Centro di Cure Palliative, Fondazione Sanità e Ricerca, Rome, Italy.
Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.
Death Stud. 2024;48(6):537-549. doi: 10.1080/07481187.2023.2246022. Epub 2023 Aug 11.
Several psychological dimensions influence the psychological adjustment of terminally ill cancer patients' caregivers, during the end-of-life phase. The present study explored the associations between attachment styles, mentalization, preparedness for death, and the severity of pre-loss grief symptoms in 102 caregivers of terminal cancer patients. The results of the network analysis showed that insecure attachment dimensions were positively associated with several central pre-loss grief symptoms. Mentalization and preparedness for death showed negative associations with several pre-loss grief symptoms. Interestingly, bitterness showed a negative association with need for approval and a positive association with mentalization. The results provided insight into the grieving process for palliative care providers to implement effective caregiver support interventions.
几种心理维度会影响临终癌症患者照顾者在生命末期的心理调整。本研究探讨了 102 名临终癌症患者照顾者的依恋风格、心理化、对死亡的准备以及失前悲伤症状严重程度之间的关系。网络分析的结果表明，不安全依恋维度与几个主要的失前悲伤症状呈正相关。心理化和对死亡的准备与几个失前悲伤症状呈负相关。有趣的是，痛苦与需要认可呈负相关，与心理化呈正相关。这些结果为姑息治疗提供者深入了解悲伤过程提供了线索，以便实施有效的照顾者支持干预措施。
