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接受姑息治疗服务的晚期退伍军人家庭成员预期性悲伤的风险因素。

Risk Factors for Anticipatory Grief in Family Members of Terminally Ill Veterans Receiving Palliative Care Services.

作者信息

Burke Laurie A, Clark Karen A, Ali Khatidja S, Gibson Benjamin W, Smigelsky Melissa A, Neimeyer Robert A

机构信息

a Memphis Veterans Affairs Medical Center and Department of Psychology , University of Memphis , Memphis , Tennessee , USA.

b Memphis Veterans Affairs Medical Center , Memphis , Tennessee , USA.

出版信息

J Soc Work End Life Palliat Care. 2015;11(3-4):244-66. doi: 10.1080/15524256.2015.1110071.

DOI:10.1080/15524256.2015.1110071
PMID:26654060
Abstract

Anticipatory grief is the process associated with grieving the loss of loved ones in advance of their inevitable death. Because anticipatory grief has been associated with a variety of outcomes, risk factors for this condition deserve closer consideration. Fifty-seven family members of terminally ill, hospice-eligible veterans receiving palliative care services completed measures assessing psychosocial factors and conditions. Elevated anticipatory grief was found in families characterized by relational dependency, lower education, and poor grief-specific support, who also experienced discomfort with closeness and intimacy, neuroticism, spiritual crisis, and an inability to make sense of the loss. Thus, in this sample, anticipatory grief appears to be part of a cluster of factors and associated distress that call for early monitoring and possible intervention.

摘要

预期性悲伤是指在亲人不可避免的死亡之前,为其即将离世而悲伤的过程。由于预期性悲伤与多种结果相关,因此这种情况的风险因素值得更深入的研究。57名符合临终关怀条件、正在接受姑息治疗服务的绝症退伍军人的家庭成员完成了评估心理社会因素和状况的测量。研究发现,在那些具有关系依赖、低教育水平、缺乏针对悲伤的特定支持的家庭中,预期性悲伤程度较高,这些家庭还经历了亲密关系不适、神经质、精神危机以及无法理解丧失之痛等问题。因此,在这个样本中,预期性悲伤似乎是一系列因素及相关痛苦的一部分,需要进行早期监测并可能采取干预措施。

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