The incidence and course of depression in bereaved youth 21 months after the loss of a parent to suicide, accident, or sudden natural death.
The incidence and course of depression in bereaved youth 21 months after the loss of a parent to suicide, accident, or sudden natural death.
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DOI：
10.1176/appi.ajp.2009.08081244
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发表时间：
2009-07
期刊：
影响因子：
--
通讯作者：
Walker M
中科院分区：
文献类型：
--
作者：
Brent D;Melhem N;Donohoe MB;Walker M
这项研究调查了父母去世21个月后丧亲之痛的影响，特别是自杀死亡。参与者是176名年龄在7-25岁之间的子女，他们的父母死于自杀、事故或突然自然死亡。他们在死亡后的9个月和21个月进行了评估，沿着的还有168名没有失去亲人的受试者。在父母去世21个月后，重度抑郁症和酒精或药物滥用在失去亲人的年轻人中比在对照组中更常见。与对照组相比，父母自杀或意外死亡的后代患抑郁症的比例更高;父母自杀的后代酗酒或滥用药物的比例更高。父母自杀的青少年抑郁症的发生率高于那些突然自然死亡的青少年。丧亲之痛和过去的抑郁史增加了死亡后9个月内的抑郁风险，这增加了9至21个月的抑郁风险。在第二年，失去母亲、责怪他人、低自尊、消极应对和复杂的悲伤与抑郁症有关。失去父母的年轻人，特别是通过自杀失去父母的年轻人，在失去父母后的第二年里很容易患上抑郁症和酗酒或滥用药物。第二年的抑郁风险是由前9个月内抑郁症发病率的增加介导的。防止或减轻丧亲青年抑郁发作的最有利时机可能是父母去世后不久。针对复杂的悲伤和指责他人的干预措施也可能改善有父母丧亲症状的青年的结果。
This study examined effects of bereavement 21 months after a parent’s death, particularly death by suicide. The participants were 176 offspring, ages 7–25, of parents who died by suicide, accident, or sudden natural death. They were assessed 9 and 21 months after the death, along with 168 nonbereaved subjects. Major depression and alcohol or substance abuse 21 months after the parent’s death were more common among bereaved youth than among comparison subjects. Offspring with parental suicide or accidental death had higher rates of depression than comparison subjects; those with parental suicide had higher rates of alcohol or substance abuse. Youth with parental suicide had a higher incidence of depression than those bereaved by sudden natural death. Bereavement and a past history of depression increased depression risk in the 9 months following the death, which increased depression risk between 9 and 21 months. Losing a mother, blaming others, low self-esteem, negative coping, and complicated grief were associated with depression in the second year. Youth who lose a parent, especially through suicide, are vulnerable to depression and alcohol or substance abuse during the second year after the loss. Depression risk in the second year is mediated by the increased incidence of depression within the first 9 months. The most propitious time to prevent or attenuate depressive episodes in bereaved youth may be shortly after the parent’s death. Interventions that target complicated grief and blaming of others may also improve outcomes in symptomatic youth with parental bereavement.
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影响因子：
6.9
作者：
Kendler, KS;Sheth, K;Prescott, CA
通讯作者：
Prescott, CA
影响因子：
1.9
作者：
Muthén, B;Shedden, K
通讯作者：
Shedden, K
DOI：
10.1097/01.chi.0000084830.67701.9
发表时间：
2003-11-01
影响因子：
13.3
作者：
Bridge, JA;Day, NL;Brent, DA
通讯作者：
Brent, DA
影响因子：
3.3
作者：
LAZARUS, RS
通讯作者：
LAZARUS, RS
DOI：
10.1207/s15374424jccp3003_9
发表时间：
2001-09-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
Foa, EB;Johnson, KM;Treadwell, KRH
通讯作者：
Treadwell, KRH