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The Relationship Between Adult Attachment and Complicated Grief: A Systematic Review. 成人依恋与复杂悲伤的关系:系统综述。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-05-29 DOI: 10.1177/00302228221083110
Victoria Russ, Lusia Stopa, Katy Sivyer, Jane Hazeldine, Tess Maguire

Attachment insecurity, including attachment anxiety and attachment avoidance, is proposed as a key factor disrupting adaptive recovery following bereavement, resulting in complicated grief. However, findings are inconsistent across studies. This review aimed to synthesise existing research on attachment patterns in adults experiencing complicated grief to better understand this relationship. 22 cross-sectional and longitudinal studies (5149 participants), published between 2003 and 2020, met inclusion criteria. Higher levels of attachment anxiety were consistently associated with symptoms of complicated grief. Higher levels of attachment avoidance were associated with symptoms of complicated grief, although this relationship was less consistent. The review has implications for clinical practice as bereaved adults with insecure attachment histories may be particularly vulnerable to experiencing complicated grief. The research is limited by the reliance on mainly cross-sectional studies. Future research should focus on longitudinal studies, and studies that explore men's experiences, and of individuals living in non-Western countries.

包括依恋焦虑和依恋回避在内的依恋不安全感是破坏丧亲后适应性恢复的关键因素,导致复杂的悲伤。然而,研究结果并不一致。本综述旨在综合现有的关于成人复杂悲伤依恋模式的研究,以更好地理解这种关系。2003年至2020年间发表的22项横断面和纵向研究(5149名参与者)符合纳入标准。高水平的依恋焦虑始终与复杂悲伤的症状相关。较高水平的依恋回避与复杂悲伤的症状相关,尽管这种关系不太一致。该综述对临床实践具有启示意义,因为具有不安全依恋历史的失去亲人的成年人可能特别容易经历复杂的悲伤。本研究主要依赖于横断面研究,存在一定的局限性。未来的研究应该集中在纵向研究,以及探索男性经验的研究,以及生活在非西方国家的个人的研究。
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引用次数: 0
Does 'Time Heal all Wounds?' The Prevalence and Predictors of Prolonged Grief Among Drug-Death Bereaved Family Members: A Cross-Sectional Study. “时间能治愈一切创伤吗?”药物死亡丧亲家庭成员长期悲伤的患病率和预测因素:一项横断面研究。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-28 DOI: 10.1177/00302228221098584
Kristine B Titlestad, Kari Dyregrov

Despite rising rates of drug-related deaths (DRDs), the consequences of DRDs for bereaved family members are scarcely investigated. This study aimed to estimate the prevalence of prolonged grief (PG) symptoms in bereaved family members after DRDs, identify predictors of PG and examine whether symptom levels decrease with time. A cross-sectional design based on survey data from parents (n = 93), siblings (n = 78), children (n = 24) and other family members (n = 39) was conducted (n = 234). Descriptive analyses, a multivariate linear regression, and ANOVA were performed. 60 family members (26%) suffered from high levels of PG symptoms after DRDs (parents 31.2%, siblings 21.8%, children 20.9%). The strongest associations were found between a high level of symptoms and 'months since the loss', 'suicidal thoughts' and 'withdrawal from others'. The ANOVA analyses showed that time does not always 'heal all wounds', and the bereaved who lost one to 2 years ago had the highest level of PG symptoms.

尽管与毒品有关的死亡率不断上升,但毒品有关的死亡对失去亲人的家庭成员的影响却很少得到调查。本研究旨在评估长期悲伤(PG)症状在drd后失去亲人的家庭成员中的患病率,确定PG的预测因素,并检查症状水平是否随着时间的推移而降低。对父母(n = 93)、兄弟姐妹(n = 78)、子女(n = 24)和其他家庭成员(n = 39)的调查数据(n = 234)进行横断面设计。进行了描述性分析、多元线性回归和方差分析。60名家庭成员(26%)在DRDs后出现高水平PG症状(父母31.2%,兄弟姐妹21.8%,儿童20.9%)。研究发现,高水平的症状与“失去亲人几个月后”、“有自杀念头”和“远离他人”之间存在最强烈的联系。方差分析显示,时间并不总是“治愈所有的创伤”,一到两年前失去亲人的人PG症状最高。
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引用次数: 0
The Death Anxiety Experienced by Cardiac Patients in the Covid-19 Pandemic and Its Affecting Factors. 新冠肺炎大流行期间心脏病患者的死亡焦虑及其影响因素。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-22 DOI: 10.1177/00302228221093461
Derya Tülüce, Emine Kaplan Serin

