重大疾病丧亲者的延长哀伤症状及预测因素

The Prolonged Grief Disorder Symptoms and Their Predictive Factors among Bereaved Individuals

目的:考察重大疾病丧亲者的延长哀伤症状及其预测因素。方法:通过寻访和网络招募的方式对256名重大疾病丧亲者进行问卷测查。结果:所有丧亲者中没有完全符合延长哀伤障碍诊断的个体,但有4名丧亲者达到了临界标准。逝者离世时长、逝者离世时的年龄、与逝者的亲密程度与延长哀伤症状具有显著的相关性。丧亲者的延长哀伤症状得分在亲属级数、与逝者关系、教育程度和婚姻状况上存在显著差异。将所有因素纳入回归方程后发现:最能预测重大疾病丧亲者延长哀伤症状的因素包括:小学及以下的教育程度、逝者离世时长、逝者离世时的年龄。结论:相比于其他丧亲类型,重大疾病丧亲者的延长哀伤障碍的患病率较低,其延长哀伤症状受到部分人口学特征和丧失相关特征的影响。

Objective： To investigate the Prolonged Grief Disorder（PGD） symptoms and their predictive factors amongbereaved individuals. Methods： 256 bereaved individuals whose relatives died of critical diseases participated in this re-search and completed a series of questionnaires. Results： No subjects met the criteria of Prolonged Grief Disorder. Howev-er, 4 reached the margin to meet the criteria of PGD. PGD symptoms was significantly correlated with the duration of loss,the age of the diseased and the degree of intimacy with the diseased. There were significant differences of PGD symptomson the ranks of relatives, the family relation, education and marital status. After all the variables were put into a regressionequation, 3 factors（years of education, duration of loss and the age of the diseased） significantly predicted the PGD symp-toms. Conclusion： Compared with other types of loss, bereaved individual whose relatives died of critical diseases had arelatively low prevalence with PGD. The PGD symptoms may be influenced by years of education, duration of loss and theage of the diseased relatives