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The Power of Death Valence: A Revised Terror Management Process. 死亡价值的力量:修订版恐怖管理程序
Pub Date : 2024-12-01 Epub Date: 2022-06-20 DOI: 10.1177/00302228221108300
Mel Stiller, Andrés Di Masso

Terror management strategies (TMS) are assumed to affect social prejudice. In a prior study, positive death valence in wave 1 reduced gender-related stereotypes in wave 2. Psychosocial intervention against prejudice requires a deeper understanding of the terror management process. We investigated the relationships between death anxiety, death valence, mortality salience and TMS in a mixed method study. Participants showed complex emotions in the face of death, including fear, anxiety, sadness and ambivalent calm. Positive death valence was associated with more conscious fear, but with less implicit death anxiety, while negative death valence was associated with more death denial. In conclusion, we propose death anxiety as a distal precursor and death valence as a proximate precursor of the plural TMS that are triggered by mortality salience.

恐怖管理策略(TMS)被认为会影响社会偏见。在之前的一项研究中,第一波中积极的死亡情绪降低了第二波中与性别相关的刻板印象。针对偏见的心理干预需要对恐怖管理过程有更深入的了解。我们在一项混合方法研究中调查了死亡焦虑、死亡情绪、死亡显著性和 TMS 之间的关系。参与者在面对死亡时表现出复杂的情绪,包括恐惧、焦虑、悲伤和矛盾的平静。积极的死亡情绪与更多的自觉恐惧相关,但与较少的隐性死亡焦虑相关,而消极的死亡情绪则与更多的死亡否认相关。总之,我们认为死亡焦虑是死亡显著性引发的复数 TMS 的远端前兆,而死亡情绪是近端前兆。
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引用次数: 0
End-Of-Life Care From the Perspectives of Patients With Cancer and Their Nurses: A Qualitative Study. 从癌症患者及其护士的角度看临终关怀:定性研究。
Pub Date : 2024-12-01 Epub Date: 2022-06-25 DOI: 10.1177/00302228221107722
Kübra Terzi, Sevgisun Kapucu

This study aimed to determine the needs of end-of-life cancer patients' and their nurses' perspectives and experiences regarding end of life period. A qualitative descriptive phenomenological study design was adopted comprising face-to-face, semi-structured interviews with patients and their nurses. Content analysis was conducted using the 'Induction' approach. 15 patients and 15 nurses participated in study. This study emerged three categories, nine themes for patients, and seven themes for nurses. Categories were determined according to the Donabedian model. The interviews revealed that although the nurses wanted to provide the necessary care, they could not accomplish it because of excessive workload, inadequately informed patients, and less than desired knowledge and education levels of the nurses and healthcare team. Improved care coordination and partnership working are essential for supporting both patient and their nurses at the end of life.

本研究旨在了解临终癌症患者及其护士对生命末期的看法和体验。研究采用了定性描述现象学研究设计,包括与患者及其护士进行面对面的半结构化访谈。采用 "归纳 "方法进行内容分析。15 名患者和 15 名护士参与了研究。这项研究为患者和护士分别确定了三个类别、九个主题和七个主题。这些类别是根据多纳比德模型确定的。访谈显示,尽管护士希望提供必要的护理,但由于工作量过大、患者信息不足、护士和医疗团队的知识和教育水平低于预期等原因,他们无法完成任务。加强护理协调和合作对于在生命末期为病人和护士提供支持至关重要。
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引用次数: 0
"What's Inside of You Now is Just Bones and Skin": The Tension between Restorative Meaning-Making and Deliberate Detachment in Maternal Experiences of Stillbirth. "你现在的身体只是骨头和皮肤":产妇死产经历中的恢复性意义塑造与刻意疏离之间的张力。
Pub Date : 2024-12-01 Epub Date: 2022-08-26 DOI: 10.1177/00302228221112255
Catharine Hunt, Daphne Josselin

This article explores the ways in which bereaved mothers framed experiences of continuing bonds with their stillborn child and aims to enrich an understanding of maternal sense-making. Four interviews were carried out with bereaved mothers and approached using Interpretative Phenomenological Analysis, so as to offer deeper insight into their individual experiences. Themes which arose from the analysis include: "Continuing bonds and the female body;" "Conflicted bonding with the shape-shifting baby;" and "Experiencing connection in the life beyond loss." These findings point to a tension between restorative meaning-making and detachment in maternal sense-making following stillbirth and have implications for clinicians working with bereaved mothers.

