a Cognitive and Behavioural Center for Research and Intervention, Faculty of Psychology and Educational Sciences , University of Coimbra , Coimbra , Portugal.
b CICPSI, Faculty of Psychology , University of Lisbon , Lisbon , Portugal.
Anxiety Stress Coping. 2018 Jan;31(1):93-106. doi: 10.1080/10615806.2017.1363390. Epub 2017 Aug 7.
This study aimed to examine forms of dyadic coping (DC) as mediators of the association between parents' grief response and dyadic adjustment and to determine whether these indirect effects were moderated by the child's type of death, timing of death, and age.
The study design was cross-sectional.
The sample consisted of 197 bereaved parents. Participants completed the Prolonged Grief Disorder Scale, Revised Dyadic Adjustment Scale, and Dyadic Coping Inventory.
Significant indirect effects of parents' grief response on dyadic adjustment were found through stress communication by oneself and by the partner, positive and negative DC by the partner, and joint DC. The timing of death moderated the association between grief response and dyadic adjustment and between joint DC and dyadic adjustment. Grief response was negatively associated with dyadic adjustment only when the death occurred after birth. Grief response was negatively associated with joint DC, which, in turn, was positively associated with dyadic adjustment, when the death occurred both before and after birth. However, the association was stronger in the latter.
Specific forms of DC might be mechanisms through which grief response is associated with dyadic adjustment and should be promoted in clinical practice.
本研究旨在探讨双元应对（DC）的形式是否作为父母悲伤反应与夫妻适应之间关联的中介，并确定这些间接效应是否受到孩子死亡类型、死亡时间和年龄的调节。
研究设计为横断面研究。
样本由 197 名丧亲父母组成。参与者完成了延长哀伤障碍量表、修订后的夫妻适应量表和夫妻应对量表。
父母悲伤反应对夫妻适应的显著间接效应是通过自己和伴侣的压力沟通、伴侣的积极和消极 DC 以及共同 DC 发现的。死亡时间调节了悲伤反应与夫妻适应之间的关系，以及共同 DC 与夫妻适应之间的关系。只有当死亡发生在出生后，悲伤反应才与夫妻适应呈负相关。悲伤反应与共同 DC 呈负相关，而共同 DC 又与夫妻适应呈正相关，当死亡发生在出生前后时均如此。然而，在后一种情况下，关联更强。
特定形式的 DC 可能是悲伤反应与夫妻适应相关的机制，应在临床实践中加以推广。
