Continuing bonds and reconstructing meaning: Mitigating complications in bereavement
Continuing bonds and reconstructing meaning: Mitigating complications in bereavement
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DOI：
10.1080/07481180600848322
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发表时间：
2006-10-01
期刊：
影响因子：
3.8
通讯作者：
Gillies, James
中科院分区：
文献类型：
--
作者：
Neimeyer, Robert A.;Baldwin, Scott A.;Gillies, James
作者利用依恋理论和丧亲之痛的建构主义概念，评估了亲人去世后持续的纽带应对和意义重建与复杂的悲伤症状之间的关系。 506 名年轻人在丧亲之痛的头两年内完成了复杂悲伤调查表，同时衡量了他们对死者持续依恋的强度，以及他们理解损失的能力、从经历中发现好处以及在死后重建渐进的认同感的能力。与幸存者、他或她与死者的关系以及死亡性质有关的几个变量都是加剧痛苦的危险因素，但它们的作用通常受到意义建构的影响，常常达到无意义的地步。相比之下，较高水平的利益发现和积极的身份改变与较低水平的丧亲并发症相关。最后，意义建构和对死者的持续依恋之间出现了相互作用，这表明牢固的持续联系预示着更大程度的创伤，尤其是分离痛苦，但只有当幸存者无法从个人、实际、存在或精神方面理解损失时。
Drawing on attachment theory and constructivist conceptualizations of bereavement, the authors assessed the relation between continuing bonds coping and meaning reconstruction following the death of a loved one and complicated grief symptomatology. Five hundred six young adults in the first two years of bereavement from a variety of losses completed the Inventory of Complicated Grief along with measures of the strength of their ongoing attachment to the deceased and their capacity to make sense of the loss, find benefit in the experience, and reconstruct a progressive sense of identity following the death. Several variables concerning the survivor, his or her relationship to the deceased, and the nature of the death functioned as risk factors for heightened distress, but their role was generally moderated by meaning-making, often to the point of non-significance. In contrast, higher levels of benefit-finding and positive identity change were associated with lower levels of bereavement complication. Finally, an interaction emerged between sense-making and ongoing attachment to the deceased, suggesting that strong continuing bonds predicted greater levels of traumatic and especially separation distress, but only when the survivor was unable to make sense of the loss in personal, practical, existential, or spiritual terms.