Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan Earthquake.

Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan Earthquake.
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DOI:
10.1371/journal.pone.0060738
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Li R
Li R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Cao X;Jiang X;Li X;Hui Lo MC;Li R

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2008年中国汶川地震造成了巨大的生命财产损失,以往的研究主要集中在灾后幸存者的精神病理症状上。本研究考察了2008年汶川大地震18个月后灾难遇难者的感知家庭功能及其预测因素。这是一项对264名丧亲者的方便样本的横断面研究。研究使用的工具包括家庭APGAR指数、家庭适应性和凝聚力评价量表??,情感和社会孤独量表,以及一系列引出人口特征和灾害相关变量的项目。结果表明:丧亲人群中中度家庭功能障碍率为37.1%,重度家庭功能障碍率为12.9%;地震期间较少的经济损失是积极的家庭功能的重要预测因素。震后自评健康状况较好与积极的家庭功能、凝聚力和适应性显著相关。大家庭和核心家庭丧偶个体的家庭凝聚力和适应能力得分显著高于单亲家庭丧偶个体。失去亲人的父母生育另一个孩子的能力是积极的家庭功能和凝聚力的重要预测因子。较差的家庭功能、凝聚力和适应性与孤独感显著相关。本研究发现,2008年汶川地震发生18个月后,家庭功能障碍在失去亲人的个体中普遍存在。可以制定战略,以促进灾后恢复,特别是为家庭功能失调风险高的丧亲者。这项研究为灾后重建和救援工作提供了有用的信息。
The 2008 Wenchuan earthquake in China resulted in great loss of life and property, and previous studies have focused on psychopathological symptoms in survivors after disasters. This study examined perceived family functioning and its predictors in disaster bereaved individuals eighteen months after the 2008 Wenchuan earthquake. This was a cross-sectional study of a convenience sample of 264 bereaved individuals. The instruments used in the study included Family APGAR Index, Family Adaptability and Cohesion Evaluation Scale??, Emotional and Social Loneliness Scale, and a range of items eliciting demographic characteristics and disaster-related variables. The results indicated that the rates of moderate family dysfunction and severe family dysfunction in bereaved individuals were 37.1% and 12.9%, respectively. Less financial loss during the earthquake was a significant predictor for positive family function. Better self-rated health status after the earthquake was significantly related to positive family function, cohesion, and adaptability. Scores on family cohesion and adaptability in bereaved individuals from extended or nuclear families were significantly higher than those from single-parent families. The ability to give birth to another baby of bereaved parents was a significant predictor for positive family function and cohesion. Poorer family function, cohesion and adaptability were significantly related to greater loneliness. This study found a high prevalence of family dysfunction in bereaved individuals eighteen months after the 2008 Wenchuan earthquake. Strategies can be designed to facilitate post-disaster recovery, particularly for the bereaved at high risk for family dysfunction. The study provides useful information for post-disaster rebuilding and relief work.
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