The role of cognitive variables in psychological functioning after the death of a first degree relative
The role of cognitive variables in psychological functioning after the death of a first degree relative
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DOI：
10.1016/s0005-7967(02)00259-0
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发表时间：
2003-10-01
影响因子：
4.1
通讯作者：
van den Hout, MA
中科院分区：
文献类型：
--
作者：
Boelen, PA;van den Bout, J;van den Hout, MA
本研究以329名痛失一级亲属的成年人为研究对象，探讨丧亲后消极认知与情绪问题之间的关系。以下认知进行了评估：全球负面的信念，对自责的认知，对其他人的反应后，损失的负面认知，对自己的悲伤反应的负面认知。结果表明，这些认知变量中的每一个都与创伤性悲伤、抑郁和焦虑症状的严重程度显著相关，即使最初发现影响症状严重程度的背景和损失相关变量在统计学上得到控制。当认知变量之间的共享方差得到控制，它被发现，全球对生活，世界和未来的负面信念，并威胁解释悲伤反应的创伤性悲伤症状的严重程度的差异解释了一个独特的比例。全球对生活，自我和未来的消极信念，并威胁解释悲伤抑郁症的最大方差，而对自我的消极信念和威胁解释悲伤焦虑症的最大方差。总体而言，这些发现支持了悲伤的认知理论，并表明有效治疗有问题的悲伤需要解决负面认知。(C)2003爱思唯尔科技有限公司版权所有。
The present study sought to explore the relationship between negative cognitions and emotional problems after bereavement, with a group of 329 adults who had suffered the loss of a first degree relative. The following cognitions were assessed: global negative beliefs, cognitions about self-blame, negative cognitions about other people's responses after the loss, and negative cognitions about one's own grief reactions. Results showed that each of these cognitive variables was significantly related to the severity of symptoms of traumatic grief, depression and anxiety, even when background and loss-related variables that were initially found to influence symptom severity, were statistically controlled. When the shared variance between the cognitive variables was controlled, it was found that global negative beliefs about life, the world, and the future, and threatening interpretations of grief reactions each explained a unique proportion of variance in traumatic grief symptom severity. Global negative beliefs about life, the self and the future, and threatening interpretations of grief explained most variance in depression, while negative beliefs about the self and threatening interpretations of grief explained most variance in anxiety. Overall, the findings are in support of cognitive theories of grief, and suggest that effective treatment of problematic grief will need to address negative cognitions. (C) 2003 Elsevier Science Ltd. All rights reserved.