这篇文章探讨了丧子母亲如何构建与死产婴儿之间的持续联系,旨在丰富对母亲感性认识的理解。我们对失去孩子的母亲进行了四次访谈,并采用解释性现象学分析方法,以便更深入地了解她们的个人经历。分析得出的主题包括"持续的纽带和女性身体"、"与变形婴儿的冲突性纽带 "和 "在失去亲人后的生活中体验联系"。这些研究结果表明,在死产后的母性意义建构中,恢复性意义建构与疏离之间存在着紧张关系,这对为失去亲人的母亲提供服务的临床医生具有启示意义。
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引用次数: 0
Student Suicide in India: Unintended Consequences of Socio-Ecological Factors. 印度学生自杀问题:社会生态因素的意外后果。
Pub Date : 2024-12-01 Epub Date: 2022-06-27 DOI: 10.1177/00302228221111932
Sumant Kumar, Avanish B Patel

The expectation of family members and society towards students has increased in recent years to perform well or achieve success in their life. But lack of job opportunities and increased competition among students has depressed the student community. The expectation without support has negatively impacted students which has catalysed suicide among the students in India. Students are committing suicide in Indian society due to failure in achieving families' expectations which is a matter of grave concern for social scientists. The current study has applied content analysis as a method to evaluate the cases of student suicide. The cases of student suicide have been collected from different newspapers, magazines, and news portals from July 2020 and April 2021. The study finds that most students are committed suicide due to depression. The study points out that students committed suicide due to failure to fulfil the expectations of a family member.

近年来,家庭成员和社会对学生的期望越来越高,希望他们表现出色或取得成功。但是,就业机会的缺乏和学生之间竞争的加剧使学生群体感到沮丧。没有支持的期望对学生产生了负面影响,这也是印度学生自杀的诱因。印度社会中的学生因无法实现家庭的期望而自杀,这引起了社会科学家的严重关切。本研究采用内容分析法对学生自杀案例进行评估。研究从 2020 年 7 月至 2021 年 4 月期间的不同报纸、杂志和新闻门户网站上收集了学生自杀案例。研究发现,大部分学生自杀的原因是抑郁。研究指出,学生自杀的原因是未能实现家庭成员的期望。
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引用次数: 0
Moderating Effect of Dyspnea in the Relationship Between Death Anxiety and Self-Management in COPD: A Structural Equation Modeling Analysis. 呼吸困难对慢性阻塞性肺病患者死亡焦虑与自我管理之间关系的调节作用:结构方程模型分析。
Pub Date : 2024-12-01 Epub Date: 2023-12-22 DOI: 10.1177/00302228231224572
Cihan Aydin, Yasemin Ceyhan

The study was conducted to examine the moderating effect of dyspnea (according to Modified Medical Research Council-mMRC scale) on the relationship between death anxiety (DA) and self-management (SM) levels in patients suffering from chronic obstructive pulmonary disease (COPD) (n = 313). Model fit indices are within appropriate limits (χ2/DF = 2.284, GFI = .855, CFI = .796, RMSEA = .064). In mMRC 2, females had 33 times more DA than males. In mMRC 3, DA increased 36 times with increasing age and 14 times with comorbidity. It decreased 15-fold in those with past exacerbation experience. The second model explained DA by 18% while the moderating effect of severe dyspnea contributed 28% to this association. In this group of patients, a one unit increase in DA led to a 53-fold increase in SM. Age, gender, comorbidity and previous exacerbation history affect DA in patients with COPD. Increased DA decreases self-management. Severe dyspnea has a moderating effect between DA and SM.

本研究旨在探讨呼吸困难(根据修正的医学研究委员会-MMRC量表)对慢性阻塞性肺病(COPD)患者(n = 313)死亡焦虑(DA)和自我管理(SM)水平之间关系的调节作用。模型拟合指数在适当范围内(χ2/DF = 2.284,GFI = .855,CFI = .796,RMSEA = .064)。在 mMRC 2 中,女性的 DA 值是男性的 33 倍。在 mMRC 3 中,DA 随年龄的增加而增加 36 倍,随合并症的增加而增加 14 倍。有过病情加重经历的患者的 DA 值下降了 15 倍。第二个模型对DA的解释率为18%,而严重呼吸困难的调节作用对这一关联的解释率为28%。在这组患者中,DA 增加一个单位会导致 SM 增加 53 倍。年龄、性别、合并症和既往加重病史会影响慢性阻塞性肺病患者的DA。DA增加会降低自我管理能力。严重呼吸困难在DA和SM之间有调节作用。
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引用次数: 0
Expectations in the Communication About Death and Dying: Development and Initial Validation of the End-of-Life Conversations - Expectations Scale. 关于死亡和临终交流的期望:生命末期对话--期望量表的开发与初步验证。
Pub Date : 2024-12-01 Epub Date: 2022-06-24 DOI: 10.1177/00302228221110726
Yannik Bendel, Martin Pinquart, Christian Schulz-Quach, Pia von Blanckenburg