The study was conducted to determine the death anxiety experienced by heart patients and the affecting factors in the COVID-19 pandemic. The study was conducted with 148 patients hospitalized in the cardiology clinic of a university hospital between April and August 2021 in the southeast in Turkey. The data were collected with the personal information form, death anxiety scale, coronavirus anxiety scale and Covid-19 fear scale developed by the researchers. Data analysis was performed by using IBM SPSS Statistics 25. Descriptive statistics were used in the analysis of the data. Correlation and regression analysis were performed to determine the relationship between scales. The mean age of the patients was 64.99+15.56 years and 56.1% were male. 57.4% of them were hospitalized with a diagnosis of coronary artery disease. During the pandemic, it was determined that 74.3% of the patients followed social distance, 71.6% wore masks, 58.8% used disinfectants. The patients had moderate death anxiety, low coronavirus anxiety, and high covid 19 fear. A positive linear correlation was found between anxiety and fear scale and death anxiety total and sub-dimensions. As a result, the fear of COVID-19 may increase the fear of death in individuals with heart disease. Patients who are worried about being infected with Covid 19 during the pandemic process have more fear of death.

本研究旨在确定新冠肺炎大流行期间心脏病患者的死亡焦虑及其影响因素。这项研究于2021年4月至8月在土耳其东南部一所大学医院的心脏病诊所对148名住院患者进行。这些数据是用研究人员开发的个人信息表、死亡焦虑量表、冠状病毒焦虑量表和新冠肺炎恐惧量表收集的。数据分析采用IBM SPSS Statistics 25进行。在数据分析中使用了描述性统计。进行相关和回归分析以确定量表之间的关系。患者的平均年龄为64.99±15.56岁,56.1%为男性。57.4%的患者被诊断为冠状动脉疾病而住院治疗。在疫情期间,确定74.3%的患者保持社交距离,71.6%的患者戴口罩,58.8%的患者使用消毒剂。患者有中度死亡焦虑、低冠状病毒焦虑和高新冠肺炎19恐惧。焦虑和恐惧量表与死亡焦虑总分和分维度呈正相关。因此,对新冠肺炎的恐惧可能会增加心脏病患者对死亡的恐惧。在大流行过程中担心感染新冠肺炎19的患者对死亡有更多的恐惧。
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引用次数: 0
A Systematic Review of Death Anxiety and Related Factors Among Nurses. 护士死亡焦虑及相关因素的系统评价。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-05-02 DOI: 10.1177/00302228221095710
Masoumeh Norouzi, Pooyan Ghorbani Vajargah, Atefeh Falakdami, Amirabbas Mollaei, Poorya Takasi, Mohammad Javad Ghazanfari, Sahar Miri, Nazila Javadi-Pashaki, Joseph Osuji, Yasaman Soltani, Iraj Aghaei, Mahmood Moosazadeh, Amir Emami Zeydi, Samad Karkhah

This systematic review aimed to summarize the evidence regarding death anxiety (DA) and related factors among nurses. Scopus, PubMed, Web of Science, Iranmedex, and Scientific Information Database (SID) databases were extensively searched using purpose-related keywords from the earliest to October 5, 2021. A total of 6819 nurses were included in 31 studies. The DA of nurses based on the Templer's Death Anxiety Scale was moderate. Factors such as personal anxiety, frequency and severity of job stress, burnout, dying patient avoidance behavior, euthanasia, sex, mental health status, social desirability, attitude toward the elderly, humor, social maturity, psychological hardiness, quality of life, lack of social activity, self-efficacy, coping with death, and life satisfaction were associated with nurses' DA. Therefore, nursing policymakers can promote nurses' health to improve the quality of nursing care by considering these related factors.

