Screening for complicated grief among Project Liberty service recipients 18 months after September 11, 2001.
Screening for complicated grief among Project Liberty service recipients 18 months after September 11, 2001.
复制标题
2001 年 9 月 11 日后 18 个月后对自由计划服务接受者进行复杂悲伤筛查。
作者：
K. Shear;C. Jackson;S. Essock;S. Donahue;Chip J. Felton
目的
作者调查了2001年9月11日恐怖袭击后约1.5年的自由项目危机咨询接受者的样本，以确定复杂悲伤筛查阳性的受访者比例，这是一种最近发现的症状，其特征是持续分离困扰和伴随的丧亲相关创伤性困扰。
方法
共有149名服务接受者来自8个高容量供应商回答了电话调查，其中包括问题，以筛选复杂的悲伤。
结果
大约一半的接受者认识在袭击中丧生的人。在这些接受者中，44%的人对复杂的悲伤进行了积极的筛查。失去家庭成员的人比失去熟人的人更有可能在复杂的悲伤中筛查出阳性。阳性筛查与功能障碍相关，与完全或阈下重度抑郁症或创伤后应激障碍（PTSD）症状的存在无关。32%的复杂性悲伤筛查阳性的人甚至不符合严重抑郁症或创伤后应激障碍的阈下标准。
结论
结果肯定了复杂的悲伤作为一个独特的条件的重要性，并表示需要参加的心理后果的丧亲之痛，在灾害相关的心理健康服务。
OBJECTIVE
The authors surveyed a sample of Project Liberty crisis counseling recipients approximately 1.5 years after the terrorist attacks on September 11, 2001, to determine the proportion of respondents who screened positive for complicated grief, a recently identified condition marked by symptoms of continuing separation distress and accompanying bereavement-related traumatic distress.
METHODS
A total of 149 service recipients drawn from eight high-volume providers responded to a telephone survey that included questions to screen for complicated grief.
RESULTS
Approximately half of the recipients knew someone who had been killed in the attacks. Of those recipients, 44 percent screened positive for complicated grief. Individuals who lost a family member were more likely than those who lost an acquaintance to screen positive for complicated grief. Positive screens were associated with functional impairment independent of the presence of symptoms consistent with full or subthreshold major depression or posttraumatic stress disorder (PTSD). Thirty-two percent of those who screened positive for complicated grief did not meet even subthreshold criteria for major depression or PTSD.
CONCLUSIONS
Results affirmed the importance of complicated grief as a unique condition and indicated the need to attend to the psychological consequences of bereavement in disaster-related mental health services.
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