1 Tina M. Mason, MSN, ARNP, AOCN, AOCNS, University of South Florida, Tampa, FL, USA.
2 Allyson R. Duffy, PhD, RN, University of South Florida, Tampa, FL, USA.
J Am Psychiatr Nurses Assoc. 2019 May/Jun;25(3):181-188. doi: 10.1177/1078390318807966. Epub 2018 Oct 25.
The loss of a loved one, especially by a caregiver, can be stressful. Grief can affect one emotionally, mentally, behaviorally, spiritually, and physically and affects individuals differently. Complicated grief (CG), especially for a caregiver, can be intense, prolonged, and interfere with normal activities accompanied by destructive thoughts and behaviors.
To synthesize the available research on persons experiencing CG and the effect on cortisol levels.
A literature search for articles published on CG and cortisol was performed using PubMed, Cochrane Library, PsychINFO, and Web of Science. Search terms included CG, cortisol, and their variants. No date limitations were applied. In accordance with PRISMA, articles were sorted and evaluated against specific inclusion and exclusion criteria.
The search yielded 18 articles, of which 5 were included in the review.
Cortisol levels and diurnal patterns are shown to be affected in individuals experiencing CG. With prolonged bereavement and dysregulated cortisol, physical and mental health outcomes may result warranting a need for effective stress reduction therapies for this population.
失去亲人，尤其是照顾者，可能会带来压力。悲伤会在情感、心理、行为、精神和身体上影响个人，并且因人而异。复杂悲伤（CG），尤其是对照顾者来说，可能会很强烈、持久，并干扰正常活动，同时伴有破坏性的想法和行为。
综合现有的关于经历 CG 的人群和皮质醇水平影响的研究。
使用 PubMed、Cochrane 图书馆、PsychINFO 和 Web of Science 对关于 CG 和皮质醇的文章进行文献检索。搜索词包括 CG、皮质醇及其变体。未应用日期限制。根据 PRISMA，对文章进行分类，并根据具体的纳入和排除标准进行评估。
搜索结果产生了 18 篇文章，其中 5 篇被纳入综述。
皮质醇水平和昼夜节律模式显示在经历 CG 的个体中受到影响。随着丧亲时间的延长和皮质醇失调，可能会导致身心健康状况不佳，因此需要为这一人群提供有效的减压治疗。
