바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

메뉴

사별을 경험한 성인의 지각된 사회적 지지와 지속비애 증상의 관계: 정서조절곤란으로 조절된 외상 후 부정적 인지의 매개효과

The Relationship Between Perceived Social Support and Prolonged Grief Symptoms: The Mediating Effect of Negative Cognitions Moderated by Emotional Dysregulation

초록

본 연구에서는 사별을 경험한 성인의 지각된 사회적 지지와 지속비애 증상의 관계에서 정서조절곤란 외상 후 부정적 인지의 매개효과를 검증하고, 이러한 매개효과가 정서조절곤란에 따라 달라지는지 조절된 매개효과 검증 방법을 통해 알아보았다. 본 연구에서는 성인 1,000명을 대상으로 한 설문을 실시하였고 최종적으로 사별경험이 있는 668명의 성인을 대상으로 분석을 실시하였다. 구체적으로 인과적단계접근법과 부트스트래핑을 통한 매개효과 검증과 위계적 회귀분석과 조건부 조절효과 검증을 통해 조절효과를 검증하고, Hayes(2013)의 SPSS MACRO를 사용하여 조절된 매개효과를 검증하였다. 분석 결과, 지각된 사회적 지지와 지속비애 증상과의 관계에서 외상 후 부정적 인지의 세 가지 하위요인인 세상에 대한 부정적 신념, 자신에 대한 부정적 신념, 자기 비난의 매개효과가 모두 유의했다. 외상 후 부정적 인지와 지속비애 증상과의 관계에서 자기비난과 세상에 대한 부정적 신념의 조절효과는 유의하였으나 자신에 대한 부정적 신념의 조절효과는 유의하지 않았다. 마지막으로, 지각된 사회적 지지와 지속비애 증상과의 관계에서 자기비난과 세상에 대한 부정적 신념의 매개효과를 정서조절곤란이 조절하는 조절된 매개효과가 유의했다. 마지막으로, 본 연구결과를 바탕으로 논의와 시사점을 제시하였다.

keywords
Prolonged Grief, Perceived Social Support, Emotion Dysregulation, Post-traumatic Negative Cognitions, Bereavement, 지속비애, 지각된 사회적 지지, 정서조절곤란, 외상 후 부정적 인지, 사별

Abstract

This study was conducted to verify the mediating effect of post-traumatic negative cognitions between perceived social support after bereavement and prolonged grief symptoms, as well as examine whether emotion regulation difficulties are influenced by the moderated mediating effect. A total of 668 adults who have experienced bereavement were analyzed. Both a causal steps approach (Baron & Kenny, 1966) and bootstrapping were used to verify the mediating and moderating effects; SPSS ACRO (Hayes, 2013) was used to verify the moderated mediating effect. Results demonstrated the mediating effect of post-traumatic negative cognitions sub factors (negative beliefs about the world and self-blame) on the relationship between perceived social support and prolonged grief. Emotion dysregulation had a significant moderating effect on the relationship between negative cognitions and prolonged grief. The moderating effect of self-blame and negative beliefs about the world were significant, but not as significant as negative beliefs about the self. Lastly, emotion regulation difficulties’ significant moderated mediating effect of self-blame and negative beliefs about the world on the relationship between perceived social support and prolonged grief was verified. Limitations are discussed.

keywords
Prolonged Grief, Perceived Social Support, Emotion Dysregulation, Post-traumatic Negative Cognitions, Bereavement, 지속비애, 지각된 사회적 지지, 정서조절곤란, 외상 후 부정적 인지, 사별

참고문헌

1.

강현숙, 이동훈 (2017). 한국판 지속비애 척도의 타당화 연구. 한국심리학회지: 상담 및 심리치료, 29(4), 1027-1052.

2.

김나정 (2015). 외상경험 개방에 대한 사회적 반응과 우울의 관계에서 외상 후 인지의 매개효과. 이화여자대학교 석사학위논문.

3.

김은정, 김진숙 (2008). 상담일반: 아동기 정서적 외상경험과 우울수준간의 관계에서 정서조절곤란의 매개효과. 상담학연구, 9(4), 1505-1520.

4.

김지혜, 조용래 (2015). 대학생들의 건강염려증상과 사회불안증상에서 인지적 취약성과 정서조절곤란의 역할. 인지행동치료, 15(1), 113-136.