本系统综述旨在总结护士死亡焦虑(DA)及其相关因素的证据。从最早到2021年10月5日,Scopus、PubMed、Web of Science、Iranmedex和科学信息数据库(SID)数据库使用与目的相关的关键词进行了广泛搜索。共有6819名护士参与了31项研究。基于Templer死亡焦虑量表的护士DA为中度。个人焦虑、工作压力的频率和严重程度、倦怠、临终病人回避行为、安乐死、性别、心理健康状况、社会愿望、对老年人的态度、幽默、社会成熟度、心理韧性、生活质量、缺乏社会活动、自我效能、应对死亡和生活满意度等因素与护士的DA有关,护理决策者可以通过考虑这些相关因素来促进护士的健康,从而提高护理质量。
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引用次数: 0
Exploring the Psychometric Properties of the Stigma of Suicide Scale Using a Sample of Adults Bereaved by Suicide and Suicide Attempt Survivors. 以自杀遗属和自杀未遂幸存者为样本,探讨自杀污名量表的心理测量特性。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-27 DOI: 10.1177/00302228221097828
Athena Kheibari, Kathryn Szechy, Julie Cerel, Martina Fruhbauerova

The Stigma of Suicide Scale (SOSS) is a measure of public attitudes toward suicide decedents, which makes it unique from other scales that measure more general attitudes toward suicide. The aim of this study was to further replicate and extend the reliability and factor structure of the SOSS (both long- and short form) in a sample of individuals directly impacted by suicide. This study also sought to identify factors that impact suicide attitudes unique to this sample. The sample included 312 participants who had personal experience with suicide. Results provided support for the oblique three-factor structure of the SOSS (stigma, isolation/depression, and glorification/normalization), with a superior model fit for the 16-item short form version. Correlates of suicide attitudes among individuals exposed to suicide included perceived relationship closeness to a suicide decedent, experience with both loss and attempt, and the sex of the suicide decedent.

自杀污名量表(SOSS)是一项衡量公众对自杀者态度的量表,这使得它与其他衡量更普遍的自杀态度的量表不同。本研究的目的是在直接受自杀影响的个体样本中进一步复制和扩展SOSS(长格式和短格式)的可靠性和因素结构。本研究还试图确定影响该样本独特自杀态度的因素。样本包括312名有过自杀经历的参与者。结果支持了SOSS的斜向三因素结构(柱头、隔离/抑郁和美化/正常化),其中16项短格式版本的模型更适合。与自杀倾向相关的因素包括与自杀者的亲密关系、自杀失败和自杀未遂的经历以及自杀者的性别。
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引用次数: 0
"Would you like me to take your hand?": Introduction to End of Life Doulas. “你想让我牵着你的手吗?”:临终陪护介绍。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-27 DOI: 10.1177/00302228221097290
Sarah Hahn, Kimberly Ogle

End-of-life (EOL) doulas are care providers and companions that offer spiritual, emotional, psychosocial, or psychological care to a person who is dying as well as their family and loved ones (Fukuzawa & Kondo, 2017). However, much like other options for EOL care (e.g., hospice, palliative care), their practice is often underutilized and misunderstood. There is limited research on EOL doulas, including who they are and what they do, leaving an opening for future studies to explore the topic (Krawczyk & Rush, 2020). As part of a larger investigation to gather information on EOL doulas, 12 in-depth, semi-structured interviews were conducted with certified doulas regarding their experiences. Three themes emerged from this project: motivations to become an EOL doula, roles of an EOL doula, and challenges of an EOL doula. In this article, only two themes, motivations to become an EOL doula and roles of an EOL doula are discussed.

