Domains of Social Support That Predict Bereavement Distress Following Homicide Loss: Assessing Need and Satisfaction
Domains of Social Support That Predict Bereavement Distress Following Homicide Loss: Assessing Need and Satisfaction
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DOI：
10.1177/0030222815612282
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发表时间：
2017-05-01
影响因子：
2
通讯作者：
Neimeyer, Robert A.
中科院分区：
文献类型：
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作者：
Bottomley, Jamison S.;Burke, Laurie A.;Neimeyer, Robert A.
凶杀案损失后的心理适应对悲痛者来说比其他类型的损失更具挑战性。尽管社会支持对丧亲之痛有益，但在确定它是否可以缓冲创伤性损失后的痛苦方面，研究结果参差不齐。特别是，研究还没有解析出社会支持的特定领域，最好地预测积极的丧亲结果。我们招募了47名因凶杀案而失去亲人的非裔美国人，研究了六种类型的社会支持沿着，以及悲伤者对每种支持的感知需求或满意度，并分析了它们与抑郁、焦虑、复杂悲伤和创伤后应激障碍结果的关系。多变量分析的结果显示，悲伤者的满意度与物理援助在最初的评估最好的预测较低水平的抑郁，焦虑和创伤后应激障碍水平6个月后，而较少需要物理援助预测较低的复杂悲伤在后续。临床意义和未来研究的建议进行了讨论。
Psychological adaptation following homicide loss can prove more challenging for grievers than other types of losses. Although social support can be beneficial in bereavement, research is mixed in terms of identifying whether it serves as a buffer to distress following traumatic loss. In particular, studies have not parsed out specific domains of social support that best predict positive bereavement outcomes. Recruiting a sample of 47 African Americans bereaved by homicide, we examined six types of social support along with the griever's perceived need for or satisfaction with each and analyzed them in relation to depression, anxiety, complicated grief, and posttraumatic stress disorder outcomes. Results of multivariate analyses revealed that the griever's level of satisfaction with physical assistance at the initial assessment best predicted lower levels of depression, anxiety, and posttraumatic stress disorder levels 6 months later, while less need for physical assistance predicted lower complicated grief at follow-up. Clinical implications and suggestions for future research are discussed.