悲伤严重程度和持续性的决定因素及预测因素：鹿特丹研究
Determinants and Predictors of Grief Severity and Persistence: The Rotterdam Study.
作者信息
Milic Jelena, Muka Taulant, Ikram M Arfan, Franco Oscar H, Tiemeier Henning
机构信息
1 Department of Epidemiology, Erasmus Medical Center Rotterdam, the Netherlands.
2 Department of Psychiatry, Erasmus Medical Center, Rotterdam, the Netherlands.
出版信息
J Aging Health. 2017 Dec;29(8):1288-1307. doi: 10.1177/0898264317720715. Epub 2017 Jul 18.
OBJECTIVE
We aimed to explore correlates and predictors of bereavement severity and persistence (triggered by "loss of a loved one"; referent group partner loss) in the Rotterdam cohort.
METHOD
We used linear regression to examine factors associated with grief severity using a cross-sectional analysis and logistic regression to determine prospective associations.
RESULTS
Cross-sectionaly, females, child-lost, higher depressive symptoms, lower education, and difficulties in daily activities were independently associated with a higher bereavement severity. Prospectively (6 years; response rate 71%), the baseline value of the grief severity was the single predictor significantly associated with grief persistence.
DISCUSSION
Our results suggest that only grief severity is independently associated with grief persistence. Further studies are needed to confirm our findings.
目的
我们旨在探究鹿特丹队列中丧亲之痛的严重程度和持续性（由“失去挚爱之人”引发；参照组为伴侣离世）的相关因素和预测指标。
方法
我们采用线性回归，通过横断面分析来检验与悲伤严重程度相关的因素，并使用逻辑回归来确定前瞻性关联。
结果
横断面分析显示，女性、失去孩子、抑郁症状较重、教育程度较低以及日常生活存在困难与更高的丧亲之痛严重程度独立相关。前瞻性研究（6年；应答率71%）表明，悲伤严重程度的基线值是与悲伤持续性显著相关的唯一预测指标。
讨论
我们的结果表明，只有悲伤严重程度与悲伤持续性独立相关。需要进一步研究来证实我们的发现。
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