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自杀死亡成年人创伤后成长的预测因素。

Predictors of Posttraumatic Growth in Adults Bereaved by Suicide.

机构信息

1 Department of Education, Valparaiso University, IN, USA.

2 The VISN 2 Center of Excellence for Suicide Prevention, Canandaigua, NY, USA.

出版信息

Crisis. 2019 May;40(3):196-202. doi: 10.1027/0227-5910/a000556. Epub 2018 Oct 30.

Abstract

Although suicide loss has been associated with several negative outcomes, numerous studies have shown that loss survivors can experience posttraumatic growth (PTG) following the suicide loss of a significant other. However, few studies have explored the mechanisms of such growth. The aim of this study was to identify predictors of PTG among a sample of adult suicide loss survivors and to explore whether the amount of time since the suicide loss moderated the relation between self-reported coping and PTG. Suicide-bereaved adults ( = 307) completed online questionnaires measuring personality, coping, help-seeking attitudes, social support, and PTG. Hierarchical regression analyses showed five independent associations with PTG: time since loss, perceived closeness, help-seeking attitudes, social support, and problem-focused coping. Time since loss did not moderate the relation between any of the self-reported coping styles and PTG. The limitations of this study include a cross-sectional design, potential selection bias, no comparison or control group, and unrepresentative sample demographics of suicide loss survivors. Problem-focused coping showed the strongest association with PTG, independent of time since loss, suggesting that this coping style may facilitate growth throughout the grief trajectory.

摘要

尽管自杀死亡与许多负面后果有关,但许多研究表明,在失去重要他人后,自杀死亡的幸存者可以经历创伤后成长(PTG)。然而,很少有研究探讨这种成长的机制。本研究旨在确定成人自杀死亡幸存者样本中 PTG 的预测因素,并探讨自我报告的应对方式与 PTG 之间的关系是否受到自杀后时间的影响。自杀丧亲的成年人(n=307)完成了在线问卷,测量人格、应对方式、寻求帮助的态度、社会支持和 PTG。层次回归分析显示,有五个独立的因素与 PTG 相关:丧失后的时间、感知的亲密程度、寻求帮助的态度、社会支持和问题焦点应对。丧失后的时间并没有调节任何自我报告的应对方式与 PTG 之间的关系。本研究的局限性包括横断面设计、潜在的选择偏差、没有比较或对照组以及自杀死亡幸存者的代表性样本人口统计学。问题焦点应对与 PTG 的关联最强,与丧失后的时间无关,这表明这种应对方式可能在整个悲伤轨迹中促进成长。

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