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https://hdl.handle.net/2440/97427
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Type: | Journal article |
Title: | Lessons from the 2004 Asian tsunami: nature, prevalence and determinants of prolonged grief disorder among tsunami survivors in South Indian coastal villages |
Author: | Rajkumar, A. Mohan, T. Tharyan, P. |
Citation: | International Journal of Social Psychiatry, 2015; 61(7):645-652 |
Publisher: | SAGE Publications |
Issue Date: | 2015 |
ISSN: | 0020-7640 1741-2854 |
Statement of Responsibility: | Anto P Rajkumar, Titus SP Mohan and Prathap Tharyan |
Abstract: | BACKGROUND: Prolonged grief disorder (PGD), previously called complicated grief, is associated with significant distress and long-term disability, and it may complicate assessments for post-traumatic stress disorder (PTSD) after traumatic events. METHODS: In order to distinguish PGD from PTSD, we conducted a cross-sectional survey among tsunami survivors in five tsunami-affected coastal villages in India, 9 months after the Asian tsunami. RESULTS: Prevalence of PGD among 643 tsunami survivors was 14.2% (95% confidence interval (CI): 11.5%-16.9%) and among the 351 bereaved survivors was 25.9% (95% CI: 21.3%-30.5%). Spousal bereavement, extensive damage to homes, fewer years of education, and absence of tsunami-related physical injury differentiated those with PGD, after adjusting for potential confounders (p < .05). These factors were distinct from the factors associated with post-traumatic stress symptoms (PTSS) among these survivors. Scores on the avoidance, hyper-arousal and intrusion subscales of the Impact of Events Scale-Revised were significantly lower in those with PGD alone than in those with PTSS or with both disorders. CONCLUSION: Our findings support the validity of PGD in a non-Western post-disaster community and its distinctness from PTSD. They have important public health implications in planning responses to natural disasters and for future revisions of diagnostic classifications. |
Keywords: | Grief; post-traumatic stress disorder; disasters; prevalence; epidemiology; regression analysis |
Description: | Published online before print February 16, 2015 |
Rights: | © The Author(s) 2015 |
DOI: | 10.1177/0020764015570713 |
Published version: | http://dx.doi.org/10.1177/0020764015570713 |
Appears in Collections: | Aurora harvest 3 Psychiatry publications |
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