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配偶丧亲之痛的时间进程。

Time course of spousal bereavement.

作者信息

Zisook S, Shuchter S R

出版信息

Gen Hosp Psychiatry. 1985 Apr;7(2):95-100. doi: 10.1016/0163-8343(85)90017-9.

DOI:10.1016/0163-8343(85)90017-9
PMID:3996909
Abstract

This article reports the results of a survey on 300 widows and widowers who experienced spousal bereavement weeks to years prior to the study, and discusses the symptoms, syndromes, and behaviors seen at various time intervals. Although the reactions to widowhood were highly variable and individual, it was clear that for many widows and widowers, the time course of grief was much more prolonged than generally expected. Dysphoric feelings, symptoms, and behaviors were most frequent during the first year of bereavement, but often remained present even four or more years after the death. In particular, anger, guilt, depression, and anxiety tended to diminish over time, but not to statistically significant degrees. Many widows and widowers never fully accepted the fact of their spouses' deaths and maintained a continuing relationship with their deceased spouses, in their own ways, indefinitely. The implications of these findings and directions for future research are discussed.

摘要

本文报告了一项针对300名寡妇和鳏夫的调查结果,这些人在研究前数周乃至数年经历了配偶丧亡,并讨论了在不同时间间隔出现的症状、综合征及行为表现。尽管对丧偶的反应高度因人而异,但很明显,对许多寡妇和鳏夫而言,悲伤的时间进程比一般预期长得多。烦躁情绪、症状及行为在丧亲后的第一年最为常见,但即使在配偶去世四年或更久之后往往仍会存在。尤其是愤怒、内疚、抑郁和焦虑往往会随时间而减轻,但未达到统计学上的显著程度。许多寡妇和鳏夫从未完全接受配偶死亡的事实,并以自己的方式与已故配偶保持着一种持续的关系,这种关系会无限期地持续下去。本文还讨论了这些研究结果的意义以及未来研究的方向。

相似文献

1
Time course of spousal bereavement.配偶丧亲之痛的时间进程。
Gen Hosp Psychiatry. 1985 Apr;7(2):95-100. doi: 10.1016/0163-8343(85)90017-9.
2
Grief in widowhood and divorce.丧偶和离婚中的悲痛。
Psychiatr Clin North Am. 1987 Sep;10(3):369-86.
3
Predictors of psychological reactions during the early stages of widowhood.丧偶初期心理反应的预测因素。
Psychiatr Clin North Am. 1987 Sep;10(3):355-68.
4
The effects of late-life spousal bereavement over a 30-month interval.30个月期间晚年配偶丧亲之痛的影响。
Psychol Aging. 1991 Sep;6(3):434-41. doi: 10.1037//0882-7974.6.3.434.
5
Anxiety and bereavement.焦虑与丧亲之痛。
Psychiatr Med. 1990;8(2):83-96.
6
The impact of religious orientation in conjugal bereavement among older adults.宗教取向对老年人配偶丧亲之痛的影响。
Int J Aging Hum Dev. 1989;28(4):251-60. doi: 10.2190/37H9-UDP5-UQRC-QHTT.
7
The measurement of grief: age and sex variation.悲伤的衡量:年龄与性别差异
Br J Med Psychol. 1986 Dec;59(4):305-10. doi: 10.1111/j.2044-8341.1986.tb02698.x.
8
Bereavement and heightened existential awareness.丧亲之痛与增强的生存意识。
Psychiatry. 1991 Nov;54(4):334-45. doi: 10.1080/00332747.1991.11024563.
9
Gender differences in the effects of bereavement-related psychological distress in health outcomes.丧亲相关心理困扰对健康结果影响中的性别差异。
Psychol Med. 1999 Mar;29(2):367-80. doi: 10.1017/s0033291798008137.
10
Revisiting the Continuing Bonds Theory: The Cultural Uniqueness of the Bei Dao Phenomenon in Taiwanese Widows/Widowers.重新审视持续联系理论:台湾丧偶者北岛现象的文化独特性。
Qual Health Res. 2017 Oct;27(12):1892-1904. doi: 10.1177/1049732317697097. Epub 2017 Mar 26.

引用本文的文献

1
Death of a close friend: Short and long-term impacts on physical, psychological and social well-being.挚友离世:对身心健康和社交的短期及长期影响。
PLoS One. 2019 Apr 4;14(4):e0214838. doi: 10.1371/journal.pone.0214838. eCollection 2019.
2
Pre-loss personal factors and prolonged grief disorder in bereaved mothers.丧亲母亲的预损失个人因素与延长哀伤障碍。
Psychol Med. 2019 Oct;49(14):2370-2378. doi: 10.1017/S0033291718003264. Epub 2018 Nov 9.
3
The removal of the bereavement exclusion in the DSM-5: exploring the evidence.
DSM-5 中丧亲排除的去除:探索证据。
Curr Psychiatry Rep. 2013 Nov;15(11):413. doi: 10.1007/s11920-013-0413-0.
4
Communication between physicians and surviving spouses following patient deaths.患者死亡后医生与幸存配偶之间的沟通。
J Gen Intern Med. 1986 Sep-Oct;1(5):309-14. doi: 10.1007/BF02596210.
5
Surviving bereavement.走出丧亲之痛
J Gen Intern Med. 1989 May-Jun;4(3):259-62. doi: 10.1007/BF02599534.