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Context and Underlying Factors Influencing the Adaptation Process of Older Adults Facing Spousal Deaths: A Qualitative Study. 影响面临配偶死亡的老年人适应过程的背景和基本因素:定性研究。
Pub Date : 2024-10-18 DOI: 10.1177/00302228241289513
Asal Seraji, Tahereh Nasrabadi, Nahid Dehghan Nayeri, Sepideh Nasrollah

The death of a spouse, as the most stressful event in old age, can put the older adult at risk of death if they do not adapt again. Since the process of adapting to bereavement occurs in the context of social interactions and is experienced in different ways in different societies, this research was conducted with the aim of explaining the background and factors affecting the adaptation of the older adult to the death of their spouse. The experiences of 21 participants were collected through semi-structured interviews and analyzed with Lundman and Granheim's conventional content analysis approach, which led to the creation of three main categories1: how one perceives loss; 2:quality of life after the deceased; and 3: the quality of marital life. The findings indicate the importance and impact of background factors in how the adaptation process occurs. Identifying these factors can provide practical solutions to experts, caregivers and bereaved older adult.

配偶去世是老年人最紧张的事件,如果老年人不能重新适应,就会面临死亡的风险。由于适应丧亲之痛的过程是在社会交往的背景下发生的,在不同的社会中会有不同的体验,因此本研究旨在解释影响老年人适应配偶死亡的背景和因素。通过半结构式访谈收集了 21 位参与者的经历,并采用伦德曼和格兰海姆的传统内容分析法进行分析,最终归纳出三大类1:如何看待失去;2:逝者去世后的生活质量;3:婚姻生活质量。研究结果表明了背景因素在适应过程中的重要性和影响。找出这些因素可以为专家、照顾者和失去亲人的老年人提供切实可行的解决方案。
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引用次数: 0
The Days After the Funeral: An Ethnolinguistic Analysis of Christian Post-Funeral Death Practices in Jish (Northern Israel). 葬礼后的日子:吉什(以色列北部)基督教葬礼后习俗的民族语言分析》。
Pub Date : 2024-10-18 DOI: 10.1177/00302228241292845
Sandy Habib

This study is in ethnolinguistics, the interface between culture and linguistics. It provides an ethnography (detailed description) of post-funeral death practices among Maronite Christians in Jish, a small village in northern Israel. It also linguistically analyzes some concepts and cultural norms related to these practices and explicates (i.e., defines in simple, universal terms) them using the Natural Semantic Metalanguage (NSM) approach. At the micro-level, this study provides a precise description and analysis of post-funeral death practices in one community sharing the same linguaculture (i.e., the same ways of speaking and living). This precise description and analysis can, in turn, provide an opportunity for a precise comparison between these Jish death practices and their counterparts in other micro-communities. Additionally, this study provides cultural outsiders (those who are outside the culture) with insights into some aspects of the Jish linguaculture; thus it may be of interest to linguists and anthropologists.

本研究属于民族语言学,是文化与语言学的结合。它提供了以色列北部小村庄吉什马龙派基督徒葬礼后死亡习俗的民族志(详细描述)。它还从语言学角度分析了与这些习俗相关的一些概念和文化规范,并使用自然语义金属语言(NSM)方法对其进行了阐释(即用简单、通用的术语对其进行定义)。在微观层面上,本研究对一个共享相同语言文化(即相同的语言和生活方式)的社区的葬礼后习俗进行了精确的描述和分析。这种精确的描述和分析反过来又为精确比较这些吉士死亡习俗和其他微型社区的对应习俗提供了机会。此外,这项研究还为文化外人(文化之外的人)提供了对吉士语言文化某些方面的见解,因此可能会引起语言学家和人类学家的兴趣。
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引用次数: 0
The Association Between Death Anxiety and Ageism Among Nursing Students: The Influence of Terror Management Theory Defense Mechanisms. 护理专业学生的死亡焦虑与年龄歧视之间的关联:恐怖管理理论防御机制的影响。
Pub Date : 2024-10-17 DOI: 10.1177/00302228241292806
Mohammad Rababa, Balqis Mohammad Alhammad, Audai A Hayajneh, Reem Telfah

