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针对自杀者配偶幸存者的护理善后干预

Nursing postvention for spousal survivors of suicide.

作者信息

Constantino R E, Bricker P L

出版信息

Issues Ment Health Nurs. 1996 Mar-Apr;17(2):131-52. doi: 10.3109/01612849609035002.

Abstract

There is a scarcity of information available with respect to postbereavement outcomes for survivors of the suicide of a loved one. Few studies have focused on postvention therapies for the bereaved, particularly the bereaved survivors of suicide. The major aim of this study as to compare the effects of two theoretically derived nursing postventions, Bereavement Group Postvention (BGP) and Social Group Postvention (SGP), among the widowed whose spouses died of suicide. The findings suggest that both groups experienced an overall reduction in depression and distress. Although participants in the SGP generally showed significant improvement in social adjustment, they tended to be less well adjusted with respect to their parental roles at the end of the 8-week postvention sessions. Comparison of the psychoemotional correlates of grief varied such that there were no significant differences between the postvention groups for social isolation, loss of control, somatization, or death anxiety. The BGP participants experienced significantly reduced levels of anger/hostility and guilt; however, feelings of anger/hostility actually increased for those receiving the SGP. There was a significant reduction in feelings of despair, rumination, and depersonalization for both groups. Although social isolation was not significantly reduced for participants in either group, those receiving the BGP tended to experience a reduction in social isolation and those receiving the SGP showed no changes.

摘要

关于亲人自杀后幸存者的丧亲后结果,可获取的信息匮乏。很少有研究关注对丧亲者,尤其是自杀身亡者的遗属的善后干预疗法。本研究的主要目的是比较两种理论推导的护理善后干预措施,即丧亲群体善后干预(BGP)和社会群体善后干预(SGP),对配偶自杀身亡的丧偶者的影响。研究结果表明,两组的抑郁和痛苦程度总体上都有所降低。尽管SGP组的参与者在社会适应方面总体上有显著改善,但在为期8周的善后干预结束时,他们在父母角色方面的适应情况往往较差。悲伤的心理情绪相关因素的比较结果各异,善后干预组在社会隔离、失控感、躯体化或死亡焦虑方面没有显著差异。BGP组参与者的愤怒/敌意和内疚水平显著降低;然而,接受SGP干预的人的愤怒/敌意情绪实际上有所增加。两组的绝望、沉思和人格解体感都有显著降低。尽管两组参与者的社会隔离感均未显著降低,但接受BGP干预的人往往社会隔离感有所降低,而接受SGP干预的人则没有变化。

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