Group intervention for children bereaved by the suicide of a relative
Group intervention for children bereaved by the suicide of a relative
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DOI：
10.1097/00004583-200205000-00007
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发表时间：
2002-05-01
影响因子：
13.3
通讯作者：
Metsch, M
中科院分区：
文献类型：
--
作者：
Pfeffer, CR;Jiang, H;Metsch, M
目的：本研究评估了针对父母或兄弟姐妹自杀儿童的手动丧亲团体干预的效果。方法：从体检人员的自杀受害者名单中筛选出 75 个家庭（102 名儿童）。 52 个家庭（75 名儿童）符合资格，并按交替顺序分配接受（27 个家庭，39 名儿童）或不接受（25 个家庭，36 名儿童）干预。干预效果的评估是从初始评估到结果评估期间儿童焦虑、抑郁、创伤后应激、社会适应和父母抑郁症状的变化。结果：接受干预的儿童焦虑和抑郁症状的变化明显大于未接受干预的儿童。被分配不接受干预的儿童（75%）的辍学率高于被分配接受干预的儿童（18%），导致干预参与者和非干预参与者的保留率不平衡。结论：丧亲团体干预重点关注对死亡和自杀的反应并加强应对技巧，可以减轻父母或兄弟姐妹自杀后丧亲儿童的痛苦。这种干预可以预防未来的发病。
Objective: This study evaluated efficacy of a manual-based bereavement group intervention for children who suffered suicide of a parent or sibling. Method: Seventy-five families (102 children) were screened from medical examiners lists of suicide victims. Fifty-two families (75 children) were eligible and assigned in alternating order to receive (27 families, 39 children) or not to receive (25 families, 36 children) the intervention. Intervention efficacy was evaluated as change in children's symptoms of anxiety, depression, posttraumatic stress, social adjustment, and parents' depressive symptoms from initial to outcome assessments. Results: Changes in anxiety and depressive symptoms were significantly greater among children who received the intervention than in those who did not. A greater dropout of children assigned not to receive (75%) than to receive (18%) intervention led to an imbalance in retention of intervention and nonintervention participants. Conclusions: A bereavement group intervention focusing on reactions to death and suicide and strengthening coping skills can lessen distress of children bereaved after parental or sibling suicide. Such intervention may prevent future morbidities.