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The Effect of Psychotherapy Interventions After Stillbirth on the Grief Process and Depression: Systematic Review and Meta-Analysis. 死产后心理治疗干预对悲伤过程和抑郁的影响:系统回顾与元分析》。
Pub Date : 2024-08-09 DOI: 10.1177/00302228241272686
Aysu Yıldız Karaahmet, Fatma Şule Bilgiç

This study aimed to provide a systematic overview of existing quantitative research on the effects of psychotherapy interventions given to women with stillbirth on the grief process and depression in the postpartum period and to analyze the results. Four databases (PubMed (MEDLINE), Cochrane, Google Scholar, Web of Science) were searched between January-March 2024. Risk of bias and precision of evidence were assessed with the Cochrane risk of bias tool ROB-2 and ROBIN-1. Ten studies were included. Meta-analysis results showed that psychotherapeutic interventions significantly reduced the grief adaptations of mothers in the mourning process and there was a significant difference in the assessment of grief adaptation. Sub-group analyzes revealed mothers' depression values and stress levels compared to the control groups and there was a significant difference between the groups. Psychotherapeutic interventions given to women positively affect their grief adaptation and reduce stress, anxiety, and depression.PROSPERO ID: CRD42024516195.

本研究旨在系统地概述现有的定量研究,这些研究涉及对死产妇女进行心理治疗干预对产后悲伤过程和抑郁的影响,并对研究结果进行分析。研究人员在 2024 年 1 月至 3 月期间检索了四个数据库(PubMed (MEDLINE)、Cochrane、Google Scholar 和 Web of Science)。使用 Cochrane 的偏倚风险工具 ROB-2 和 ROBIN-1 评估了偏倚风险和证据的精确性。共纳入 10 项研究。元分析结果显示,心理治疗干预显著降低了母亲在哀悼过程中的悲伤适应度,并且在悲伤适应度评估方面存在显著差异。分组分析显示,与对照组相比,母亲的抑郁值和压力水平在各组之间存在显著差异。对妇女进行心理治疗干预会对她们的悲伤适应产生积极影响,并减少压力、焦虑和抑郁:CRD42024516195。
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引用次数: 0
Experiences of Parents of Children with Cancer in the Diagnosis Process: A Qualitative Study. 癌症患儿家长在诊断过程中的经历:定性研究。
Pub Date : 2024-08-09 DOI: 10.1177/00302228241272694
Pınar Bekar, Münevver Erkul, Emine Efe

This study aimed to describe the experiences of parents of children with cancer in the diagnosis process. A descriptive qualitative research design and content analysis method were used. Eleven parents participated in the study. Three main themes emerged, each with related sub-themes: encountering a cancer diagnosis, changes in the lives of those affected by the diagnosis, and coping strategies. Upon their children's diagnosis, parents reported feelings of guilt, regret, helplessness, devastation, constant thoughts of death, and changes in their lives, with some siblings displaying negative reactions. Some children felt their freedom was restricted, and some refused treatment. Parents coped by distracting their attention, praying, receiving support from their family, relatives or health professionals, and maintaining hope for their children's recovery. The study concludes that parents of children diagnosed with cancer require support to manage and adapt to the diagnosis process and meet their needs effectively throughout this difficult journey.

本研究旨在描述癌症患儿父母在诊断过程中的经历。研究采用了描述性定性研究设计和内容分析法。11 位家长参与了研究。研究提出了三个主题,每个主题都有相关的子主题:遭遇癌症诊断、受诊断影响的人的生活变化以及应对策略。子女被诊断出癌症后,父母会感到内疚、遗憾、无助、崩溃、不断想到死亡以及生活的改变,一些兄弟姐妹也表现出消极的反应。有些孩子觉得自己的自由受到限制,有些则拒绝接受治疗。家长们通过转移注意力、祈祷、接受家人、亲戚或医护人员的支持以及保持对孩子康复的希望来应对。研究得出结论,被诊断患有癌症的儿童的父母需要得到支持,以管理和适应诊断过程,并在这一艰难历程中有效地满足他们的需求。
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引用次数: 0
Risk Factors of Prolonged Grief Disorder. 长期悲伤障碍的风险因素。
Pub Date : 2024-08-08 DOI: 10.1177/00302228241272601
Emma Quadlander-Goff, Jill Meyer

