Grief in children and adolescents bereaved by sudden parental death.
Grief in children and adolescents bereaved by sudden parental death.
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儿童和青少年的悲伤因突然的父母死亡而死。
DOI：
10.1001/archgenpsychiatry.2011.101
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发表时间：
2011-09
影响因子：
--
通讯作者：
Brent, David A.
中科院分区：
文献类型：
--
作者：
Melhem, Nadine M.;Porta, Giovanna;Shamseddeen, Wael;Payne, Monica Walker;Brent, David A.
我们对成人悲伤现象和过程的理解取得了重大进展。然而，人们对儿童悲伤的过程知之甚少。我们报告的过程和影响儿童的悲伤反应后，父母突然死亡，随后的精神和功能状态。对丧失亲人的儿童和家庭的纵向研究，在父母死亡后三年内每年进行一次综合评估。失去亲人的孩子和他们幸存的父母通过验尸官的记录和广告招募。182名7至18岁的失去父母的儿童，其父母死于自杀、事故或突然自然死亡。父母突然去世悲伤，功能障碍，偶发抑郁症。一组有3种不同的悲伤反应轨迹，占样本的10.4%，死亡后33个月悲伤反应没有变化。有长期悲伤反应的年轻人有更高的个人抑郁史。即使在控制了死亡前后的临床特征后，持续的悲伤对功能障碍水平的增加也有独特的贡献。相反，无论是年轻人还是幸存的照顾者，长期的悲伤都容易增加抑郁症的风险。另一组（30%）在死亡后9个月表现出悲伤反应增加，随着时间的推移逐渐减少。尽管如此，这一组的悲伤反应也与功能障碍和抑郁症风险增加有关。对于大多数因父母突然死亡而失去亲人的儿童来说，悲伤反应会随着时间的推移而减弱;然而，一个子集显示出增加或延长的悲伤反应，这反过来又增加了功能障碍和抑郁症的风险。需要研究旨在减轻丧亲儿童悲伤负担的干预措施。这些努力还应该评估和解决幸存父母的悲伤反应。
There have been major advances in our understanding of the phenomenology and course of grief in adults. However, little is known about the course of grief in children. We report on course and impact of children’s grief reactions following parental sudden death on subsequent psychiatric and functional status. Longitudinal study of bereaved children and families with yearly comprehensive assessments up to three years after parental death. Bereaved children and their surviving parents recruited through the coroners’ records and advertisement. 182 parentally bereaved children between 7 and 18 years of age whose parent died from suicide, accident, or sudden natural deaths. Sudden parental death. Grief, functional impairment, incident depression. There were 3 distinct trajectories of grief reactions with a group, consisting of 10.4% of the sample, with increased grief reactions that showed no change 33 months post-death. Youths with prolonged grief reactions had higher rates of previous personal history of depression. Prolonged grief made unique contribution to increased levels of functional impairment even after controlling for clinical characteristics antecedent and following the death. Conversely, prolonged grief, both in youths and the surviving caregiver, predisposed to an increased hazard of incident depression. Another group (30%) showed increased grief reactions 9 months following the death, which gradually decreased over time. Despite this, grief reactions in this group were also associated with functional impairment and increased risk of incident depression. Grief reactions abate over time for most children bereaved by sudden parental death; however, a subset show increased or prolonged grief reactions, which in turn increases the risk for functional impairment and depression. Research on interventions designed to relieve the burden of grief in bereaved children are needed. Such efforts should also assess and address grief reactions in the surviving parent.
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DOI：
10.1176/appi.ajp.2009.08081244
发表时间：
2009-07
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Brent D;Melhem N;Donohoe MB;Walker M
通讯作者：
Walker M
影响因子：
5.9
作者：
Boelen, Paul A.;de Keijser, Jos;van den Bout, Jan
通讯作者：
van den Bout, Jan
影响因子：
3.3
作者：
BOWLBY, J
通讯作者：
BOWLBY, J
DOI：
10.1097/00004583-199704000-00018
发表时间：
1997-04-01
影响因子：
13.3
作者：
Birmaher, B;Khetarpal, S;Neer, SM
通讯作者：
Neer, SM
DOI：
10.1207/s15374424jccp3003_9
发表时间：
2001-09-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
Foa, EB;Johnson, KM;Treadwell, KRH
通讯作者：
Treadwell, KRH