Ogrodniczuk John S, Joyce Anthony S, Piper William E
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada.
J Nerv Ment Dis. 2003 Aug;191(8):524-30. doi: 10.1097/01.nmd.0000082180.09023.64.
This study investigated changes in perceived social support after group therapy for patients who developed complicated grief reactions subsequent to a variety of death losses. Sixty-one psychiatric outpatients, who received either interpretive or supportive group therapy, rated their perceptions of social support from 3 sources (family, friends, a special person) before treatment onset, after treatment completion, and 6 months after treatment. For patients in both forms of therapy, perceived social support from all 3 sources changed significantly during the follow-up period, but not during the treatment period. Changes (pretherapy to 6-month follow-up) in depressive symptomatology were found to be associated with changes in perceived social support. The results suggest that perceived support improves after, but not during, psychiatric treatment of complicated grief, and that a reduction in depression severity is associated with improvement in perceived social support. Possible explanations and implications of these findings are discussed.
本研究调查了在经历各种死亡损失后出现复杂悲伤反应的患者接受团体治疗后感知到的社会支持的变化。61名接受解释性或支持性团体治疗的精神科门诊患者，在治疗开始前、治疗结束后以及治疗后6个月，对来自3个来源（家人、朋友、一个特殊的人）的社会支持感知进行了评分。对于接受两种治疗形式的患者，在随访期间，来自所有3个来源的感知社会支持均有显著变化，但在治疗期间没有变化。发现抑郁症状的变化（治疗前到6个月随访）与感知社会支持的变化相关。结果表明，在对复杂悲伤进行精神科治疗后，感知到的支持会改善，但在治疗期间不会，并且抑郁严重程度的降低与感知社会支持的改善相关。讨论了这些发现的可能解释和意义。
