PDF(Pubmed)
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.
In China, mental health services are not widely available for bereaved people.The proposed study will be the first one to develop and evaluate an Internet-based self-help grief intervention for bereaved Chinese with prolonged grief.The proposed study will determine whether and how the intervention helps to improve the mental health of bereaved Chinese with prolonged grief.
In China, mental health services are not widely available for bereaved people.The proposed study will be the first one to develop and evaluate an Internet-based self-help grief intervention for bereaved Chinese with prolonged grief.The proposed study will determine whether and how the intervention helps to improve the mental health of bereaved Chinese with prolonged grief.
摘要：
背景：在中国，精神卫生服务目前无法满足有长期悲伤障碍（PGD）症状的丧亲者的需求。基于互联网的悲伤干预可能有助于填补这一空白，但此类项目尚未在中国开发或评估。拟议的研究旨在调查有效性，可接受性,以及一项名为“治愈悲伤”的在线自助干预计划的可行性，并探索潜在改善的心理机制。方法：我们设计了一项双臂随机对照试验。至少有128名参与者将被随机分配到基于Internet的干预组或等待列表控制组。基于互联网的干预将基于双重过程模型进行开发，整合心理教育技术，行为激活，认知重估，意味着重建，并将通过表达性写作传递。干预包括六个模块，每个模块中有两个会话，并要求参与者每周完成两次会议，并在6周内完成干预。主要结果包括有效性，可接受性,和可行性。有效性将通过长期悲伤的措施来评估，创伤后应激,焦虑,和抑郁症状。可接受性和可行性将通过对用户体验特征的调查和访谈来评估。次要结果包括主持人和调解人，如双重过程应对，哀思，正念,和持续的债券，探讨潜在改善的心理机制。评估将在干预前进行，干预后,和3个月的随访。结论：拟议的研究将确定有效性，可接受性,以及新开发的在线自助干预措施对长期悲伤的丧亲中国人的可行性，并阐明干预措施如何帮助症状改善。这种干预可能在缓解中国丧亲心理服务的提供和接收之间的不平衡方面发挥重要作用。
在中国,失去亲人的人无法广泛获得精神卫生服务。这项拟议的研究将是第一个开发和评估基于互联网的自助悲伤干预措施的研究，该措施适用于长期悲伤的丧亲中国人。拟议的研究将确定干预措施是否以及如何帮助改善长期悲伤的丧亲中国人的心理健康。
在中国,失去亲人的人无法广泛获得精神卫生服务。这项拟议的研究将是第一个开发和评估基于互联网的自助悲伤干预措施的研究，该措施适用于长期悲伤的丧亲中国人。拟议的研究将确定干预措施是否以及如何帮助改善长期悲伤的丧亲中国人的心理健康。
