The Impact of Stressful Life Events after Bereavement: A Nationwide Cross-sectional Survey
The Impact of Stressful Life Events after Bereavement: A Nationwide Cross-sectional Survey
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丧亲后压力生活事件的影响：全国横断面调查
DOI：
10.1016/j.jpainsymman.2022.12.012
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发表时间：
2023
影响因子：
4.7
通讯作者：
Miyashita Mitsunori
中科院分区：
文献类型：
--
作者：
Shimizu Yoichi;Masukawa Kento;Aoyama Maho;Morita Tatsuya;Kizawa Yoshiyuki;Tsuneto Satoru;Shima Yasuo;Miyashita Mitsunori
失去亲人的家庭成员有时会因为有压力的生活事件而感到痛苦。然而，这种痛苦对抑郁和悲伤的影响尚不清楚。目的明确丧亲后紧张性生活事件造成的痛苦程度，及其相关因素，特别是社会隔离，及其对癌症患者丧亲家属严重抑郁障碍(MDD)和复杂悲伤(CG)风险的影响。我们招募了1740名2018年7月至8月去世的癌症患者的丧偶家属。结果在913名(52.5%)的调查对象中，88%、57%、46%、28%和19%的受访者分别因偶发任务、日常生活困难、经济问题、与他人的问题和家庭关系的恶化而感到痛苦。更多的痛苦与MDD(优势比[OR]=22.5，P<；0.01)和CG(OR=22.5，P<；0.01)的风险更高相关。社会孤立和特定背景与应对应激性生活事件的苦恼程度相关。结论大多数家庭成员因应激性生活事件经历苦恼，这是MDD和CG的危险因素。评估丧失亲人后生活变化不适应的风险因素并加强适应这些变化的准备是重要的。
ContextBereaved family members sometimes experience distress due to stressful life events. However, the effects of this distress on depression and grief remain unclear.ObjectivesTo clarify the degree of distress due to postbereavement stressful life events, its associated factors, especially social isolation, and its effects on major depressive disorder (MDD) and complicated grief (CG) risks among bereaved family members of patients with cancer.MethodsThis cross-sectional questionnaire survey was conducted in 2018 as part of the J-HOPE4 study. We recruited 1740 bereaved family members of patients with cancer who died from July to August of 2018. We assessed distress due to postbereavement stressful life events with the Bereavement Secondary Stressor Scale, social isolation with the Lubben Social Network Scale Short-Form, and the MDD and CG risk with the Patient Health Questionnaire-9 and Brief Grief Questionnaire, respectively.ResultsAmong the 913 (52.5%) respondents, 88%, 57%, 46%, 28%, and 19% experienced distress due to incidental tasks, daily life difficulties, financial problems, problems with other people, and deterioration of family relationships, respectively. More distress was associated with higher risks of MDD (odds ratio [OR] = 2.5,P< 0.01) and CG (OR = 2.5,P< 0.01). Social isolation and specific backgrounds were associated with more distress in response to stressful life events.ConclusionMost family members experienced distress due to stressful life events, which were risk factors for MDD and CG. Assessing risk factors for maladaptation to post-bereavement life changes and enhancing readiness to adapt to them is important.