Department of Psychology, Renmin University of China, Beijing, China.
Department of Psychometrics and Statistics, University of Groningen, Groningen, The Netherlands.
Int J Psychol. 2019 Aug;54(4):454-461. doi: 10.1002/ijop.12483. Epub 2018 Mar 5.
This study investigated the relationship between guilt and well-being of bereaved persons, and explored potential differences in the associations between guilt-complicated grief (CG) and guilt-depression. In total, 1358 Chinese bereaved adults were recruited to fill out questionnaires. Participants (N = 194) who had been bereaved within 2 years of the first survey, filled out the same questionnaires 1 year later. Higher guilt was associated with higher degrees of both CG and depression. The level of guilt predicted CG and depression symptoms 1 year later. Bereavement-related guilt has a closer association with CG than depression. Responsibility guilt, indebtedness guilt and degree of guilt feeling are more prominent aspects of guilt in CG than in depression. These findings demonstrate the significant role of guilt (perhaps a core symptom) in mental health of the bereaved, having implications for identifying persons with grief complications and depression.
本研究调查了丧亲者的内疚感与幸福感之间的关系，并探讨了内疚感与复杂悲伤（CG）和内疚感与抑郁之间关联的潜在差异。共有 1358 名中国丧亲成年人填写了问卷。在第一次调查后的 2 年内丧亲的 194 名参与者，在 1 年后填写了相同的问卷。较高的内疚感与较高程度的 CG 和抑郁有关。内疚感的程度预测了 CG 和抑郁症状 1 年后的情况。与丧亲相关的内疚感与 CG 的关联比抑郁更密切。责任内疚、负债内疚和内疚感程度是 CG 中比抑郁中更突出的内疚方面。这些发现表明内疚感（也许是核心症状）在丧亲者的心理健康中起着重要作用，这对于识别有悲伤并发症和抑郁的人具有重要意义。
