实验室团队在《Therapeutic Advances in Psychopharmacology》发表了论文
2025年4月3日
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因COVID-19丧亲的人群可能面临心理健康挑战和创伤后成长机会。韧性作为一种内在特质或能力，可能保护丧亲者免于出现心理健康问题并促进成长。双过程模型（DPM）是理解丧亲后适应的重要框架。然而，目前尚不清楚韧性是否有助于COVID-19丧亲者的适应过程，以及双过程应对在韧性与心理健康之间的关系中是否起中介作用。因此，实验室负责人唐苏勤副教授带领实验室往届成员吴丽萍及在读研究生陈思颖撰写文章“Relationship between resilience and mental health among COVID-19 bereaved people: the mediating role of dual process coping”并在2025年4月3日发表于《Therapeutic Advances in Psychopharmacology》期刊。本研究旨在探讨COVID-19丧亲者的韧性与其延长哀伤、创伤后应激、焦虑、抑郁症状及创伤后成长之间的关系，并检验双过程应对在其中的中介作用。结果表明，对于COVID-19丧亲者，恢复导向应对和振荡在韧性与心理健康的关系中发挥保护性和促进性作用。这提示专业人员应关注丧亲者的韧性水平及双过程应对策略，以提供针对性支持。
摘要
Background
People bereaved due to COVID-19 may face mental health challenges and posttraumatic growth opportunities. Resilience, as an inherent trait or ability, may protect the bereaved from developing mental health problems and facilitate growth. The Dual Process Model (DPM) is an important framework for understanding adaptation after bereavement. However, little is known about whether resilience could help with adjusting to COVID-19 bereavement and whether dual process coping plays a part in the relationship between resilience and mental health among COVID-19 bereaved individuals.
Objective
We aim to examine the relationship between resilience and symptoms of prolonged grief, posttraumatic stress, anxiety, depression, and posttraumatic growth following COVID-19 bereavement, and to investigate the role of dual process coping, which includes loss-oriented (LO) coping, restoration-oriented (RO) coping, and oscillation between LO coping and RO coping in this relationship.
Design
This is an online cross-sectional survey.
Method
A total of 408 Chinese participants who lost a close person due to COVID-19 participated in the study from September to October 2020. Demographic and loss-related information was collected. Resilience, dual process coping, symptoms of prolonged grief, posttraumatic stress, anxiety, depression, and posttraumatic growth were measured. Correlation analyses and mediation analyses were conducted to analyze the data.
Results
Resilience was negatively correlated with anxiety and depressive symptoms and positively correlated with posttraumatic growth. In the relationship between LO coping, RO coping, oscillation, and mental health, LO coping was positively associated with prolonged grief, posttraumatic stress, anxiety, and depressive symptoms, as well as posttraumatic growth; RO coping was negatively associated with prolonged grief symptoms and posttraumatic growth, and positively associated with anxiety and depressive symptoms; oscillation was negatively associated with prolonged grief, posttraumatic stress, anxiety, and depressive symptoms. In addition, mediation analysis showed that oscillation mediated the relationship between resilience and anxiety and depressive symptoms, and RO coping mediated the relationship between resilience and depressive symptoms and posttraumatic growth.
Conclusion
Our findings indicate that among individuals who have experienced bereavement due to COVID-19, RO coping serves a protective role in the relationship between resilience and depressive symptoms and a facilitative role in the relationship between resilience and posttraumatic growth. Additionally, oscillation plays a protective role in the association between resilience and symptoms of anxiety and depression. Professionals should consider the bereaved individuals’ resilience, LO coping, RO coping, and oscillation when providing support to those bereaved by COVID-19.