Predictors of prolonged grief disorder in Chinese elderly shidu parents: The role of perceived stigma and perceived stress

IF 2.8 3区医学 Q2 PSYCHIATRY

Asia‐Pacific Psychiatry Pub Date : 2021-09-30 DOI:10.1111/appy.12489

Shuang Zhao BM, Longfei Ren MS, Qiong Wang MS, Meijun Long BA, Hui Wu PhD, Yang Wang PhD

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引用次数: 5

Abstract

Introduction

Parents who have lost their only child and over the age of 60 are known as elderly shidu parents. This study aimed to investigate predictors of prolonged grief disorder (PGD) among Chinese elderly shidu parents.

Methods

Two hundred and ninety-eight elderly shidu parents from Shenyang were included in this cross-sectional study. Participants completed a questionnaire including the Prolonged Grief questionnaire-13 (PG-13), the PTSD (post-traumatic stress disorder) Checklist for DSM-5 (PCL-5), the Center for Epidemiologic Studies Depression Scales (CES-D), the Self-Rating Anxiety Scale (SAS), and the Perceived Stress Scale-10 (PSS-10). Multiple linear regression was used to examine socio-demographic, bereavement-related and perceived stress associated with PGD symptoms.

Results

The prevalence of PGD among Chinese elderly shidu parents was 13.8%. Among the 41 PGD patients, 29, 39, 36 patients had comorbidity of PTSD, depressive symptoms and anxiety, respectively. Perceived stress, higher educational level, lower annual household income, perceived stigma, violent death of the child, and being in debt were associated with severer PGD symptoms.

Discussion

The present study revealed the prevalence of PGD and the important role of PGD in diagnosing other mental disorders in Chinese elderly shidu parents. Providing financial help, eliminating social stigma, and stress should be included in PGD prevention among Chinese elderly shidu parents.

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中国失独老人长期悲伤障碍的预测因素:感知污名和感知压力的作用

失去独生子女的年龄超过60岁的父母被称为老年失独父母。本研究旨在探讨中国失独老人长期悲伤障碍(PGD)的预测因素。方法采用横断面研究方法对沈阳市298名老年失独父母进行调查。参与者完成了一份问卷，包括延长悲伤问卷-13 (PG-13)、DSM-5创伤后应激障碍(PTSD)检查表(PCL-5)、流行病学研究中心抑郁量表(CES-D)、焦虑自评量表(SAS)和感知压力量表-10 (PSS-10)。多元线性回归用于检验与PGD症状相关的社会人口统计学、丧亲相关和感知压力。结果中国老年失独父母PGD患病率为13.8%。41例PGD患者中，合并PTSD者29例，合并抑郁症状者39例，合并焦虑者36例。感知到的压力、较高的教育水平、较低的家庭年收入、感知到的耻辱、儿童的暴力死亡和负债与严重的PGD症状有关。本研究揭示了中国老年失独父母PGD的患病率以及PGD在诊断其他精神障碍中的重要作用。提供经济帮助、消除社会耻辱感和压力应包括在中国老年失都父母的PGD预防中。

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

Asia‐Pacific Psychiatry PSYCHIATRY-

CiteScore

7.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.