在一个大型跨文化样本中,体征性症状困扰和ICD-11长期悲伤
Severin Hennemann1, Clare Killikelly2, Philip Hyland3
1Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg University Mainz, Mainz, Germany.
European journal of psychotraumatology
|September 28, 2023
概括
高水平的体征性症状困扰在丧失者中很常见,特别是那些患有长期悲伤障碍 (PGD) 的人. 焦虑和抑郁等负面情绪部分解释了这种联系,强调了悲伤,痛苦和心理健康之间的联系.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 悲伤研究 悲伤研究
背景情况:
- 悲伤是一种复杂的经历,包括情绪,社会和身体反应.
- 国际疾病分类第11版 (ICD-11) 长期悲伤障碍 (PGD) 研究表明悲伤症状的文化差异.
- 了解这些变异对于全面的悲伤评估至关重要.
研究的目的:
- 为了调查悲伤的个人与PGD症状的体质症状的患病率.
- 检查体质症状困扰,PGD和负面影响 (焦虑,抑郁) 之间的关联.
- 在一个文化多样化的样本中探索这些关系.
主要方法:
- 来自悲伤的测量和评估 (MAGIC) 项目的横截面调查数据.
- 来自不同文化地区的1337名参与者 (美国,土耳其/伊朗,塞浦路斯/希腊) 经历了损失.
- 使用的经过验证的尺度:人体症状尺度 (SSS-8),国际长期悲伤障碍尺度 (IPGDS-33),GAD-7,PHQ-9.
主要成果:
- 在可能的PGD病例中,58.2%报告高/非常高的体征性症状困扰,而非PGD组的这一比例为22.4%.
- 在对其他因素进行控制后,PGD症状与体质症状困扰 (β=0.08,p<.001) 有着显著的,微弱的关联.
- 负面影响 (焦虑和抑郁) 介导了PGD症状和体质症状困扰之间的关系的58%.
结论:
- 实质性的体征性症状困扰在不同文化中悲伤的个体中很普遍.
- 预后性疾病与体质症状困扰有关,负面影响起着显著的间接作用.
- 对身体症状和负面影响的临床关注对于管理长期悲伤很重要.
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