Kristensen Pål, Dyregrov Atle, Rognum Torleiv O, Goldstein Richard D
Centre for Crisis Psychology, University of Bergen, Bergen, Norway.
Department of Forensic Sciences, Oslo University Hospital, Oslo, Norway.
Pediatrics. 2025 Jan 1;155(1). doi: 10.1542/peds.2024-066731.
A death scene investigation is required to determine sudden infant death syndrome, and a doll reenactment optimizes the information obtained. The aim of this study was to explore how acutely bereaved parents experience doll reenactments that are conducted after the sudden and unexpected deaths of their infants.
A mixed-methods design, including surveys and semi-structured interviews, was used in a cross-sectional, national study to explore the experiences of doll reenactment among 45 bereaved parents.
Forty-four percent of parents reported moderate to high distress during the doll reenactment, with significantly heightened distress in those who discovered their child lifeless and who later reported posttraumatic intrusions. An analysis of parents' narratives showed that the doll reenactment was challenging, particularly because of the doll's appearance and the activation of intrusive images in those who found their child lifeless. Parents overall experienced less distress than anticipated during the reenactment, and no lasting difficulties were reported. Some parents identified benefits from the reenactment, such as sharing a coherent narrative of the death. The parents' reactions to the doll reenactment were multifaceted and complex.
These findings illuminate the emotional challenges parents face during a doll reenactment and emphasize the delicate balance between obtaining crucial information and avoiding additional trauma in the aftermath of infant deaths. Because the doll reenactment's diagnostic utility or benefits to post-loss coping are uncertain, anticipatory guidance about its psychological dimensions may mitigate distress, and incorporating a gateway for professional support may further align it with the needs of acutely bereaved parents.
需要进行死亡现场调查以确定婴儿猝死综合征，而玩偶重演可优化所获信息。本研究的目的是探讨在婴儿突然意外死亡后，刚刚失去亲人的父母如何体验玩偶重演。
在一项全国性横断面研究中，采用了包括调查和半结构化访谈在内的混合方法设计，以探究45位失去亲人的父母对玩偶重演的体验。
44%的父母表示在玩偶重演过程中感到中度至高度痛苦，那些发现孩子无生命体征以及后来报告有创伤后侵入症状的父母痛苦感明显增强。对父母叙述的分析表明，玩偶重演具有挑战性，特别是因为玩偶的外观以及那些发现孩子无生命体征的人脑海中侵入性图像的浮现。总体而言，父母在重演过程中经历的痛苦比预期的要少，且未报告有持久的困难。一些父母指出了重演的益处，比如分享关于死亡的连贯叙述。父母对玩偶重演的反应是多方面且复杂的。
这些发现揭示了父母在玩偶重演过程中面临的情感挑战，并强调了在获取关键信息与避免婴儿死亡后造成额外创伤之间的微妙平衡。由于玩偶重演的诊断效用或对丧亲后应对的益处尚不确定，关于其心理层面的预期指导可能会减轻痛苦，纳入专业支持的途径可能会使其更符合刚刚失去亲人的父母的需求。
