Department of Psychology and Social Science, Edith Cowan University, Perth, Australia.
Omega (Westport). 2023 Dec;88(2):477-504. doi: 10.1177/00302228211047088. Epub 2021 Sep 20.
While distressing, late life spousal loss is considered a normative life event and most demonstrate resilient recovery from grief. However, for 5-7% of the population spousal loss comes early, before the age of 50, and little is known about the factors that influence adjustment in this population. We used the DPM integrative framework to examine correlates and predictors of mental wellbeing and grief intensity in an international sample of 603 young widows and widowers. Contrary to existing bereavement research, loss-orientated stressors (e.g., expectedness and cause of death) did not predict bereavement outcomes. Employment and financial wellbeing were the only statistically significant restoration-orientated stressors associated with coping, mental wellbeing and grief intensity. We found no significant associations between parental status and coping or bereavement outcomes. Loss-orientated coping, followed by inter and intrapersonal protective factors for resilience and financial wellbeing were the greatest predictors of grief intensity. Loss-orientated coping was highest in early bereavement, the greatest predictor of grief intensity and associated with being unemployed, financial insecurity and decreased protective factors for resilience. Restoration-orientated coping was highest in later bereavement, was a weak predictor of grief intensity and associated with being employed, increased financial wellbeing and protective factors for resilience. Overall, we found the young-widowed population is at heightened risk of poor adjustment. Almost two-thirds reported decreased functioning, probable depression with high rates of psychological distress. Nearly half met diagnostic criteria for prolonged grief disorder. We discuss implications for research and clinical practice.
虽然晚年丧偶是令人痛苦的,但它被认为是一个正常的生活事件,大多数人在悲伤中表现出了有弹性的恢复能力。然而,对于 5-7%的人口来说,丧偶发生得较早,在 50 岁之前,人们对影响这一人群适应能力的因素知之甚少。我们使用 DPM 综合框架,在一个由 603 名年轻寡妇和鳏夫组成的国际样本中,研究了心理健康和悲伤强度的相关因素和预测因素。与现有的丧亲研究不同,以损失为导向的压力源(如预期和死因)并没有预测丧亲结果。就业和财务状况是与应对、心理健康和悲伤强度相关的唯一具有统计学意义的恢复导向压力源。我们没有发现父母身份与应对或丧亲结果之间存在显著关联。以损失为导向的应对方式,其次是适应力和内在保护因素,以及财务状况,是悲伤强度的最大预测因素。在早期丧亲中,以损失为导向的应对方式最高,是悲伤强度的最大预测因素,与失业、财务不稳定和适应力保护因素减少有关。以恢复为导向的应对方式在后期丧亲中最高,是悲伤强度的弱预测因素,与就业、财务状况改善和适应力保护因素增加有关。总的来说,我们发现年轻的丧偶人群面临着适应不良的高风险。近三分之二的人报告功能下降,可能患有抑郁症,心理困扰率很高。近一半的人符合延长哀伤障碍的诊断标准。我们讨论了这对研究和临床实践的意义。