Caparrós Beatriz, Masferrer Laura
Department of Psychology, University of Girona (UdG), Girona, Spain.
CAS Girona, Mental Health and Addiction Research Group, Institut d'Assistència Sanitària (IAS), Institut d'Investigació Biomèdica de Girona (IDIBGI), Girona, Spain.
Front Psychol. 2021 Jan 15;11:624065. doi: 10.3389/fpsyg.2020.624065. eCollection 2020.
: Previous research has identified a link between the loss of a significant person, grief complications, and substance abuse. People with substance use disorder (SUD) are more vulnerable to complicated grieving symptoms following loss. From sociocognitive theories, the model of coping with stress assumes that substance use is one of the responses used to cope with traumatic life events. The main objective of this study is to identify the coping strategies of people with SUD and to analyze their relationship to complicated grief (CG). : A sample of 196 bereaved drug-dependent patients was assessed, after providing written consent, in sociodemographic variables, drug and bereavement related characteristics, CG symptomatology (Inventory of Complicated Grief) and coping strategies (Coping Strategies Inventory). : There are differences in relation to the coping strategies used among patients with CG, using more those focused on emotional expression, social withdrawal, wishful thinking, and self-criticism. : We can conclude that, in general, CG in patients with SUD is more associated with the use of less adaptive coping strategies. This data can contribute to a better understanding of the different variables involved in the grieving process among people with SUD. It is important to point out the clinical implications of addressing what the coping strategies associated with improved grief outcomes among people with addiction problems are.
先前的研究已经确定了重要人物的丧失、悲伤并发症和物质滥用之间的联系。患有物质使用障碍(SUD)的人在经历丧失后更容易出现复杂的悲伤症状。从社会认知理论来看,应对压力的模型假定物质使用是应对创伤性生活事件的反应之一。本研究的主要目的是确定患有SUD的人的应对策略,并分析它们与复杂悲伤(CG)的关系。
在获得书面同意后,对196名丧亲的药物依赖患者样本进行了评估,评估内容包括社会人口统计学变量、与药物和丧亲相关的特征、复杂悲伤症状(复杂悲伤量表)和应对策略(应对策略量表)。
在使用的应对策略方面,患有复杂悲伤的患者之间存在差异,他们更多地使用那些侧重于情感表达、社交退缩、一厢情愿的想法和自我批评的策略。
我们可以得出结论,一般来说,患有SUD的患者的复杂悲伤与使用适应性较差的应对策略更相关。这些数据有助于更好地理解SUD患者悲伤过程中涉及的不同变量。指出解决成瘾问题患者中与改善悲伤结果相关的应对策略的临床意义很重要。