The Home Base Program, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
J Trauma Stress. 2018 Feb;31(1):157-162. doi: 10.1002/jts.22254. Epub 2018 Jan 31.
Minimal research is available on the prevalence and impact of complicated grief (CG) in military service members and veterans, despite high reported rates of loss in this population. The present study aimed to examine prevalence rates of CG in a sample of treatment-seeking military service and members and veterans who served after September 11, 2001. Additionally, the study aimed to examine characteristics associated with CG as well as the association between CG and quality of life. In a sample of 622 military service members and veterans who served after September 11, 2001, 502 reported a significant loss (80.7%). Usable data were available for a total of 468 participants. Of these 468 participants, 30.3% (n = 142) met diagnostic criteria for CG, as defined by a score of 30 or more on the Inventory of Complicated Grief (ICG; Prigerson et al., 1995). We conducted a series of t tests and chi-square tests to examine the differences between individuals who met criteria for CG and those who did not. The presence of CG was associated with worse PTSD, d = 0.68, p < .001; depression, d = -1.10, p < .001; anxiety, d = -1.02, p < .001; stress, d = 0.99, p < .001; and quality of life, d = 0.76, p < .001. Multiple regression analyses examined the independent impact of CG on quality of life. Complicated grief was associated with poorer quality of life above and beyond PTSD, β = -.12, p = .017. In addition, in a separate regression, CG was associated with poorer quality of life above and beyond depression, β = -.13, p < .001. Overall, our findings highlight the impact of CG on this population, and have implications for assessment and treatment.
关于军人和退伍军人中复杂悲伤（CG）的患病率和影响，研究很少，尽管这一人群报告的丧失率很高。本研究旨在检查 2001 年 9 月 11 日之后参战的军人和退伍军人样本中 CG 的患病率。此外，该研究旨在研究与 CG 相关的特征，以及 CG 与生活质量之间的关系。在一个由 622 名 2001 年 9 月 11 日之后参战的军人和退伍军人组成的样本中，有 502 人报告了重大损失（80.7%）。共有 468 名参与者提供了可用数据。在这 468 名参与者中，有 30.3%（n=142）符合 CG 的诊断标准，即根据复杂悲伤量表（ICG；Prigerson 等人，1995）得分 30 或以上。我们进行了一系列 t 检验和卡方检验，以检查符合 CG 标准的人与不符合 CG 标准的人之间的差异。CG 的存在与 PTSD（d=0.68，p<.001）、抑郁（d=-1.10，p<.001）、焦虑（d=-1.02，p<.001）、压力（d=0.99，p<.001）和生活质量（d=0.76，p<.001）较差有关。多元回归分析检查了 CG 对生活质量的独立影响。CG 与 PTSD 以外的生活质量较差有关，β=-.12，p=0.017。此外，在单独的回归中，CG 与抑郁以外的生活质量较差有关，β=-.13，p<.001。总的来说，我们的研究结果强调了 CG 对这一人群的影响，并对评估和治疗具有重要意义。
