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丧偶老年人的丧亲相关遗憾轨迹。

Bereavement-related regret trajectories among widowed older adults.

机构信息

Correspondence should be addressed to Jason M. Holland, Department of Psychology, University of Nevada, 4505 S. Maryland Parkway, Box 455030, Las Vegas, NV 89154-5030. E-mail:

出版信息

J Gerontol B Psychol Sci Soc Sci. 2014 Jan;69(1):40-7. doi: 10.1093/geronb/gbt050. Epub 2013 Jun 13.

Abstract

OBJECTIVES

Although regrets and unfinished business with a deceased spouse are frequently discussed as crucial determinants of one's postloss adjustment, there have been few empirical investigations of bereavement-related regrets. This present study aimed to investigate the longitudinal course of these regrets and their correlates among widowed older adults.

METHODS

Drawing upon information from 201 widowed older adults in the Changing Lives of Older Couples study, this present study used latent class growth analysis to identify unique longitudinal trajectories of regret from 6 to 48 months postloss and examine differences between these trajectories with regard to grief and depressive symptomatology.

RESULTS

Three distinct bereavement-related regret trajectories were identified, characterized by Stable Low Regret, Stable High Regret, and Worsening High Regret. Results revealed that those in the Worsening High Regret group, whose bereavement-related regrets were exacerbated during the study, had the poorest grief outcomes. No differences were observed between these groups with regard to depressive symptoms, indicating that regret may be a unique marker of difficulties in the grieving process.

DISCUSSION

These findings highlight the importance of periodically reassessing bereavement-related regrets (and perhaps other aspects of the continued relationship with the deceased) over time and support the rationale behind interventions designed to facilitate resolution of these issues.

摘要

目的

尽管对已故配偶的遗憾和未竟之事常被认为是决定丧亲后调整的关键因素,但对丧亲相关遗憾的实证研究却很少。本研究旨在调查丧偶老年人群中这些遗憾的纵向过程及其相关因素。

方法

本研究利用“老年夫妇生活变化”研究中 201 名丧偶老年人的信息,采用潜在类别增长分析,确定了 6 至 48 个月丧亲后遗憾的独特纵向轨迹,并比较了这些轨迹在悲伤和抑郁症状方面的差异。

结果

确定了三种不同的与丧亲相关的遗憾轨迹,特征为稳定低遗憾、稳定高遗憾和恶化高遗憾。结果表明,在研究期间遗憾加剧的恶化高遗憾组,其悲伤结局最差。这些组在抑郁症状方面没有差异,表明遗憾可能是悲伤过程中困难的一个独特标志。

讨论

这些发现强调了定期重新评估丧亲相关遗憾(以及可能与已故配偶持续关系的其他方面)的重要性,并支持了旨在促进这些问题解决的干预措施的基本原理。

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