Integrated Multimedia CBT Bereavement Support

集成多媒体 CBT 丧亲支持

• 批准号: 7111497
• 负责人: BLAIR IRVINE
• 金额: $ 22.34万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-21 至 2008-03-20
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7111497
• 关键词: African American; Asian Americans; Hispanic Americans; Internet; Native Americans; behavioral /social science research tag; bereavement; caucasian American; clinical research; clinical trials; cognitive behavior therapy; computer program /software; coping; cost effectiveness; counseling; emotional adjustment; grief; health services research tag; human subject; human therapy evaluation; interactive multimedia; interdisciplinary collaboration; psychosocial separation; therapy design /development

DESCRIPTION (provided by applicant): It is considered "normal" for an individual grieving the death of a loved one to present with symptoms of depression during the first two months post loss. Nevertheless, these manifestations of bereavement are painful and disrupt social-occupational functioning and quality of life. Moreover, while most will adapt over time, 10-20% are likely to evolve into "complicated grief" which can include a major depressive episode or symptoms similar to post traumatic stress disorder. With 4 million employees experiencing the loss of a loved one each year, the cost of bereavement to American business is over $44.5 billion in increased health utilization, absenteeism, reduced productivity (presenteeism) and errors/accidents due to poor concentration. The teaching of cognitive-behavioral coping skills shows promise as a method to decrease distress and promote social/occupational functioning. Researchers cite five prevailing theories of grief/bereavement: attachment theory, cognitive stress theory, meaning reconstruction, the dual process model of grief and the social-functioning perspective. We propose to integrate and operationalize these theories in a cost-effective, multimedia bereavement support program that uses interactive video to teach cognitive-behavioral coping skills. The program will be delivered over the Internet as an adjunct service of Employee Assistance Provider Call Centers. Phase I will focus on skills pertaining to rumination, sleep disturbance, transformation of the bond/attachment and reconstruction of a new identity/life separate from the deceased. It will be tailored for employees who have lost a parent or older relative to expected, natural causes. Evaluation will include a randomized control trial with 80 employees. Phase II will be expanded to tailor to the needs of bereaved employees based on the expectedness of the death, the nature of the death (traumatic vs. natural) and whether the relationship to the deceased was that of parent or older relative, spouse, child, friend, sibling, or coworker. It will also be evaluated with a randomized control trial, however from a much larger sample of 400+ bereaved employees.

描述（由申请人提供）：在损失后的头两个月内，亲人死亡的人感到“正常”。然而，这些丧亲的表现是痛苦和破坏社会占有的功能和生活质量。此外，虽然大多数人会随着时间的推移适应，但10-20％的可能会演变为“复杂的悲伤”，其中可能包括主要的抑郁发作或类似于创伤后应激障碍的症状。每年有400万员工遭受亲人的损失，丧亲的成本超过445亿美元，其健康利用率，旷工，生产力降低（出席者）以及由于集中度较差而导致的错误/事故。认知行为应对技巧的教学表明，有希望是减少困扰和促进社会/职业功能的一种方法。研究人员引用了五种盛行的悲伤/丧亲理论：依恋理论，认知压力理论，意义重建，悲伤的双重过程模型和社会功能的观点。我们建议将这些理论整合到具有成本效益的多媒体丧亲支持计划中，该计划使用交互式视频来教授认知行为的应对能力。该计划将通过互联网作为员工援助提供商呼叫中心的兼职服务。第一阶段将重点关注有关反省，睡眠障碍，纽带/依恋的转变以及与死者分开的新身份/生命的重建有关的技能。它将针对那些相对于预期的自然原因失去父母或年长的员工。评估将包括与80名员工的随机控制试验。第二阶段将根据死亡的预期，死亡的性质（创伤与自然）以及与死者的关系是父母还是年龄较大，配偶，孩子，朋友，兄弟姐妹或同事。还将通过一项随机对照试验对其进行评估，但是来自400多名丧亲员工的样本。

项目成果

An internet tool to normalize grief.

• DOI: 10.2190/om.60.1.d
• 发表时间: 2009
• 期刊: Omega
• 作者: Dominick SA;Irvine AB;Beauchamp N;Seeley JR;Nolen-Hoeksema S;Doka KJ;Bonanno GA
• 通讯作者: Bonanno GA