Ageism and death anxiety are still underrecognized and not well-examined among nursing students despite the high prevalence in nursing education and clinical practice. According to terror management theory (TMT), older adults are a potent reminder of mortality and disability, imposing a sense of death anxiety among nursing students who may exhibit ageist behaviors toward older adults in an attempt to control that sense of death anxiety. This study aims to examine the moderating effect of TMT defense mechanisms on the relationship between death anxiety and ageism among nursing students. This correlational, cross-sectional study used a convenience sample of 371 nursing students and validated tools. Self-esteem was found to be a significant moderator, with higher levels mitigating the impact of death anxiety on ageism. However, symbolic immortality and interpersonal relationships did not significantly moderate this relationship. Enhancing self-esteem among nursing students would reduce death anxiety and associated ageist behaviors.

尽管老年歧视和死亡焦虑在护理教育和临床实践中非常普遍,但在护理专业学生中仍未得到充分认识和研究。根据恐怖管理理论(TMT),老年人是对死亡和残疾的有力提醒,会给护理专业学生带来死亡焦虑感,他们可能会对老年人表现出年龄歧视行为,以试图控制这种死亡焦虑感。本研究旨在探讨 TMT 防御机制对护生死亡焦虑与年龄歧视之间关系的调节作用。这项相关横断面研究采用了方便抽样法和验证工具,抽样对象为 371 名护理专业学生。研究发现,自尊是一个重要的调节因子,自尊水平越高,死亡焦虑对年龄歧视的影响越小。然而,象征性永生和人际关系并不能显著调节这种关系。提高护理专业学生的自尊心将减少死亡焦虑和相关的年龄歧视行为。
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引用次数: 0
Does Meaning-Making Mediate COVID-19 Restrictions' Impact on Grief and Psychological Symptoms? 意义建构是否能调节 COVID-19 限制对悲伤和心理症状的影响?
Pub Date : 2024-10-11 DOI: 10.1177/00302228241292388
João Batista, Sara Albuquerque, Mayra Delalibera, João T Oliveira, Alexandra Coelho

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.

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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引用次数: 0
The Mediation Role of Coping With Stress in the Relationship Between Psychological Flexibility and Posttraumatic Growth in Cancer Patients. 应对压力在癌症患者心理弹性与创伤后成长之间关系中的中介作用》(The Mediation Role of Coping With Stress in the Relationship between Psychological Flexibility and Posttraumatic Growth in Cancer Patients)。
Pub Date : 2024-10-11 DOI: 10.1177/00302228241292381
Gizem Akcan, Bekir Hakan Bakkal, Özlem Elmas

Objectives: Active and adaptive coping strategies have been identified as factors that can assist cancer patients in effectively managing and overcoming the crisis, leading to the potential for post-traumatic growth during the diagnosis and treatment stages. Psychological flexibility is another factor that can protect individuals and promote more adaptive reactions to traumatic situations. The study aims to examine the investigation of the mediation role of coping with stress in the relationship between psychological flexibility and posttraumatic growth in cancer patients. Methods: This study was conducted with 97 (63 women, 34 male) participants aged between 38 and 82 who are literate and diagnosed with breast cancer or gynecological cancers (endometrial, cervical, vulvar) undergoing radiotherapy planning at the Radiation Oncology Clinic of Zonguldak Bülent Ecevit University Hospital. Demographic Information Form, Psychological Flexibility Scale, Post-Traumatic Growth Inventory, and Coping Styles Scale were applied to the participants. The mediation effects were interpreted using bootstrap confidence intervals and VAF values. Results: This study showed that the active coping styles partially mediated the relationship between psychological flexibility and posttraumatic growth. Conclusion: In this regard, by organizing psychoeducational programs and interventions aimed at increasing psychological flexibility for individuals diagnosed with cancer or undergoing treatment, individuals can be enabled to cope with stress more actively, and thus post-traumatic growth can be achieved.

