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Lessons from the 2004 Asian tsunami: Nature, prevalence and determinants of prolonged grief disorder among tsunami survivors in South Indian coastal villages

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Listed:
  • Anto P Rajkumar
  • Titus SP Mohan
  • 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  

Suggested Citation

  • Anto P Rajkumar & Titus SP Mohan & Prathap Tharyan, 2015. "Lessons from the 2004 Asian tsunami: Nature, prevalence and determinants of prolonged grief disorder among tsunami survivors in South Indian coastal villages," International Journal of Social Psychiatry, , vol. 61(7), pages 645-652, November.
    • Handle: RePEc:sae:socpsy:v:61:y:2015:i:7:p:645-652
    DOI: 10.1177/0020764015570713
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    References listed on IDEAS

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    1. A. P. Rajkumar & T. S. P. Mohan & P. Tharyan, 2013. "Lessons from the 2004 Asian tsunami: Epidemiological and nosological debates in the diagnosis of post-traumatic stress disorder in non-Western post-disaster communities," International Journal of Social Psychiatry, , vol. 59(2), pages 123-129, March.
    2. Holly G Prigerson & Mardi J Horowitz & Selby C Jacobs & Colin M Parkes & Mihaela Aslan & Karl Goodkin & Beverley Raphael & Samuel J Marwit & Camille Wortman & Robert A Neimeyer & George Bonanno & Susa, 2009. "Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for DSM-V and ICD-11," PLOS Medicine, Public Library of Science, vol. 6(8), pages 1-12, August.
    3. Rajkumar, Anto P. & Premkumar, Titus S. & Tharyan, Prathap, 2008. "Coping with the Asian tsunami: Perspectives from Tamil Nadu, India on the determinants of resilience in the face of adversity," Social Science & Medicine, Elsevier, vol. 67(5), pages 844-853, September.
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