Giunta Serena, Mannino Giuseppe, Sideli Lucia, Quattropani Maria C, Lenzo Vittorio
Department of Law Economics and Communication LUMSA Santa Silvia University.
Department of Human Sciences Libera Università Maria SS. Assunta.
Health Psychol Res. 2024 Sep 1;12:122543. doi: 10.52965/001c.122543. eCollection 2024.
This study aimed to investigate the mediation role of reflective functioning (i.e., certainty and uncertainty about mental states) in the relationship between insecure attachment (i.e., attachment avoidance and attachment anxiety ) and the severity of prolonged grief symptoms.
A cross-sectional study was conducted with 329 bereaved participants (51.7% females, mean age= 46.94 ± 14.62 years). Participants completed the Prolonged Grief Scale (PG-13), the Attachment Style Questionnaire (ASQ), and the Reflective Functioning Questionnaire (RFQ). Demographic and bereavement-related information were also collected.
Certainty about mental states fully mediated the relationship between both the attachment avoidance and attachement anxiety and severity of prolonged grief symptoms.
The findings of this study indicate that reflective functioning impairment, specifically certainty about mental states of self and others, mediate the paths from insecure attachment to prolonged grief symptoms. This suggests that improving reflective functioning may contribute to the treatment bereaved individuals at risk of PGD.
本研究旨在探讨反思功能（即对心理状态的确定性和不确定性）在不安全依恋（即依恋回避和依恋焦虑）与持续性悲伤症状严重程度之间关系中的中介作用。
对329名丧亲者进行了一项横断面研究（女性占51.7%，平均年龄 = 46.94 ± 14.62岁）。参与者完成了持续性悲伤量表（PG - 13）、依恋风格问卷（ASQ）和反思功能问卷（RFQ）。还收集了人口统计学和与丧亲相关的信息。
对心理状态的确定性完全中介了依恋回避和依恋焦虑与持续性悲伤症状严重程度之间的关系。
本研究结果表明，反思功能损害，特别是对自我和他人心理状态的确定性，中介了从不安全依恋到持续性悲伤症状的路径。这表明改善反思功能可能有助于治疗有复杂悲伤障碍风险的丧亲个体。
