A Prospective Examination of Catastrophic Misinterpretations and Experiential Avoidance in Emotional Distress Following Loss
A Prospective Examination of Catastrophic Misinterpretations and Experiential Avoidance in Emotional Distress Following Loss
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DOI：
10.1097/nmd.0b013e3181d619e4
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发表时间：
2010-04-01
影响因子：
1.9
通讯作者：
van den Hout, Marcel A.
中科院分区：
文献类型：
--
作者：
Boelen, Paul A.;van den Bout, Jan;van den Hout, Marcel A.
这项前瞻性研究探讨了经验回避和灾难性的误解悲伤反应的作用，在情绪困扰后，亲人的死亡。82个丧亲之痛的人完成的措施，经验性回避，灾难性的误解，和症状的长期悲伤障碍（PGD）和抑郁症的前半年内的丧亲之痛，并再次完成措施评估PGD和抑郁症的严重程度1年后。研究结果表明，经验回避显着相关的灾难性误解的悲伤反应的认可。此外，这两个结构与PGD和抑郁症的并发和前瞻性症状水平相关。然而，经验回避和症状水平之间的关联不再显着，控制灾难性的误解悲伤反应时。此外，灾难性的误解，而不是经验的回避预测PGD的严重程度在后续行动，超过基线水平的PGD。这两种结构都不能预测基线抑郁症之后的抑郁症。这些研究结果的理论和临床意义进行了讨论。
This prospective study examined the role of experiential avoidance and catastrophic misinterpretations of grief reactions in emotional distress following the death of a loved one. Eighty-two bereaved individuals completed measures of experiential avoidance, catastrophic misinterpretations, and symptom of prolonged grief disorder (PGD) and depression within the first half year of bereavement, and again completed measures assessing PGD and depression severity 1 year later. The findings showed that experiential avoidance was significantly correlated with endorsement of catastrophic misinterpretations of grief reactions. In addition, both constructs were correlated with concurrent and prospective symptom levels of PGD and depression. However, the associations between experiential avoidance and symptom levels were no longer significant, when controlling for catastrophic misinterpretations of grief reactions. Moreover, catastrophic misinterpretations but not experiential avoidance predicted PGD severity at follow-up, beyond baseline levels of PGD. Both constructs did not predict later depression beyond baseline depression. Theoretical and clinical implications of these findings are discussed.