Huh Hyu Jung, Kim Kyung Hee, Lee Hee-Kyung, Chae Jeong-Ho
Department of Psychiatry, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
Department of Psychology, The Catholic University of Korea, Bucheon, Republic of Korea.
Psychiatry Investig. 2020 Jul;17(7):636-644. doi: 10.30773/pi.2019.0291. Epub 2020 Jul 8.
The present study examines the effects of attachment styles on the grief response and the indirect effect of rumination in parents who lost a child in the Sewol Ferry accident.
Bereaved parents (n=81) completed self-report questionnaires evaluating their attachment style (Experience in Close Relationship-Short form), traumatic loss related rumination (Event-Related Rumination Inventory), degree of complicated grief (Inventory of Complicated Grief), and post-traumatic growth (Post-Traumatic Growth Inventory). Data were analyzed using correlation analysis, structural equation modeling, and bootstrapping.
The indirect effect of event-related intrusive rumination was significant in the relationship between attachment avoidance and complicated grief. The path from attachment avoidance to post-traumatic growth via deliberate rumination was not significant. With respect toattachment anxiety and post-traumatic growth, the indirect effect of deliberate rumination was significant. But the indirect effect of intrusive rumination was not significant in the relationships among attachment anxiety, complicated grief, and post-traumatic growth.
Individuals with attachment anxiety could obtain post-traumatic growth via deliberate rumination. By contrast, attachment avoidance was associated with the risk of maladaptive grief. Grief interventions should account for individual differences in attachment styles through interventions that manage intrusive rumination and strengthen deliberate rumination.
本研究考察依恋风格对悲伤反应的影响，以及在“岁月号”客轮事故中失去孩子的父母中，沉思的间接影响。
丧亲父母（n = 81）完成了自我报告问卷，评估他们的依恋风格（亲密关系体验简表）、与创伤性损失相关的沉思（事件相关沉思量表）、复杂悲伤程度（复杂悲伤量表）和创伤后成长（创伤后成长量表）。使用相关分析、结构方程模型和自抽样法对数据进行分析。
事件相关的侵入性沉思在依恋回避与复杂悲伤的关系中具有显著的间接影响。从依恋回避通过刻意沉思到创伤后成长的路径不显著。关于依恋焦虑与创伤后成长，刻意沉思的间接影响显著。但侵入性沉思在依恋焦虑、复杂悲伤和创伤后成长之间的关系中，间接影响不显著。
有依恋焦虑的个体可以通过刻意沉思获得创伤后成长。相比之下，依恋回避与适应不良悲伤的风险相关。悲伤干预应通过管理侵入性沉思和加强刻意沉思的干预措施，考虑依恋风格的个体差异。
