丧失后抑郁,焦虑和PTSS的危险因素:系统性审查和元分析
C Buur1, R Zachariae2, M M Marello3
1Unit for Bereavement Research, Dept. of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Denmark; The Danish National Center for Grief, Copenhagen, Denmark.
Clinical psychology review
|May 9, 2025
概括
损失后复杂的悲伤反应,如抑郁,焦虑和创伤后压力症状 (PTSS),可以通过特定的风险因素预测. 识别这些因素有助于为遇到丧亲的个人提供早期支持.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 丧亲可能会引发复杂的悲伤反应,包括抑郁,焦虑和创伤后应激症状 (PTSS).
- 确定特定和共同的风险因素对于早期干预和支持至关重要.
研究的目的:
- 进行系统性审查和元分析,确定丧失后抑郁症,焦虑症和PTSS的风险因素.
- 确定已识别的风险因素的预测力.
主要方法:
- 在PsycInfo,PubMed,Web of Science和CINAHL数据库中进行全面搜索.
- 对144项关于复杂悲伤反应风险因素的研究进行了系统审查和元分析.
主要成果:
- 失去前的抑郁是抑郁症最强的预测因素 (ESr=0.25).
- 亲戚死亡是PTSS最大的风险因素 (ESr=0.24).
- 女性性别显著预测了焦虑 (ESr=0.21);它也是一个跨诊断风险因素,与伴侣死亡和暴力/非自然损失一起.
结论:
- 这项研究概述了丧失后抑郁症,焦虑症和PTSS的危险因素.
- 对跨诊断性风险因素的洞察力可以改善早期识别那些面临复杂悲伤风险的人.
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