目的:积极和适应性的应对策略已被确认为可以帮助癌症患者有效管理和克服危机的因素,从而在诊断和治疗阶段实现创伤后成长的潜力。心理灵活性是另一个可以保护个人并促进对创伤情况做出更多适应性反应的因素。本研究旨在探讨应对压力在癌症患者心理灵活性与创伤后成长关系中的中介作用。研究方法研究对象为宗古尔达克-比伦特-埃切维特大学医院放射肿瘤诊所接受放射治疗计划的 97 名参与者(63 名女性,34 名男性),年龄在 38 岁至 82 岁之间,识字,确诊为乳腺癌或妇科癌症(子宫内膜癌、宫颈癌、外阴癌)。研究人员使用了人口统计学信息表、心理灵活性量表、创伤后成长量表和应对方式量表。使用引导置信区间和 VAF 值解释中介效应。结果研究表明,积极应对方式在一定程度上调节了心理弹性与创伤后成长之间的关系。结论因此,通过组织心理教育项目和干预措施,旨在提高确诊为癌症或正在接受治疗的个体的心理灵活性,可以使个体更积极地应对压力,从而实现创伤后成长。
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引用次数: 0
"Grief Explodes all Relationships": Experiences of Grief and Coping Among Parents and Siblings Following the Death of a Child. "悲伤引爆所有关系":孩子去世后父母和兄弟姐妹的悲伤经历与应对》。
Pub Date : 2024-10-03 DOI: 10.1177/00302228241289511
Katy A Tenhulzen, Amy M Claridge, Abigail McCarthy, Meredith Craven, Libby Faith McClendon

The death of a child is an intense loss for families, which impacts the wellbeing of parents, surviving siblings, and the family as a whole. This study expanded on existing literature by collecting qualitative accounts from bereaved parents and siblings about their experiences before, during, and after the death of a child in their family. In total, 15 participants from 9 families completed semi-structured interviews. Findings highlighted three periods of the grieving process, which were not linear but rather ongoing and often happening simultaneously: (1) Crisis; (2) Learning to cope; and (3) Establishment of a new equilibrium. Parents and siblings reported experiences unique to their role in the family and developmental stage, as well as shared experiences within the family system. Findings have implications for palliative care and bereavement professionals in terms of supporting parent, sibling, and family coping before, during, and after the death of a child.

孩子的死亡是家庭的重大损失,会影响父母、幸存兄弟姐妹和整个家庭的幸福。本研究在现有文献的基础上,收集了失去亲人的父母和兄弟姐妹的定性叙述,了解他们在家中儿童死亡之前、期间和之后的经历。共有来自 9 个家庭的 15 名参与者完成了半结构化访谈。研究结果强调了悲伤过程的三个阶段,这三个阶段不是线性的,而是持续的,而且往往同时发生:(1)危机;(2)学会应对;以及(3)建立新的平衡。父母和兄弟姐妹报告了他们在家庭中的角色和发展阶段的独特经历,以及家庭系统中的共同经历。研究结果对姑息关怀和丧亲专业人员在儿童死亡前、死亡期间和死亡后支持父母、兄弟姐妹和家庭的应对方式具有重要意义。
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引用次数: 0
Homicide-Suicide in Russia and Pakistan: Observations From Press Media Reports. 俄罗斯和巴基斯坦的凶杀案:从新闻媒体报道中的观察。
Pub Date : 2024-09-27 DOI: 10.1177/00302228241287850
Rameez Ali Mahesar, Andrei V Golenkov, Amna Fazail, Ahmed Raza Ul Mustafa, Pavel B Zotov, Sheikh Shoib

This study compares the features of homicide-suicide in Russia and Pakistan. To understand this, we conducted a content analysis of news reports about homicide-suicide published in Pakistani and Russian newspapers between March 2020 and May 2023. We identified 35 and 104 homicide-suicide cases in Pakistani and Russian media, respectively. Men were three to five times more likely to commit homicide-suicides than women (3.16: 1 in Russia; 4.83: 1 in Pakistan). Accounting for over 65.73% of all homicide-suicides, spousal homicide-suicides and filicide-suicide were the most common homicide-suicides in both regions. Filicide-suicides were more often done by Russian women and extra-family homicide-suicides by Pakistani women. Reasons for homicide-suicides in Pakistani women were divorce or separation and in Russian women - mental disorders. With the difference of homicide in the victims, Pakistani victims were aged 15-30 years, while Russian were 31-45 years and 46 years and older. There were more similarities in homicide-suicides than differences.

