a Department of Psychology , University of Missouri-Kansas City , Kansas City , MO , USA.
b Department of Psychology , University of Richmond , Richmond , VA , USA.
J Dual Diagn. 2019 Jan-Mar;15(1):16-24. doi: 10.1080/15504263.2018.1531185. Epub 2018 Nov 19.
Thousands of Americans grieve the sudden death of a loved one each year. These sudden deaths may be the result of violent deaths, as in the cases of homicide, suicide, or fatal accidents, or may occur as the result of natural causes such as heart attacks or strokes. Sudden loss survivors often experience negative mental health outcomes such as depression, prolonged grief disorder, and posttraumatic stress disorder. Survivors may also misuse alcohol for varied reasons after these losses, which can put them at risk for alcohol-related consequences. Thus, the purpose of this study was to explore associations between psychological distress and alcohol-related outcomes among young adults with a history of sudden loss. A sample of 659 young adults completed a series of self-report measures assessing loss history, psychosocial distress, perceived alcohol-related problems, and drinking motives. Results showed that survivors of sudden, violent losses reported higher rates of past 30-day alcohol use than those who had lost a loved one to a sudden, natural loss or those who reported no loss history. Although there were no statistically significant differences in drinking motives between violent or natural loss survivors, more severe depression symptoms among bereaved individuals were associated with drinking to cope and to conform. Participants experiencing prolonged grief symptoms were also more likely to report drinking to conform. Bereavement-related distress may influence drinking motives among young adults with a history of sudden loss.
每年都有成千上万的美国人因亲人的突然离世而悲痛不已。这些突然的死亡可能是暴力死亡的结果,如凶杀、自杀或致命事故,也可能是由于心脏病发作或中风等自然原因造成的。突然失去亲人的幸存者通常会经历负面的心理健康后果,如抑郁、长期悲伤障碍和创伤后应激障碍。幸存者在这些损失后也可能出于各种原因滥用酒精,这会使他们面临与酒精相关的后果的风险。因此,本研究的目的是探讨有突然丧失史的年轻成年人中心理困扰与酒精相关结果之间的关系。一个由 659 名年轻人组成的样本完成了一系列自我报告的测量,评估了丧失史、心理困扰、感知到的与酒精相关的问题和饮酒动机。结果表明,与因突然的自然原因而失去亲人的幸存者或没有丧失史的幸存者相比,突然的暴力丧失幸存者报告过去 30 天饮酒的比率更高。尽管在暴力或自然丧失幸存者之间,饮酒动机没有统计学上的显著差异,但丧亲者更严重的抑郁症状与饮酒应对和饮酒从众有关。经历长期悲伤症状的参与者也更有可能报告为了从众而饮酒。丧亲相关的困扰可能会影响有突然丧失史的年轻成年人的饮酒动机。