Profiles of grief, post-traumatic stress, and post-traumatic growth among people bereaved due to COVID-19.
Profiles of grief, post-traumatic stress, and post-traumatic growth among people bereaved due to COVID-19.
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DOI：
10.1080/20008198.2021.1947563
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发表时间：
2021
影响因子：
5
通讯作者：
Tang S
中科院分区：
文献类型：
--
作者：
Chen C;Tang S
背景资料：COVID-19死亡增加了丧亲者长期悲伤和创伤后应激症状的患病率，但很少有研究探讨了潜在的积极结果。此外，COVID-19丧亲之痛如何影响个人层面的心理健康结果还没有得到充分研究。目的：这是第一项使用潜在特征分析（LPA）来识别因COVID-19而失去亲人的人的长期悲伤，创伤后压力和创伤后成长的异质特征，并确定潜在类别成员的预测因素的研究。研究方法：422名因COVID-19而失去亲人的中国参与者于2020年9月至10月期间完成了一项在线调查。调查包括国际（ICD-11）长期悲伤障碍量表（IPGDS），DSM-5创伤后应激障碍检查表（PCL-5）和创伤后成长量表（PTGI）。在Mplus中运行LPA，并使用3步辅助方法来测试通过卡方检验和方差分析识别的潜在类别隶属度的潜在预测因子的预测效果。结果：4个潜在的轮廓被确定为：弹性（10.7%），增长（20.1%），中度结合（42.2%）和高度结合（27.0%）。与死者关系密切并将COVID-19确定为死亡根本原因的丧亲者更有可能属于高合并组。一个矛盾的丧亲关系减少了成长组的机会。此外，一个年轻人的死亡和失去伴侣归因于适应不良的结果。结论：需要认真关注因COVID-19而失去亲人的人的心理健康问题，因为这一群体中近70%的人会有中度或高度综合症状。应特别照顾那些失去年轻人、失去伴侣或与死者有密切关系的人。悲伤疗法可以用来解决死者与丧亲者之间的冲突以及未完成的事情，从而促进成长。在2020年9月至10月期间进行的在线调查中，422名因COVID-19而失去亲人的中国参与者揭示了长期悲伤，创伤后压力和创伤后成长的四个潜在特征：复原力，成长，中等组合和高组合。
Background: COVID-19 deaths elevate the prevalence of prolonged grief and post-traumatic stress symptoms among the bereaved, yet few studies have examined potential positive outcomes. Moreover, how COVID-19 bereavement affects individual-level mental health outcomes is under-researched. Objective: This is the first study to use latent profile analysis (LPA) to identify heterogeneous profiles of prolonged grief, post-traumatic stress and post-traumatic growth among people bereaved due to COVID-19 and to identify predictors of latent class membership. Methods: Four hundred and twenty-two Chinese participants who were bereaved due to COVID-19 completed an online survey between September and October 2020. The survey included the International (ICD-11) Prolonged Grief Disorder Scale (IPGDS), the Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Post-traumatic Growth Inventory (PTGI). LPA was run in Mplus, and the 3-step auxiliary approach was used to test the predicting effects of potential predictors of latent class membership identified with chi-square tests and ANOVAs. Results: Four latent profiles were identified: resilience (10.7%), growth (20.1%), moderate-combined (42.2%) and high-combined (27.0%). The bereaved who shared a close relationship with the deceased and identified COVID-19 as the fundamental cause of death were more likely to be in the high-combined group. A conflictful bereaved-deceased relationship reduces the chance of being in the growth group. Moreover, the death of a younger person and loss of a partner attributed to maladaptive outcomes. Conclusions: Serious attention needs to be paid to the mental health issues of people bereaved due to COVID-19 because nearly 70% of this group would have a moderate-combined or high-combined symptom profile. Special care should be given to those who lost someone younger, lost a partner or shared a close relationship with the deceased. Grief therapies that work on the conflicts between the deceased and the bereaved and unfinished business can be applied to facilitate growth. Four latent profiles of prolonged grief, post-traumatic stress and post-traumatic growth were unveiled among 422 Chinese participants bereaved due to COVID-19 who were investigated online between September and October 2020: resilience, growth, moderate-combined and high-combined.
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