临终关怀(EOL)是为垂死的人及其家人和亲人提供精神、情感、心理或心理护理的护理提供者和同伴(Fukuzawa&Kondo,2017)。然而,就像EOL护理的其他选择(如临终关怀、姑息治疗)一样,他们的做法往往没有得到充分利用和误解。关于EOL杜拉斯的研究有限,包括他们是谁以及他们做什么,这为未来的研究提供了探索该主题的机会(Krawczyk&Rush,2020)。作为收集EOL杜拉斯信息的更大规模调查的一部分,对认证杜拉斯就其经历进行了12次深入的半结构化访谈。这个项目产生了三个主题:成为EOL杜拉的动机、EOL杜拉拉的角色和EOL杜拉尔的挑战。在这篇文章中,只讨论了两个主题,成为EOL杜拉的动机和EOL杜拉拉的角色。
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引用次数: 0
When a Child Dies: Racialized Father's Experiences of Objectification During Hospital Care. 当孩子死亡:医院护理期间种族化父亲的物化体验。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-26 DOI: 10.1177/00302228221093464
Linda Kongnetiman-Pansa, Rebecca J Haines-Saah

Understanding the meaning of loss for racialized immigrant fathers and addressing their experiences in a culturally competent manner is important in an increasingly ethnoculturally diverse country like Canada. Culture, customs and rituals influence fathers' grief and culture impacts how individuals discuss death and dying as well as how they perceive the death of a child. This article is part of a qualitative research project, which examined the experiences of racialized immigrant fathers who experienced the death of a child. Guided by Charmaz's constructivist grounded theory, the methodological aim was to develop a theoretical framework grounded in fathers' experiences of child death within the hospital setting. Findings suggest that for racialized immigrant fathers their migration experience compounds their losses in unexpected ways and that experiences of objectification or 'othering' in hospital and by health care staff were significant.

在加拿大这样一个种族文化日益多样化的国家,理解失去对种族化的移民父亲的意义,并以一种文化上有能力的方式处理他们的经历,是很重要的。文化、习俗和仪式影响父亲的悲伤,文化影响个人如何讨论死亡和临终,以及他们如何看待孩子的死亡。这篇文章是一个定性研究项目的一部分,该项目研究了经历过孩子死亡的种族化移民父亲的经历。在Charmaz的建构主义理论的指导下,方法论的目标是建立一个基于父亲在医院环境中儿童死亡经验的理论框架。研究结果表明,对于种族化的移民父亲来说,他们的移民经历以意想不到的方式加剧了他们的损失,在医院和卫生保健人员中物化或“他者化”的经历意义重大。
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引用次数: 0
"It Started After Trauma": The Effects of Traumatic Grief on Sleep Paralysis. 《从创伤开始》:创伤性悲伤对睡眠瘫痪的影响。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-05-12 DOI: 10.1177/00302228221093895
Cybele Blood, Joanne Cacciatore

Adverse life events are associated with the often-terrifying REM sleep parasomnia of sleep paralysis (SP), but the impact of bereavement on SP has not been specifically examined. This exploratory, mixed-methods study (N = 168) includes qualitative data from 55 participants who described factors they believed led to their SP. Of these, almost half with a traumatic loss listed death-related precipitants. In unadjusted (bivariate) negative binomial regression models, traumatic death, time since death, religiosity, and age estimated increased SP frequency in the prior month, prior year, or both. In multivariable models, traumatic death, time since death, and age estimated increased frequency in the prior month, prior year, or both. Unexpectedly, in all models, as compared to death ≥9 years earlier, prior month SP was greater with death 1-6 years earlier, but not <1 year earlier. Discussion includes the possible role of social constraints in traumatic grief trajectories and care provider recommendations.

