Does Meaning-Making Mediate COVID-19 Restrictions' Impact on Grief and Psychological Symptoms?

IF 1.3 Omega Pub Date : 2024-10-11 DOI:10.1177/00302228241292388
João Batista, Sara Albuquerque, Mayra Delalibera, João T Oliveira, Alexandra Coelho
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Abstract

The COVID-19 pandemic imposed substantial restrictions on funeral ceremonies, profoundly affecting grief experiences. This study investigated the mediating role of meaning-making in the relationship between these restrictions and prolonged grief disorder (PGD) symptoms, anxiety, depression, and trauma. A longitudinal study involving 141 bereaved individuals was conducted, with assessments at two time points: 3-6 months (T1) and 9-12 months (T2) post-loss. Structural equation modeling revealed that the psychological impact of restrictions on death and funeral ceremonies had indirect effects on anxiety and prolonged grief symptoms through meaning-making, particularly the footing in the world subscale. These findings underscore the importance of understanding the complex interplay between pandemic-related restrictions and grief experiences, emphasizing the pivotal role of meaning-making in adapting to loss during those challenging times.

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意义建构是否能调节 COVID-19 限制对悲伤和心理症状的影响?
COVID-19 大流行对葬礼仪式施加了大量限制,对悲伤体验产生了深远影响。本研究调查了意义建构在这些限制与长期悲伤障碍(PGD)症状、焦虑、抑郁和创伤之间关系中的中介作用。这项纵向研究涉及 141 名丧亲者,在两个时间点进行评估:分别在丧亲后 3-6 个月(T1)和 9-12 个月(T2)进行评估。结构方程模型显示,对死亡和葬礼仪式的限制所产生的心理影响通过意义建构(尤其是 "立足于世界 "分量表)间接影响了焦虑和长期悲伤症状。这些发现强调了了解与大流行病相关的限制和悲伤体验之间复杂的相互作用的重要性,并强调了意义建构在那些充满挑战的时期适应失去亲人的过程中所起的关键作用。
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