本研究比较了俄罗斯和巴基斯坦杀人自杀事件的特点。为了理解这一点,我们对 2020 年 3 月至 2023 年 5 月期间巴基斯坦和俄罗斯报纸上发表的有关杀人-自杀的新闻报道进行了内容分析。我们在巴基斯坦和俄罗斯媒体上分别发现了 35 起和 104 起杀人自杀案件。男性实施杀人-自杀行为的几率是女性的三至五倍(俄罗斯为 3.16:1;巴基斯坦为 4.83:1)。在所有杀人-自杀案件中,配偶杀人-自杀和杀丝自杀占 65.73%以上,是两个地区最常见的杀人-自杀案件。俄罗斯妇女更常实施杀婴自杀,而巴基斯坦妇女则更常实施家庭外杀人自杀。巴基斯坦妇女杀人自杀的原因是离婚或分居,俄罗斯妇女杀人自杀的原因是精神失常。至于杀人受害者的年龄差异,巴基斯坦受害者的年龄为 15-30 岁,而俄罗斯受害者的年龄为 31-45 岁和 46 岁及以上。杀人-自杀事件的相似之处多于不同之处。
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引用次数: 0
The Impact of Social Expenditure on Sustainable Human Development: Empirical Evidence on the Suicide Deaths in a Developing Country. 社会支出对人类可持续发展的影响:发展中国家自杀死亡人数的经验证据》。
Pub Date : 2024-09-27 DOI: 10.1177/00302228241287816
Mert Akyuz

Suicide has been a serious international public mental health problem and is one of the top twenty leading causes of death worldwide. This study aims to investigate the impact of social expenditure on suicide deaths in Turkiye as a developing country from 1982 to 2019. The Bounds Testing Approach to Cointegration and Autoregressive Distributed Lag (ARDL) methods were used. The results indicated that social expenditure has a statistically significant and negative effect on total suicide and female suicide deaths, but it has a statistically insignificant and negative impact on male suicide death. The contribution of this study is to examine for the first time whether social expenditure has an impact on total, female, and male suicide mortality in Turkiye. Policymakers should regard increasing social spending in the government budget to prevent suicide deaths in Turkiye.

自杀一直是一个严重的国际公共心理健康问题,也是全球前二十大死因之一。本研究旨在调查 1982 年至 2019 年期间社会支出对发展中国家土耳其自杀死亡人数的影响。研究采用了协整边界检验法和自回归分布滞后(ARDL)法。结果表明,社会支出对总自杀人数和女性自杀死亡人数有统计学意义上的显著负面影响,但对男性自杀死亡人数有统计学意义上的不显著负面影响。本研究的贡献在于首次研究了社会支出是否会对土耳其的总自杀率、女性自杀率和男性自杀率产生影响。政策制定者应考虑在政府预算中增加社会支出,以预防土耳其的自杀死亡。
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引用次数: 0
Psychometric Properties of the Persian Version of Utrecht Grief Rumination Scale. 乌得勒支悲伤反刍量表波斯语版的心理测量特性
Pub Date : 2024-09-25 DOI: 10.1177/00302228241286923
Ahmad Ashouri, Shahab Yousefi, Fatemeh Abdoli, Arezoo Nasirimoghadam, Hajar Aliyaki

This study evaluates the Persian version of the Utrecht Grief Rumination Scale (UGRS), developed to assess grief-related rumination. The UGRS, originally validated in Western and Eastern cultures, had not been examined in a Iranian context. The research involved translating the UGRS into Persian, followed by a thorough psychometric evaluation involving 325 bereaved Persian-speaking adults. The Persian UGRS demonstrated strong internal consistency (Cronbach's alpha and McDonald's ω = 0.92) and test-retest reliability (ICC = 0.85). Confirmatory factor analyses supported a second-order hierarchical model of grief rumination. Concurrent validity was affirmed through significant correlations with depression, anxiety, prolonged grief, and PTSD. Known-groups validity highlighted higher rumination levels among individuals with lower education, those who lost close family members, and women. These findings underscore the Persian UGRS's reliability and validity, offering a robust tool for assessing grief-related rumination in the Iranian population.

