Kramer Jeannet, Boon Brigitte, Schotanus-Dijkstra Marijke, van Ballegooijen Wouter, Kerkhof Ad, van der Poel Agnes
<location>Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands</location>
<location>Department of Clinical Psychology, VU University Amsterdam, and the EMGO Institute for Health and Care Research, Amsterdam, The Netherlands</location> <location>Department of Psychiatry, VU University Medical Centre/GGZ inGeest, Amsterdam, The Netherlands</location>
Crisis. 2015;36(1):38-45. doi: 10.1027/0227-5910/a000281.
Persons bereaved by suicide are reluctant to ask for social support when they experience feelings of guilt and blame. A web-based peer forum may provide a safe and anonymous place for mutual support.
This study examined the mental health changes of visitors of two online support forums for persons bereaved by suicide and their experiences with the forum over 1 year.
Visitors of two forums completed self-report measures at baseline and at 6 and 12 months' follow-up. Repeated measures analyses were used to study changes in well-being, depressive symptoms, and complicated grief. Additionally, participants were interviewed about their experiences with the forum.
The 270 participants were mostly female, low in well-being, with high levels of depressive symptoms and complicated grief. Suicidal risk was high for 5.9%. At 12 months, there were small to medium-sized significant improvements in well-being and depressive symptoms (p < .001) and nearly as much for grief (p = .08). About two thirds reported benefit from visiting the forum. Because of the pre-post design we cannot determine whether a causal relationship exists between the form and changes in mental health.
After 1 year some positive changes but a large group was still struggling with their mental health. Interviews indicate that the forum was valued for finding recognition.
自杀 bereaved 者在经历内疚和自责情绪时,不愿寻求社会支持。基于网络的同伴论坛可能为相互支持提供一个安全且匿名的场所。
本研究考察了两个自杀 bereaved 者在线支持论坛的访客在 1 年时间里的心理健康变化及其在论坛的经历。
两个论坛的访客在基线时以及随访 6 个月和 12 个月时完成自我报告测量。采用重复测量分析来研究幸福感、抑郁症状和复杂性悲伤的变化。此外,对参与者就其在论坛的经历进行访谈。
270 名参与者大多为女性,幸福感较低,抑郁症状和复杂性悲伤程度较高。5.9%的人自杀风险较高。在 12 个月时,幸福感和抑郁症状有小到中等程度的显著改善(p < .001),悲伤程度的改善也几乎相同(p = .08)。约三分之二的人报告称从访问论坛中受益。由于采用前后测设计,我们无法确定论坛与心理健康变化之间是否存在因果关系。
1 年后有一些积极变化,但仍有很大一部分人在心理健康方面挣扎。访谈表明,论坛因能获得认可而受到重视。 (注:“bereaved”常见释义为“丧失亲人的”,这里结合语境翻译为“bereaved者”,以便更准确传达原文意思,具体表述可根据医学专业习惯调整)