Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University.
Psychosocial department, Family-Oriented Rehabilitation Clinic Tannheim, Tannheim, Germany.
Omega (Westport). 2022 Feb;84(3):837-855. doi: 10.1177/0030222820918674. Epub 2020 Apr 14.
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.
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。