Maladaptive Personality Characteristics, Coping and Situational Factors Predict Symptoms of Complicated Grief and Health Difficulties.

Omega Pub Date : 2024-08-29 DOI:10.1177/00302228241275195
Ashley Peak, Luci Martin, Kristina M Post, William Hua
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Abstract

Grief responses range from minimal changes in functioning to debilitating, prolonged, complicated grief. The objective of the current study was to clarify the relationship between maladaptive personality characteristics, coping and situational factors associated with symptoms of complicated grief and health difficulties among bereaved individuals who had lost a loved one within the past six months to two years (N = 304; 59% male; M age = 33.49, SD = 9.98, range 20-81). Situational risk factors, coping (self-distancing, denial, substance use, positive reframing, acceptance, religion, self-blame, behavioral disengagement, venting and humor) and maladaptive personality traits significantly predicted either symptoms of complicated grief or health difficulties. Coping strategies partially mediated the relationship between maladaptive personality traits and symptoms of complicated grief and health difficulties. Overall, these findings highlight the importance of maladaptive personality traits and coping strategies in the conceptualization of complicated grief and should be a greater focus of clinical intervention.

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适应不良的人格特征、应对方式和情境因素可预测复杂悲伤和健康困难的症状。
悲伤反应的范围很广,从功能上的微小变化到使人衰弱的、长期的、复杂的悲伤。本研究旨在阐明在过去六个月至两年内失去亲人的丧亲者(人数 = 304;59% 为男性;中位年龄 = 33.49,标差 = 9.98,范围为 20-81)的适应不良人格特征、应对方式和情境因素与复杂悲伤症状和健康困难之间的关系。情境风险因素、应对策略(自我缓解、否认、药物使用、积极重塑、接受、宗教、自责、行为脱离、发泄和幽默)和适应不良型人格特征对复杂悲伤症状或健康困难有显著的预测作用。应对策略部分调节了适应不良型人格特征与复杂悲伤症状和健康困难之间的关系。总之,这些研究结果凸显了适应不良型人格特质和应对策略在复杂悲伤概念化中的重要性,并应成为临床干预的重点。
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