End-of-life (EOL) conversations with relatives or significant others are often avoided. One reason can be negative expectations regarding these conversations. The present study was conducted to develop and initially validate the End-of-Life Conversations - Expectations Scale (EOLC-E). An exploratory factor analysis (N = 307) resulted in a 20-item version with three distinct dimensions: expected own emotional burden (α = .92), expected other person's emotional burden (α = .94) and communication self-efficacy (α = .89). The EOLC-E total score correlated significantly with communication apprehension about death (r = .62), fear of death (r = .58), death avoidance (r = .52) as well as readiness for end-of-life conversations (r = -.38) and occurrence of previous conversations (r = -.29). Results suggest that the EOLC-E is a reliable and valid instrument to assess death and dying communication expectations. This measure has utility in communication research focusing on optimizing expectations and increasing EOL communication.

人们往往避免与亲属或重要他人进行生命末期(EOL)谈话。其中一个原因可能是人们对这些谈话抱有负面期望。本研究旨在开发并初步验证 "生命末期谈话-期望量表"(EOLC-E)。探索性因子分析(N = 307)得出了一个包含 20 个项目的版本,其中有三个不同的维度:预期自己的情感负担(α = .92)、预期他人的情感负担(α = .94)和沟通自我效能感(α = .89)。EOLC-E总分与临终交流中对死亡的担忧(r = .62)、对死亡的恐惧(r = .58)、对死亡的回避(r = .52)以及临终对话的准备程度(r = -.38)和以往对话的发生率(r = -.29)显著相关。结果表明,EOLC-E 是评估死亡和临终沟通期望的可靠而有效的工具。该测量方法在以优化期望和增加临终沟通为重点的沟通研究中具有实用性。
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引用次数: 0
Young People's Experiences of Death Anxiety and Responses to the Covid-19 Pandemic. 年轻人的死亡焦虑经历和对 Covid-19 大流行的反应。
Pub Date : 2024-12-01 Epub Date: 2022-06-17 DOI: 10.1177/00302228221109052
Ben Hughes, Kerry Jones

Capacity for death awareness and death anxiety in young people has been previously documented but the impact of Covid-19 is not currently known. Therefore, the aim of this study of this study was to explore young people's experiences and responses to the Covid-19 pandemic. Qualitative data was collected from young people via a two-stage process across the United Kingdom: Stage One consisted of an online questionnaire; Stage Two comprised online semi-structured interviews. Responses for Stage One of the study totalled 120 young people; 9 of these were interviewed for Stage Two of the study. Thematic analysis of data identified four themes relating to young people's experiences of the Covid-19 pandemic: death anxiety; mental health; normalising death; and identified support needs. Young people experienced heightened death anxiety due to the pandemic but death also became normalized for them and their mental health was negatively affected.

以前曾有过关于青少年死亡意识和死亡焦虑能力的记录,但目前还不知道 Covid-19 的影响。因此,本研究旨在探讨年轻人对 Covid-19 大流行病的体验和反应。通过两个阶段的过程在英国各地收集了年轻人的定性数据:第一阶段包括在线问卷调查;第二阶段包括在线半结构化访谈。第一阶段共收到 120 名年轻人的回复;其中 9 人接受了第二阶段的访谈。通过对数据进行主题分析,确定了与年轻人在 Covid-19 大流行中的经历有关的四个主题:死亡焦虑;心理健康;死亡正常化;以及确定的支持需求。大流行病加剧了年轻人的死亡焦虑,但死亡对他们来说也变得正常化,他们的心理健康受到了负面影响。
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引用次数: 0
Effectiveness of Brief Contact Interventions for Bereavement: A Systematic Review. 丧亲之痛简短接触干预的有效性:系统回顾。
Pub Date : 2024-12-01 Epub Date: 2022-06-25 DOI: 10.1177/00302228221108289
Katie McGill, Navjot Bhullar, Tania Pearce, Philip J Batterham, Sarah Wayland, Myfanwy Maple

Brief contact interventions are an efficient and cost-effective way of providing support to individuals. Whether they are an effective bereavement intervention is not clear. This systematic review included articles from 2014 to 2021.711 studies were identified, with 15 meeting inclusion criteria. The brief contact interventions included informational and emotional supports. Narrative synthesis identified that participants valued brief contact interventions, however some did not find them helpful. Exposure to a brief contact intervention was typically associated with improvements in wellbeing. Studies with comparison groups typically found significant but modest improvements in grief, depression symptoms and wellbeing associated with the intervention. However, one intervention was associated with significant deterioration of depression symptoms. Existing brief contact interventions for bereavement appear feasible, generally acceptable to the target population and are associated with improvements in wellbeing. Further development and evaluation to account for why improvements occur, and to identify any unintended impacts, is required.

