Stahl Sarah T, Schulz Richard
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA; University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, PA.
Geriatr Nurs. 2018 Jul-Aug;39(4):414-418. doi: 10.1016/j.gerinurse.2017.12.014. Epub 2018 Feb 21.
This prospective study examined predictors and correlates of restorative activities in recently bereaved caregivers and their relation to post-bereavement adjustment, namely complicated grief. Participants included 89 caregivers (CGs) age 32-87 (M age - 63 years) whose care recipients recently died in a long-term care facility (M time since loss = 107 days). Our findings show that being prepared prior to death enables CGs the opportunity to engage in restorative activities post death. Restorative activities partially mediated the relationship between preparedness prior to death and complicated grief, but this association was attenuated in multivariable models. It is possible that being prepared prior to death allows CGs to engage in restorative activities post-death, which in turn decreases complicated grief. More research is needed in diverse populations of CGs to determine how restorative activities may impact post-bereavement adjustment.
这项前瞻性研究调查了近期丧亲的照料者恢复性活动的预测因素及相关因素，以及这些因素与丧亲后适应情况（即复杂性悲伤）的关系。研究对象包括89名年龄在32至87岁之间（平均年龄63岁）的照料者，其照料对象最近在一家长期护理机构去世（平均丧亲时间为107天）。我们的研究结果表明，在死亡前做好准备能让照料者在亲人去世后有机会参与恢复性活动。恢复性活动部分介导了死亡前准备情况与复杂性悲伤之间的关系，但在多变量模型中这种关联有所减弱。死亡前做好准备可能使照料者在亲人去世后参与恢复性活动，进而减少复杂性悲伤。需要对更多不同的照料者群体进行研究，以确定恢复性活动如何影响丧亲后的适应情况。