5.

서영석 (2010). 상담심리 연구에서 매개효과와 조절효과 검증. 한국심리학회지: 상담 및 심리치료, 22(4), 1147-1168.

6.

신준섭, 이영분 (1999). 사회적 지지가 실직자의 심리사회적 안녕감에 미치는 영향에 관한 연구. 한국사회복지학, 37, 241-269.

7.

안현의 (2005). 청소년의 외상 경험과 인지 변화에 관한 연구. 청소년상담연구, 13(1), 31-41.

8.

안현의, 박철옥, 주혜선 (2012). 성별에 따른 외상관련 정서가 PTSD 에 미치는 영향: 대학생을 중심으로. 상담학연구, 13(5), 2363-2378.

9.

안현의, 주혜선, 한민희 (2013). 외상 후 스트레스 장애의 인지-기억 체계. 한국심리학회지: 상담 및 심리치료, 25(1), 111-133.

10.

장현아 (2009). 복합 비애 (Complicated Grief) 의 개념과 진단. 한국심리학회지: 일반, 28(2), 303-317.

11.

조영일, 김지현, 한우리, 조유정 (2015). 임상연구에서 조절효과 및 매개효과의 비교 및 통합. Korean Journal of Clinical Psychology, 34(4), 1113-1131.

12.

조용래 (2007). 정서조절곤란의 평가. Korean Journal of Clinical Psychology, 26(4), 1015-1038.

13.

지은혜, 조용래 (2015). 외상경험 대학생들의 외상관련 부정적 인지와 정서조절곤란이 외상 후 스트레스 증상에 미치는 영향. 인지행동치료, 15(1), 195-212.

14.

황선희 (2011). 사별에 따른 지속된 비애 증상과 심리적 부적응의 관계에서 부정적 인지의 매개효과. 이화여자대학교 석사학위논문.

15.

Aiken, L. S., West, S. G., & Reno, R. R. (1991). Multiple regression: testing and interpreting interactions. CA: Sage.

16.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Pub.

17.

Armour, M. (2007). Violent death: understanding the context of traumatic and stigmatized grief. Journal of Human Behavior in the Social Environment, 14(4), 53-90.

18.

Barr, P. (2004). Guilt‐and shame‐proneness and the grief of perinatal bereavement. Psychology and Psychotherapy: Theory, Research and Practice, 77(4), 493-510.

19.

Baarsen, B., & van Groenou, M. I. B. (2001). Partner loss in later life: gender differences in coping shortly after bereavement. Journal of Loss and Trauma, 6(3), 243-262.

20.

Barrera, M., Fleming, C. F., & Khan, F. S. (2004). The role of emotional social support in the psychological adjustment of siblings of children with cancer. Child: Care, Health and Development, 30(2), 103-111.

21.

Baarsen, Marjolein I. Broese van Groenou, B. (2001). Partner loss in later life: gender differences in coping shortly after bereavement. Journal of Loss and Trauma, 6(3), 243-262.

22.

Badour, C. L., & Feldner, M. T. (2013). Trauma-related reactivity and regulation of emotion: associations with posttraumatic stress symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 44(1), 69-76.

23.

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.

24.

Barton, S., Boals, A., & Knowles, L. (2013). Thinking about trauma: the unique contributions of event centrality and posttraumatic cognitions in predicting PTSD and posttraumatic growth. Journal of Traumatic Stress, 26(6), 718-726.

25.

Beck, J. G., Reich, C. M., Woodward, M. J., Olsen, S. A., Jones, J. M., & Patton, S. C. (2015). How do negative emotions relate to dysfunctional posttrauma cognitions? an examination of interpersonal trauma survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 7(1), 3-10.

26.

Belsher, B. E., Ruzek, J. I., Bongar, B., & Cordova, M. J. (2012). Social constraints, posttraumatic cognitions, and posttraumatic stress disorder in treatment-seeking trauma survivors: evidence for a social-cognitive processing model. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 386-391.

27.

Bhushan, B., Kumar, S., & Harizuka, S. (2011). Bereavement, cognitive-emotional processing, and coping with the loss: a study of Indian and Japanese students. Journal of Social Work in End-of-Life & Palliative Care, 7(2-3), 263-280.

