UKRAINIAN CATHOLIC UNIVERSITY, LVIV, UKRAINE.
DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE.
Wiad Lek. 2022;75(5 pt 2):1299-1304. doi: 10.36740/WLek202205212.
The aim: To examine the features of experiences of bereavement reactions and the severity of comorbid mental health problems in persons who lost loved ones during the pandemic.
Materials and methods: 191 volunteers aged 18-60 years participated in this study. All participants were tested during 2018-2020. To assess the mental health problems was used International Neuropsychiatric Interview (MINI) and a set of IAPT scales; to the psycho-emotional distress severity associated with loss of loved ones - Inventory of Complicated Grief, with verification of symptoms of complicated grief based on an independent assessment of two experts; and the quality of life satisfaction was assessed by the Quality of Life Enjoyment and Satisfaction Questionnaire, Short Form.
Results: The results show an association between the severity of symptoms of depression, general anxiety, social avoidance, and loss during the pandemic. The level of psycho-emotional distress was associated with the experience of bereavement as a traumatic event for a group of participants who experienced loss during the pandemic and, at the same time, before the pandemic was associated with the severity of depression. Regardless of the time of loss, people who demonstrated signs of complicated grief have a more pronounced comorbid psychopathology, a higher level of psycho-emotional distress, and a lower level of satisfaction with life quality.
Conclusions: It has been established that a person's ability to experience loss as a traumatic experience and grieve during the pandemic is modified with the context of the life situation and reflects those challenges that impose quarantine restrictions.
研究在大流行期间失去亲人的人丧亲反应的特征和并发精神健康问题的严重程度。
191 名年龄在 18-60 岁之间的志愿者参加了这项研究。所有参与者均于 2018-2020 年期间接受测试。使用国际神经精神访谈 (MINI) 和一套 IAPT 量表评估精神健康问题;使用复杂悲伤量表评估与失去亲人相关的心理困扰严重程度,该量表基于两名专家的独立评估验证复杂悲伤的症状;使用生活质量享受和满意度问卷,简短形式评估生活质量满意度。
结果表明,在大流行期间,抑郁、普遍焦虑、社交回避和丧失的严重程度之间存在关联。心理困扰程度与丧亲之痛作为一组参与者的创伤性事件有关,而在大流行之前,与抑郁的严重程度有关。无论失去亲人的时间如何,表现出复杂悲伤迹象的人都有更明显的共病精神病理学、更高水平的心理困扰和更低水平的生活质量满意度。
已经确定,一个人将失去亲人视为创伤性体验的能力以及在大流行期间的悲伤程度受到生活情况的影响,并反映了那些强加隔离限制的挑战。