College of Humanities and Social Sciences Academic Institute, Shizuoka University, Shizuoka, Shizuoka, Japan.
Department of Neuropsychiatry, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Palliat Support Care. 2023 Aug;21(4):594-602. doi: 10.1017/S147895152200150X.
This study aimed to adapt the meaning-centered psychotherapy (MCP) to treat post-bereavement grief in Japanese bereaved families who lost their loved ones to cancer and to examine the feasibility of the intervention using both quantitative and qualitative methods.
A modified version of MCP was developed with cultural consideration. Bereaved individuals aged ≥18 years who had lost their family members to cancer at least 6 months before and had severe or persistent grief with a score of ≥26 on the Inventory of Complicated Grief (ICG-19) were included in the study. The participants received the modified version of MCP, which was provided in a 5-session monthly format. The levels of grief (ICG-19), depression (Center for Epidemiologic Studies Depression Scale [CES-D]), general health (General Health Questionnaire-12), and post-traumatic growth (Post-traumatic Growth Inventory -Short Form) were compared before and after the intervention.
Five bereaved individuals were enrolled, and all the participants completed the program. The mean scores of the ICG-19. The participants' sense of regret, guilt, and being separated from the deceased person gradually shifted to the reappraisal of the experience, leading to a broadened view of the relationship with the deceased, and rediscovery of the core values, identity, and roles of the participants through the process of rediscovery of the meaning of life.
A modified version of the MCP was well accepted by Japanese bereaved families. The intervention appears to promote the rediscovery of the meaning of life and appears to have the potential to alleviate the bereaved individuals' depression and grief-related symptoms and to facilitate their post-traumatic growth.
本研究旨在改编以意义为中心的心理疗法（MCP），以治疗因癌症而失去亲人的日本丧亲家庭的丧亲后悲痛，并使用定量和定性方法来检验该干预措施的可行性。
在考虑文化因素的基础上，对 MCP 进行了改编。纳入标准为年龄≥18 岁、因癌症至少 6 个月前失去亲人、ICG-19 评分≥26 分且存在严重或持续悲痛的丧亲个体。参与者接受了为期 5 次、每月 1 次的改良版 MCP。在干预前后，比较了悲痛程度（ICG-19）、抑郁程度（流行病学研究中心抑郁量表[CES-D]）、一般健康状况（一般健康问卷-12）和创伤后成长（创伤后成长量表-短表）。
共纳入 5 名丧亲个体，所有参与者均完成了方案。ICG-19 的平均得分显著降低（P=0.012）。参与者的悔恨、内疚和与死者分离的感觉逐渐转变为对经历的重新评价，导致他们对与死者的关系有了更广阔的认识，并通过重新发现生活的意义，重新发现了自己的核心价值观、身份和角色。
MCP 的改良版得到了日本丧亲家庭的认可。该干预措施似乎促进了生活意义的重新发现，有可能减轻丧亲个体的抑郁和悲痛相关症状，并促进他们的创伤后成长。
