设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
重大疾病丧亲者的延长哀伤症状及预测因素
作者:徐慰  何丽  符仲芳  王建平 
单位:1. 北京师范大学心理学院  北京100875 
2.
 首都医科大学  北京100088 
关键词:重大疾病 延长哀伤障碍 哀伤反应 预测因素 
分类号:R395.2
出版年,卷(期):页码:2015,23(2):277-280
摘要:

目的:考察重大疾病丧亲者的延长哀伤症状及其预测因素。方法:通过寻访和网络招募的方式对256名重大疾病丧亲者进行问卷测查。结果:所有丧亲者中没有完全符合延长哀伤障碍诊断的个体,但有4名丧亲者达到了临界标准。逝者离世时长、逝者离世时的年龄、与逝者的亲密程度与延长哀伤症状具有显著的相关性。丧亲者的延长哀伤症状得分在亲属级数、与逝者关系、教育程度和婚姻状况上存在显著差异。将所有因素纳入回归方程后发现:最能预测重大疾病丧亲者延长哀伤症状的因素包括:小学及以下的教育程度、逝者离世时长、逝者离世时的年龄。结论:相比于其他丧亲类型,重大疾病丧亲者的延长哀伤障碍的患病率较低,其延长哀伤症状受到部分人口学特征和丧失相关特征的影响。

Objective:To investigate the Prolonged Grief Disorder(PGD) symptoms and their predictive factors among bereaved individuals.Methods:256 bereaved individuals whose relatives died of critical diseases participated in this research and completed a series of questionnaires.Results:No subjects met the criteria of Prolonged Grief Disorder. However, 4 reached the margin to meet the criteria of PGD. PGD symptoms was significantly correlated with the duration of loss, the age of the diseased and the degree of intimacy with the diseased. There were significant differences of PGD symptoms on the ranks of relatives, the family relation, education and marital status. After all the variables were put into a regression equation, 3 factors(years of education, duration of loss and the age of the diseased) significantly predicted the PGD symptoms.Conclusion:Compared with other types of loss, bereaved individual whose relatives died of critical diseases had a relatively low prevalence with PGD. The PGD symptoms may be influenced by years of education, duration of loss and the age of the diseased relatives.

基金项目:
首都医科大学精神疾病诊断与治疗北京市重点实验室开放课题(2014JSJB02)资助;中央高校基本科研业务费专项资金资助。
作者简介:
参考文献:

1 Bonanno GA, Kaltman S. The varieties of grief experience. Clinical Psychology Review, 2001, 21(5):705-734
2 Prigerson HG, Shear MK, Jacobs SC, et al. Consensus criteria for traumatic grief. A preliminary empirical test. The British Journal of Psychiatry, 1999, 174(1):67-73
3 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders(DSM-5). Washington, American Psychiatric Association, 2013
4 Maercker A, Brewin CR, Bryant RA, et al. Diagnosis and classification of disorders specifically associated with stress:Proposals for ICD-11. World Psychiatry, 2013, 12(3):198-206
5 Jacobs S, Mazure C, Prigerson H. Diagnostic criteria for traumatic grief. Death studies, 2000, 24(3):185-199
6 Boelen PA, van den Bout J, van den Hout MA. Negative cognitions and avoidance in emotional problems after bereavement:a prospective study. Behaviour Research and Therapy,2006, 44(11):1657-1672
7 Prigerson HG, Horowitz MJ, Jacobs SC, et al. Prolonged grief disorder:Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 2009, 6(8):e1000121
8 何丽,王建平,尉玮,等. 301名丧亲者哀伤反应及其影响因素. 中国临床心理学杂志,2013,21(6):932-936
9 谢秋媛,王建平,何丽,等. 延长哀伤障碍是独立的诊断吗?——和创伤后应激障碍、抑郁焦虑的关系. 中国临床心理学杂志,2014,22(3):442-446
10 董志伟,乔友林,李连弟,等. 中国癌症控制策略研究报告. 中国肿瘤,2002,11(5):250-260
11 陈万青,张思维,曾红梅,等. 中国2010 年恶性肿瘤发病与死亡. 中国肿瘤,2014,23(1):1-10
12 Bonanno GA, Galea S, Bucciarelli A, et al. What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 2007, 75(5):671-682
13 黄雪薇."癌症"的诊断对患者及其亲属的影响调查. 中国公共卫生,2001,17(10):951-952
14 Allen JY, Haley WE, Small BJ, et al. Bereavement among hospice caregivers of cancer patients one year following loss:Predictors of grief, complicated grief, and symptoms of depression. Journal of Palliative Medicine, 2013, 16(7):745-751
15 Chiu YW, Huang CT, Yin SM, et al. Determinants of complicated grief in caregivers who cared for terminal cancer patients. Supportive Care in Cancer, 2010, 18(10):1321-1327
16 Kramer BJ, Kavanaugh M, Trentham-Dietz A, et al. Complicated grief symptoms in caregivers of persons with lung cancer:The role of family conflict, intrapsychic strains, and hospice utilization. OMEGA——Journal of Death and Dying,2013, 62(3):201-220
17 Williams AL, McCorkle R. Cancer family caregivers during the palliative, hospice, and bereavement phases:a review of the descriptive psychosocial literature. Palliative and Supportive Care, 2011, 9(3):315-325
18 贾晓明. 从民间祭奠到精神分析-关于丧失后哀伤的过程. 中国心理卫生杂志,2005,19(8):569-571
19 任宁,吴中亮,朱霞,等. 癌症患者主要照顾亲属的抑郁状况及影响因素. 第四军医大学学报,2007,28(19):1816-1818
20 Newson RS, Boelen PA, Hek K, et al. The prevalence and characteristics of complicated grief in older adults. Journal of Affective Disorders, 2011, 132(1):231-238
21 Kersting A, Brähler E, Glaesmer H, et al. Prevalence of complicated grief in a representative population-based sample. Journal of Affective Disorders, 2011, 131(1):339-343

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626