Self-Compassion for Caregivers of Children in Parentally Bereaved Families: A Theoretical Model and Intervention Example.

IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Child and Family Psychology Review Pub Date : 2023-06-01 Epub Date: 2023-03-15 DOI:10.1007/s10567-023-00431-w
Na Zhang, Irwin Sandler, Kara Thieleman, Sharlene Wolchik, Karey O'Hara
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Abstract

Family-based bereavement interventions have shown promises to prevent problem outcomes and promote resilience in parentally bereaved children. Evidence of the broad range of mental and physical health problems following the death of a parent supports the need for a transdiagnostic approach that promotes adaptation and reduces multiple problem outcomes for parentally bereaved families. We discuss self-compassion as a promising framework for a transdiagnostic approach. We argue that three elements of self-compassion-mindfulness (vs. over-identification), self-kindness (vs. self-judgment), and common humanity (vs. isolation)-can facilitate loss-oriented coping, restoration-oriented coping, and the oscillation process between the two. This sets the foundation for individual and family processes that support bereavement adjustment. To explain how self-compassion promotes adjustment outcomes in parentally bereaved families, we review the extant literature with a focus on parental emotion regulation and effective parenting and propose a conceptual model with testable hypotheses to guide more research in this area. The model suggests that caregivers' self-compassion is a resilience resource for multiple adaptive outcomes for themselves and for their child through its positive impacts on emotion regulation and effective parenting. We illustrate the utility of the framework with an example of a family-based bereavement prevention program that integrated self-compassion training. Future directions for research are discussed.

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父母双亡家庭中儿童照顾者的自我同情:理论模型与干预实例》。
以家庭为基础的丧亲干预措施已显示出有希望预防问题的发生,并提高失去父母的儿童的适应能力。有证据表明,父母逝世后会出现广泛的心理和生理健康问题,因此需要一种跨诊断的方法来促进丧亲家庭的适应性并减少多种问题的发生。我们讨论了自我同情作为跨诊断方法的一个有前途的框架。我们认为,自我同情的三个要素--正念(相对于过度认同)、自我友善(相对于自我评判)和共同人性(相对于孤立)--可以促进以丧失为导向的应对、以恢复为导向的应对以及两者之间的摇摆过程。这为支持丧亲调整的个人和家庭过程奠定了基础。为了解释自我同情如何促进父母丧亲家庭的适应结果,我们以父母情绪调节和有效养育为重点回顾了现有文献,并提出了一个概念模型和可检验的假设,以指导该领域的更多研究。该模型表明,照顾者的自我同情是一种复原力资源,它通过对情绪调节和有效养育的积极影响,为自己和孩子带来多种适应性结果。我们以一个基于家庭的丧亲之痛预防计划为例,说明了该框架的实用性,该计划整合了自我同情训练。我们还讨论了未来的研究方向。
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来源期刊
CiteScore
10.50
自引率
4.30%
发文量
45
期刊介绍: Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.
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