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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.

DOI:10.1027/0227-5910/a000556
PMID:30375239
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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