Prolonged Grief Disorder (PGD) is characterized by extensive yearning, which includes a strong desire, for the deceased that occurs for at least 12 months. The aim of this study was to identify risk factors that contribute to PGD including the type of loss, relationship to the deceased, and coping. The sample included 190 bereaved adults (71 unexpected or violent loss and 119 natural loss) that experienced the loss of a loved one at least 12 months prior to completing the survey used in this study. There were non-significant results for type of loss, the presence of PGD, and coping. Findings showed that dysfunctional coping including self-blame explained the presence of PGD. Closeness to the deceased prior to the loss contributed to the presence of PGD. The findings highlight the risk factors for adults that experience a presence of PGD.

长期悲伤障碍(PGD)的特征是对逝者的广泛思念,包括强烈的愿望,这种思念会持续至少 12 个月。本研究的目的是确定导致 PGD 的风险因素,包括失去亲人的类型、与逝者的关系以及应对方式。样本包括 190 名失去亲人的成年人(71 名是意外或暴力丧亲,119 名是自然丧亲),他们在完成本研究使用的调查之前至少 12 个月经历过失去亲人。调查结果显示,丧亲类型、是否存在 PGD 以及应对方式均无显著性差异。调查结果显示,包括自责在内的机能障碍应对方式解释了PGD的存在。在失去亲人之前与逝者的亲密关系也是出现 PGD 的原因之一。研究结果强调了成年人出现 PGD 的风险因素。
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引用次数: 0
Mortality Salience and Death Anxiety: The Moderating Roles of Self-Esteem and Religiosity. 死亡率显著性与死亡焦虑:自尊和宗教信仰的调节作用
Pub Date : 2024-08-07 DOI: 10.1177/00302228241272498
Moh'd Haniel O Abdul

The purpose of this study was to investigate the relationship between mortality salience, death anxiety, and two moderating variables: self-esteem and religiosity. A total of 174 undergraduate students from the Mindanao State University-Main Campus in the Philippines were selected via convenience sampling. Specifically, the study was carried out to determine if both self-esteem and religiosity moderate the relationship between mortality salience and death anxiety. The results revealed that mortality salience was positively correlated with death anxiety among undergraduate students. Moreover, self-esteem significantly moderated the relationship between mortality salience and death anxiety, with low self-esteem enhancing this relationship. However, religiosity was found to be a non-significant moderator of the link between mortality salience and death anxiety. Overall, the findings of this study have implications for understanding these relationships and offer recommendations for further research.

本研究的目的是调查死亡率显著性、死亡焦虑以及两个调节变量(自尊和宗教信仰)之间的关系。本研究通过便利抽样法从菲律宾棉兰老岛州立大学主校区共选取了 174 名本科生。具体来说,该研究旨在确定自尊和宗教信仰是否能调节死亡燽与死亡焦虑之间的关系。研究结果表明,死亡率显著性与本科生的死亡焦虑呈正相关。此外,自尊在很大程度上调节了死亡唤醒与死亡焦虑之间的关系,低自尊会增强这种关系。然而,研究发现宗教信仰对死亡唤醒与死亡焦虑之间的关系没有明显的调节作用。总之,本研究的结果对理解这些关系有一定的意义,并为进一步的研究提供了建议。
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引用次数: 0
The Impact of Social Support on Depressive Symptoms Through Mindfulness and Resilience Among Chinese Parents Who Lost Their Only Child. 社会支持通过正念和复原力对失去独生子女的中国父母抑郁症状的影响
Pub Date : 2024-08-07 DOI: 10.1177/00302228241272529
Xiaofeng Wang, Xiaopeng Duan, Masumi Sugawara, Mika Omori

