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持久性悲伤障碍症状与抑郁及自杀意念之间的关联。

Associations between symptoms of prolonged grief disorder and depression and suicidal ideation.

作者信息

Sekowski Marcin, Prigerson Holly G

机构信息

Department of Psychology, The Maria Grzegorzewska University, Warsaw, Poland.

Cornell Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, New York, USA.

出版信息

Br J Clin Psychol. 2022 Nov;61(4):1211-1218. doi: 10.1111/bjc.12381. Epub 2022 Jul 22.

DOI:10.1111/bjc.12381
PMID:35869636
Abstract

OBJECTIVES

We examined associations between the severity of symptoms of prolonged grief disorder (PGD) and depression and recent suicidal ideation among bereaved family members.

METHODS

Individuals who survived the death of a family member 1-8 year earlier (N = 225) were surveyed using self-report measures in the cross-sectional study. Regression analyses were conducted to test the multivariable effects of PGD and depression symptom severity-including their interactive effect-on recent suicidal ideation among the full sample and subsample of suicidal ideators (n = 38).

RESULTS

The severity of PGD symptoms was positively associated with frequency of recent suicidal ideation in the full sample and subsample of suicidal ideators. Depressive symptoms were positively related to suicidal ideation in the full sample; however, they were significant only in the presence of PGD symptoms in the subsample of suicidal ideators.

CONCLUSIONS

Severity of PGD and depression symptoms are positively associated with suicidal ideation among bereaved individuals, highlighting the need to attend to both PGD and depressive symptoms in understanding risk for suicidal ideation among bereaved individuals.

摘要

目的

我们研究了持续性悲伤障碍(PGD)症状的严重程度与抑郁以及丧亲家庭成员近期自杀意念之间的关联。

方法

在这项横断面研究中,使用自我报告测量法对1至8年前家庭成员去世后仍存活的个体(N = 225)进行了调查。进行回归分析以检验PGD和抑郁症状严重程度的多变量效应,包括它们对全部样本和自杀意念者子样本(n = 38)中近期自杀意念的交互作用。

结果

在全部样本和自杀意念者子样本中,PGD症状的严重程度与近期自杀意念的频率呈正相关。抑郁症状在全部样本中与自杀意念呈正相关;然而,仅在自杀意念者子样本中存在PGD症状时,抑郁症状才具有显著性。

结论

PGD和抑郁症状的严重程度与丧亲个体的自杀意念呈正相关,这凸显了在理解丧亲个体自杀意念风险时关注PGD和抑郁症状的必要性。

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