28.

Boelen, P. A., de Keijser, J., van den Hout, M. A., & van den Bout, J. (2007). Treatment of complicated grief: a comparison between cognitive-behavioral therapy and supportive counseling. Journal of Consulting and Clinical Psychology, 75(2), 277-284.

29.

Boelen, P. A., & Prigerson, H. G. (2007). The influence of symptoms of prolonged grief disorder, depression, and anxiety on quality of life among bereaved adults. European Archives of Psychiatry and Clinical Neuroscience, 257(8), 444-452.

30.

Boelen, P. A., & Spuij, M. (2008). Negative cognitions in loss-related emotional distress in adolescent girls: a preliminary study. Journal of Loss and Trauma, 13(5), 441-449.

31.

Boelen, P. A., & Spuij, M. (2008). Negative cognitions in loss-related emotional distress in adolescent girls: a preliminary study. Journal of Loss and Trauma, 13(5), 441-449.

32.

Boelen, P. A., van den Bout, J., & van den Hout, M. A. (2003). The role of cognitive variables in psychological functioning after the death of a first degree relative. Behaviour Research and Therapy, 41(10), 1123-1136.

33.

Boelen, P. A., van Denderen, M., & de Keijser, J. (2016). Prolonged grief, posttraumatic stress, anger, and revenge phenomena following homicidal loss: the role of negative cognitions and avoidance behaviors. Homicide Studies, 20(2), 177-195.

34.

Bonanno, G. A. (2001). Grief and emotion: A social-functional perspective. Washington, DC, US: American Psychological Association.

35.

Bonanno, G. A. (2009). The other side of sadness: what the new science of bereavement tells us about life after loss. NY: Basic Books.

36.

Bonanno, G. A., Goorin, L., & Coifman, K. G. (2008). Sadness and grief. handbook of emotions. New York, NY, US: Guilford Press

37.

Bonanno, G. A., & Kaltman, S. (1999). Toward an integrative perspective on bereavement. Psychological Bulletin, 125(6), 760-776.

38.

Bonanno, G. A., & Keltner, D. (1997). Facial expressions of emotion and the course of conjugal bereavement. Journal of Abnormal Psychology, 106(1), 126-137.

39.

Boulware, D. L., & Bui, N. H. (2016). Bereaved African American Adults: the Role of Social Support, Religious Coping, and Continuing Bonds. Journal of Loss and Trauma, 21(3), 192-202.

40.

Bottomley, J. S., Burke, L. A., & Neimeyer, R. A. (2017). Domains of social support that predict bereavement distress following homicide loss: assessing need and satisfaction. OMEGA-Journal of Death and Dying, 75(1), 3-25.

41.

Bryant, R. A., Kenny, L., Joscelyne, A., Rawson, N., Maccallum, F., Cahill, C., ... & Nickerson, A. (2014). Treating prolonged grief disorder: a randomized clinical trial. Jama Psychiatry, 71(12), 1332-1339.

42.

Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23(3), 339-376.

43.

Burke, L. A., Neimeyer, R. A., & McDevitt-Murphy, M. E. (2010). African American homicide bereavement: aspects of social support that predict complicated grief, PTSD, and depression. OMEGA-Journal of Death and Dying, 61(1), 1-24.

44.

Carper, T. L., Mills, M. A., Steenkamp, M. M., Nickerson, A., Salters-Pedneault, K., & Litz, B. T. (2015). Early PTSD symptom sub-clusters predicting chronic posttraumatic stress following sexual assault. Psychological Trauma: Theory, Research, Practice, and Policy, 7(5), 442-447.

45.

Carver, K., Hayslip, B., Gilley, A., & Watts, J. (2014). Influences on grief among parentally bereaved adults. Omega-Journal of Death and Dying, 69(2), 105-116.

46.

Chiu, Y. W., Yin, S. M., Hsieh, H. Y., Wu, W. C., Chuang, H. Y., & Huang, C. T. (2011). Bereaved females are more likely to suffer from mood problems even if they do not meet the criteria for prolonged grief. Psycho-Oncology, 20(10), 1061-1068.

47.

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple correlation/regression analysis for the behavioral sciences. UK: Taylor & Francis.

48.

Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1(1), 16-29.

49.

Downey, G., Silver, R. C., & Wortman, C. B. (1990). Reconsidering the attributionadjustment relation following a major negative event: coping with the loss of a child. Journal of Personality and Social Psychology, 59(5), 925-940.

50.

Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39(9), 1063-1084.

51.

Eftekhari, A., Zoellner, L. A., & Vigil, S. A. (2009). Patterns of emotion regulation and psychopathology. Anxiety, Stress, & Coping, 22(5), 571-586.

52.

Ehring, T., & Quack, D. (2010). Emotion regulation difficulties in trauma survivors: the role of trauma type and PTSD symptom severity. Behavior Therapy, 41(4), 587-598.

53.

Eisma, M. C., Boelen, P. A., Schut, H. A., & Stroebe, M. S. (2017). Does worry affect adjustment to bereavement? a longitudinal investigation. Anxiety, Stress, & Coping, 30(3), 243-252.

54.

Field, N. P., & Bonanno, G. A. (2001). The role of blame in adaptation in the first 5 years following the death of a spouse. American Behavioral Scientist, 44(5), 764-781.

55.

Fleming, S., & Robinson, P. (2001). Grief and cognitive-behavioral therapy: the reconstruction of meaning. Washington, DC, US: American Psychological Association.

56.

Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory (PTCI): development and validation. Psychological Assessment, 11(3), 303.

57.

Foa, E. B., & Riggs, D. S. (1993). Post-traumatic stress disorder in rape victims. American Psychiatric Press Review of Psychiatry, 12, 273-303.

58.

Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115.

59.

Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Personality and Individual Differences, 40(8), 1659-1669.

60.

Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311-1327.

61.

Germain, C. L., Kangas, M., Taylor, A., & Forbes, D. (2016). The role of trauma‐related cognitive processes in the relationship between combat‐PTSD symptom severity and anger expression and control. Australian Journal of Psychology, 68(2), 73-81.

62.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54.

63.

Greenberg, L. S. (2002). Integrating an emotion-focused approach to treatment into psychotherapy integration. Journal of Psychotherapy Integration, 12(2), 154.

64.

Greenberg, L. S. (2004). Emotion-focused therapy. Clinical Psychology & Psychotherapy, 11(1), 3-16.

65.

Gupta, S., & Bonanno, G. A. (2011). Complicated grief and deficits in emotional expressive flexibility. Journal of Abnormal Psychology, 120(3), 635.

66.

Hansen, M., Armour, C., Wittmann, L., Elklit, A., & Shevlin, M. (2014). Is there a common pathway to developing ASD and PTSD symptoms. Journal of Anxiety Disorders, 28(8), 865-872.

67.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. NY: Guilford Press.

68.

Hayes, A. F. (2015). An index and test of linear moderated mediation. Multivariate Behavioral Research, 50(1), 1-22

69.

Hayslip Jr, B., Pruett, J. H., & Caballero, D. M. (2015). The “How” and “When” of Parental Loss in Adulthood: effects on Grief and Adjustment. OMEGA-Journal of Death and Dying, 71(1), 3-18.

70.

Hinton, D. E., Hofmann, S. G., Pollack, M. H., & Otto, M. W. (2009). Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: improvement in emotion regulation and orthostatic blood pressure response. CNS Neuroscience & Therapeutics, 15(3), 255-263.

71.

Hogan, N. S., De Santis, L., Demi, A. S., Cowles, K. V., & Ross, H. M. (1994). Things that help and hinder adolescent sibling bereavement. Western Journal of Nursing Research, 16(2), 132-153.

72.

Holahan, C. J., & Moos, R. H. (1987). Personal and contextual determinants of coping strategies. Journal of Personality and Social Psychology, 52(5), 946-955.

73.

Horowitz, M. J. (1993). Stress-response syndromes. In J. P. Wilson, B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 49-60). Boston, US: Springer.

74.

Horowitz, M. J., Siegel, B., Holen, A., Bonanno, G. A., Milbrath, C., & Stinson, C. H. (2003). Diagnostic criteria for complicated grief disorder. Focus, 1(3), 290-298.

75.

Houwen, K. V. D., Stroebe, M., Stroebe, W., Schut, H., Bout, J. V. D., & Meij, L. W. D. (2010). Risk factors for bereavement outcome: a multivariate approach. Death Studies, 34(3), 195-220.

