Peak Ashley, Martin Luci, Post Kristina M, Hua William
Department of Psychology, University of La Verne, La Verne, VA, USA.
Department of Psychiatry and Behavioral Sciences, University of California, San Francisco.
Omega (Westport). 2024 Aug 29:302228241275195. doi: 10.1177/00302228241275195.
Grief responses range from minimal changes in functioning to debilitating, prolonged, complicated grief. The objective of the current study was to clarify the relationship between maladaptive personality characteristics, coping and situational factors associated with symptoms of complicated grief and health difficulties among bereaved individuals who had lost a loved one within the past six months to two years ( = 304; 59% male; age = 33.49, = 9.98, range 20-81). Situational risk factors, coping (self-distancing, denial, substance use, positive reframing, acceptance, religion, self-blame, behavioral disengagement, venting and humor) and maladaptive personality traits significantly predicted either symptoms of complicated grief or health difficulties. Coping strategies partially mediated the relationship between maladaptive personality traits and symptoms of complicated grief and health difficulties. Overall, these findings highlight the importance of maladaptive personality traits and coping strategies in the conceptualization of complicated grief and should be a greater focus of clinical intervention.
悲伤反应的范围从功能上的微小变化到使人衰弱、持续时间长且复杂的悲伤。本研究的目的是阐明在过去六个月至两年内失去亲人的丧亲个体( = 304;59% 为男性;年龄 = 33.49, = 9.98,范围 20 - 81)中,适应不良的人格特征、应对方式与情境因素之间的关系,这些因素与复杂悲伤症状及健康问题相关。情境风险因素、应对方式(自我疏离、否认、物质使用、积极重新构建、接受、宗教、自责、行为脱离、发泄和幽默)以及适应不良的人格特质显著预测了复杂悲伤症状或健康问题。应对策略部分介导了适应不良的人格特质与复杂悲伤症状及健康问题之间的关系。总体而言,这些发现凸显了适应不良的人格特质和应对策略在复杂悲伤概念化中的重要性,应成为临床干预的更重点关注内容。