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幼儿死亡后父母的悲痛。

The Grief of Parents After the Death of a Young Child.

作者信息

Morris Sue, Fletcher Kalen, Goldstein Richard

机构信息

Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston Children's Hospital and Brigham and Women's Hospital, Harvard Medical School, 450 Brookline Avenue, Boston, MA, 02215, USA.

Department of Social Work, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02215, USA.

出版信息

J Clin Psychol Med Settings. 2019 Sep;26(3):321-338. doi: 10.1007/s10880-018-9590-7.

Abstract

Research demonstrates that severe forms of grief and grief-related pathology exist in the general population. Less attention, however, has been paid to the grief of parents following the death of a young, dependent child. In this review, we summarize a search of Pubmed, PsycINFO and Web of Science from 1995 to 2017, using the terms 'parental complicated grief', 'parental traumatic grief', and 'parent Prolonged Grief Disorder', specifically addressing parental grief and identified risk factors for complicated or prolonged grief. Forty-two studies met criteria and indicate a significant burden of complicated or prolonged grief in parents of children dying from virtually any cause. It appears that the empiric literature is undermined by great variability, including the composition of samples, the causes of death studied, the psychometric measures used, and post-loss intervals. We conclude that the uniform severity of grief experiences following the death of a young child is potentially a distinct subtype of grief, deserving of attention in its own right in future research and diagnostic formulations.

摘要

研究表明,严重形式的悲痛及与悲痛相关的病理学现象存在于普通人群中。然而,对于年幼受抚养子女死亡后父母的悲痛关注较少。在本综述中,我们总结了对1995年至2017年期间PubMed、PsycINFO和科学网的检索,使用了“父母复杂性悲伤”“父母创伤性悲伤”和“父母持续性悲伤障碍”等术语,专门探讨父母的悲伤,并确定了复杂性或持续性悲伤的风险因素。42项研究符合标准,表明几乎因任何原因死亡的儿童的父母中,复杂性或持续性悲伤的负担都很显著。看来,实证文献受到很大变异性的影响,包括样本构成、所研究的死亡原因、所使用的心理测量方法以及丧亲后的时间间隔。我们得出结论,幼儿死亡后悲痛经历的一致严重程度可能是一种独特的悲伤亚型,其本身值得在未来的研究和诊断表述中得到关注。

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