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Complicated grief

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https://www.readbyqxmd.com/read/27892842/complicated-grief-after-suicide-bereavement-and-other-causes-of-death
#1
Ilanit Tal, Christine Mauro, Charles F Reynolds, M Katherine Shear, Naomi Simon, Barry Lebowitz, Natalia Skritskaya, Yuanjia Wang, Xin Qiu, Alana Iglewicz, Danielle Glorioso, Julie Avanzino, Julie Loebach Wetherell, Jordan F Karp, Don Robinaugh, Sidney Zisook
We compared baseline demographic characteristics, clinical features, and grief-related thoughts, feelings and behaviors of individuals bereaved by suicide, accident/homicide and natural causes participating in a complicated grief (CG) treatment clinical trial. Severity of CG and depression and current depression diagnosis did not vary by loss type. After adjusting for baseline demographic features, time since death and relationship to the deceased, those with CG after suicide had the highest rates of lifetime depression, pre-loss passive suicidal ideation, self-blaming thoughts, and impaired work and social adjustment...
November 28, 2016: Death Studies
https://www.readbyqxmd.com/read/27885322/nedley-depression-hit-hypothesis-identifying-depression-and-its-causes
#2
REVIEW
Neil Nedley, Francisco E Ramirez
Depression is often diagnosed using the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria. We propose how certain lifestyle choices and non-modifiable factors can predict the development of depression. We identified 10 cause categories (hits or "blows" to the brain) and theorize that four or more active hits could trigger a depression episode. Methods. A sample of 4271 participants from our community-based program (70% female; ages 17-94 years) was assessed at baseline and at the eighth week of the program using a custom test...
November 2016: American Journal of Lifestyle Medicine
https://www.readbyqxmd.com/read/27879552/the-impact-of-complicated-grief-on-diurnal-cortisol-levels-two-years-after-loss-a-population-based-study
#3
Heidi C Saavedra Pérez, Nese Direk, Jelena Milic, Mohammed Arfan Ikram, Albert Hofman, Henning Tiemeier
OBJECTIVES: Few studies have focused on the effect of complicated grief-unresolved and prolonged grief-on the neuroendocrine systems. The present study examined the association of complicated grief and normal grief with the diurnal cortisol patterns in a large population-based study. METHODS: This study was set in the Rotterdam Study and comprised 2084 persons aged older than 55 years (mean [SD] age, 64.9 [5.5] years). Participants were assessed with the Complicated Grief Inventory and classified into no grief (n = 1922), normal grief (n = 131), or complicated grief (n = 31) if they experienced the loss in the past 2 years...
November 22, 2016: Psychosomatic Medicine
https://www.readbyqxmd.com/read/27852340/subjective-and-objective-traumatic-death-distinct-roles-in-developing-complicated-grief-and-depression-among-older-adults-in-hong-kong
#4
Suqin Tang, Amy Y M Chow
BACKGROUND: Symptoms of complicated grief are associated with a traumatic death. However, the subjective experience of whether or not the death was considered traumatic has not been substantially explored. This study first examined the difference between objective and subjective traumatic death, and then investigated their respective impacts on complicated grief and depressive symptoms following bereavement among older adults in Hong Kong. METHODS: Participants were 187 Hong Kong adults aged 65 years or above who had lost a family member within the past five years...
November 17, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27821201/performance-characteristics-and-clinical-utility-of-diagnostic-criteria-proposals-in-bereaved-treatment-seeking-patients
#5
C Mauro, M K Shear, C F Reynolds, N M Simon, S Zisook, N Skritskaya, Y Wang, B Lebowitz, N Duan, M B First, A Ghesquiere, C Gribbin, K Glickman
BACKGROUND: Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research. METHOD: Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG...
November 8, 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27798990/performance-of-complicated-grief-criteria
#6
Geert E Smid, Paul A Boelen
No abstract text is available yet for this article.
November 1, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27793576/measuring-maladaptive-cognitions-in-complicated-grief-introducing-the-typical-beliefs-questionnaire
#7
Natalia A Skritskaya, Christine Mauro, Matthew Olonoff, Xin Qiu, Sarah Duncan, Yuanjia Wang, Naihua Duan, Barry Lebowitz, Charles F Reynolds, Naomi M Simon, Sidney Zisook, M Katherine Shear
OBJECTIVES: Maladaptive cognitions related to loss are thought to contribute to development of complicated grief and are crucial to address in treatment, but tools available to assess them are limited. This paper introduces the Typical Beliefs Questionnaire (TBQ), a 25-item self-report instrument to assess cognitions that interfere with adaptation to loss. DESIGN: Study participants completed an assessment battery during their initial evaluation and again after completing treatment at 20 weeks...
