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KMID : 0981220190190010037
Congnitive Behavior Therapy in Korea
2019 Volume.19 No. 1 p.37 ~ p.58
Are Coping Flexibility, Forward focus Coping, and Trauma focus Coping Protective for Complicated Grief?
Kim Su-Whan

You Sung-Eun
Abstract
Coping flexibility refers to the ability to use flexibly two coping strategies, forward focus coping and trauma focus coping following trauma experience. The purpose of the present study was to examine whether coping flexibility, furthermore forward focus and trauma focus coping, would protect against complicated grief, and whether these relationships would be moderated by the length and cause of bereavement. Bereaved Korean adults completed a web-based survey, which included the Inventory of Complicated Grief (ICG), Perceived Ability to Cope with Trauma Scale (PACT). An examination of the factor structure of the ICG supported the one factor structure, and reliability of the ICG was adequate. The findings of this study suggested that coping flexibility and forward focus coping played protective roles for complicated grief, and these relationships were not moderated by the length or cause of bereavement. Yet, contrary to the hypothesis, trauma focus coping was associated with an increased level of complicated grief. Also, the length of bereavement moderated the relationship between trauma focus coping after bereavement and complicated grief, in which trauma focus coping significantly played a risk factor for complicated grief during early stages following bereavement. Further analysis revealed that complicated grief symptoms were highest among individuals who used trauma focus coping without using forward focus coping much after bereavement. The current study indicated that flexible coping and forward focus coping are consistently adaptive after bereavement while trauma focus coping is adaptive only when it is used with forward focus coping.
KEYWORD
complicated grief, coping flexibility, forward focus coping, trauma focus coping
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