Zhou Ningning, Yu Wei, Huang Hui, Shi Guangyuan, Luo Haoxian, Song Chao, Xing Yilun, Wang Jianping, Killikelly Clare
Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, P. R. China.
School of Children's Development & Education, China Women's University, Beijing, P. R. China.
Eur J Psychotraumatol. 2018 Nov 16;9(1):1544026. doi: 10.1080/20008198.2018.1544026. eCollection 2018.
: Along with the implementation of the one-child policy in China, a special group of bereaved parents called 'shiduer' (), meaning parents bereaved by the loss of their only child, emerged. Although previous research has examined the physical and psychological health of this population, individual differences in physical and psychological outcomes are still not well understood. : This study aimed to identify heterogenous subgroups of Chinese bereaved parents who lost their only child based on the physical and psychological health of this population as well as the predictive factors of each subgroup. : Latent profile analysis was used to explore underlying patterns of physical and psychological indicators including subjective physical health, negative psychological outcomes (i.e. depression, post-traumatic stress disorder and prolonged grief disorder) and positive psychological outcomes (i.e. post-traumatic growth) among a sample of Chinese bereaved parents who lost their only child ( = 536). A three-step approach was used to examine the effects of covariates including quality of spousal relationship and recruitment channels on psychological and physical outcomes. : A three-profile model identified severity-based groupings of a 'resilient' subgroup ( = 153), a 'coping' subgroup ( = 338) and a 'dysfunctional' subgroup ( = 45). Less satisfaction with spousal relationship and recruitment from institutions in the community and online self-help groups (vs. offline support groups) are associated with the membership of the 'coping' or 'dysfunctional' subgroup compared to the 'resilient' subgroup. : There is heterogeneity regarding the physical and psychological health of Chinese parents after losing their only child. The predictive effects of the quality of spousal relationship and the recruitment channels could provide directions for professional intervention.
随着中国独生子女政策的实施，出现了一群特殊的失独父母，即因失去独生子女而痛失亲人的父母。尽管先前的研究考察了这一群体的身心健康状况，但对身心结果的个体差异仍未完全了解。
本研究旨在根据中国失独父母群体的身心健康状况以及各亚组的预测因素，识别出不同的亚组。
采用潜在剖面分析来探究中国失独父母样本（n = 536）中主观身体健康、负面心理结果（即抑郁、创伤后应激障碍和持续性悲伤障碍）以及正面心理结果（即创伤后成长）等身体和心理指标的潜在模式。采用三步法来检验包括配偶关系质量和招募渠道在内的协变量对心理和身体结果的影响。
一个“适应良好”亚组（n = 153）、一个“应对中”亚组（n = 338）和一个“功能失调”亚组（n = 45）。与“适应良好”亚组相比，对配偶关系满意度较低以及从社区机构和在线自助群体（而非线下支持群体）招募的情况与“应对中”或“功能失调”亚组的成员身份相关。
中国父母在失去独生子女后的身心健康存在异质性。配偶关系质量和招募渠道的预测作用可为专业干预提供方向。
