Pfeffer Cynthia R, Jiang Hong, Kakuma Tatsuyuki, Hwang Judy, Metsch Michele
Childhood Bereavement Program, Weill Medical College of Cornell University, New York, USA.
J Am Acad Child Adolesc Psychiatry. 2002 May;41(5):505-13. doi: 10.1097/00004583-200205000-00007.
This study evaluated efficacy of a manual-based bereavement group intervention for children who suffered suicide of a parent or sibling.
Seventy-five families (102 children) were screened from medical examiners' lists of suicide victims. Fifty-two families (75 children) were eligible and assigned in alternating order to receive (27 families, 39 children) or not to receive (25 families, 36 children) the intervention. Intervention efficacy was evaluated as change in children's symptoms of anxiety, depression, posttraumatic stress, social adjustment, and parents' depressive symptoms from initial to outcome assessments.
Changes in anxiety and depressive symptoms were significantly greater among children who received the intervention than in those who did not. A greater dropout of children assigned not to receive (75%) than to receive (18%) intervention led to an imbalance in retention of intervention and nonintervention participants.
A bereavement group intervention focusing on reactions to death and suicide and strengthening coping skills can lessen distress of children bereaved after parental or sibling suicide. Such intervention may prevent future morbidities.
本研究评估了一种基于手册的丧亲团体干预对父母或兄弟姐妹自杀的儿童的疗效。
从法医的自杀受害者名单中筛选出75个家庭（102名儿童）。52个家庭（75名儿童）符合条件，并交替分配接受（27个家庭，39名儿童）或不接受（25个家庭，36名儿童）干预。干预效果通过儿童焦虑、抑郁、创伤后应激、社会适应症状以及父母抑郁症状从初始评估到结果评估的变化来评估。
接受干预的儿童在焦虑和抑郁症状方面的变化显著大于未接受干预的儿童。未接受干预的儿童（75%）比接受干预的儿童（18%）有更高的退出率，这导致了干预组和非干预组参与者留存率的不平衡。
一种专注于对死亡和自杀反应并加强应对技能的丧亲团体干预可以减轻父母或兄弟姐妹自杀后丧亲儿童的痛苦。这种干预可能预防未来的发病情况。
