【作者】 钱文丽； 谢童； 唐任之慧； 徐鑫； 焦克媛； 邹欣妍； 王建平；

【Author】 Wenli Qian;Tong Xie;Renzhihui Tang;Xin Xu;Keyuan Jiao;Xinyan Zou;Jianping Wang;Faculty of psychology,Beijing Normal University;Department of Social Work and Social Administration,The University of Hong Kong;

【机构】 北京师范大学心理学部； 香港大学社会工作及社会行政学系；

【摘要】 背景:新冠肺炎疫情爆发的突然性及其带来的现实困难使得丧亲者(丧失所爱之人的个体)罹患延长哀伤障碍的可能性增加。已有研究表明延长哀伤障碍常与重性抑郁障碍和创伤后应激障碍共病。基于此,本研究试图使用潜在类别分析的方法,探究新冠疫情背景下丧亲者这3种心理病理障碍的症状模式分组,并检验不同组别的预测因素及其对社会功能和睡眠的影响差异。方法:324名疫情爆发初期(2020年5月至2021年1月)丧亲的个体填写人口学信息和丧亲相关信息问卷、复杂性哀伤问卷(ICG)、病人健康问卷(PHQ-9)、创伤后应激障碍测评量表(PCL-5)、工作和社会适应量表(WASA)和失眠严重指数量表(ISI)。结果:潜在类别分析结果表明,疫情期间的丧亲者,依据其心理病理症状的特征,可分为3个不同的亚组,分别为高症状组(33.4%;C1),高哀伤-中抑郁创伤组(35.2%;C2)和高思念高痛苦-低抑郁创伤组(31.4%;C3)。预测因素中,对死亡的预期程度较低能够显著预测丧亲者有更高的概率属于C1 (p<.001)。且C1有较严重的功能受损和失眠问题,C2有中等程度的功能受损和失眠问题,C3有较低水平的功能受损和失眠问题,两组之间均具有显著差异(p<.001)。结论:疫情背景下的丧亲者,依据其心理病理症状的特征可分为3个不同的亚组,对死亡的预期程度是不同亚组的有力预测因素,不同亚组的功能受损程度和失眠程度具有显著差异。在临床实践中,要基于疫情期间丧亲者的症状表现特点,采取针对性的干预措施。更多还原

【Abstract】 Background:The sudden outbreak of the COVID-19 pandemic and the practical difficulties it brought have increased the possibility of bereaved individuals(who have lost loved ones) developing prolonged grief disorder(PGD).Studies have shown that PGD is often comorbid with major depressive disorder(MDD) and post-traumatic stress disorder(PTSD).Based on that,this study attempted to use latent class analysis to identify subgroups of individuals who were bereaved during the COVID-19 pandemic based on symptoms of the three psychopathological disorders,and to examine the predictors of class membership and the impact of class membership on social functioning and sleep.Methods:In the early period of the COVID-19(May 2020 to January 2021),a total of 324 bereaved individuals completed the survey of demographic information and bereavement related information,Complicated Grief Questionnaire(ICG),Patient Health Questionnaire(PHQ-9),Post-Traumatic Stress Disorder Scale(PCL-5),Work and Social Adjustment Scale(WASA) and Insomnia Severity Index(ISI).Results:The results of latent class analysis showed that based on the psychopathological symptoms,bereaved individuals during the COVID-19 could be divided into three subgroups with different characteristics,namely high symptom group(33.4%;C1),high grief-moderate depression and trauma group(35.2%;C2) and the high yearning miss and distress-low depression and trauma group(31.4%;C3).Among the predictors,C1 was significantly likely to be lower expectation of death than C2 or C3(p<.001).C1 experienced more severe functioning impairment and insomnia,C2 had moderate impairment and insomnia,and C3 exhibited a lower level of impairment and insomnia,with significant differences between each pair of groups(p<.001).Conclusion:The bereaved individuals during the COVID-19 could be divided into 3 subgroups according to different characteristics of symptoms of three psychopathological disorders.Lower degree of expectation of death significantly increased the probability of inclusion in the C1 subgroup(p<0.001).and the degree of functioning impairment and insomnia were significantly different in 3 subgroups.In clinical practice,targeted intervention programs could be designed and conducted based on the characteristics of the symptoms among bereaved people during the COVID-19 epidemic.更多还原