A study of the structure and dynamics of symptoms of PTSD after the loss of a loved one

2167

Abstract

This article is based on the experience of structural and dynamic analysis of the manifestations of post-traumatic stress disorder (PTSD) caused by death of a loved one. On a survey of 53 adult subjects who have lost relatives and friends in the conditions of daily life (i.e., outside of war and emergencies), we show the relationship of the severity of PTSD symptoms with different individual biographical characteristics of grieving persons. We describe the specificity of bereavement depending on gender, age, education and employment status of the subjects, as well as the circumstances of the death of a loved one. The obtained data revealed a "group of special attention", i.e. people most likely and in most severe form prone to the formation of PTSD symptoms with the loss of a loved one. This group covers those who lost a child (regardless of age), women and the elderly. It is also shown that the symptoms of PTSD are particularly high among those with medium educational level and constant work, while those with higher education and unemployed are mourning relatively more safely.

General Information

Keywords: death of a loved one, loss, mourning, grieving person biographical characteristics, post-traumatic stress disorder, PTSD structure, PTSD dynamics.

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

For citation: Lukovtseva Z.V., Kuskova A. A study of the structure and dynamics of symptoms of PTSD after the loss of a loved one [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2013. Vol. 3, no. 4 (In Russ., аbstr. in Engl.)

References

  1. Andrjushhenko A.V. K postroeniju modeli PTSR pri situacijah utraty ob#ekta jekstraordinarnoj znachimosti / A.V. Andrjushhenko // S#ezd psihiatrov Rossii, 13-j: Mater. M., 2000. 100 s.
  2. Andrjushhenko A.V. Posttravmaticheskoe stressovoe rasstrojstvo pri situacijah utraty obekta jekstraordinarnoj znachimosti // Psihiatrija i psihofarmakoterapija. Tomsk, 2000. № 4. S. 32–34.
  3. Bundalo N.L. Posttravmaticheskoe stressovoe rasstrojstvo (klinika, dinamika, faktory riska, psihoterapija): Dis. … d-ra med. nauk. SPb., 2009. 347 s.
  4. Voloshin V.M. Tipologija hronicheskogo posttravmaticheskogo stressovogo rasstrojstva // Zhurn. nevrol. i psihiatrii im. S.S. Korsakova. 2004. № 1. S. 17–23.
  5. Voloshin V.M. Posttravmaticheskoe stressovoe rasstrojstvo (fenomenologija, klinika, sistematika, dinamika i sovremennye podhody k psihofarmakoterapii). M., 2005. 200 s.
  6. Epachinceva E.M. Posttravmaticheskie stressovye rasstrojstva kombatantov: Avtoref. dis. ... kand. med. nauk. Tomsk, 2003. 24 s.
  7. Epachinceva E.M. Posttravmaticheskaja adaptacija uchastnikov boevyh dejstvij // S#ezd psihiatrov Rossii, 13-j: Mater. M., 2000. S. 102–103.
  8. Epachinceva E.M., Semke V.Ja., Garganeeva N.P. K ocenke psihogennyh faktorov v geneze posttravmaticheskih stressovyh rasstrojstv // Sibirskij vestn. psihiatrii i narkol. Tomsk, 2000. № 1. S. 14–16.
  9. Kitaev-Smyk L.A. Psihologicheskaja antropologija stressa. M., 2009. 943 s.
  10. Levi M.V. Metody vyjavlenija riska stressovyh rasstrojstv u pozharnyh. Avtoref. diss. … kand. psihol. nauk. M., 2000. 30 s.
  11. Padun M.A. Osobennosti bazisnyh ubezhdenij u lic, perezhivshih travmaticheskij stress: Diss. … kand. psihol. nauk. M., 2003. 159 s.
  12. Semke V.Ja., Epachinceva E.M., Aksenov M.M. Dinamika posttravmaticheskogo stressovogo rasstrojstva // Sibirskij vestn. psihiatrii i narkol. 2006. № 41 (pril.). S. 251–253.
  13. Soldatkin V.A. Psihicheskie rasstrojstva u uchastnikov likvidacii posledstvij avarii na Chernobyl'skoj atomnoj jelektrostancii (kliniko-patogeneticheskij analiz): Avtoref. dis. … kand. med. nauk. M., 2002. 25 s.
  14. Tarabrina N.V., Lazebnaja E.O. Sindrom posttravmaticheskih stressovyh narushenij – sovremennoe sostojanie problemy // Psihol. zhurn. 1992. № 2. S. 14–29.
  15. Tarabrina N.V. Praktikum po psihologii posttravmaticheskogo stressa. SPb., 2001. 272 s.
  16. Tarabrina N.V. Teoretiko-jempiricheskoe issledovanie posttravmaticheskogo stressa // Psihol. zhurn. 2007. T. 28.      № 4. S. 5–12.
  17. Tarabrina N.V. Psihologija posttravmaticheskogo stressa: integrativnyj podhod: Diss. … d-ra psihol. nauk. SPb., 2008. 356 s.
  18. Umanskij S.V. Tjazhelaja utrata i gore. Psihologicheskie i klinicheskie aspekty. Jelektronnaja versija http://psyfactor.org/lib/psychotherapy5.htm
  19. Clayton  P., Darvish  H. Course  of  depressive  symptoms following  the  stress  of  bereavement //  Stress  and  mental  disorder. In: Barrett  J., Rose R., Klerman  G.  (eds).  N.Y.: Raven Press, 1979. Р. 121–136.
  20. Clayton P., Herjanic M. et al. Mourning and depression: Their similarities and differences // Can. Psychiatr. Assoc. J. 1974. Vol. 19. Р. 309–312.

Information About the Authors

Zoya V. Lukovtseva, PhD in Psychology, Docent, Associate Professor, Chair of Clinical and Forensic Psychology, Faculty of Legal Psychology, Moscow State University of Psychology and Education, Moscow, Russia, ORCID: https://orcid.org/0000-0002-3033-498X, e-mail: sverchokk@list.ru

A. Kuskova, Consultant, Anti-Crisis Response School, "Institute of Psychology and Pedagogy", Moscow, Russia, e-mail: anna.kuskova@mail.ru

Metrics

Views

Total: 8981
Previous month: 42
Current month: 33

Downloads

Total: 2167
Previous month: 21
Current month: 7