title: [Family function and depression in relatives of earthquake victims: a survey conducted one year after China's Wenchuan Earthquake].
abstract: BACKGROUND
  The Wenchuan Earthquake that hit Sichuan, China in 2008 not only caused huge losses in terms of human life and economic damage. It also caused psychological trauma in survivors, especially those who had lost relatives and close friends (bereaved). In the aftermath of earthquakes, bereaved individuals require family and spiritual renewal in addition to material assistance.
  
  
  OBJECTIVE
  This study investigated the status of and relationship between family function and depression in bereaved individuals living in areas devastated by the Wenchuan Earthquake. Results provide baseline information for post-disaster family reconstruction.
  
  
  METHODS
  This cross-sectional study surveyed 264 qualified bereaved individuals who lived in an area hard hit by the Wenchuan Earthquake. Face-to-face interviews were administered based on the family APGAR(adaptation, partnership, growth, affection, resolve) index and Hamilton depression (HAMD) scale.
  
  
  RESULTS
  The mean family function score for participants was 6.52 ± 2.65. Results for half (50.0%) of participants indicated "good" family function. Results indicated marital status, family structure and status of having another baby as factors that significantly influence family function (p < .05). Participants' mean depression score was 40.41 ± 9.35, with all (100%) of participants demonstrating symptoms of depression. The 5 most prevalent depressive symptoms were: depressed mood, decreased interest in work, mental anxiety, diminished capacity and agitation. Results showed marital status, leisure frequency, economic status, and having another baby as factors that significantly influenced family function (p < .05). A Pearson's correlation analysis indicated no significant relationship between level of depression and family function (p >.05).
  
  
  CONCLUSIONS
  Family functions of the bereaved living in areas hard hit by the Wenchuan Earthquake were all undermined to varying degrees. Although participants all exhibited depressive symptoms, this study found no affect of such symptoms on family functions. Interventions delivered in the months and years after an earthquake should be tailored to address each individual's depression status. Interventions should also help these individuals learn to improve and enhance family functions to effectively reduce negative behaviors and reactions in order to better promote physical and mental health.
authors.affiliation: Department of Nursing, West China Hospital, Sichuan University, Republic of China.
authors.forename: Xiao-Lin
authors.initials: XL
authors.lastname: Hu
authors.forename: Xiao-Lin
authors.initials: XL
authors.lastname: Li
authors.forename: Xiao-Lian
authors.initials: XL
authors.lastname: Jiang
authors.forename: Rong
authors.initials: R
authors.lastname: Li
authors.forename: Xin-Man
authors.initials: XM
authors.lastname: Dou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D055866:Earthquakes; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged