Optimism in prolonged grief and depression following loss: A three-wave longitudinal study

Optimism in prolonged grief and depression following loss: A three-wave longitudinal study
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DOI:
10.1016/j.psychres.2015.03.009
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发表时间:
2015-06-30
影响因子:
11.3
通讯作者:
Boelen, Paul A.
Boelen, Paul A.
中科院分区:
医学2区
文献类型:
--
作者:
Boelen, Paul A.

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有大量证据表明,乐观情绪(即对未来普遍抱有良好预期的倾向)与许多理想的结果相关。很少有研究探讨乐观情绪与亲人去世后情绪困扰之间的关系。这样做很重要,因为乐观可能是损失后精神病理学干预的重要目标。在当前的研究中,我们检查了在失去亲人后第一年(时间 1,T1)评估的乐观程度与六个月(时间 2,12)和十五个月(时间 3,T3)后长期悲伤和抑郁症状水平的相关性,控制了基线症状,并考虑了 T1 时的积极自动认知。研究结果表明,T1 时较高的乐观情绪与较低的并发长期悲伤和抑郁严重程度相关。 T1 时的较高乐观程度也与 T2 和 T3 时的抑郁症状严重程度呈负相关,但与 12 和 T3 时的长期悲伤严重程度无关。讨论了这些发现的意义。 (C) 2015 Elsevier Ireland Ltd. 保留所有权利。
There is considerable evidence that optimism, the predisposition to have generalized favorable expectancies for the future, is associated with numerous desirable outcomes. Few studies have examined the association of optimism with emotional distress following the death of a loved one. Doing so is important, because optimism may be an important target for interventions for post-loss psychopathology. In the current study, we examined the degree to which optimism, assessed in the first year post-loss (Time 1, T1), was associated with symptom levels of prolonged grief and depression six months (Time 2, 12) and fifteen months (Time 3, T3) later, controlling for baseline symptoms and also taking into account positive automatic cognitions at T1. Findings showed that higher optimism at T1 was associated with lower concurrent prolonged grief and depression severity. Higher optimism at T1 was also inversely related with depression symptom severity at T2 and T3, but not prolonged grief severity at 12 and T3. Implications of these findings are discussed. (C) 2015 Elsevier Ireland Ltd. All rights reserved.