Trajectories of complicated grief

Trajectories of complicated grief
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DOI:
10.4321/s0213-61632015000300002
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发表时间:
2015-09-01
期刊:
The European Journal of Psychiatry
影响因子:
--
通讯作者:
Nam, Ilsung
Nam, Ilsung
中科院分区:
其他
文献类型:
--
作者:
Nam, Ilsung

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背景和目的:在讨论悲伤和抑郁症状之间明显的相似性时,研究和理论经常混淆这两个构念,因为作为一个构念,悲伤不同于抑郁,因为这两个构念可能有不同的轨迹。本研究探讨了复杂悲伤的轨迹及其相关风险,以及复杂悲伤轨迹与抑郁之间的关系。设计:纵向。背景:加强对痴呆症患者的家庭照顾的干预方法。参与者:增强阿尔茨海默氏症护理者健康资源项目共有221名参与者。测量方法:复杂悲伤量表。结果:基于群体混合模型的结果确定了两种不同的悲伤轨迹(持续高、低)和三种不同的抑郁轨迹(持续高、中、低)。悲伤轨迹成员比例与抑郁轨迹成员比例之间存在显著差异,表明随着时间的推移存在不同的模式。结论:值得注意的是,悲伤轨迹的成员比例与抑郁轨迹的成员比例之间存在显著差异,表明随着时间的推移,存在明显的模式差异。
Background and Objectives: In the discussion of apparent similarities between symptoms of grief and depression, research and theory have often confounded these two constructs because, as a construct, grief is distinct from depression and because these two constructs may have distinct trajectories. This study examines the trajectories of complicated grief and associated risks and the relationship between trajectories of complicated grief and depression.Design: Longitudinal.Setting: Intervention methods for enhancing family caregiving for persons with dementia.Participants: A total of 221 participants of the Resources for Enhancing Alzheimer's Caregiver Health project.Measurement: The Inventory of Complicated Grief.Results: The results based on group-based mixture modeling identify two distinct trajectories of grief (persistently high and low) and three distinct trajectories of depression (persistently high, moderate, and low). There were significant differences between the proportion of grief trajectory membership and that of depression trajectory membership, indicating distinct patterns over time.Conclusions: Noteworthy is the significant difference between the proportion of grief trajectory membership and that of depression trajectory membership, indicating differences in distinct patterns over time.