【摘要】：目的:調查喪親者的哀傷反應及其影響因素,探討延長哀傷障礙(prolonged grief disorder,PGD)在中國大陸地區(qū)的發(fā)生情況。方法:采用延長哀傷問卷(PG-13)、創(chuàng)傷后應激障礙癥狀清單(PCL-C)、Zung抑郁自評量表(SDS)、Zung焦慮自評量表(SAS)對招募而來的301名喪親者進行測查。結果:①喪親者當中女性占多數(70.8%),已故者死因中身體疾病占多數(75.7%);②喪親者在PG-13上的總分是19.04±9.00;③PTSD、抑郁癥狀、焦慮癥狀的檢出率分別為8.6%、36.6%、21%;符合PGD診斷的有13人(5.01%),其中,84.6%的人同時檢出PTSD、抑郁和焦慮癥狀;④哀傷反應的得分在婚姻狀況及喪親對象上都存在顯著性差異。回歸分析結果表明已故者的享年、與已故者的親密程度能夠顯著預測哀傷反應的得分(F(2,290)=62.947,R2=0.303,P0.001)。結論:喪親者普遍存在一些失功能的哀傷反應,其嚴重程度受婚姻狀況、喪親對象、已故者的年齡以及與已故者的親密程度等因素的影響;喪親者中有一定的比例可能發(fā)展成延長哀傷障礙。
[Abstract]:Objective: to investigate the grief reaction of bereaved persons and its influencing factors, and to investigate the occurrence of prolonged mourning disorder (prolonged grief disorder,PGD) in mainland China. Methods: the extended mourning questionnaire (PG-13), the posttraumatic stress disorder symptom checklist (PCL-C) and the self-rating depression scale (SDS) / Zung anxiety scale) (SAS) were used to test the data of 301 bereaved persons who had been recruited. Results the majority of female (70.8%) died of bereavement, and the majority of the deceased (75.7%) died. The total score on PG-13 of the bereaved patients was 19.04 鹵9.003PTSD, and the depressive symptoms. The detectable rate of anxiety symptom was 8.6% and 36.6% respectively, 13 (5.01%) of them were in accordance with the diagnosis of PGD, and 84.6% of them had significant differences in marital status and bereavement object in the scores of depression and anxiety symptoms of PTSD,. Regression analysis showed that the degree of closeness between the deceased and the deceased could significantly predict the score of grief response (F (2290). Conclusion: the bereaved people generally have some disfunctional grief reactions, the severity of which is influenced by the marital status, the object of bereavement, the age of the deceased and the degree of closeness with the deceased. A certain proportion of the bereaved may develop into prolonged grief disorders.
【作者單位】： 北京師范大學心理學院;北京師范大學心理學院應用實驗心理北京市重點實驗室;首都醫(yī)科大學;
【基金】：北京市教育委員會共建項目(SYS100270661)
【分類號】：R395.2

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