Conflict-related trauma and bereavement: exploring differential symptom profiles of prolonged grief and posttraumatic stress disorder

BMC Psychiatry

Research Article

Manuel Heinrich¹  Christine Knaevelsrud¹  Nadine Stammel²  Carina Heeke² 

[1] Department of Clinical-Psychological Intervention, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany;Department of Clinical-Psychological Intervention, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany;Center Ueberleben gGmbH, Turmstr. 21, 10559, Berlin, Germany;

关键词: Prolonged grief;    Posttraumatic stress disorder;    Trauma;    Bereavement;    Armed conflict;   

DOI  :  10.1186/s12888-017-1286-2

 received in 2016-09-10, accepted in 2017-03-25,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundExposure to trauma and bereavement is common in conflict-affected regions. Previous research suggests considerable heterogeneity in responses to trauma and loss with varying symptom representations. The purpose of the current study was to (1) identify classes of prolonged grief disorder (PGD) and posttraumatic stress disorder (PTSD) symptom profiles among individuals who were exposed to both trauma and loss due to the Colombian armed conflict and (2) to examine whether sociodemographic, loss and trauma-related characteristics could predict class membership.MethodsThree hundred eight victims of internal displacement who had experienced trauma and loss were assessed through measures of PGD (PG-13), PTSD (PCL-C), and social support (DUKE-UNC). Latent class analysis (LCA) was performed to analyze differential profiles by symptoms of PGD and PTSD and multinomial logistic regression was used to analyze predictors of class membership.ResultsLCA revealed a four-class solution: a resilient class (23.6%), a PTSD-class (23.3%), a predominately PGD class (25.3%) and a high distress-class with overall high values of PGD and PTSD (27.8%). Relative to the resilient class, membership to the PGD class was predicted by the loss of a close family member and the exposure to a higher number of assaultive traumatic events, whereas membership to the PTSD class was predicted by the perception of less social support. Compared to the resilient class, participants in the high distress-class were more likely to be female, to have lost a close relative, experienced more accidental and assaultive traumatic events, and perceived less social support.DiscussionSpecific symptom profiles emerged following exposure to trauma and loss within the context of the Colombian armed conflict. Profiles were associated with distinct types of traumatic experiences, the degree of closeness to the person lost, the amount of social support perceived, and gender. The results have implications for identifying distressed subgroups and informing interventions in accordance with the patient’s symptom profile.

【 授权许可】

CC BY   
© The Author(s). 2017