Complicated grief and posttraumatic stress symptom profiles in bereaved earthquake survivors: A latent class analysis

Maarten Eisma, Lonneke Lenferink, Amy Chow, Cecillia Chan, Jie Li

OnderzoeksoutputAcademicpeer review

27 Citaten (Scopus)
215 Downloads (Pure)


Background: Studies on mental health following disasters have primarily focused on posttraumatic stress disorder (PTSD), yet severe, enduring and disabling grief (i.e., complicated grief, CG) also appears relevant.
Objective: The present study examines symptom profiles of PTSD and CG among bereaved Sichuan earthquake survivors one year after the disaster.
Methods: Self-report measures of demographic, disaster, and loss-related characteristics and symptoms of PTSD and CG were administered among 803 survivors (63% women, mean age = 46.7 years). Latent class analysis (LCA) was performed to identify subgroups of people with different PTSD and CG symptom profiles.
Results: The LCA demonstrated that a five class solution yielded the best fit, consisting of a CG class with low PTSD and high CG (N = 208), a combined class with high PTSD and high CG (N = 205), a class with low PTSD and partial CG (N = 145), a class with partial PTSD and CG (N = 136), and a resilient class with low PTSD and CG (N =
108). Being a woman (vs. man), losing a child or spouse (vs. other), being injured (vs. non-injured), and/or having a missing family member (vs. non-missing) predicted membership of the CG class compared to other classes.
Conclusions: CG appears a unique consequence of disasters involving many casualties. Disaster survivors should be screened for CG and provided with appropriate psychological treatment.
Originele taal-2English
Aantal pagina's12
TijdschriftEuropean Journal of Psychotraumatology
Nummer van het tijdschrift1
StatusPublished - 1-jan-2019

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