Psychiatry Investig.  2018 Mar;15(3):254-260. 10.30773/pi.2017.05.04.

Factors Associated with Complicated Grief in Students Who Survived the Sewol Ferry Disaster in South Korea

• Lee SH
• Nam HS
• Kim HB
• Kim EJ
• Noh JW
• Chae JH

• KMID: 2429152
• DOI: http://doi.org/10.30773/pi.2017.05.04

Abstract

OBJECTIVE
The Sewol ferry disaster caused shock and grief in South Korea. The aim of this study was to identify the factors associated with symptoms of complicated grief (CG) among the surviving students 20 months after that disaster.
METHODS
This study was conducted using a cross-sectional design and a sample of 57 students who survived the Sewol ferry disaster. Data were collected using the following instruments: Inventory of Complicated Grief (ICG), the Lifetime Incidence of Traumatic Events-Child, the Child Report of Post-Traumatic Symptoms (CROPS), KIDSCREEN-27, Family Adaptability and Cohesion Evaluation Scales-III, the Peri-traumatic Dissociation-Post-traumatic Negative Beliefs-Post-traumatic Social Support scale, and the Strengths and Difficulties Questionnaire. A generalized linear model using a log link and Poisson distribution was performed to identify factors associated with symptoms of CG.
RESULTS
The mean score on the ICG was 15.57 (standard deviation: 12.72). Being born in 1999, a higher score on the CROPS and a lower score in autonomy and relationship with parents on the KIDSCREEN-27 were related to higher levels of CG.
CONCLUSION
Twenty months after the Sewol ferry disaster, 24.5% of surviving students were suffering from CG. This study uncovered a vulnerable population of bereaved children at high risk for CG.

Keyword

Sewol ferry disaster; Surviving students; Complicated grief; Associated factors

MeSH Terms

Child
Disasters*
Grief*
Humans
Incidence
Korea*
Linear Models
Parents
Shock
Vulnerable Populations