Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec.
Department of Psychology, Memphis University, Memphis, Tennessee.
J Clin Psychol. 2019 Jun;75(6):1047-1065. doi: 10.1002/jclp.22751. Epub 2019 Feb 22.
To address the etiology of prolonged grief disorder (PGD) by examining whether rumination moderates the role of meaning-making in mediating the impact of PGD risk factors.
A survey assessing PGD risk factors (low social support, insecure attachment, violent loss, neuroticism, and loss of a spouse), meaning, and rumination was administered 2-12 months postloss among adults across North America and Europe (mean age = 44.3, 71.9% female). At a 7-10 months follow-up, symptoms of PGD were assessed (n = 171).
When measuring meaning with the Grief and Meaning Reconstruction Inventory, the moderated mediation pathway was significant for each PGD-risk factor. However, when measuring meaning with the Integration of Stressful Life Experiences-Short Form, the pathway was significant for every risk factors except violent loss.
Rumination appears to moderate meaning-making in the development of PGD symptomatology. These findings highlight rumination as a target for intervention with at-risk grievers.
通过考察反刍是否调节意义构建在中介延长哀伤障碍（PGD）风险因素影响中的作用，来探讨 PGD 的病因。
一项调查评估了北美的成年人在失去亲人后 2-12 个月内的 PGD 风险因素（低社会支持、不安全依恋、暴力丧失、神经质和配偶丧失）、意义和反刍。在 7-10 个月的随访中，评估了 PGD 的症状（n=171）。
当使用《哀伤和意义重建量表》测量意义时，PGD 风险因素的中介路径都有统计学意义。然而，当使用《压力生活体验整合-短式量表》测量意义时，除了暴力丧失，每个风险因素的路径都有统计学意义。
反刍似乎调节了意义构建在 PGD 症状发展中的作用。这些发现强调了反刍作为对高危哀伤者进行干预的一个目标。
