Harrison Octavia, Windmann Sabine, Rosner Rita, Steil Regina
Department of Clinical Psychology and Psychotherapy, Goethe University Frankfurt, Frankfurt, Germany.
Department of Cognitive Psychology II, Goethe University Frankfurt, Frankfurt, Germany.
Clin Psychol Psychother. 2022 May;29(3):1101-1112. doi: 10.1002/cpp.2697. Epub 2021 Dec 6.
Pathological grief has received increasing attention in recent years, as about 10% of the bereaved suffer from one kind of it. Pathological grief in the form of prolonged grief disorder (PGD) is a relatively new diagnostic category which will be included into the upcoming ICD-11. To date, various risk and protective factors, as well as treatment options for pathological grief, have been proposed. Nevertheless, empirical evidence in that area is still scarce. Our aim was to identify the association of interpersonal closeness with the deceased and bereavement outcome. Interpersonal closeness with the deceased in 54 participants (27 patients suffering from PGD and 27 bereaved healthy controls) was assessed as the overlap of pictured identities via the inclusion of the other in the self scale (IOS scale). In addition to that, data on PGD symptomatology, general mental distress and depression were collected. Patients suffering from PGD reported higher inclusion of the deceased in the self. By contrast, they reported feeling less close towards another living close person. Results of the IOS scale were associated with PGD severity, general mental distress and depression. Inclusion of the deceased in the self is a significant statistical predictor for PGD caseness.
近年来，病理性悲伤受到了越来越多的关注，因为约10%的丧亲者会遭受某种形式的病理性悲伤。以持续性悲伤障碍（PGD）形式存在的病理性悲伤是一个相对较新的诊断类别，将被纳入即将发布的《国际疾病分类第11版》（ICD - 11）。迄今为止，已经提出了各种病理性悲伤的风险和保护因素以及治疗方案。然而，该领域的实证证据仍然匮乏。我们的目的是确定与逝者的人际亲密度与丧亲结果之间的关联。通过自我量表中对他人的接纳程度（IOS量表），评估了54名参与者（27名患有PGD的患者和27名丧亲的健康对照者）与逝者的人际亲密度，即想象身份的重叠程度。此外，还收集了关于PGD症状、一般心理困扰和抑郁的数据。患有PGD的患者报告在自我中对逝者的接纳程度更高。相比之下，他们报告对另一位在世的亲近之人感觉不那么亲密。IOS量表的结果与PGD严重程度、一般心理困扰和抑郁相关。在自我中对逝者的接纳是PGD病例的一个显著统计学预测指标。