本研究评估了乌得勒支悲伤反刍量表(UGRS)的波斯语版本,该量表是为评估与悲伤有关的反刍而开发的。UGRS 最初在西方和东方文化中得到了验证,但在伊朗的背景下还未进行过研究。研究工作包括将 UGRS 翻译成波斯语,然后对 325 名失去亲人的波斯语成年人进行全面的心理测量评估。波斯语 UGRS 具有很强的内部一致性(Cronbach's alpha 和 McDonald's ω = 0.92)和测试-再测可靠性(ICC = 0.85)。确认性因子分析支持悲伤反刍的二阶层次模型。通过与抑郁、焦虑、长期悲伤和创伤后应激障碍的显著相关性,证实了该模型的并发有效性。已知群体有效性强调了教育程度较低者、失去近亲者和女性的反刍水平较高。这些研究结果强调了波斯语 UGRS 的可靠性和有效性,为评估伊朗人口中与悲伤相关的反刍提供了一个强有力的工具。
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引用次数: 0
Death Anxiety: An Exploration of Professional Counselor Experiences. 死亡焦虑:对专业顾问经验的探索。
Pub Date : 2024-09-25 DOI: 10.1177/00302228241287948
Kaitlyn Kaus, Diane Coursol, Aaron Suomala Folkerds

This quantitative research study guided by Terror Management Theory (TMT) provides a theoretical framework to understand death anxiety among practicing counselors while providing support for implementing death education into counseling graduate programs. The total sample comprised 97 total practicing counselors and current counseling students who were recruited from online platforms consisting of professional memberships, listservs, private practice, and Facebook groups. This study explored the level of death anxiety in counselors (measured by the Death Anxiety Scale-Extended (DAS-E; Templer et al., 2006) and examined the relationships between religious and/or spiritual affiliation, death education exposure, and years of practice (measured by a demographic questionnaire) through an online survey that measured counselor's religious and/or spiritual affiliation, death education exposure, years of practice in the field, and their self-reported levels of death anxiety. A Pearson correlation indicated that religious and/or spiritual affiliation and death education were significantly positively associated with years of practice in the counseling field. A regression analysis revealed that death education significantly predicted death anxiety levels. The results of the study indicated that the more death education an individual had received the less likely they were to experience death anxiety. The findings of this study affirm the need for support of a death education curriculum and to encourage CACREP counseling graduate programs to promote knowledge and awareness around death in order to better prepare counseling master's students to serve clients.

这项以恐怖管理理论(Terror Management Theory,TMT)为指导的定量研究为了解执业心理咨询师的死亡焦虑提供了一个理论框架,同时也为在心理咨询研究生课程中开展死亡教育提供了支持。总样本由 97 名在职心理咨询师和在读心理咨询专业学生组成,他们是从专业会员、列表服务器、私人实践和 Facebook 群组等网络平台上招募的。本研究探讨了心理咨询师的死亡焦虑水平(通过死亡焦虑量表扩展版(DAS-E;Templer 等人,2006 年)进行测量),并通过一项在线调查,测量了心理咨询师的宗教和/或精神归属、死亡教育经历和从业年限(通过人口统计学问卷进行测量)以及他们自我报告的死亡焦虑水平之间的关系。皮尔逊相关分析表明,宗教和/或精神归属以及死亡教育与心理咨询从业年限呈显著正相关。回归分析表明,死亡教育对死亡焦虑水平有明显的预测作用。研究结果表明,一个人接受的死亡教育越多,他们经历死亡焦虑的可能性就越小。本研究的结果肯定了支持死亡教育课程的必要性,并鼓励 CACREP 咨询研究生课程促进有关死亡的知识和意识,以便让咨询硕士生更好地为客户服务。
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引用次数: 0
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