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在植物人患者照顾者样本中,延长哀伤障碍的流行率和共病情况。

Prevalence and comorbidity of prolonged grief disorder in a sample of caregivers of patients in a vegetative state.

机构信息

Clinical and Health Psychology Unit, Gruppo La Villa Institute, Via Mazzini 10, Guanzate, CO, Italy.

出版信息

Psychiatr Q. 2012 Mar;83(1):65-73. doi: 10.1007/s11126-011-9183-1.

Abstract

Previous studies have shown that Prolonged Grief Disorder (PGD), Post-traumatic Stress Disorder (PTSD) and major depression are autonomous nosological entities. The present study aims at further analyzing the relationship among them in a sample of caregivers of patients in Vegetative State (VS) or Minimally Conscious State (MCS). We also investigated factors predicting the development of PGD. We sampled 40 Caregivers of patients in VS or MCS consecutively admitted to long-term care units. Caregivers were administered the PG-12, the Depression Questionnaire, the SCID I and the Davidson Trauma Scale. Six participants (15%) fulfilled the criteria for PGD, 25% (N = 10) for depression and 25% (N = 10) for PTSD. Although significant correlations emerged among symptom domains of the three disorders, no relevant association was found between a diagnosis of PGD, depression and PTSD. The severity of PTSD symptoms was found to be predictive of PGD. Clinical implications are discussed.

摘要

先前的研究表明,持续性创伤后应激障碍(PGD)、创伤后应激障碍(PTSD)和重度抑郁症是自主的疾病实体。本研究旨在对持续性创伤后应激障碍患者的照顾者样本中进一步分析它们之间的关系,这些照顾者的患者处于植物人状态(VS)或最小意识状态(MCS)。我们还调查了预测 PGD 发展的因素。我们连续招募了 40 名长期护理机构中 VS 或 MCS 患者的照顾者。照顾者接受了 PG-12、抑郁问卷、SCID I 和戴维森创伤量表的评估。有 6 名参与者(15%)符合 PGD 的诊断标准,10 名参与者(25%)患有抑郁症,10 名参与者(25%)患有 PTSD。尽管三种疾病的症状领域之间存在显著相关性,但 PGD、抑郁和 PTSD 的诊断之间没有相关关联。 PTSD 症状的严重程度被发现是 PGD 的预测因素。讨论了临床意义。

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