Department of Psychology, TED University, Ankara, Turkey.
Omega (Westport). 2024 Dec;90(2):783-804. doi: 10.1177/00302228221111946. Epub 2022 Jul 1.
To date, several theoretical models have been proposed to explain how the expected and natural grief processes turns into psychiatric disorders. Nevertheless, there is a paucity of empirical research examining the basic assumption of psychoanalytic theory regarding pre-death conflict and bereavement related guilt. Accordingly, the current study aimed to investigate the mediator role of bereavement related guilt in the relationship between the pre-death conflict and maladaptive grief process. The sample consisted of 447 bereaved adults who lost a loved one due to death in the last 5 years. The Unfinished Business in Bereavement (UBBS), Bereavement Guilt Scale (BGS), Beck Depression Inventory (BDI), and Prolonged Grief Disorder Scale (PG-13) scales were administered. The results indicated that the UBBS scores were positively correlated with both BDI and PG-13 scores, and BGS scores mediated these relationships. Obtained findings were discussed in relation to psychoanalytic theory and existing studies in the grief literature.
迄今为止，已经提出了几种理论模型来解释预期和自然的悲伤过程如何转变为精神障碍。然而，关于精神分析理论中与死亡前冲突和丧亲相关内疚有关的基本假设，实证研究还很少。因此，本研究旨在探讨丧亲相关内疚在死亡前冲突与适应不良悲伤过程之间关系中的中介作用。样本由 447 名在过去 5 年内因亲人去世而失去亲人的丧亲成年人组成。采用了未完成的丧亲事务量表（UBBS）、丧亲内疚量表（BGS）、贝克抑郁量表（BDI）和延长悲伤障碍量表（PG-13）。结果表明，UBBS 得分与 BDI 和 PG-13 得分均呈正相关，BGS 得分在这些关系中起中介作用。研究结果与精神分析理论和悲伤文献中的现有研究进行了讨论。