The number of Shidu parents (parents over the age of 45 years who have lost their only child) has been increasing in China, which is important because Shidu parents experience depressive symptoms. This study investigated the potential mediating roles of mindfulness and resilience in the relation between social support and depressive symptoms among Shidu parents. From June to December 2021, 111 Shidu parents in Baoji city, China, completed a web-based survey on social support, depressive symptoms, mindfulness, and resilience. The results indicated that Shidu parents suffer from a high risk of depressive symptoms, and significant correlations were found between the study variables. Path analysis models showed that the relation between social support and depressive symptoms in Shidu parents was fully mediated by a combination of mindfulness and resilience. These findings further highlighted the significance of social support, mindfulness, and resilience in potentially alleviating depressive symptoms among Shidu parents.

在中国,师徒父母(45 岁以上失去独生子女的父母)的人数不断增加,这一点非常重要,因为师徒父母会出现抑郁症状。本研究探讨了正念和复原力在社会支持与师都父母抑郁症状之间的潜在中介作用。2021年6月至12月,中国宝鸡市的111名师都家长完成了一项关于社会支持、抑郁症状、正念和复原力的网络调查。结果表明,十渡家长是抑郁症状的高发人群,研究变量之间存在显著相关性。路径分析模型显示,社会支持与师徒家长抑郁症状之间的关系完全由正念和抗逆力共同促成。这些发现进一步凸显了社会支持、正念和复原力对减轻师徒家长抑郁症状的潜在作用。
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引用次数: 0
Exploring Death Anxiety Among Older Adults: An Integrative Review of Associated Factors and Interventions. 探索老年人的死亡焦虑:相关因素和干预措施的综合回顾。
Pub Date : 2024-08-07 DOI: 10.1177/00302228241272578
Rudy S Younes, Elias Rahme, Ferial Rajha, Mirna Abboud Mzawak

With the aging of the population and the substantial surge of individuals above the age of 60, psychological concerns particular to this population have come to hold more weight on the healthcare and social levels. One of the concerns of older adults, which can significantly influence their psychological well-being, is the fear of inevitable mortality or death anxiety. This integrative review tackles the subject of death anxiety among older adults by providing a comprehensive synthesis of the factors associated with death anxiety and the effective interventions to mitigate it. A systematic screening of relevant articles was conducted using the PRISMA guidelines. Content and thematic analysis of 46 selected articles were performed, from which five key themes emerged: demographic factors, psychological and psychosocial factors, spiritual and religious factors, death reminders, and effective interventions. The review contributes to the field of thanatology and offers clinical insights into the care of older adults.

随着人口老龄化和 60 岁以上人口数量的激增,这一人群所特有的心理问题在医疗保健和社会层面越来越受到重视。老年人的担忧之一是对不可避免的死亡的恐惧或死亡焦虑,这可能会严重影响他们的心理健康。本综合综述针对老年人的死亡焦虑这一主题,对与死亡焦虑相关的因素以及缓解死亡焦虑的有效干预措施进行了全面综述。我们采用 PRISMA 指南对相关文章进行了系统筛选。对所选的 46 篇文章进行了内容和主题分析,从中得出了五个关键主题:人口统计因素、心理和社会心理因素、精神和宗教因素、死亡提醒以及有效的干预措施。该综述对安宁学领域有所贡献,并为老年人的护理提供了临床见解。
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引用次数: 0
Impact of Death Anxiety on Psychological Well-Being and Successful Aging of Older Adults With Chronic Illness. 死亡焦虑对患有慢性疾病的老年人心理健康和成功老龄化的影响。
Pub Date : 2024-08-06 DOI: 10.1177/00302228241272543
Akanksha Bharti, Das Ambika Bharti

Comorbidities due to aging and the COVID-19 pandemic together are expected to cause death anxiety among older adults. This study aimed to assess the prevalence of death anxiety and its impact on psychological well-being and successful aging of older adults with chronic illness. A cross-sectional correlational survey was conducted on 79 older adults with chronic illness, drawn with a stratified random sampling method. Self-report measures were used to assess death anxiety, psychological well-being, and successful aging. A high prevalence of death anxiety was reported among older adults. Psychological well-being and successful aging in these older adults were significantly and negatively associated with death anxiety. Further, death anxiety showed substantial predictive valence for psychological well-being and successful aging of older adults with chronic illness. Findings strongly advocate and call for timely intervention programs for chronically ill older adults to reduce their death anxiety for enhanced psychological well-being and promote successful aging.

