新冠疫情期间哀伤信念与丧亲后心理症状的关系:回避的中介作用

The Relationship between Typical Grief Beliefs and Psychological Symptoms During Covid-19:The Mediating Role of Avoidance

目的:考察新冠疫情期间丧亲者哀伤信念与心理症状的关系,以及回避的中介作用。方法:采用典型信念问卷、丧亲者抑郁与焦虑回避问卷、患者健康问卷、复杂哀伤问卷和创伤后应激障碍筛查量表对315名在疫情期间经历丧亲的、处在急性哀伤期的成年人进行问卷测查。结果:哀伤信念与丧亲者的抑郁、哀伤症状和创伤后应激症状水平显著正相关。抑郁回避在哀伤信念与抑郁、哀伤症状和创伤后应激症状水平间具有显著中介作用。焦虑回避只在哀伤信念与哀伤症状、创伤后应激症状水平间具有显著中介作用。结论:丧亲者非适应性哀伤信念的水平越高,可能表现出更多的回避,进而影响丧亲后的心理症状。

Objective:To investigate the association between typical grief beliefs and psychological symptoms among bereaved individuals during the COVID-19 pandemic,as well as the mediating role of avoidance reactions.Methods:A total of 315 adults who had experienced the loss of a loved one during the pandemic and were in the acute grief period completed the Typical Beliefs Questionnaire,the Depressive and Anxious Avoidance in Prolonged Grief Questionnaire,the Patient Health Questionnaire,the Inventory of Complicated Grief and the Posttraumatic Stress Disorder Checklist.Results:Grief belief was significantly positively corelated with levels of depression,grief symptoms,and postraumatic stress symptoms in bereaved individuals.Depression avoidance mediated the relationship between grief beliefs and levels of depression,grief symptoms,and posttraumatic stress symptoms.Anxiety avoidance only mediated the relationship between grief beliefs and levels of grief symptoms and posttraumatic stress symptoms.Conclusion:The higher levels of maladaptive grief beliefs in bereaved individuals may lead to more avoidance reactions,which in turn could impact their psychological symptoms after bereavement.