Boelen Paul A
Clinical and Health Psychology, Utrecht University, Utrecht, the Netherlands.
J Nerv Ment Dis. 2012 Sep;200(9):801-6. doi: 10.1097/NMD.0b013e318266ba02.
Event centrality refers to the degree to which the memory of a negative life event is a core component of a person's identity. There is evidence that greater event centrality is associated with more intense psychopathology after different events, including the death of a loved one. This study sought to advance our understanding of the variables mediating the linkage between loss centrality and postloss psychopathology. Specifically, using multiple mediation analyses, we examined the role of a) intrusiveness of memories about the loss event, b) negative future cognitions and catastrophic misinterpretations of one's own grief reactions, and c) depressive avoidance and rumination in mediating the associations between loss centrality and postloss psychopathology. The outcomes showed that memory intrusiveness, the two cognitive variables, and the two behavioral strategies emerged as unique, independent mediators of the linkages between loss centrality and the indices of postloss psychopathology when controlling for the shared variance between the proposed mediators. The implications of these findings are discussed.
事件核心性指的是负面生活事件的记忆在多大程度上是一个人身份认同的核心组成部分。有证据表明，在包括亲人离世在内的不同事件后，更高的事件核心性与更强烈的精神病理学症状相关。本研究旨在增进我们对介导丧失核心性与丧失后精神病理学之间联系的变量的理解。具体而言，我们使用多重中介分析，考察了以下因素的作用：a）关于丧失事件的记忆侵扰性；b）消极的未来认知以及对自身悲伤反应的灾难性误解；c）抑郁性回避和沉思在介导丧失核心性与丧失后精神病理学之间关联中的作用。结果表明，在控制了所提出的中介变量之间的共同方差后，记忆侵扰性、两个认知变量以及两种行为策略成为丧失核心性与丧失后精神病理学指标之间联系的独特、独立的中介变量。我们对这些发现的意义进行了讨论。
