Tao Tiffany Junchen, Saral Aysuhan Tuba, Li Crystal Jingru, Liu Huinan, Hou Wai Kai
Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, China.
Department of Psychological Science, University of California, Irvine, California, USA.
Br J Clin Psychol. 2025 Nov;64(4):1043-1059. doi: 10.1111/bjc.12553. Epub 2025 May 30.
Bereaved individuals experiencing losses tend to experience better psychological well-being if they experience higher levels of cognitive integration. This study aims to investigate the everyday life context where this process could take place, given that bereaved individuals also experience disruptions to fulfilling daily activities.
Among a nationally representative sample of 1588 bereaved Turkish people 7 months after the 2023 Turkey-Syria Earthquake (September-October 2023), we conducted moderated mediation analyses to investigate whether (1) cognitive integration mediated the links between the levels of earthquake exposure and psychiatric (grief, PTSD, anxiety, depressive) symptoms, and (2) disruptions to fulfilling daily activities moderated the mediation.
The two components of integration, namely comprehensibility and footing in the world, fully mediated the positive links between earthquake exposure and all four psychiatric symptoms (βs = .02-.03; βs = .06-.08). Direct and indirect paths were stronger under higher levels of disruptions to fulfilling daily activities: the indirect exposure-comprehensibility-symptoms were only significant under high (βs = .03-.04, 95% CI [.01-.02, .05-.06]) and medium (βs = .02-.03, 95% CI [.01-.02, .03-.04]) levels, and the direct exposure-grief links were only significant under high levels of disruptions (β = .09, 95% CI [.03, .16]).
The current findings were in line with classic psychological theories on coping with stress, trauma, and loss and highlighted the importance of considering the behavioural context for engagement in fulfilling daily activities in the aftermath of natural disasters among bereaved individuals.
经历丧亲之痛等损失的个体若能实现更高水平的认知整合，往往心理幸福感更佳。鉴于丧亲个体在日常活动的履行方面也会受到干扰，本研究旨在探究这一过程可能发生的日常生活情境。
在2023年土耳其-叙利亚地震（2023年9月至10月）7个月后，从1588名具有全国代表性的丧亲土耳其人中抽取样本，我们进行了调节中介分析，以探究：（1）认知整合是否介导了地震暴露水平与精神症状（悲伤、创伤后应激障碍、焦虑、抑郁）之间的联系；（2）日常活动履行的干扰是否调节了这种中介作用。
整合的两个组成部分，即可理解性和在世界中的立足点，完全介导了地震暴露与所有四种精神症状之间的正向联系（β值 = 0.02 - 0.03；β值 = 0.06 - 0.08）。在日常活动履行受到更高水平干扰的情况下，直接和间接路径更强：间接的暴露 - 可理解性 - 症状路径仅在高（β值 = 0.03 - 0.04，95%置信区间[0.01 - 0.02，0.05 - 0.06]）和中（β值 = 0.02 - 0.03，95%置信区间[0.01 - 0.02，0.03 - 0.04]）水平下显著，直接的暴露 - 悲伤联系仅在高水平干扰下显著（β = 0.09，95%置信区间[0.03，0.16]）。
当前研究结果与关于应对压力、创伤和损失的经典心理学理论一致，并强调了在丧亲个体经历自然灾害后，考虑参与日常活动的行为情境的重要性。
