Parenting through grief: A cross-sectional study of recently bereaved adults with minor children.
Parenting through grief: A cross-sectional study of recently bereaved adults with minor children.
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DOI：
10.1177/02692163211040982
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发表时间：
2021-12
影响因子：
4.4
通讯作者：
Rosenstein DL
中科院分区：
文献类型：
--
作者：
Park EM;Deal AM;Yopp JM;Chien SA;McCabe S;Hirsch A;Bowers SM;Edwards T;Rosenstein DL
悲伤的成年人抚养失去父母的未成年子女，会经历持续升高的抑郁和悲伤症状。然而，与他们的心理健康结果相关的因素还没有得到很好的理解。探讨有未成年子女丧亲者的心理社会和人口统计学特征与悲伤、苦恼和抑郁症状严重程度的相关性。基于网络的跨部门调查。845名失去亲人的成年人抚养经历过共同父母死亡的未成年（年龄<18岁）子女。主要结果是悲伤困扰（延长的悲伤障碍-13），抑郁症状（患者报告的结果测量信息系统-抑郁症）和丧偶养育自我效能（WPSES）。平均悲伤分数为33.5;平均抑郁分数为58.3。在690名丧亲超过6个月的人中，132人（19.3%）符合长期悲伤障碍的标准。在调整后的模型中，报告悲伤分数较高的参与者最近失去了亲人，被确定为母亲，非高加索人，教育和收入较低，并且没有预料到他们的共同父母的死亡。抑郁评分的统计建模结果与悲伤评分相似，除了抑郁与共同父母死亡的预期无关。父母报告较低的WPSES分数有较高的悲伤和抑郁分数。在共同父母死亡时，对更强烈的养育担忧的回顾性评估也与更高的悲伤和抑郁评分相关。对于有未成年子女的丧亲成年人来说，意外的共同父母死亡与更高的悲伤困扰有关，但与抑郁症的症状无关。解决养育子女的问题可能是改善失去父母的家庭心理健康的一个共同途径。
Grieving adults raising parentally-bereaved minor children experience persistently elevated symptoms of depression and grief. However, the factors associated with their mental health outcomes are not well understood. To investigate the psychosocial and demographic characteristics associated with grief distress and depressive symptom severity in bereaved adults with minor children. Cross-sectional, web-based survey. Eight hundred forty-five bereaved adults raising minor (age <18 years) children who had experienced the death of a co-parent. Primary outcomes were grief distress (Prolonged Grief Disorder-13), depressive symptoms (Patient-Reported Outcomes Measurement Information System-Depression), and widowed parenting self-efficacy (WPSES). Mean grief scores were 33.5; mean depression scores were 58.3. Among the 690 individuals more than 6 months bereaved, 132 (19.3%) met criteria for prolonged grief disorder. In adjusted models, participants reporting higher grief scores were more recently bereaved, identified as mothers, non-Caucasian, had lower education and income, and had not anticipated their co-parent’s death. The statistical modeling results for depression scores were similar to grief scores except that depression was not associated with anticipation of co-parent death. Parents reporting lower WPSES scores had higher grief and depression scores. Retrospective assessments of more intense parenting worries at the time of co-parent death were also associated with higher grief and depression scores. For bereaved adults with minor children, unanticipated co-parent death was linked with higher grief distress but not symptoms of depression. Addressing parenting concerns may represent a common pathway for improving the mental health of parentally-bereaved families.
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DOI：
10.1007/s10862-005-9016-3
发表时间：
2006-12-01
影响因子：
1.6
作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
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作者：
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