短暂接触干预是为个人提供支持的一种高效且具有成本效益的方式。它们是否是一种有效的丧亲干预措施尚不清楚。本系统综述收录了 2014 年至 2021 年期间的文章,共确定了 711 项研究,其中 15 项符合纳入标准。短暂接触干预包括信息和情感支持。叙事综述发现,参与者重视短暂接触干预,但有些人认为这些干预没有帮助。接触简短接触干预通常与幸福感的改善有关。与对比组进行的研究通常发现,与干预措施相关的悲伤、抑郁症状和幸福感都有明显但适度的改善。然而,有一项干预措施与抑郁症状的显著恶化有关。现有的针对丧亲之痛的简短接触干预似乎是可行的,目标人群一般都能接受,并且与幸福感的改善有关。需要进一步的发展和评估,以说明为什么会出现改善,并确定任何意外影响。
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引用次数: 0
Grief Experiences of Families of Individuals Who Died Due to Coronavirus Disease-19: A Qualitative Study. 冠状病毒疾病-19 死亡者家属的悲伤经历:定性研究。
Pub Date : 2024-12-01 Epub Date: 2022-06-25 DOI: 10.1177/00302228221110334
Betül Kuş, Aydan Doğan, Rukiye H Akarsu, Eylem Yalman

The fear of contracting the disease, introduction of practices such as quarantine, social isolation, and curfew to prevent its transmission, and effects of experiencing a loss due to this disease are experienced differently by different people. The empirical phenomenological approach will be used to describe, explain, and analyze the experiences of the family members of individuals who lost their lives due to COVID-19. This study was created in accordance with COREQ Statement Checklist. The themes obtained from the interviews are "death in isolation", "changing cultural-religious practices that cannot be performed", "not being able to say goodbye".This transformed grieving process caused by the pandemic may create unique psychosocial needs among family members. To meet these needs, planning and organizing complex grief therapy, speech therapies, expressive supportive counseling, and grief recovery programs is recommended.

不同的人对感染这种疾病的恐惧,为防止疾病传播而采取的检疫、社会隔离和宵禁等措施,以及因这种疾病而失去亲人的影响都有不同的体验。本研究将采用经验现象学方法来描述、解释和分析因 COVID-19 而丧生者的家庭成员的经历。本研究是根据 COREQ 语句检查表进行的。从访谈中获得的主题有:"孤立无援的死亡"、"无法进行的文化-宗教习俗的改变"、"无法道别"。这种由大流行病引起的悲伤过程的转变可能会在家庭成员中产生独特的社会心理需求。为满足这些需求,建议规划和组织复杂的悲伤治疗、言语治疗、表达性支持咨询和悲伤恢复计划。
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引用次数: 0
Examining the Basic Assumption of Psychoanalytic Theory Regarding Normal and Abnormal Grief: Roles of Unfinished Businesses and Bereavement Related Guilt. 审视精神分析理论关于正常和异常悲伤的基本假设:未竟事业和与丧亲相关的内疚感的作用。
Pub Date : 2024-12-01 Epub Date: 2022-07-01 DOI: 10.1177/00302228221111946
Emrah Keser, Yagmur Ar-Karci, Ilgın Gökler Danışman

To date, several theoretical models have been proposed to explain how the expected and natural grief processes turns into psychiatric disorders. Nevertheless, there is a paucity of empirical research examining the basic assumption of psychoanalytic theory regarding pre-death conflict and bereavement related guilt. Accordingly, the current study aimed to investigate the mediator role of bereavement related guilt in the relationship between the pre-death conflict and maladaptive grief process. The sample consisted of 447 bereaved adults who lost a loved one due to death in the last 5 years. The Unfinished Business in Bereavement (UBBS), Bereavement Guilt Scale (BGS), Beck Depression Inventory (BDI), and Prolonged Grief Disorder Scale (PG-13) scales were administered. The results indicated that the UBBS scores were positively correlated with both BDI and PG-13 scores, and BGS scores mediated these relationships. Obtained findings were discussed in relation to psychoanalytic theory and existing studies in the grief literature.

迄今为止,已经提出了几种理论模型来解释预期的自然悲伤过程如何演变成精神疾病。然而,很少有实证研究探讨精神分析理论关于丧亲前冲突和丧亲相关内疚的基本假设。因此,本研究旨在探讨丧亲相关内疚感在丧亲前冲突与适应不良的悲伤过程之间的中介作用。样本包括 447 名在过去 5 年中因死亡而失去亲人的成年丧亲者。研究人员使用了丧亲未竟量表(UBBS)、丧亲内疚量表(BGS)、贝克抑郁量表(BDI)和长期悲伤障碍量表(PG-13)。结果表明,UTBBS评分与BDI和PG-13评分呈正相关,而BGS评分在这些关系中起中介作用。研究人员结合精神分析理论和悲伤文献中的现有研究对所获得的结果进行了讨论。
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引用次数: 0
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