September 19, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27755654/mediators-of-outcome-in-complicated-grief-treatment
#8
Kim Glickman, M Katherine Shear, Melanie M Wall
OBJECTIVE: In this study, we examined the mechanisms of action of complicated grief treatment (CGT), an efficacious psychotherapy for complicated grief. METHOD: We explored 3 putative mediators (guilt/self-blame related to the deceased, negative thoughts about the future, and avoidance) among treatment completers assigned to either CGT (n = 35) or interpersonal psychotherapy (n = 34) in a previously reported randomized controlled trial. Antidepressant use was examined as a moderator of mediation effects...
October 18, 2016: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27742751/ptsd-symptoms-in-survivors-bereaved-by-the-suicide-of-a-significant-other
#9
Ann M Mitchell, Lauren Terhorst
BACKGROUND: Although bereavement is not usually considered the type of stressor associated with posttraumatic stress disorder (PTSD), a risk factor often associated with poorer bereavement outcomes is when a death is sudden and unexpected. AIMS: The purpose of this exploratory study is to describe PTSD symptoms in survivors bereaved by the suicide of a significant other. The relationship of PTSD to mental health and grief were explored, as well as gender differences in PTSD symptoms...
October 14, 2016: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/27741246/initial-validation-of-a-comprehensive-assessment-instrument-for-bereavement-related-grief-symptoms-and-risk-of-complications-the-indicator-of-bereavement-adaptation-cruse-scotland-ibacs
#10
Catherine Newsom, Henk Schut, Margaret S Stroebe, Stewart Wilson, John Birrell
OBJECTIVE: This study assessed the validity of the Indicator of Bereavement Adaptation Cruse Scotland (IBACS). Designed for use in clinical and non-clinical settings, the IBACS measures severity of grief symptoms and risk of developing complications. METHOD: N = 196 (44 male, 152 female) help-seeking, bereaved Scottish adults participated at two timepoints: T1 (baseline) and T2 (after 18 months). Four validated assessment instruments were administered: CORE-R, ICG-R, IES-R, SCL-90-R...
2016: PloS One
https://www.readbyqxmd.com/read/27726479/death-of-one-twin-during-the-perinatal-period-an-interpretative-phenomenological-analysis
#11
Sarah Meaney, Paul Corcoran, Keelin O'Donoghue
BACKGROUND: Perinatal death is one of the most difficult bereavements due to the shock and profound grief experienced by parents. It has been established that such bereavement has a life-lasting impact. Twin pregnancy is associated with increased perinatal risk, with higher rates of perinatal mortality than in singleton pregnancy. OBJECTIVES: To date, few studies have examined the effect of the loss of one twin diagnosed with a congenital abnormality during pregnancy...
October 11, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27717273/-prolonged-grief-disorder-and-persistent-complex-bereavement-disorder-but-not-complicated-grief-are-one-and-the-same-diagnostic-entity-an-analysis-of-data-from-the-yale-bereavement-study
#12
Paul K Maciejewski, Andreas Maercker, Paul A Boelen, Holly G Prigerson
There exists a general consensus that prolonged grief disorder (PGD), or some variant of PGD, represents a distinct mental disorder worthy of diagnosis and treatment. Nevertheless, confusion remains over whether different names and proposed symptom criteria for this disorder identify the same or different diagnostic entities. This study aimed to determine whether PGD, complicated grief (CG), and persistent complex bereavement disorder (PCBD) as described by the DSM-5 are substantively or merely semantically different diagnostic entities...
October 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/27709455/composing-disability-diagnosis-interrupted
#13
Abby Wilkerson, Joseph Fisher, Wade Fletcher
Writing is central both to the medical diagnostic codification of disability and to disabled people's efforts to interrupt, complicate, or disrupt dominant medical narratives. This Symposium, like the George Washington University conference from which it takes its name, creates space for diverse modes and genres of claiming authority regarding diagnosis and its cultural and material effects. "Queer" and "crip" interrogations of diagnosis illuminate its status as a cultural phenomenon, embracing culturally disavowed embodiments and embodied experiences as tools for diagnosing inegalitarian social relations and opportunities for cultural interventions...