76.

Jennings, J. L., Apsche, J. A., Blossom, P., & Bayles, C. (2013). Using mindfulness in the treatment of adolescent sexual abusers: contributing common factor or a primary modality?. International Journal of Behavioral Consultation and Therapy, 8(3-4), 17-22.

77.

Jia, X., Ying, L., Zhou, X., Wu, X., & Lin, C. (2015). The effects of extraversion, social support on the posttraumatic stress disorder and posttraumatic growth of adolescent survivors of the Wenchuan earthquake. PLOS ONE, 10(3), e0121480.

78.

Jordan, A. H., & Litz, B. T. (2014). Prolonged grief disorder: Diagnostic, assessment, and treatment considerations. Professional Psychology: Research and Practice, 45(3), 180.

79.

Kalter, N., Lohnes, K., Chasin, J., Cain, A. C., Dunning, S., & Rowan, J. (2003). The adjustment of parentally bereaved children: factors associated with short term adjustment. Omega-Journal of Death and Dying, 46(1), 15-34.

80.

King, D. W., Taft, C., King, L. A., Hammond, C., & Stone, E. R. (2006). Directionality of the association between social support and posttraumatic stress disorder: a longitudinal investigation. Journal of Applied Social Psychology, 36(12), 2980-2992.

81.

Knight, K. H., Elfenbein, M. H., & Messina-Soares, J. A. (1998). College students' perceptions of helpful responses to bereaved persons: effects of sex of bereaved persons and cause of death. Psychological Reports, 83(2), 627-636.

82.

Latham, A. E., & Prigerson, H. G. (2004). Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide and Life-Threatening Behavior, 34(4), 350-362.

83.

Lehman, D. R., Ellard, J. H., & Wortman, C. B. (1986). Social support for the bereaved: Recipients' and providers' perspectives on what is helpful. Journal of Consulting and Clinical Psychology, 54(4), 438.

84.

Lennon, M. C., Martin, J. L., & Dean, L. (1990). The influence of social support on AIDSrelated grief reaction among gay men. Social Science & Medicine, 31(4), 477-484.

85.

LoSavio, S. T., Dillon, K. H., & Resick, P. A. (2017). Cognitive factors in the development, maintenance, and treatment of post-traumatic stress disorder. Current Opinion in Psychology, 14, 18-22.

86.

Mancini, A. D., & Bonanno, G. A. (2009). Predictors and parameters of resilience to loss: toward an individual differences model. Journal of Personality, 77(6), 1805-1832.

87.

Marroquín, B., & Nolen-Hoeksema, S. (2015). Emotion regulation and depressive symptoms: close relationships as social context and influence. Journal of Personality and Social psychology, 109(5), 836-855.

88.

Matthews, L. T., & Marwit, S. J. (2004). Examining the assumptive world views of parents bereaved by accident, murder, and illness. OMEGA-Journal of Death and Dying, 48(2), 115-136.

89.

McCann, I. L., & Pearlman, L. A. (1990). Psychological trauma and the adult survivor: Theory, therapy, and transformation (No. 21). NY: Psychology Press.

90.

Michael, T., Halligan, S. L., Clark, D. M., & Ehlers, A. (2007). Rumination in posttraumatic stress disorder. Depression and Anxiety, 24(5), 307-317.

91.

Mirsu-Paun, A. (2016). Grief cognitions and cognitive-emotional regulation associated with romantic breakup distress among college students. European Psychiatry, 33, 342.

92.

Mueser, K. T., Rosenberg, S. D., Xie, H., Jankowski, M. K., Bolton, E. E., Lu, W., ... & Wolfe, R. (2008). A randomized controlled trial of cognitive-behavioral treatment for posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 76(2), 259.

93.

Müller, J., Wessa, M., Rabe, S., Dörfel, D., Knaevelsrud, C., Flor, H., ... & Karl, A. (2010). Psychometric properties of the posttraumatic cognitions inventory (PTCI) in a German sample of individuals with a history of trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 2(2), 116.

94.

Münzer, A., Ganser, H. G., & Goldbeck, L. (2017). Social support, negative maltreatmentrelated cognitions and posttraumatic stress symptoms in children and adolescents. Child Abuse & Neglect, 63(X), 183-191.

