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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
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Complicated grief associated with hurricane Katrina.

M Katherine Shear1, Katie A McLaughlin, Angela Ghesquiere

  • 1Columbia University School of Social Work and Columbia University College of Physicians and Surgeons, New York, New York, USA. ks2394@columbia.edu

Depression and Anxiety
|July 29, 2011
PubMed
Summary

Complicated grief (CG) after Hurricane Katrina was most often linked to non-death losses, such as tangible or interpersonal losses, not just the death of loved ones. This highlights the need to address diverse grief reactions following disasters.

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Area of Science:

  • Disaster epidemiology
  • Psychotraumatology
  • Grief research

Background:

  • Few studies have examined complicated grief (CG) following disasters.
  • No prior research has assessed CG related to non-death losses after a natural disaster.

Purpose of the Study:

  • To investigate the prevalence and predictors of complicated grief (CG) following Hurricane Katrina.
  • To explore the types of losses associated with CG in a disaster-affected population.

Main Methods:

  • A baseline survey of 3,088 residents affected by Hurricane Katrina was conducted.
  • A four-item screen for CG, consistent with proposed DSM-V criteria, was administered.

Main Results:

  • Over half of respondents reported significant hurricane-related losses.
  • Tangible (29.0%) and interpersonal (9.5%) losses were most common.
  • 26.1% of those with significant loss had possible CG, and 7.0% had moderate-to-severe CG.
  • While death of a loved one had the highest risk for CG (18.5%), tangible and interpersonal losses accounted for the majority of cases.
  • Predictors of CG varied, with some unique to bereavement and others to non-bereavement losses.

Conclusions:

  • Non-bereavement losses were the primary driver of complicated grief (CG) after Hurricane Katrina.
  • Clinicians must address a wide spectrum of grief reactions, not solely bereavement-related, in disaster survivors.
  • Further research on CG should extend beyond bereavement to encompass diverse loss experiences.