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艾滋病致孤青少年的悲伤经历:基于事件史日历的分析

Grieving experiences amongst adolescents orphaned by AIDS: Analysis from event history calendars.

作者信息

Thupayagale-Tshweneagae Gloria

机构信息

Department of Health Studies, University of South Africa.

出版信息

Curationis. 2012 Sep 7;35(1):71. doi: 10.4102/curationis.v35i1.71.

DOI:10.4102/curationis.v35i1.71
PMID:23327770
Abstract

Mental health is an essential component of adolescent health and wellbeing. Mental health practitioners assess adolescents' mental health status to identify possible issues that may lead to mental health problems. However, very few of the tools used to assess the mental health status of adolescents include assessment for grieving and coping patterns. The current tools used for assessing an individual's mental health are lengthy and not comprehensive. The purpose of this study was to assess grieving patterns of adolescents orphaned by AIDS and to appraise the usefulness of an event history calendar as an assessment tool for identifying grieving experiences, in order to guide and support these adolescents through the grieving process. One hundred and two adolescents aged 14-18 years, who had been orphaned by AIDS, completed an event history calendar, reviewed it with the researcher and reported their perceptions of it. Thematic analysis of the event history calendar content revealed that it is an effective, time-efficient, adolescent-friendly tool that facilitated identification and discussion of the orphaned adolescents' grieving patterns. Crying, isolation, silence and violent outbursts were the main grieving patterns reported by adolescents orphaned by AIDS. The researcher recommends use of the event history calendar for identification of orphaned adolescents' grieving experiences. Early identification would enable mental health practitioners to support them in order to prevent the occurrence of mental illness due to maladaptive grieving.

摘要

心理健康是青少年健康和幸福的重要组成部分。心理健康从业者评估青少年的心理健康状况,以识别可能导致心理健康问题的潜在问题。然而,用于评估青少年心理健康状况的工具中,很少有包括对悲伤情绪和应对模式的评估。目前用于评估个体心理健康的工具冗长且不全面。本研究的目的是评估因艾滋病成为孤儿的青少年的悲伤模式,并评估事件史日历作为识别悲伤经历的评估工具的有效性,以便在悲伤过程中指导和支持这些青少年。102名14至18岁因艾滋病成为孤儿的青少年完成了一份事件史日历,与研究人员一起回顾,并报告了他们对该日历的看法。对事件史日历内容的主题分析表明,它是一种有效、省时、对青少年友好的工具,有助于识别和讨论这些孤儿青少年的悲伤模式。哭泣、孤立、沉默和暴力爆发是艾滋病孤儿青少年报告的主要悲伤模式。研究人员建议使用事件史日历来识别孤儿青少年的悲伤经历。早期识别将使心理健康从业者能够支持他们,以防止因适应不良的悲伤而导致精神疾病的发生。

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