伴随性长期悲伤,创伤后应激障碍和抑郁的轨迹,为丧亲家庭代孕
Fur-Hsing Wen1, Holly G Prigerson2, Wen-Chi Chou3,4
1Department of International Business, Soochow University, Taipei, Taiwan.
JAMA network open
|November 10, 2023
概括
经历重症监护室 (ICU) 丧亲的家庭代孕经常面临长期悲伤障碍 (PGD),创伤后应激障碍 (PTSD) 和抑郁症. 这项研究确定了不同的症状轨迹和它们的同时发生,强调了早期查的必要性.
科学领域:
- 精神病学是一个精神病学.
- 悲伤研究 悲伤研究
- 密集护理医学 密集护理医学
背景情况:
- 重症监护室 (ICU) 患者的家庭代理人面临着严重的心理痛苦.
- 长期悲伤障碍 (PGD),创伤后应激障碍 (PTSD) 和抑郁障碍是常见的,但通常被孤立地研究.
研究的目的:
- 同时检查 PGD,PTSD 和丧亲家庭代孕的抑郁症状的同时发生和不同的轨迹.
- 在ICU中死去的亲人之后,识别症状随时间演变的模式.
主要方法:
- 一项队列研究涉及来自台湾两家医疗中心的303名家庭代孕妇,随访数据收集于丧生后6至24个月.
- 隐性生长混合模型和联合隐性类分析被用于识别和评估症状轨迹及其同时发生.
- 标准化尺度 (PG-13,IES-R,HADS) 用于在多个时间点测量PGD,PTSD和抑郁症状.
主要成果:
- 对于PGD,PTSD和抑郁症状,确定了三个不同的轨迹 (弹性,恢复,慢性痛苦).
- 对所有症状类型来说,弹性轨迹是最常见的.
- 大多数代孕妇 (75.2%) 经历了同时出现的PGD,PTSD和抑郁症状,通常是有弹性或恢复的模式,尽管有些人表现出持续的痛苦.
结论:
- 在ICU丧亲期间,与悲伤相关的心理症状是复杂而异质的,以不同的轨迹发展.
- 很大一部分丧亲的代孕产妇经历了持续或同时出现的PGD,PTSD和抑郁症状.
- 早期查至关重要,以识别需要支持的高风险个体,并发性心理困扰.
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