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Posttraumatic stress disorder and complicated grief in bereaved parents of the Sewol Ferry disaster exposed to injustice following the loss

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  • Hyunjung Choi
  • Sun-mi Cho

Abstract

Background: Perceived justice after man-made disaster bereavement may involve as a protective factor in the recovery process. However, perceived justice related to posttraumatic stress disorder (PTSD) or complicated grief (CG) after disaster bereavement has not been sufficiently discussed in previous studies. Aims: This study aims to assess PTSD and CG in bereaved parents of Sewol disaster and to explore whether perceived justice is related with the diagnostic groups. Methods: Bereaved parents of Sewol disaster ( N  = 122) were interviewed approximately 2 years after the incident. Structured interviews for PTSD and CG were assessed, and perceived institutional justice surrounding the incident was measured. Symptom groups were identified, and multinomial logistic regression was conducted to find whether perceived justice was related with PTSD or CG. Results: Participants showed high rates of CG and PTSD, and were classified into the both PTSD and CG group, the CG-only group and the resilient group. The analysis revealed that less perceived justice and being a mother increased the likelihood of having both PTSD and CG. Less perceived justice also showed a tendency to be associated with having CG without PTSD. Conclusion: Parents bereaved by the Sewol disaster had high PTSD and CG related to lower levels of perceived justice surrounding the post-disaster period. Post-disaster environment seeking justice may facilitate the natural grieving process or encourage access to effective individual interventions.

Suggested Citation

  • Hyunjung Choi & Sun-mi Cho, 2020. "Posttraumatic stress disorder and complicated grief in bereaved parents of the Sewol Ferry disaster exposed to injustice following the loss," International Journal of Social Psychiatry, , vol. 66(2), pages 163-170, March.
    • Handle: RePEc:sae:socpsy:v:66:y:2020:i:2:p:163-170
    DOI: 10.1177/0020764019894607
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    References listed on IDEAS

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    1. Susan Rees & Derrick Silove & Teresa Verdial & Natalino Tam & Elisa Savio & Zulmira Fonseca & Rosamund Thorpe & Belinda Liddell & Anthony Zwi & Kuowei Tay & Robert Brooks & Zachary Steel, 2013. "Intermittent Explosive Disorder amongst Women in Conflict Affected Timor-Leste: Associations with Human Rights Trauma, Ongoing Violence, Poverty, and Injustice," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-7, August.
    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.
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