Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Depress Anxiety. 2013 Dec;30(12):1202-10. doi: 10.1002/da.22068. Epub 2013 Feb 11.
This study examined the association between types of loss (i.e., sibling or close friend) and relationship quality (i.e., depth and conflict) with complicated grief, depression, somatic symptoms, and world assumptions in bereaved young adults.
Participants were 107 young adults aged 17-29 years who were either bereaved or had never experienced a loss. Among bereaved participants, 66 lost a close friend and seven lost a sibling within the past 3 years (M = 1.63 years).
Nineteen percent of the young adults met criteria for complicated grief and 31% had mild to severe depression. Participants with a deceased sibling reported greater depth in the relationship as compared to those who lost a friend. They were also more likely to have complicated grief (57% versus 15%) and report significantly higher levels of grief, depression, and somatic symptoms. Those who lost a sibling reported a lower sense of meaningfulness and benevolence of the world and self-worth as compared with those who lost a close friend or had not experienced a loss.
Complicated grief and depression are common among bereaved young adults. Sibling loss is particularly distressing to young adults, due in part to the high level of relationship depth, and is associated with increased psychological and physical symptoms postloss.
本研究考察了丧亲的年轻成年人中，丧失的对象（即兄弟姐妹或亲密朋友）和关系质量（即深度和冲突）与复杂性悲伤、抑郁、躯体症状和世界观之间的关联。
参与者为 107 名年龄在 17-29 岁之间的年轻人，他们要么丧亲，要么从未经历过丧亲之痛。在丧亲的参与者中，有 66 人在过去 3 年内失去了亲密的朋友，有 7 人失去了兄弟姐妹（平均 1.63 年）。
19%的年轻人符合复杂性悲伤的标准，31%的人有轻度至重度抑郁。与失去朋友的人相比，失去兄弟姐妹的人报告说他们的关系更深入。他们也更有可能经历复杂性悲伤（57%对 15%），并报告更高水平的悲伤、抑郁和躯体症状。与失去亲密朋友或从未经历过丧亲之痛的人相比，失去兄弟姐妹的人报告说他们对世界的意义感、善良感和自我价值感较低。
复杂性悲伤和抑郁在丧亲的年轻成年人中很常见。兄弟姐妹的丧失对年轻人尤其痛苦，部分原因是关系的深度很高，并且与丧失后心理和生理症状的增加有关。
