实验室团队在《European Journal of Psychotraumatology 》 新发表了论文
2024年3月20日
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在中国，目前提供的心理健康服务还未能充分满足那些经历延长哀伤障碍（PGD）的丧亲者的需求。借助互联网进行的哀伤干预措施，可能是弥补这一缺口的有效途径，然而，在中国，这类项目还没有被开发或进行评估。2024年3月，实验室团队在这方面取得新进展，实验室负责人唐苏勤副教授带领实验室往届成员彭闻捷、钱学滢和陈昱霖撰写文章“Healing grief – an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial” 在《European Journal of Psychotraumatology 》期刊上发表。本研究旨在评估一项新开发的在线自助干预措施在中国丧亲者中针对延长哀伤症状的有效性、接受度以及实施的可行性，并探讨该干预措施如何助力改善相关症状。这种干预有望在缩小中国丧亲心理服务供需差距方面扮演关键角色。
摘要
Abstract
Background: In China, mental health services do not currently meet the needs of bereaved people with symptoms of prolonged grief disorder (PGD). Internet-based grief interventions may help fill this gap, but such programmes have not yet been developed or evaluated in China. The proposed study aims to investigate the effectiveness, acceptability, and feasibility of an online self-help intervention programme named Healing Grief for bereaved Chinese with prolonged grief, and to explore the psychological mechanisms of potential improvements.
Methods: We designed a two-arm randomised controlled trial. At least 128 participants will be randomly assigned to either an Internet-based intervention group or a waitlist-control group. The Internet-based intervention will be developed based on the dual process model, integrating techniques of psychoeducation, behavioural activation, cognitive reappraisal, and meaning reconstruction, and will be delivered via expressive writing. The intervention comprises six modules, with two sessions in each module, and requires participants to complete two sessions per week and complete the intervention in 6 weeks. The primary outcomes include effectiveness, acceptability, and feasibility. The effectiveness will be assessed by measures of prolonged grief, posttraumatic stress, anxiety, and depressive symptoms. Acceptability and feasibility will be evaluated using survey and interview on user experience characteristics. Secondary outcomes include moderators and mediators, such as dual process coping, grief rumination, mindfulness, and continuing bond, to explore the psychological mechanisms of potential improvement. Assessments will take place at pre-intervention, post-intervention, and 3-month follow-up.
Conclusion: The proposed study will determine the effectiveness, acceptability, and feasibility of the newly developed online self-help intervention for bereaved Chinese with prolonged grief and clarify how the intervention helps with symptom improvements. Such an intervention may play an important role in easing the imbalance between the delivery and receipt of bereavement psychological services in China.