Lepore S J, Silver R C, Wortman C B, Wayment H A
Department of Psychology, Carnegie Mellon University, Pittsburgh, Pennsylvania 15213, USA.
J Pers Soc Psychol. 1996 Feb;70(2):271-82. doi: 10.1037//0022-3514.70.2.271.
The study examined how social constraints on discussion of a traumatic experience can interfere with cognitive processing of and recovery from loss. Bereaved mothers were interviewed at 3 weeks (T1), 3 months (T2), and 18 months (T3) after their infants' death. Intrusive thoughts at T1, conceptualized as a marker of cognitive processing, were negatively associated with talking about infant's death at T2 and T3 among socially constrained mothers. The reverse associations were found among unconstrained mothers. Controlling for initial level of distress, there was a positive relation between T1 intrusive thoughts and depressive symptoms over time among socially constrained mothers. However, higher levels of T1 intrusive thoughts were associated with a decrease in T3 depressive symptoms among mothers with unconstrained social relationships.
该研究考察了对创伤经历讨论的社会限制如何干扰对丧失的认知处理及从中恢复。在婴儿死亡后的3周（T1）、3个月（T2）和18个月（T3）对丧亲母亲进行访谈。在社交受限的母亲中，T1时的侵入性思维（被概念化为认知处理的一个指标）与T2和T3时谈论婴儿死亡呈负相关。在无限制的母亲中发现了相反的关联。在控制初始痛苦水平后，社交受限的母亲中，T1侵入性思维与随时间推移的抑郁症状之间存在正相关。然而，在社交关系不受限的母亲中，较高水平的T1侵入性思维与T3时抑郁症状的减轻相关。
