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通过认知行为疗法对自杀身亡者遗属进行悲伤干预:一项系统综述

Grief Intervention in Suicide Loss Survivors through Cognitive-Behavioral Therapy: A Systematic Review.

作者信息

Romero-Moreno José Carlos, Cantero-García María, Huertes-Del Arco Ana, Izquierdo-Sotorrío Eva, Rueda-Extremera María, González-Moreno Jesús

机构信息

Psicología, Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), 46003 Valencia, Spain.

Psicología, Facultad de Ciencias de la Salud y Educación, Universidad a Distancia de Madrid (UDIMA), 28400 Madrid, Spain.

出版信息

Behav Sci (Basel). 2024 Sep 9;14(9):791. doi: 10.3390/bs14090791.

DOI:10.3390/bs14090791
PMID:39336006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11428494/
Abstract

Suicide is one of the leading causes of death worldwide, affecting numerous individuals close to the person who died by suicide, including family members, friends, and colleagues. Those affected by the suicide of someone are referred to as "suicide survivors", and the psychological consequences they face are particularly severe. One of these consequences is grief, which is more complicated in survivors of suicide compared with those grieving deaths from other causes, mainly because of the stigma that continues to surround them. Therefore, psychotherapeutic intervention for suicide loss survivors is crucial. This study examines the efficacy of cognitive-behavioral programs for addressing grief and other related variables in suicide loss survivors. The search was conducted in databases including Psycinfo, Academic Search Premier, Medline, APA PsycArticles, E-Journals, Scopus, and PubMed. Five randomized controlled trials were selected, one of which focused exclusively on minors. The results reveal that cognitive-behavioral therapy is effective, although the methodological quality of these studies is not adequate, and the representativeness of the samples is very low. More RCTs are needed on the application of cognitive-behavioral programs to treat grief in suicide loss survivors.

摘要

自杀是全球主要死因之一,影响着众多与自杀身亡者关系密切的人,包括家庭成员、朋友和同事。受他人自杀影响的人被称为“自杀幸存者”,他们所面临的心理后果尤为严重。其中一个后果就是悲痛,与因其他原因死亡而悲痛的人相比,自杀幸存者的悲痛更为复杂,主要是因为围绕他们的污名仍然存在。因此,对自杀损失幸存者进行心理治疗干预至关重要。本研究考察了认知行为项目在解决自杀损失幸存者的悲痛及其他相关变量方面的效果。检索在包括Psycinfo、学术搜索大全、医学期刊数据库、美国心理学会心理学文摘、电子期刊、Scopus和PubMed在内的数据库中进行。选取了五项随机对照试验,其中一项专门针对未成年人。结果显示,认知行为疗法是有效的,尽管这些研究的方法学质量不高,且样本的代表性很低。需要更多关于应用认知行为项目治疗自杀损失幸存者悲痛的随机对照试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/1a4cd8050050/behavsci-14-00791-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/f780156a8914/behavsci-14-00791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/7cb3be9c0c53/behavsci-14-00791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/1a4cd8050050/behavsci-14-00791-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/f780156a8914/behavsci-14-00791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/7cb3be9c0c53/behavsci-14-00791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63f5/11428494/1a4cd8050050/behavsci-14-00791-g003.jpg

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本文引用的文献

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Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence.与韩国自杀行为相关的社会经济因素:对现有证据状况的系统综述。
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PLoS One. 2017 Jun 23;12(6):e0179496. doi: 10.1371/journal.pone.0179496. eCollection 2017.
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A CBT-based psychoeducational intervention for suicide survivors: a cluster randomized controlled study.
Crisis. 2014;35(3):193-201. doi: 10.1027/0227-5910/a000252.
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Death Stud. 2010 Aug;34(7):625-40. doi: 10.1080/07481181003761567.
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Exposure to suicide and identification as survivor. Results from a random-digit dial survey.自杀暴露与幸存者身份认同。一项随机拨号调查的结果。
Crisis. 2013 Jan 1;34(6):413-9. doi: 10.1027/0227-5910/a000220.