Department of Psychology, Massey University, Wellington, New Zealand.
J Trauma Stress. 2012 Jun;25(3):344-7. doi: 10.1002/jts.21703. Epub 2012 Jun 8.
Although sudden death has been linked to posttraumatic stress disorder (PTSD), its role in complicated grief (CG) and sudden death survivors is unknown. This questionnaire study investigated the role of peritraumatic distress in PTSD and CG symptoms in adults (n = 125) an average of 28.37 months (SD = 3.12) after a loved one's sudden death. The Peritraumatic Distress Inventory, Impact of Event Scale-Revised, and Inventory of Complicated Grief were administered to assess symptoms of peritraumatic distress, PTSD, and CG, respectively. Peritraumatic distress was the strongest correlate of both PTSD (β = .42, p < .001) and CG (β = .39, p < .001) symptoms, in a model containing current distress (Hopkins Symptom Checklist-21). Peritraumatic distress may be a key mechanism in the development of both PTSD and CG, therefore suddenly bereaved individuals reporting higher peritraumatic distress may be at risk of both adverse trauma and grief reactions.
虽然创伤后应激障碍（PTSD）与猝死有关，但它在复杂悲伤（CG）和猝死幸存者中的作用尚不清楚。这项问卷调查研究调查了创伤后即刻痛苦在成年人（n=125）创伤后即刻痛苦、创伤后应激障碍和 CG 症状中的作用，这些成年人在亲人突然去世后平均 28.37 个月（SD=3.12）。使用创伤即刻痛苦量表、事件影响量表修订版和复杂悲伤量表分别评估创伤即刻痛苦、创伤后应激障碍和 CG 的症状。在包含当前痛苦（霍普金斯症状清单-21）的模型中，创伤即刻痛苦是 PTSD（β=.42，p<.001）和 CG（β=.39，p<.001）症状的最强相关因素。创伤即刻痛苦可能是 PTSD 和 CG 发展的关键机制，因此报告创伤即刻痛苦较高的突然丧亲者可能面临创伤和悲伤反应的双重风险。