不良生活事件与睡眠瘫痪(SP)中常见的可怕的快速眼动睡眠准睡眠有关,但丧亲之痛对SP的影响尚未得到具体研究。这项探索性的混合方法研究(N=168)包括来自55名参与者的定性数据,这些参与者描述了他们认为导致SP的因素。其中,近一半的创伤损失患者列出了与死亡相关的诱因。在未经调整的(双变量)负二项回归模型中,创伤性死亡、死亡时间、宗教信仰和年龄估计增加了前一个月、前一年或两者的SP频率。在多变量模型中,创伤性死亡、死亡后的时间和年龄估计在前一个月、前一年或两者中增加的频率。出乎意料的是,在所有模型中,与≥9年前的死亡相比,1-6年前死亡的前一个月SP更大,但不早于1年。讨论包括社会约束在创伤悲伤轨迹中的可能作用和护理提供者的建议。
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引用次数: 0
Experiences and Support Needs of Bereaved Students in Higher Education. 丧亲学生在高等教育中的经历与支持需求。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-05-12 DOI: 10.1177/00302228221096565
Ashton Hay, Joel A Howell, Daniel Rudaizky, Lauren J Breen

Bereavement is commonly experienced by students in higher education and is associated with negative health and academic consequences. We conducted a systematic review of the literature to identify how grief affects students in higher education and the types of support they seek and/or find beneficial. A search of Health Collection, Medline, CINAHL Plus, Web of Science, Taylor and Francis online, ProQuest, and Open Grey resulted in 30 articles that met inclusion criteria. A narrative synthesis resulted in 11 themes focused on the university experience following bereavement (six themes) and supports following bereavement (five themes). Our review highlights how grief symptoms can have a negative impact on bereaved students' academic and social experiences. These difficulties are exacerbated by barriers to accessing grief supports, and unhelpful responses from staff and peers. Students' grief is often disenfranchised and so students learn to avoid grief related emotions, communications, and support-seeking.

在高等教育中,学生通常会经历丧亲,这会对健康和学业产生负面影响。我们对文献进行了系统的回顾,以确定悲伤如何影响高等教育中的学生,以及他们寻求和/或发现有益的支持类型。在Health Collection、Medline、CINAHL Plus、Web of Science、Taylor and Francis online、ProQuest和Open Grey的搜索中,有30篇文章符合入选标准。叙事综合产生了11个主题,重点关注丧亲之痛后的大学经历(6个主题)和丧亲之灾后的支持(5个主题)。我们的综述强调了悲伤症状如何对失去亲人的学生的学术和社会经历产生负面影响。获得悲伤支持的障碍,以及工作人员和同事的无益回应,加剧了这些困难。学生的悲伤往往被剥夺了权利,因此学生学会避免与悲伤相关的情绪、沟通和寻求支持。
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引用次数: 0
Ethical Bonds Transformation in Bereaved Taiwanese Families: A Preliminary Study. 台湾丧亲家庭伦理纽带的转变:初步研究。
IF 1.5 4区 心理学 Q3 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-01 Epub Date: 2022-04-23 DOI: 10.1177/00302228221097292
Wan-Lin Lee, Hsiu-Ting Yu, Yaw-Sheng Lin

Ethical bonds transformation is a cultural phenomenon in Taiwanese bereaved families. When the death event occurs, the absent status of the deceased invokes spontaneous change in whole family to cope with the irreparable loss. In the present study, 283 bereaved individuals were recruited to develop the ethical bonds transformation scale. Exploratory factor analysis has generated two factors: ethical bonds and symbolic bonds. Partial correlation has shown that ethical bonds was positively correlated with post-grief growth and negatively correlated with most of the grief related symptoms, indicating that ethical bonds might be a protective factor in the family grief process.

伦理纽带的转变是台湾丧亲家庭的一种文化现象。当死亡事件发生时,逝者的缺席状态会引起整个家庭的自发变化,以应对无法弥补的损失。本研究招募了 283 名丧亲家庭成员来编制伦理纽带转化量表。探索性因子分析产生了两个因子:伦理纽带和象征性纽带。部分相关性表明,伦理纽带与悲伤后的成长呈正相关,而与大多数悲伤相关症状呈负相关,这表明伦理纽带可能是家庭悲伤过程中的一个保护因素。
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引用次数: 0
期刊
Omega-Journal of Death and Dying
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