Department of Psychology, Health, & Technology, Faculty of Behavioural, Management, and Social Sciences, University of Twente, Drienerlolaan 5, 7522 NB Enschede, the Netherlands.
Department of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioral and Social Sciences, University of Groningen, Groningen, the Netherlands.
Psychol Med. 2023 Nov;53(15):7428-7434. doi: 10.1017/S0033291723001101. Epub 2023 May 8.
Losing a parent or spouse in adulthood may result in prolonged grief disorder (PGD) symptoms. PGD levels in parents may affect PGD levels in their adult offspring and the other way around. However, research on transmission of PGD in parent-child dyads is lacking. Consequently, we aimed to examine temporal associations between PGD levels in parent and adult children.
In doing so, we analyzed longitudinal self-report data on PGD levels (using the PG-13) assessed at 2, 11, 18, and 26 months after loss in 257 adult parent-child dyads from Denmark. Cross-lagged panel modeling was used for data-analyses.
Changes in PGD levels in parents significantly predicted PGD levels in adult children, but not vice versa. Small through moderate cross-lagged effects ( = 0.05 through 0.07) were found for PGD levels in parents predicting PGD levels in adult children at a subsequent time-point. These cross-lagged effects were found while taking into account the association between PGD levels in parents and adult children at the same time-point as well as the associations between the same construct over time and relevant covariates.
Pending replication of these findings in clinical samples and younger families, our findings offer tentative support for expanding our focus in research and treatment of PGD from the individual to the family level.
成年人失去父母或配偶可能会导致持续性悲伤障碍(PGD)症状。父母的 PGD 水平可能会影响其成年子女的 PGD 水平,反之亦然。然而,关于父母-子女二元体中 PGD 传递的研究还很缺乏。因此,我们旨在研究父母和成年子女的 PGD 水平之间的时间关联。
为此,我们分析了来自丹麦的 257 对成年父母-子女二元体在失去亲人后 2、11、18 和 26 个月时使用 PG-13 评估的 PGD 水平(PGD)的纵向自我报告数据。使用交叉滞后面板模型进行数据分析。
父母的 PGD 水平变化显著预测了成年子女的 PGD 水平,但反之则不然。在考虑到父母和成年子女在同一时间点的 PGD 水平之间的关联以及同一结构随时间的关联和相关协变量后,发现了父母的 PGD 水平对成年子女的 PGD 水平具有小到中等的交叉滞后效应(=0.05 至 0.07)。
在对临床样本和年轻家庭进行这些发现的复制之前,我们的发现为将研究和治疗 PGD 的重点从个体扩展到家庭水平提供了初步支持。