老龄化导致的并发症和 COVID-19 大流行预计将共同引发老年人的死亡焦虑。本研究旨在评估死亡焦虑的普遍程度及其对患有慢性疾病的老年人的心理健康和成功老龄化的影响。研究采用分层随机抽样方法,对 79 名患有慢性病的老年人进行了横断面相关调查。采用自我报告的方法来评估死亡焦虑、心理健康和成功老龄化。据报告,老年人中死亡焦虑的发生率很高。这些老年人的心理健康和成功老龄化与死亡焦虑呈显著负相关。此外,死亡焦虑对患有慢性疾病的老年人的心理健康和成功老龄化有很大的预测价值。研究结果强烈建议并呼吁为患有慢性病的老年人提供及时的干预计划,以减少他们的死亡焦虑,从而提高心理健康水平,促进成功老龄化。
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引用次数: 0
Psychometric Properties of the Revised Version of the Prolonged Grief Disorder Scale (PG-13-R): A Methodological Study in the Iranian Population. 长期悲伤障碍量表(PG-13-R)修订版的心理计量特性:在伊朗人群中进行的方法学研究。
Pub Date : 2024-08-06 DOI: 10.1177/00302228241272579
Seyedmohammad Mirhosseini, Mahboobeh Khajeh, Hamid Sharif-Nia, Fatemeh Sadat Hosseini, Hossein Ebrahimi

Prolonged grief disorder has recently been officially introduced as a new mental disorder. This study aimed to validate the Persian version of the revised Prolonged Grief Scale (PG-13-R). This study was conducted among the general population in Shahroud, Iran, during 2023. Employing face and content validity, along with exploratory and confirmatory factor analyses (EFA), the study validates the PG-13-R. Average variance extracted value showed an acceptable convergent validity. The EFA reveals a singular factor structure explaining 60.541% of the variance in prolonged grief disorder, and the confirmatory factor analysis demonstrates an excellent model fit. Internal consistency, evaluated through Cronbach's alpha and MacDonald's omega, highlights the scale's reliability. The Persian version of PG-13-R had acceptable composite reliability. Stability is confirmed by an intra-class correlation coefficient. In conclusion, the Persian PG-13-R displays satisfactory validity and reliability to assessing prolonged grief symptoms in the Iranian population.

长期悲伤障碍最近被正式列为一种新的精神疾病。本研究旨在验证经修订的长期悲伤量表(PG-13-R)的波斯语版本。本研究于 2023 年在伊朗沙赫鲁德的普通人群中进行。通过面效和内容效度以及探索性和确认性因素分析(EFA),本研究验证了 PG-13-R。平均方差提取值显示了可接受的收敛效度。探索性因子分析(EFA)揭示了一个单一的因子结构,可以解释 60.541% 的长期悲伤障碍变异,而确认性因子分析则显示了极佳的模型拟合度。通过 Cronbach's alpha 和 MacDonald's omega 评估的内部一致性凸显了量表的可靠性。波斯语版本的 PG-13-R 具有可接受的综合信度。类内相关系数证实了其稳定性。总之,波斯语 PG-13-R 在评估伊朗人群的长期悲伤症状方面显示出令人满意的有效性和可靠性。
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引用次数: 0
Medical Chart Review to Explore Suicidal and Self-Harm Thoughts and Behavior Among Psychiatric Inpatients. 通过病历审查探究精神病住院患者的自杀和自残想法与行为。
Pub Date : 2024-08-04 DOI: 10.1177/00302228241272653
Bryce E Stoliker, Temilola Balogun, Haile Wangler, Mansfield Mela, Lisa M Jewell, Brent Nixon, Kingsley Nwachukwu

