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儿童创伤性死亡后的复杂性悲伤:一项系统综述

Complicated Grief Following the Traumatic Loss of a Child: A Systematic Review.

作者信息

Champion Monique Jayde, Kilcullen Meegan

机构信息

College of Healthcare Sciences, James Cook University, Townsville, QLD Australia.

出版信息

Omega (Westport). 2025 Sep;91(4):2142-2164. doi: 10.1177/00302228231170417. Epub 2023 May 11.

DOI:10.1177/00302228231170417
PMID:37169347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12271633/
Abstract

Complicated grief is a disabling condition that occurs when the natural grief process is disturbed or prolonged. Research demonstrates that complicated grief is more prevalent following the sudden or violent loss of a child. Despite the high incidence of accidental death worldwide, little research has focused on parental grief trajectories following this form of traumatic loss. A systematic review was conducted to explore parental bereavement outcomes following accidental death. Studies were included if they specifically examined complicated grief in parents bereaved by the accidental death of their child. A total of 767 articles were identified and seven studies met the eligibility criteria for review. Poorer outcomes were identified in relation to the mode of death, relationship type, time post-loss, perceived support, perceived justice and comorbidities. Results of the current study may be used to inform the development of clinical practice guidelines for the treatment of complicated grief.

摘要

复杂性悲伤是一种致残状况,当自然的悲伤过程受到干扰或延长时就会出现。研究表明,在孩子突然或暴力离世后,复杂性悲伤更为普遍。尽管全球意外死亡发生率很高,但很少有研究关注这种创伤性损失后父母的悲伤轨迹。进行了一项系统综述,以探讨意外死亡后父母的丧亲结果。如果研究专门考察因孩子意外死亡而丧亲的父母的复杂性悲伤,则纳入这些研究。共识别出767篇文章,七项研究符合综述的纳入标准。在死亡方式、关系类型、丧亲后时间、感知到的支持、感知到的公正和共病方面发现了较差的结果。本研究结果可用于为复杂性悲伤治疗的临床实践指南的制定提供信息。

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Complicated Grief, Depression and Post-Traumatic Stress Symptoms Among Bereaved Parents following their Child's Death in the Pediatric Intensive Care Unit: A Follow-Up Study.儿科重症监护病房患儿死亡后丧亲父母的复杂悲痛、抑郁和创伤后应激症状:一项随访研究。
Am J Hosp Palliat Care. 2022 Feb;39(2):228-236. doi: 10.1177/10499091211015913. Epub 2021 May 5.
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PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews.PRISMA 2020 解释和说明:系统评价报告的更新指南和范例。
BMJ. 2021 Mar 29;372:n160. doi: 10.1136/bmj.n160.
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What Exactly Is "Complicated" Grief? A Scoping Research Literature Review to Understand Its Risk Factors and Prevalence.“复杂”性悲伤究竟是什么?一项范围研究文献综述,以了解其风险因素和流行率。
Omega (Westport). 2022 Dec;86(2):471-487. doi: 10.1177/0030222820977305. Epub 2020 Dec 1.
4
Complicated Grief: Risk Factors, Protective Factors, and Interventions.复杂性哀伤:风险因素、保护因素和干预措施。
J Soc Work End Life Palliat Care. 2020 Apr-Jun;16(2):151-174. doi: 10.1080/15524256.2020.1745726. Epub 2020 Mar 31.
5
Transitional objects of grief.悲伤的过渡性客体。
Compr Psychiatry. 2020 Jan 11;98:152161. doi: 10.1016/j.comppsych.2020.152161.
6
Posttraumatic stress disorder and complicated grief in bereaved parents of the Sewol Ferry disaster exposed to injustice following the loss.创伤后应激障碍和失去亲人的世越号渡轮灾难父母的复杂悲痛,在失去亲人后遭受不公正待遇。
Int J Soc Psychiatry. 2020 Mar;66(2):163-170. doi: 10.1177/0020764019894607. Epub 2019 Dec 18.
7
The Parental Experience of Unexpectedly Losing a Child in the Pediatric Emergency Department.儿科急诊中意外失去孩子的父母的体验。
Omega (Westport). 2021 Nov;84(1):28-50. doi: 10.1177/0030222819876477. Epub 2019 Sep 23.
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Meaning reconstruction in bereavement: Development of a research program.丧亲之痛的意义重构:研究计划的发展。
Death Stud. 2019;43(2):79-91. doi: 10.1080/07481187.2018.1456620.
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Rumination moderates the role of meaning in the development of prolonged grief symptomatology.反刍思维调节意义在延长哀伤症状发展中的作用。
J Clin Psychol. 2019 Jun;75(6):1047-1065. doi: 10.1002/jclp.22751. Epub 2019 Feb 22.
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The Grief of Parents After the Death of a Young Child.幼儿死亡后父母的悲痛。
J Clin Psychol Med Settings. 2019 Sep;26(3):321-338. doi: 10.1007/s10880-018-9590-7.