van Doorn C, Kasl S V, Beery L C, Jacobs S C, Prigerson H G
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520-8034, USA.
J Nerv Ment Dis. 1998 Sep;186(9):566-73. doi: 10.1097/00005053-199809000-00008.
Few studies have examined the relationship between marital quality and adjustment to the impending loss of a terminally ill spouse. Most studies of marital quality and grief have been based on retrospective reports of the marriage rather than pre-loss assessments. Here, we tested the pre-loss cross-sectional effects of having a security-enhancing marriage on traumatic grief and depressive symptoms among 59 caregivers aged 50 and over of terminally ill spouses. We also examined whether insecure attachment styles were associated with traumatic grief and depressive symptoms. Findings suggest that security-increasing marriages and insecure attachment styles put spouses at risk for elevated traumatic grief symptoms. Results also indicate that marital quality and attachment style did not interact and that neither was significantly associated with depressive symptoms. The differences in the relationship of marital quality and attachment styles to the two outcomes suggest that the etiology of traumatic grief and depressive symptoms may be distinct.
很少有研究探讨婚姻质量与即将失去身患绝症的配偶时的适应情况之间的关系。大多数关于婚姻质量和悲伤的研究都是基于对婚姻的回顾性报告，而非丧失前的评估。在此，我们测试了增强安全感的婚姻对59名年龄在50岁及以上的绝症配偶照料者的创伤性悲伤和抑郁症状的丧失前横断面影响。我们还研究了不安全依恋风格是否与创伤性悲伤和抑郁症状相关。研究结果表明，增强安全感的婚姻和不安全依恋风格会使配偶面临创伤性悲伤症状加剧的风险。结果还表明，婚姻质量和依恋风格没有相互作用，且两者均与抑郁症状无显著关联。婚姻质量和依恋风格与这两种结果之间关系的差异表明，创伤性悲伤和抑郁症状的病因可能不同。