Suicide and self-harm events are elevated in psychiatric inpatient populations. In this study, health data were retrospectively collected from the medical records of 183 patients (97 civil and 86 forensic) who had resided in, or been admitted to, a public psychiatric hospital in Saskatchewan, Canada from April 1 to December 31, 2021. Descriptive and inferential analyses were conducted to estimate prevalence and correlates of (non-fatal) suicide and self-harm events, including recent and lifetime occurrences, according to patients' health information. Nearly two-thirds (62%) of patients had any record of non-fatal suicide or self-harm events, including a lifetime history of self-harm (42%) and suicidal behavior (37%) as well as recent self-harm (24%) and suicidal (31%) thoughts or behaviors. Forensic patients were significantly more likely to have a record of suicide and self-harm events. This study emphasizes the need for further research into the course of suicidality and self-harm in psychiatric inpatients.

自杀和自残事件在精神病住院患者中呈上升趋势。本研究从 2021 年 4 月 1 日至 12 月 31 日在加拿大萨斯喀彻温省一家公立精神病院居住或住院的 183 名患者(97 名民事患者和 86 名法医患者)的病历中回顾性地收集了他们的健康数据。我们根据患者的健康信息进行了描述性和推论性分析,以估算(非致命性)自杀和自残事件的发生率和相关因素,包括近期和终生发生的自杀和自残事件。近三分之二(62%)的患者有非致命性自杀或自残事件记录,包括终生自残史(42%)和自杀行为(37%),以及近期自残(24%)和自杀(31%)想法或行为。法医患者有自杀和自残事件记录的可能性明显更高。这项研究强调了进一步研究精神病住院患者自杀和自残过程的必要性。
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引用次数: 0
The Psychopathological Predictors and Effects of Death Anxiety. 死亡焦虑的心理病理学预测因素和影响。
Pub Date : 2024-08-04 DOI: 10.1177/00302228241272502
Waqar Husain, Manahil Mehmood Malik, Amna Shakeel, Aliya Riaz, Mahnoor, Haitham Jahrami

Death anxiety has been linked to several psychopathological conditions. However, the causes, comorbidity, and differential diagnosis of death anxiety is unexplored. This paper stands out by identifying common predictors of death anxiety and exploring the potential of death anxiety as a predictor for other psychological conditions. The paper reports the findings of four consecutive studies that involved a total of 2291 conveniently selected participants including 861 men and 1430 women. We focused on clarifying both the predictors of death anxiety and the psychopathological consequences emerging from it. Our findings established depression, anxiety, stress, fear of aging, and reduced life satisfaction as predictors of death anxiety. Psychosocial illness, sleep disturbances, aggression, and daily hassles were established as the adverse outcomes of death anxiety. Fear of aging was the most significant predictor of death anxiety and daily hassles emerged as the most significant adverse consequence of death anxiety.

死亡焦虑与多种精神病理学状况有关。然而,死亡焦虑的成因、并发症和鉴别诊断尚未得到研究。本文通过确定死亡焦虑的常见预测因素,并探索死亡焦虑作为其他心理疾病预测因素的潜力,从而脱颖而出。本文报告了四项连续研究的结果,这些研究共涉及 2291 名经过方便筛选的参与者,其中包括 861 名男性和 1430 名女性。我们重点阐明了死亡焦虑的预测因素和由此产生的心理病理后果。我们的研究结果表明,抑郁、焦虑、压力、对衰老的恐惧和生活满意度降低是死亡焦虑的预测因素。社会心理疾病、睡眠障碍、攻击性和日常烦恼被确定为死亡焦虑的不良后果。对衰老的恐惧是死亡焦虑最显著的预测因素,而日常烦恼则是死亡焦虑最显著的不良后果。
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引用次数: 0
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