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丧亲父母的创伤后成长:相关因素的多维模型。

Posttraumatic growth in bereaved parents: A multidimensional model of associated factors.

机构信息

University of Coimbra.

University of Lisbon.

出版信息

Psychol Trauma. 2018 Mar;10(2):199-207. doi: 10.1037/tra0000305. Epub 2017 Jul 6.

Abstract

OBJECTIVE

Although the death of a child is a devastating event, recent evidence shows that personal growth is a relevant outcome of parents' grief. This study aimed to examine the factors associated with posttraumatic growth (PTG) and to propose a multidimensional model consisting of sociodemographic, situational, and intrapersonal and interpersonal factors.

METHOD

A sample (N = 197; 89.8% female; mean age = 39.44 years) of bereaved parents completed the Post-Traumatic Growth Inventory-Short Form, the 14-Item Resilience Scale, the Continuing Bonds Scale, and the Dyadic Coping Inventory.

RESULTS

The final model consisted of sociodemographic, situational, intrapersonal, and interpersonal factors of PTG, which accounted for 36.7% of the variance. Higher levels of PTG were generally associated with female sex, younger age of the child, higher levels of resilience, higher levels of internalized continuing bonds (i.e., internal representation of the child, maintaining psychological proximity), and higher levels of stress communication by the partner (communicating the stress experience and requesting emotional or practical support).

CONCLUSIONS

In clinical practice, health professionals assisting bereaved parents should pay attention to men and parents of older children, who might be at higher risk of difficulties in developing PTG. Additionally, promoting a more internalized bond with the child, resilience and dyadic coping, especially stress communication, can constitute important therapeutic goals. (PsycINFO Database Record

摘要

目的

尽管儿童死亡是一件毁灭性的事件,但最近的证据表明,个人成长是父母悲痛的一个相关结果。本研究旨在探讨与创伤后成长(PTG)相关的因素,并提出一个由社会人口学、情境、内在和人际因素组成的多维模型。

方法

一组(N=197;89.8%为女性;平均年龄=39.44 岁)丧亲父母完成了创伤后成长量表-短式、14 项韧性量表、持续联系量表和对偶应对量表。

结果

最终模型由 PTG 的社会人口学、情境、内在和人际因素组成,解释了 36.7%的方差。较高的 PTG 水平通常与女性、孩子较小的年龄、较高的韧性水平、较高的内化持续联系(即孩子的内在表现、保持心理亲近)以及伴侣更高的压力沟通水平(沟通压力体验并请求情感或实际支持)相关。

结论

在临床实践中,帮助丧亲父母的健康专业人员应该关注男性和年长孩子的父母,他们可能面临着发展 PTG 困难的更高风险。此外,促进与孩子的更内化的联系、韧性和对偶应对,特别是压力沟通,可以构成重要的治疗目标。

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