95.

Neimeyer, R. A. (2001). Meaning reconstruction & the experience of loss. Washington, DC, US: American Psychological Association.

96.

Nielsen, M. K., Neergaard, M. A., Jensen, A. B., Bro, F., & Guldin, M. B. (2016). Do we need to change our understanding of anticipatory grief in caregivers? a systematic review of caregiver studies during end-of-life caregiving and bereavement. Clinical Psychology Review, 44, 75-93.

97.

O'connor, M., Nickerson, A., Aderka, I. M., & Bryant, R. A. (2015). The temporal relationship between change in symptoms of prolonged grief and posttraumatic stress following old age spousal bereavement. Depression and Anxiety, 32(5), 335-340.

98.

O'Donnell, M. L., Elliott, P., Wolfgang, B. J., & Creamer, M. (2007). Posttraumatic appraisals in the development and persistence of posttraumatic stress symptoms. Journal of Traumatic Stress, 20(2), 173-182.

99.

O’Hare, T., Sherrer, M. V., & Shen, C. (2014). Sudden losses and negative appraisal in people with severe mental illness. American Journal of Orthopsychiatry, 84(6), 664.

100.

Park, C. L., Mills, M. A., & Edmondson, D. (2012). PTSD as meaning violation: testing a cognitive worldview perspective. Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 66-73.

101.

Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364-388.

102.

Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185-227.

103.

Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., & Maciejewski, P. K. (2009). Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLOS Medicine, 6(8), 1-12.

104.

Reed, G. M. (2010). Toward ICD-11: Improving the clinical utility of WHO's International Classification of mental disorders. Professional Psychology: Research and Practice, 41(6), 457-464.

105.

Robinaugh, D. J., Marques, L., Traeger, L. N., Marks, E. H., Sung, S. C., Beck, J. G., ... & Simon, N. M. (2011). Understanding the relationship of perceived social support to post-trauma cognitions and posttraumatic stress disorder. Journal of Anxiety Disorders, 25(8), 1072-1078.

106.

Sachser, C., Keller, F., & Goldbeck, L. (2017). Complex PTSD as proposed for ICD‐11: validation of a new disorder in children and adolescents and their response to trauma focused cognitive behavioral therapy. Journal of Child Psychology and Psychiatry, 58(2), 160-168.

107.

Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: exploring emotional intelligence using the Trait Meta-Mood Scale. In J. W. Pennebaker (Ed.), Emotion, disclosure, & health (pp. 125-154). Washington, DC, US: American Psychological Association.

108.

Sanders, C. M. (1988). Risk factors in bereavement outcome. Journal of Social Issues, 44(3), 97-111.

109.

Shah, S. N., & Meeks, S. (2012). Late-life bereavement and complicated grief: a proposed comprehensive framework. Aging & Mental Health, 16(1), 39-56.

110.

Sharma-Patel, K., & Brown, E. J. (2016). Emotion regulation and self blame as mediators and moderators of trauma-specific treatment. Psychology of Violence, 6(3), 400-409.

111.

Shear, K., Frank, E., Houck, P. R., & Reynolds, C. F. (2005). Treatment of complicated grief: a randomized controlled trial. JAMA, 293(21), 2601-2608.

112.

Shepherd, D. A. (2009). Grief recovery from the loss of a family business: a multi-and meso-level theory. Journal of Business Venturing, 24(1), 81-97.

113.

Shepherd, D. A., & Kuratko, D. F. (2009). The death of an innovative project: how grief recovery enhances learning. Business Horizons, 52(5), 451-458.

114.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological Methods, 7(4), 422-445.

115.

Silverman, G. K., Jacobs, S. C., Kasl, S. V., Shear, M. K., Maciejewski, P. K., Noaghiul, F. S., & Prigerson, H. G. (2000). Quality of life impairments associated with diagnostic criteria for traumatic grief. Psychological Medicine, 30(4), 857-862.

116.

Stroebe, M. S., Folkman, S., Hansson, R. O., & Schut, H. (2006). The prediction of bereavement outcome: development of an integrative risk factor framework. Social Science & Medicine, 63(9), 2440-2451.

117.

