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丧亲后无法忍受不确定性与持续性悲伤、创伤后应激和抑郁症状的并发和前瞻性关联。

Concurrent and prospective associations of intolerance of uncertainty with symptoms of prolonged grief, posttraumatic stress, and depression after bereavement.

机构信息

Department of Clinical Psychology, Utrecht University, The Netherlands; Arq Psychotrauma Expert Group, Diemen, The Netherlands.

Department of Child and Adolescent Studies, Utrecht University, The Netherlands.

出版信息

J Anxiety Disord. 2016 Jun;41:65-72. doi: 10.1016/j.janxdis.2016.03.004. Epub 2016 Mar 11.

Abstract

This study examined associations of Prospective IU and Inhibitory IU with symptom-levels of Prolonged Grief Disorder (PGD), Posttraumatic Stress-Disorder (PTSD), and depression in a sample of bereaved individuals. Specifically, 265 bereaved individuals completed measures of IU, PGD, PTSD, and depression in the first year after the death of a loved one; 134 participants again completed symptom-measures six months later. Cross-sectional analyses showed that Inhibitory IU (but not Prospective IU) was positively associated with symptom-levels of PTSD and depression (but not PGD), even when controlling for neuroticism, worry, and rumination. Prospective analyses showed that Prospective IU (but not Inhibitory IU) at baseline, predicted PGD severity six months later (but not PTSD or depression at follow-up) while controlling for baseline symptom-levels. The findings support the notion that IU is a vulnerability factor for different emotional problems, including those developing after the death of a loved one. Clinical implications of these findings are discussed.

摘要

这项研究考察了前瞻性 IU 和抑制性 IU 与悲痛障碍(PGD)、创伤后应激障碍(PTSD)和抑郁症状水平在丧亲个体样本中的关联。具体来说,265 名丧亲个体在亲人去世后的第一年完成了 IU、PGD、PTSD 和抑郁的测量;134 名参与者在六个月后再次完成了症状测量。横断面分析表明,抑制性 IU(而非前瞻性 IU)与 PTSD 和抑郁的症状水平呈正相关(但与 PGD 无关),即使控制了神经质、担忧和沉思。前瞻性分析表明,基线时的前瞻性 IU(而非抑制性 IU)预测了六个月后 PGD 严重程度(但不预测随访时的 PTSD 或抑郁),同时控制了基线症状水平。这些发现支持了 IU 是不同情绪问题(包括亲人去世后出现的情绪问题)的脆弱性因素的观点。讨论了这些发现的临床意义。

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