【作者】 布威佐热姆·艾力； 陈雅茹； 刘正奎；

【Author】 Buzohre Eli;Yaru Chen;Zhengkui Liu;CAS Key Laboratory of Mental Health, Institute of Psychology;Department of Psychology, University of Chinese Academy of Sciences;

【机构】 中国科学院心理研究所； 中国科学院大学心理系；

【摘要】 对于独生子女的父母来说,他们唯一的孩子去世是一种伤害性极强的创伤事件,这种白发人送黑发人的悲痛通常会导致创伤后应激障碍(posttraumatic stress disorder,PTSD)。以往的研究常关注失去独生子女的父母(中国的研究中通常称作失独父母)PTSD总分,少有研究从症状视角关注失独父母的PTSD。本研究旨在探究失独父母创伤后应激障碍的症状网络结构从而了解失独父母PTSD发生机制。本研究采用横断面的问卷调查方式,从2016年11月至2017年7月共调查了中国10个城市的385名失独父母。被试的纳入标准是至少在1年前失去了独生子女,且目前没有养育其他小孩,女性参与者必须年满49岁,这意味着她们已经过了生育年龄。采用DSM-5创伤后应激障碍量表(PTSD checklist for DSM-5,PCL-5)测量PTSD症状。采用R语言qgraph和bootnet代码包对数据进行网络分析。症状网络分析结果显示:(1)兴趣减退(diminished interest)、过度惊吓(exaggerated startle)、易怒/愤怒(irritability/anger)和噩梦(nightmares)是失独父母PTSD症状网络的高中心性症状。(2)以下3对症状之间的连接最强,分别是:反复出现的想法(recurrent thoughts and nightmares)和噩梦(nightmares)、易怒/愤怒(irritability/anger)和鲁莽/自我毁灭行为(reckless/self-destructive behavior)之间,以及过度紧张(hypervigilance)和过度惊吓(exaggerated startle)。本研究在一定程度上表示了失独父母PTSD的高中心性心症状和症状之间的关系,并且具有高中心性和强度连接性的症状可以成为失独父母心理辅导中的干预靶点。总之,本研究拓宽了学界对失独父母PTSD症状的认识,并为失独父母的心理辅导工作提供一定的启示。更多还原

【Abstract】 Background: The death of a child is a highly traumatic event and often leads to mental health problems,including posttraumatic stress disorder(PTSD). Previous studies focused on overall PTSD after the loss of an only child; however, little attention has been paid to PTSD at the symptom level. This study aims to identify the network structure of PTSD symptoms in bereaved parents who have lost their only child, known as Shidu parents in Chinese society. Methods: A cross-sectional study enrolled 385 bereaved individuals who had lost an only child across 10 cities in China from November 2016 to July 2017. PTSD symptoms were measured by the PTSD Checklist for DSM-5(PCL-5). Network analysis was implemented by using the R packages qgraph and bootnet. Results: The PTSD network revealed that diminished interest, exaggerated startle, irritability/anger, and nightmares were the most central symptoms. The strongest connections emerged between the symptoms of recurrent thoughts and nightmares,irritability/anger and reckless/self-destructive behavior, and hypervigilance and exaggerated startle. Conclusions: The current study provides further clarity regarding how PTSD symptoms relate to each other in bereaved parents who have lost an only child. Symptoms with high centrality and connectedness may be viable targets for intervention in bereaved parents.更多还原