section: Introductionmentioning

confidence: 92%

“…Previous research among disaster-bereaved individuals has shown that psychopathology levels were higher among women, more recently (compared with remotely) bereaved individuals, and those with closer kinship to the deceased (Kristensen, 2010; Li, Chow, Shi, & Chan, 2015). We therefore expected that these variables would distinguish the Resilient class from the other classes.…”

Section: Introductionmentioning

confidence: 99%

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Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis

Lenferink

Keijser

Smid

et al. 2017

European Journal of Psychotraumatology

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Background: Hundreds of individuals lost one or more significant others in the MH17 plane crash in 2014 in Ukraine. The current study is the first to explore subgroups of disaster-bereaved individuals based on presence of psychopathology clusters. This may inform the development of diagnostic instruments and tailored interventions. Objective: Aims of the current study were to examine (1) subgroups based on presence of prolonged grief disorder (PGD), major depressive disorder (MDD), and posttraumatic stress disorder (PTSD) symptom clusters and (2) associations between class membership, disaster-related variables (i.e. experiencing multiple losses, conducting multiple burials for the same deceased, and time to confirmation of death), and a sense of unrealness. Method: Self-rated PGD (10 items of the Traumatic Grief Inventory represented in two symptom clusters), MDD (16-item Quick Inventory Of Depressive Symptomatology represented in one symptom cluster), and PTSD (20-item PTSD Checklist for DSM-5 represented in four symptom clusters) from 167 participants were subjected to latent class analysis to identify subgroups (i.e. classes). Correlates of class membership were assessed using the three-step approach. Results: A three-class solution yielded the best model fit. Class 1 (Resilient class; 20.0%) was predominantly characterized by low probability of PGD, MDD, and PTSD symptom clusters, class 2 (PGD class; 41.8%) by moderate to high probability of presence of PGD, and class 3 (Combined class; 38.2%) by moderate to high probability of presence of PGD, MDD, and PTSD symptom clusters. Compared with the Resilient class, a sense of unrealness was more likely to be experienced by individuals in the PGD class and the Combined class. Conclusions: Our results indicate that subgroups of disaster-bereaved individuals can be distinguished based on the presence of PGD, MDD, and PTSD symptom clusters. A sense of unrealness was the strongest distinguishing feature of the subgroups.

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“…Previous studies also showed that number of losses is unrelated to psychopathology levels (Li et al, 2015; Stammel et al, 2013). …”

Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis

Lenferink

Keijser

Smid

et al. 2017

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…Items are rated on a 5‐point Likert scale ranging from 0 ( never ) and 4 ( completely) . The Chinese version of the ICG has gained good internal consistency (.96) in an empirical study by Li, Chow, Shi, and Chan (). In this study, the internal consistency was .916.…”

Section: Methodsmentioning

confidence: 99%

Effects of social support and cultural capital on global meaning among bereaved elders in rural China: A hierarchical linear analysis

Pan

2019

Journal Community Psychology

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This study explored the context effect in the relationship between capital (income, social support, and cultural capital) and changes in global meaning. We interviewed a sample of 352 bereaved Chinese elders from 18 communities in rural China and conducted hierarchical linear modeling for data analysis. The effects of social support and cultural capital in terms of traditional Chinese culture on changes in global meaning differed across communities. Social support earned its credit in buffering function against bereavement, whereas traditional Chinese culture posed a risk of elevating negative global meaning. More social support and positive global meaning are reliable predictors for enhancing the psychological health of bereaved elders.

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“…Distresses (e.g. CG, complicated grief; depression or anxiety) have been reported among the Chinese population (He et al, ; Li, Chow, Shi, & Chan, ), just as they are among bereaved people in the west (Hooyman & Kramer, ; Ott, Lueger, Kelber, & Prigerson, ). Beyond the similar psychological burdens exist cultural implications unique to Chinese people.…”

Section: Introductionmentioning

confidence: 99%

Response to spousal death according to faith in traditional Chinese culture among older Chinese: Moderation by occupation

Pan

2019

Health Soc Care Community

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This study aims to enrich the knowledge of the effects of traditional Chinese culture on bereavement outcomes among older Chinese, and to examine the moderating role of occupation in the relationship between traditional culture and bereavement outcomes. A sample of 352 older Chinese in widowhood was interviewed by quota sampling. A scale of faith in traditional Chinese culture was developed and confirmed by factor analysis. Complicated grief (CG) functioned as the outcome variable. Results showed that faith in traditional culture did affect CG among the sample, and previous occupation moderated the effect of traditional culture on CG. That is, the effect of faith in Chinese culture on CG is stronger in the non‐peasant group than the peasant group. The results broaden the knowledge of spousal bereavement in a Chinese context. Services such as death education and occupational therapy were recommended according to this study.

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Prevalence and risk factors of complicated grief among Sichuan earthquake survivors

Cited by 48 publications

References 46 publications

Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis

Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis

Effects of social support and cultural capital on global meaning among bereaved elders in rural China: A hierarchical linear analysis

Response to spousal death according to faith in traditional Chinese culture among older Chinese: Moderation by occupation

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