October 5, 2016: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/27683967/adult-separation-anxiety-disorder-in-complicated-grief-an-exploratory-study-on-frequency-and-correlates
#14
Camilla Gesi, Claudia Carmassi, Katherine M Shear, Theresa Schwartz, Angela Ghesquiere, Julie Khaler, Liliana Dell'Osso
INTRODUCTION: Complicated grief (CG) has been the subject of increasing attention in the past decades but its relationship with separation anxiety disorder (SEPAD) is still controversial. The aim of the current study was to explore the prevalence and clinical significance of adult SEPAD in a sample of help-seeking individuals with CG. METHODS: 151 adults with CG, enrolled in a randomized controlled trial comparing the effectiveness of (CG) treatment to that of interpersonal therapy, were assessed by means of the Inventory of Complicated Grief (ICG), the Structured Clinical Interview for DSM-IV, the Hamilton Rating Scale for Depression (HAM-D), the Work and Social Adjustment Scale (WSAS), the Adult Separation Anxiety Questionnaire (ASA-27), the Grief Related Avoidance Questionnaire (GRAQ), the Peritraumatic Dissociative Experiences Questionnaire (PDEQ), and the Impact of Events Scale (IES)...
January 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/27680038/factors-associated-with-the-grief-after-stillbirth-a-comparative-study-between-brazilian-and-canadian-women
#15
Gisele Ferreira Paris, Francine de Montigny, Sandra Marisa Pelloso
OBJECTIVE: To verify the association between complicated grief and sociodemographic, reproductive, mental, marital satisfaction, and professional support characteristics in women after stillbirth. METHOD: Cross-sectional study with 26 women who had stillbirth in 2013, living in the city of Maringá, Brazil, and eight women who attended the Centre d'Études et de Rechercheen Intervention Familiale at the University of Quebec en Outaouais, in Canada. The instrument was administered as an interview to a small number of mothers of infants up to three months (n=50), who did not participate in the validation study...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27603436/designing-personal-grief-rituals-an-analysis-of-symbolic-objects-and-actions
#16
Corina Sas, Alina Coman
Personal grief rituals are beneficial in dealing with complicated grief, but challenging to design, as they require symbolic objects and actions meeting clients' emotional needs. The authors reported interviews with 10 therapists with expertise in both grief therapy and grief rituals. Findings indicate three types of rituals supporting honoring, letting go, and self transformation, with the latter being particularly complex. Outcomes also point to a taxonomy of ritual objects for framing and remembering ritual experience, and for capturing and processing grief...
October 2016: Death Studies
https://www.readbyqxmd.com/read/27602803/culinary-grief-therapy-cooking-for-one-series
#17
Heather L Nickrand, Cara M Brock
BACKGROUND: Although loss of loved ones is a universal experience, individuals who experience this loss grieve in different ways. Complicated grief involves the development of trauma symptoms, such as flashbacks, anxiety, and fear associated with daily activities after a death that disrupts the healthy grieving process. Daily activities such as eating, meal planning, grocery shopping, managing finances, and household maintenance can become painful and isolating for those experiencing complicated grief...
September 7, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27583088/normal-grief-and-its-correlates-in-lubumbashi-an-urban-city-in-the-democratic-republic-of-congo
#18
Katabwa Kabongo Joe, Mala Ali Mapatano, Tshibangu Manyonga, Costa Kazadi Mwadianvita, Mutombo Valérien, Wembonyama Stanis, Mukendi Kavulu, Kashala Espérance
INTRODUCTION: Grief is a universal experience faced at one time or another by most people during their lives. Response to grief and bereavement losses can lead to psychiatric disorders such as mood disorders, post traumatic responses, insomnia loss of appetite, anxiety, and depression. The aim of our study is to value in our community the physical and psychological complications of a normal grief. METHODS: We conducted a cross-sectional study from March 2012 to September 2012 in Lubumbashi, Democratic Republic of Congo...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27573086/supporting-the-grieving-child-and-family
#19
David J Schonfeld, Thomas Demaria
The death of someone close to a child often has a profound and lifelong effect on the child and results in a range of both short- and long-term reactions. Pediatricians, within a patient-centered medical home, are in an excellent position to provide anticipatory guidance to caregivers and to offer assistance and support to children and families who are grieving. This clinical report offers practical suggestions on how to talk with grieving children to help them better understand what has happened and its implications and to address any misinformation, misinterpretations, or misconceptions...
September 2016: Pediatrics
https://www.readbyqxmd.com/read/27573073/the-presence-and-predictors-of-complicated-grief-symptoms-in-perinatally-bereaved-mothers-from-a-bereavement-support-organization
#20
Margaret McSpedden, Barbara Mullan, Louise Sharpe, Lauren J Breen, Elizabeth A Lobb
The present study investigated the presence and possible predictors of complicated grief symptoms in perinatally-bereaved mothers (N = 121) up to 5 years post-bereavement. The presence of complicated grief scores in the clinical range was 12.4%, which is higher than in many other bereaved populations, and the presence of other living children may protect against the development of complicated grief symptoms. The majority of the women were able to negotiate a perinatal loss without developing complicated grief; however, there remains an important group of women who up to 5 years later score in the clinical range for complicated grief symptoms...
August 30, 2016: Death Studies
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