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丧亲父母的长期悲伤、创伤后应激和抑郁:流行情况及干预方案的反应。

Prolonged Grief, Posttraumatic Stress, and Depression Among Bereaved Parents: Prevalence and Response to an Intervention Program.

机构信息

Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University.

Psychosocial department, Family-Oriented Rehabilitation Clinic Tannheim, Tannheim, Germany.

出版信息

Omega (Westport). 2022 Feb;84(3):837-855. doi: 10.1177/0030222820918674. Epub 2020 Apr 14.

Abstract

Bereaved parents may experience diverse psychological symptoms. Possible interventions are not yet well established. In this study, the psychological symptoms of 323 bereaved parents (mean age = 39.97,  = 7.21, 52.0% female), referred to a 4-week family-oriented rehabilitation (FOR) program, were assessed. The baseline assessments indicated that 160 (49.5%) parents showed symptoms of prolonged grief disorder (PGD). Complicated grief was indicated in 272 (84.2%), depression in 191 (59.1%), and posttraumatic stress disorder in 242 (74.9%) parents. Mothers were at higher risk of complicated grief ( ≤ .001), depression ( = .029), and posttraumatic stress disorder ( = .004), compared to fathers. Significant remissions of symptoms between admission and discharge from the program are presented as symptoms of complicated grief, depression, and posttraumatic stress. The effect sizes ranged between  = 0.68 and 1.22. In addition, significantly fewer parents fulfilled PGD criteria on discharge from the FOR program ( ≤ .001). The special FOR program appears promising with regard to improving the bereaved parents' mental health.

摘要

丧亲父母可能会经历各种心理症状。但目前尚未确定有效的干预措施。在这项研究中,评估了 323 名丧亲父母(平均年龄 39.97 岁,标准差 7.21 岁,52.0%为女性)参加为期 4 周的以家庭为导向的康复(FOR)计划后的心理症状。基线评估表明,有 160 名(49.5%)父母表现出持续性悲伤障碍(PGD)的症状。272 名(84.2%)父母存在复杂悲伤,191 名(59.1%)父母存在抑郁,242 名(74.9%)父母存在创伤后应激障碍。与父亲相比,母亲患复杂悲伤( ≤ .001)、抑郁( = .029)和创伤后应激障碍( = .004)的风险更高。入院和出院期间症状显著缓解,表现为复杂悲伤、抑郁和创伤后应激症状。效应大小范围在  = 0.68 到 1.22 之间。此外,在结束 FOR 项目后,符合 PGD 标准的父母明显减少( ≤ .001)。特殊的 FOR 项目有望改善丧亲父母的心理健康。

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