ANXIOUS AND DEPRESSIVE AVOIDANCE AND SYMPTOMS OF PROLONGED GRIEF, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDER
ANXIOUS AND DEPRESSIVE AVOIDANCE AND SYMPTOMS OF PROLONGED GRIEF, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDER
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DOI：
10.5334/pb-50-1-2-49
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发表时间：
2010-01-01
影响因子：
2
通讯作者：
van den Bout, Jan
中科院分区：
文献类型：
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作者：
Boelen, Paul A.;van den Bout, Jan
失去亲人后，人们可能会出现抑郁症、创伤后应激障碍（PTSD）或复杂悲伤（CG）的症状，也称为长期悲伤障碍（PGD）。最近的一个认知行为模型提出，避免面对失去的现实（称为“焦虑回避”[AA]）和避免可能促进调整的活动（称为“抑郁回避”[DA]）都在CG/PGD中起着关键作用。本研究使用161名哀悼者的自我报告数据来验证这一假设。结果显示，构成AA和DA的项目代表两个不同的因素。这两个因素与其他措施的丧亲相关的回避和解释的差异CG/PGD的严重程度，超出相关的背景变量，负性认知，并伴随抑郁症和PTSD的水平都占了一个独特的部分。DA还解释了这些变量之外的抑郁症的独特差异。此外，AA和DA介导的神经质，依恋焦虑，依恋回避与CG/PGD的神经质水平的联系。
Following loss, people can develop symptoms of depression, Post-Traumatic Stress Disorder (PTSD), or Complicated Grief (CG) also termed Prolonged Grief Disorder (PGD). A recent cognitive-behavioural model has proposed that avoiding confrontation with the reality of the loss (called "anxious avoidance" [AA]) and refraining from activities that could foster adjustment (called "depressive avoidance" [DA] both play a critical role in CG/PGD. The present study examined this assumption, using self-reported data from 161 mourners. Findings showed that items constituting AA and DA represented two distinct factors. Both factors were strongly correlated with other measures of bereavement-related avoidance and both accounted for a unique part of the explained variance in CG/PGD severity, beyond relevant background variables, negative cognitions, and concomitant symptom-levels of depression and PTSD. DA also explained unique variance in depression beyond these variables. Moreover, AA and DA mediated the linkages of neuroticism, attachment anxiety, and attachment avoidance with symptom-levels of CG/PGD.