从损失到障碍:不适应应对长期悲伤的影响
Kirsten V Smith1, Jennifer Wild2, Anke Ehlers3
1Department of Experimental Psychology, University of Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK; The Loss Foundation, [Registered Charity 1147362], London, UK.
Psychiatry research
|July 28, 2024
概括
某些悲伤应对策略,如反和避免,预测长期悲伤障碍 (PGD). 了解这些不适应的策略对于开发有效的丧亲干预措施至关重要. 这项研究引入了牛津悲伤应对策略尺度.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 悲伤后应对策略可以是适应性的或不适应性的,影响心理健康结果.
- 识别适应不良的策略是临床干预和对悲伤的理论理解的关键.
- 长期悲伤障碍 (PGD) 是悲伤后临床关注的一个重要领域.
研究的目的:
- 开发和验证牛津悲伤应对策略 (OG-CS) 的规模.
- 评估OG-CS的心理测量特性和因数有效性.
- 检查应对策略与ICD-11PGD症状相关的预测有效性.
主要方法:
- 基于对悲伤的个人进行的采访,开发了OG-CS尺度.
- 探索性和确认性因子分析 (N=676) 以确定因子有效性.
- 三波交叉滞后面板建模 (N=275) 以评估随时间推移的预测有效性.
主要成果:
- OG-CS尺度表现出良好的心理测量特性,支持一个四个因素的解决方案:避免,接近寻求,损失反省和不公正反省.
- OG-CS尺度预测了短期 (6-12个月) 和长期 (12-18个月) 随访期间的PGD潜在症状.
- 避免应对并不能预测丧亲早期的PGD,但在6-12个月评估时预测了晚些时候的PGD发作 (12-18个月).
结论:
- OG-CS尺度是评估适应不良悲伤应对策略的有效和可靠措施.
- 特定的不适应策略,包括反和以后出现的避免,是PGD的重要预测因素.
- 调查结果强调了针对长期悲伤的干预措施中适应不良的应对机制的重要性.
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