Stroebe, M. S., & Schut, H. (1999). The dual process model of coping with bereavement: rationale and description. Death Studies, 23(3), 197-224.

118.

Stroebe, M. S., & Stroebe, W. (1993). The mortality of bereavement: A review. New York, NY, US: Cambridge University Press.

119.

Stroebe, M., Stroebe, W., Van De Schoot, R., Schut, H., Abakoumkin, G., & Li, J. (2014). Guilt in bereavement: the role of self-blame and regret in coping with loss. PLOS ONE, 9(5), 1-9.

120.

Stylianos, S. K., & Vachon, M. L. S. (1993). The role of social support in bereavement. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement: Theory, research, and intervention (pp. 397-410). New York, NY, US: Cambridge University Press.

121.

Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma and transformation. CA: Sage.

122.

Templeton, L., Valentine, C., McKell, J., Ford, A., Velleman, R., Walter, T., ... & Hollywood, J. (2017). Bereavement following a fatal overdose: the experiences of adults in England and Scotland. Drugs: Education. Prevention and Policy, 24(1), 58-66.

123.

Tull, M. T., Bardeen, J. R., DiLillo, D., Messman-Moore, T., & Gratz, K. L. (2015). A prospective investigation of emotion dysregulation as a moderator of the relation between posttraumatic stress symptoms and substance use severity. Journal of Anxiety Disorders, 29, 52-60.

124.

Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38(3), 303-313.

125.

Ullrich, P. M., & Lutgendorf, S. K. (2002). Journaling about stressful events: effects of cognitive processing and emotional expression. Annals of Behavioral Medicine, 24(3), 244-250.

126.

Utz, R. L., Swenson, K. L., Caserta, M., Lund, D., & DeVries, B. (2013). Feeling lonely versus being alone: loneliness and social support among recently bereaved persons. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 69(1), 85-94

127.

Vanderwerker, L. C., & Prigerson, H. G. (2004). Social support and technological connectedness as protective factors in bereavement. Journal of Loss and Trauma, 9(1), 45-57.

128.

Ward, L., Mathias, J. L., & Hitchings, S. E. (2007). Relationships between bereavement and cognitive functioning in older adults. Gerontology, 53(6), 362-372.

129.

Watson, J. C., Gordon, L. B., Stermac, L., Kalogerakos, F., & Steckley, P. (2003). Comparing the effectiveness of process-experiential with cognitive-behavioral psychotherapy in the treatment of depression. Journal of Consulting and Clinical Psychology, 71(4), 773.

130.

Westphal, M., Seivert, N. H., & Bonanno, G. A. (2010). Expressive flexibility. Emotion, 10(1), 92-100.

131.

Williams, M. B., & Poijula, S. (2016). The PTSD workbook: Simple, effective techniques for overcoming traumatic stress symptoms. CA: New Harbinger Publications.

132.

Worden, J. W. (2008). Grief counseling and grief therapy: A handbook for the mental health practitioner. New York, US: Springer Publishing Company.

133.

Xavier, F. M., Ferraz, M. P., Trentini, C. M., Freitas, N. K., & Moriguchi, E. H. (2002). Bereavement-related cognitive impairment in an oldest-old community-dwelling Brazilian sample. Journal of Clinical and Experimental Neuropsychology, 24(3), 294-301.

134.

Zachariae, R., Lyby, M. S., Ritterband, L. M., & O'Toole, M. S. (2016). Efficacy of internet-delivered cognitive-behavioral therapy for insomnia-a systematic review and metaanalysis of randomized controlled trials. Sleep Medicine Reviews, 30, 1-10.

135.

Zang, Y., Gallagher, T., McLean, C. P., Tannahill, H. S., Yarvis, J. S., Foa, E. B., & STRONG STAR Consortium. (2017). The impact of social support, unit cohesion, and trait resilience on PTSD in treatment-seeking military personnel with PTSD: the role of posttraumatic cognitions. Journal of Psychiatric Research, 86, 18-25.

136.

Zhou, X., Wu, X., Zeng, M., & Tian, Y. (2016). The relationship between emotion regulation and PTSD/PTG among adolescents after the Ya’an earthquake: the moderating role of social support. Acta Psychologica Sinica, 48(8), 969-980.

137.

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.

logo