Predicting complicated grief from grief processing

从悲伤处理中预测复杂的悲伤

基本信息

批准号：
10372024
负责人：
Noam Schneck
金额：
$ 19.36万
依托单位：
NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-04-16 至 2024-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10372024
关键词：
Acute Age Attention Biometry Cessation of life Clinical Clinical Research Cognitive Data Depressed mood Development Down-Regulation Early identification Emotional Emotions Environment Failure Family member Feeling Functional Magnetic Resonance Imaging Gender Goals Grief reaction Guilt High Prevalence Individual Instruction Intervention Interview Knowledge Machine Learning Measures Mental Depression Mentorship Methods Modeling Pain Pathogenesis Pattern Persons Play Process Psyche structure Psychometrics Questionnaires Rain Reaction Time Recording of previous events Regulation Reporting Research Research Personnel Research Training Resolution Role Sampling Scientist Severities Shame Stimulus Suicide Techniques Testing Thinking Time Training Training Programs Trauma Unconscious State Validation attentional bias base experience high risk indexing intense pain loved ones neural patterning recruit relating to nervous system response sex skills sustained attention targeted treatment therapy development

项目摘要

PROJECT SUMMARY Most people grieving the loss of a loved one will experience a period of intense pain and focusing on the loss lasting around 6 months, which is known as acute grief. Complicated grief (CG) occurs when the experiences of acute grief extend well past 6-months post-loss. Thoughts and feelings about the loss (i.e. grief processing) occurring during acute grief may play a role in healthy grieving and protect against CG development. Identification of the cognitive and emotional mechanisms of grief processing that contribute to healthy grief resolution would advance knowledge of the goals of grieving and assist the development of interventions for complicated grief. Two core components of grief processing are top-down regulation and balanced loss confrontation. Top-down pursue related emotional representations and recruit proportion regulation is the ability to suppress processing of intrusive emotional information to a stated goal. Top-down regulation may facilitate healthy grieving by allowing reprieve from intense loss thinking. Balanced loss confrontation refers to the processing of the loss in a way that protects against overload. Confrontation with the l oss may assist in the process of reforming one's mental of the deceased. This tudy will test extrinsic and intrinsic measures of top-down regulation balanced loss confrontation during acute grieving as predictors of CG development a year later We will a sample at high-risk for CG, the suicide-bereaved, in order to maximize the likeliness that a significant of the sample develops CG. The s . findings produced by this study may advance the knowledge of how CG develops, assist in the identification of people at high-risk for developing CG and potentially form the basis for targeted interventions. The following K23 presents a research and training program that will support the applicant on the path of becoming an independent investigator of the role of grief processing in the development of complicated grief. The research mentorship, coursework, hands-on experience, seminars and classes ingrained in this training and plan will propel the applicant to independence in the domains of1) Clinical Research, 2) Psychometric Assessment of Grief Processing, 3) Machine Learning analysis of fMRI, 4) Biostatistics, 5) Scientific Independence. team independent and The combination of the environment, t raining plan, research strategy and mentorship will not only provide the candidate with a spectrum of new methods and skills that will establish him as an research scientist, but will also produce a body of knowledge that will clarify the specific cognitive emotional grief processes that contribute to the development of CG.

项目概要大多数因失去亲人而悲伤的人都会经历一段时期的剧烈痛苦并专注于失去亲人持续约6个月，称为急性悲伤。当这些经历发生时，就会出现复杂的悲伤（CG）严重的悲伤会持续到失去亲人后 6 个月之后。关于损失的想法和感受（即悲伤处理）急性悲伤期间发生的事件可能在健康悲伤中发挥作用，并防止 CG 发展。识别有助于健康悲伤的悲伤处理的认知和情感机制解决方案将增进对悲伤目标的了解，并协助制定针对悲伤的干预措施复杂的悲伤。悲伤处理的两个核心组成部分是自上而下的调节和平衡损失对抗。自顶向下追求有关的情绪化的陈述和招募部分调节是抑制侵入性情绪信息处理的能力既定目标。自上而下的监管可以通过缓解严重的损失来促进健康的悲伤思维。平衡损失对抗是指以防止损失的方式处理损失超载。面对损失可能有助于改变一个人的心理过程死者的。本研究将测试自上而下监管的外在和内在措施急性悲伤期间平衡的损失对抗作为一年后 CG 发展的预测因素我们将 CG 高风险样本（即自杀者），以最大限度地提高发生重大自杀事件的可能性样本的CG。这 s 。这项研究的结果可能会增进人们的认识 CG 如何发展，协助识别出现 CG 的高风险人群，并可能形成为有针对性的干预奠定基础。以下 K23 介绍了一项研究和培训计划，将为申请人的道路提供支持成为一名独立调查员，研究悲伤处理在复杂悲伤发展中的作用。这研究本次培训中根深蒂固的指导、课程作业、实践经验、研讨会和课程计划将推动申请人在以下领域实现独立：1) 临床研究，2) 悲伤处理的心理测量评估，3) fMRI 的机器学习分析，4) 生物统计学，5) 科学独立。团队独立的和环境、培训计划、研究策略和指导的结合不仅会为候选人提供一系列新的方法和技能，使他成为一名研究科学家，但也会产生一系列知识来澄清特定的认知有助于 CG 发展的情绪悲伤过程。