People bereaved through road traffic accidents (RTAs) are at risk for severe and disabling grief (i.e., pathological grief). Knowledge about needs and use of bereavement care, including psychotherapy, pharmacotherapy, and support groups, is limited. This study charted (correlates of) the needs and use of bereavement care in RTA bereaved people. Furthermore, although online grief treatment seems effective, it is unknown whether it is perceived as acceptable. Accordingly, we examined the acceptability of online treatment. Dutch RTA bereaved adults (N = 273) completed self-report measures about needs and use of bereavement care, acceptability of online grief treatment, and pathological grief. Regression analyses were used to identify correlates of care needs and use and acceptability of online treatment. The majority (63%) had received help from psychotherapy, pharmacotherapy, and/or support groups. One in five participants had not used bereavement care services, despite reporting elevated pathological grief levels and/or expressing a need for care, pointing to a treatment gap. Use of psychological support before the loss was the strongest predictor of bereavement care needs and use following the loss. A minority (35%) reported being inclined to use online grief treatment if in need of support. More openness towards online services was related to greater acceptability of online treatment. In conclusion, 20% of RTA bereaved people with pathological grief or care needs had not received care. This treatment gap may be reduced by improving accessibility of online treatments. However, as only 35% was open to using online treatments, increasing the acceptability of (online) treatments appears important.

中文翻译：

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丧亲护理的治疗差距：（在线）丧亲支持需求和创伤性丧失后的使用

因道路交通事故 (RTA) 失去亲人的人面临严重和致残性悲痛（即病理性悲痛）的风险。关于丧亲护理的需求和使用的知识有限，包括心理治疗、药物治疗和支持团体。这项研究绘制了（相关的）RTA 丧亲者对丧亲关怀的需求和使用情况。此外，虽然在线悲伤治疗似乎有效，但不知道它是否被认为是可以接受的。因此，我们检查了在线治疗的可接受性。荷兰 RTA 失去亲人的成年人 ( N = 273) 完成了关于丧亲关怀的需求和使用、在线悲伤治疗的可接受性和病理性悲伤的自我报告措施。回归分析用于确定护理需求与在线治疗的使用和可接受性之间的相关性。大多数 (63%) 接受过心理治疗、药物治疗和/或支持团体的帮助。五分之一的参与者没有使用丧亲护理服务，尽管他们报告了病理性悲痛程度升高和/或表达了对护理的需求，这表明存在治疗差距。失去前使用心理支持是丧亲护理需求和失去后使用的最强预测因素。少数人 (35%) 报告说，如果需要支持，他们倾向于使用在线悲伤治疗。对在线服务的更开放与在线治疗的更大可接受性有关。总之，20% 的 RTA 失去亲人的有病理性悲伤或护理需求的人没有得到护理。通过提高在线治疗的可及性，可以减少这种治疗差距。然而，由于只有 35% 的人愿意使用在线治疗，因此提高（在线）治疗的可接受性似乎很重要。