丧亲与躯体症状之间的中介因素。
Mediators between bereavement and somatic symptoms.
机构信息
Institute of Behavioral Sciences, Semmelweis University, Budapest, Hungary.
出版信息
BMC Fam Pract. 2012 Jun 18;13:59. doi: 10.1186/1471-2296-13-59.
BACKGROUND
In our research we examined the frequency of somatic symptoms among bereaved (N = 185) and non-bereaved men and women in a national representative sample (N = 4041) and investigated the possible mediating factors between bereavement status and somatic symptoms.
METHODS
Somatic symptoms were measured by the Patient Health Questionnaire (PHQ-15), anxiety with a four-point anxiety rating scale, and depression with a nine-item shortened version of the Beck Depression Inventory.
RESULTS
Among the bereaved, somatic symptoms proved to be significantly more frequent in both genders when compared to the non-bereaved, as did anxiety and depression. On the multivariate level, the results show that both anxiety and depression proved to be a mediator between somatic symptoms and bereavement. The effect sizes indicated that for both genders, anxiety was a stronger predictor of somatic symptoms than depression.
CONCLUSIONS
The results of our research indicate that somatic symptoms accompanying bereavement are not direct consequences of this state but they can be traced back to the associated anxiety and depression. These results draw attention to the need to recognize anxiety and depression looming in the background of somatic complaints in bereavement and to the importance of the dissemination of related information.
背景
在我们的研究中，我们在一个全国代表性样本（N=4041）中检查了丧亲（N=185）和非丧亲的男性和女性的躯体症状频率，并调查了丧亲状态和躯体症状之间可能存在的中介因素。
方法
躯体症状通过患者健康问卷（PHQ-15）、四点焦虑评定量表测量焦虑，贝克抑郁量表的九个项目简短版本测量抑郁。
结果
与非丧亲者相比，丧亲者的躯体症状在两性中都明显更为频繁，焦虑和抑郁也是如此。在多变量水平上，结果表明焦虑和抑郁都证明是躯体症状与丧亲之间的中介因素。效应大小表明，对于两性而言，焦虑是躯体症状的更强预测因素，而抑郁则不是。
结论
我们研究的结果表明，伴随丧亲而来的躯体症状不是这种状态的直接后果，而是可以追溯到相关的焦虑和抑郁。这些结果提请注意需要认识到丧亲背景下躯体抱怨中潜在的焦虑和抑郁，并注意相关信息的传播。
Zotero 插件