Earthquake exposure, cognitive integration, and psychiatric symptoms in bereavement: A moderated mediation with fulfilling daily activities.

IF 3.8 3区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Clinical Psychology Pub Date : 2025-05-30 DOI:10.1111/bjc.12553

Tiffany Junchen Tao, Aysuhan Tuba Saral, Crystal Jingru Li, Huinan Liu, Wai Kai Hou

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引用次数: 0

Abstract

Introduction: Bereaved individuals experiencing losses tend to experience better psychological well-being if they experience higher levels of cognitive integration. This study aims to investigate the everyday life context where this process could take place, given that bereaved individuals also experience disruptions to fulfilling daily activities.

Methods: Among a nationally representative sample of 1588 bereaved Turkish people 7 months after the 2023 Turkey-Syria Earthquake (September-October 2023), we conducted moderated mediation analyses to investigate whether (1) cognitive integration mediated the links between the levels of earthquake exposure and psychiatric (grief, PTSD, anxiety, depressive) symptoms, and (2) disruptions to fulfilling daily activities moderated the mediation.

Results: The two components of integration, namely comprehensibility and footing in the world, fully mediated the positive links between earthquake exposure and all four psychiatric symptoms (βs = .02-.03; βs = .06-.08). Direct and indirect paths were stronger under higher levels of disruptions to fulfilling daily activities: the indirect exposure-comprehensibility-symptoms were only significant under high (βs = .03-.04, 95% CI [.01-.02, .05-.06]) and medium (βs = .02-.03, 95% CI [.01-.02, .03-.04]) levels, and the direct exposure-grief links were only significant under high levels of disruptions (β = .09, 95% CI [.03, .16]).

Conclusions: The current findings were in line with classic psychological theories on coping with stress, trauma, and loss and highlighted the importance of considering the behavioural context for engagement in fulfilling daily activities in the aftermath of natural disasters among bereaved individuals.

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地震暴露、认知整合和丧亲心理症状：满足日常活动的有调节中介作用。

导读：失去亲人的人如果经历更高水平的认知整合，他们往往会经历更好的心理健康。本研究旨在调查这一过程可能发生的日常生活环境，因为失去亲人的人也会经历日常活动的中断。方法：在2023年土耳其-叙利亚地震（2023年9月至10月）发生7个月后的1588名土耳其人的全国代表性样本中，我们进行了有调节的中介分析，以调查(1)认知整合是否介导了地震暴露水平与精神（悲伤、创伤后应激障碍、焦虑、抑郁）症状之间的联系，以及(2)日常活动的中断是否调节了中介作用。结果：整合的两个组成部分，即可理解性和在世界上的立足点，完全介导了地震暴露与所有四种精神症状之间的正相关关系(βs = 0.02 - 0.03；βs = .06-.08)。直接和间接途径在高水平干扰日常活动时更强：间接暴露-可理解性-症状仅在高水平（βs = .03-）下显著。4.04, 95% ci[.01-]。[0.02, .05-.06])和培养基(βs = .02-。03, 95% ci[.01-]。[0.02, 0.03 - 0.04])的水平，而直接暴露-悲伤的联系只有在高水平的干扰下才显著(β =。09, 95% ci[。03年,16)。结论：目前的研究结果与经典心理学理论在应对压力、创伤和损失方面是一致的，并强调了在自然灾害发生后，对失去亲人的人进行日常活动时考虑行为背景的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.80

自引率

3.20%

发文量

期刊介绍： The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups