Department of Human Development and Family Sciences, University of Connecticut, 1 University Place, Stamford, CT, USA.
REACH Institute, Arizona State University, Tempe, AZ, USA.
Clin Child Fam Psychol Rev. 2023 Jun;26(2):430-444. doi: 10.1007/s10567-023-00431-w. Epub 2023 Mar 15.
Family-based bereavement interventions have shown promises to prevent problem outcomes and promote resilience in parentally bereaved children. Evidence of the broad range of mental and physical health problems following the death of a parent supports the need for a transdiagnostic approach that promotes adaptation and reduces multiple problem outcomes for parentally bereaved families. We discuss self-compassion as a promising framework for a transdiagnostic approach. We argue that three elements of self-compassion-mindfulness (vs. over-identification), self-kindness (vs. self-judgment), and common humanity (vs. isolation)-can facilitate loss-oriented coping, restoration-oriented coping, and the oscillation process between the two. This sets the foundation for individual and family processes that support bereavement adjustment. To explain how self-compassion promotes adjustment outcomes in parentally bereaved families, we review the extant literature with a focus on parental emotion regulation and effective parenting and propose a conceptual model with testable hypotheses to guide more research in this area. The model suggests that caregivers' self-compassion is a resilience resource for multiple adaptive outcomes for themselves and for their child through its positive impacts on emotion regulation and effective parenting. We illustrate the utility of the framework with an example of a family-based bereavement prevention program that integrated self-compassion training. Future directions for research are discussed.
基于家庭的丧亲干预措施已显示出预防问题发生和促进丧亲儿童适应能力的潜力。父母一方去世后出现的各种心理健康和身体健康问题的证据表明,需要采取一种跨诊断方法,促进适应能力并减少丧亲家庭的多种问题发生。我们讨论了自我同情作为一种有前途的跨诊断方法的框架。我们认为,自我同情的三个要素——正念(与过度认同相反)、自我友善(与自我评判相反)和共同人性(与隔离相反)——可以促进以丧失为导向的应对、以恢复为导向的应对以及两者之间的波动过程。这为支持丧亲适应的个体和家庭过程奠定了基础。为了解释自我同情如何促进丧亲家庭的适应结果,我们回顾了现有文献,重点关注父母的情绪调节和有效育儿,并提出了一个具有可检验假设的概念模型,以指导该领域的更多研究。该模型表明,照顾者的自我同情通过对情绪调节和有效育儿的积极影响,成为自己和孩子的多个适应性结果的恢复资源。我们通过一个整合自我同情训练的家庭丧亲预防计划的例子来说明该框架的实用性。还讨论了未来的研究方向。