Department of Psychology, University of Missouri-Kansas City, Kansas City, Missouri.
Department of Psychology, University of Richmond, Richmond, Virginia.
J Nerv Ment Dis. 2020 Nov;208(11):863-869. doi: 10.1097/NMD.0000000000001217.
Peritraumatic distress and anxiety sensitivity are associated with complications in bereavement, including posttraumatic stress and prolonged grief reactions. The extent to which these factors interact to contribute to bereavement-related distress, however, remains unclear. This study investigates whether anxiety sensitivity moderates the association between peritraumatic reactions and posttraumatic stress and prolonged grief symptoms in a sample of young adults with a history of bereavement due to sudden, unexpected deaths. Participants were 606 undergraduate students recruited from two US universities. Results suggest that peritraumatic emotional and physical distress and anxiety sensitivity are all independently associated with both posttraumatic stress and prolonged grief reactions. Furthermore, the association between peritraumatic distress and prolonged grief, but not posttraumatic stress, is moderated by anxiety sensitivity. These findings point to several potentially important, clinically modifiable factors associated with a variety of bereavement-related mental health problems among a vulnerable group of grievers.
创伤后痛苦和焦虑敏感性与丧亲之痛的并发症有关，包括创伤后应激和长期悲伤反应。然而，这些因素相互作用以导致丧亲相关痛苦的程度尚不清楚。本研究调查了在因突然、意外死亡而经历丧亲之痛的年轻成年人样本中，焦虑敏感性是否调节了创伤前反应与创伤后应激和长期悲伤症状之间的关联。参与者是从两所美国大学招募的 606 名本科生。结果表明，创伤前的情绪和身体痛苦以及焦虑敏感性都与创伤后应激和长期悲伤反应独立相关。此外，创伤前痛苦与长期悲伤的关联，而不是与创伤后应激的关联，受到焦虑敏感性的调节。这些发现指向了几个潜在的重要的、可临床改变的因素，这些因素与一个易受伤害的丧亲者群体的各种丧亲相关的心理健康问题有关。
