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Complicated grief

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https://www.readbyqxmd.com/read/29154690/-what-i-did-for-my-loved-one-is-more-important-than-whether-we-talked-about-death-a-nationwide-survey-of-bereaved-family-members
#1
Masanori Mori, Saran Yoshida, Mariko Shiozaki, Tatsuya Morita, Mika Baba, Maho Aoyama, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Mitsunori Miyashita
BACKGROUND: Actions in preparation for death and talks about death between advanced cancer patients and their families are considered essential to achieve a good death. However, little is known about the prevalence of such actions compared with talks and their association with bereaved families' psychological morbidity. OBJECTIVE: To clarify the prevalence of bereaved families having acted in preparation for death and talked about death with their loved one, and to explore their associations with bereaved families' depression and complicated grief (CG)...
November 20, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29136603/prolonged-grief-reactions-after-old-age-spousal-loss-and-centrality-of-the-loss-in-post-loss-identity
#2
Lena Eckholdt, Lynn Watson, Maja O'Connor
BACKGROUND: The loss of a spouse is a major life event. Previous research found that centrality of the loss to one's identity using Centrality of Event Scale (CES) is related to complicated bereavement reactions, such as depression, posttraumatic stress symptoms (PTS), and prolonged grief symptoms (PGS). This study aims to examine loss-centrality in elderly bereaved people up to 4 years post loss, to determine the relation of loss-centrality to complicated bereavement reactions, such as PGS, depression, and PTS, and to identify early predictors of loss-centrality...
November 8, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29126783/two-case-reports-using-simulated-reattachment-to-treat-persistent-complex-bereavement-disorder-and-ptsd
#3
Mark Rider
These case reports focus on a rapid treatment for persistent complex bereavement disorder and posttraumatic stress disorder (PTSD), which appears to activate the mirror neuron network. Simulated reattachment is a technique which has been found to repair phantom limb pain in just a few sessions. The same neuroplasticity that accomplishes phantom pain relief has been found to occur in the treatment of complicated grief and PTSD using similar methods. The simulated reattachment for the client in Case one was found to significantly reduce the symptoms of both complicated grief and obsessive-compulsive disorder (OCD) within one session...
October 6, 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/29084148/neurophysiological-measures-of-efficacy-and-safety-for-botulinum-toxin-injection-in-facial-and-bulbar-muscles-special-considerations
#4
REVIEW
Mohammad Alimohammadi, Anna Rostedt Punga
Botulinum toxin (BoNT) injections into facial and bulbar muscles are widely and increasingly used as medical treatments for cervical and facial dystonia, facial hemispasm, correction of facial palsy, hyperhidrosis, as well as cosmetic treatment of glabellar lines associated with grief and anger. Although BoNT treatment is generally considered safe, the diffusion of the toxin to surrounding muscles may result in complications, including difficulties swallowing, in a dose-dependent manner. The sensitivity of clinical examination for detecting adverse events after BoNT treatment is limited...
October 30, 2017: Toxins
https://www.readbyqxmd.com/read/29046073/influence-of-farewell-rituals-and-psychological-vulnerability-on-grief-following-perinatal-loss-in-monochorionic-twin-pregnancy
#5
Mònica Druguet, Laura Nuño, Carlota Rodó, Silvia Arévalo, Elena Carreras Moratonas, Juana Gómez-Benito
AIM: To analyze whether the absence of farewell rituals and previous psychological vulnerability are associated with the intensity of grief following perinatal loss in monochorionic twin pregnancy. METHOD: The sample comprised 28 women who experienced perinatal loss following fetal surgery. Sociodemographic and clinical data and information about farewell rituals were collected through interview. The women also completed a questionnaire about perinatal grief. RESULTS: A history of psychological and/or psychopharmacological treatment was associated with more intense grief following perinatal loss...
October 18, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28988634/a-two-tiered-strategy-for-preventing-complications-of-bereavement-in-the-first-thirteen-months-post-loss-a-pilot-study-using-peer-supports-with-professional-therapist-back-up
#6
Mark D Miller, Jacqueline Stack, Charles F Reynolds
This feasibility and acceptance pilot study for preventing complications of bereavement within the first year post loss recruited 20 adult grievers within 9 months of becoming bereft and assigned consenting subjects to peer supporters trained by a non-profit bereavement support organization for weekly or bi-weekly telephone-based peer support until month 13 post-loss. Subjects who met DSM-5 criteria for major depressive disorder or showed an Inventory of Complicated Grief (ICG) score exceeding 19, 6 months or more post loss, were assigned to 12 to 16 weeks of interpersonal psychotherapy (IPT) with an experienced therapist...
May 25, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28987981/medical-comorbidity-in-complicated-grief-results-from-the-heal-collaborative-trial
#7
Gregg Robbins-Welty, Sarah Stahl, Jun Zhang, Stewart Anderson, Yael Schenker, M Katherine Shear, Naomi M Simon, Sidney Zisook, Natalia Skritskaya, Christina Mauro, Barry D Lebowitz, Charles F Reynolds
OBJECTIVE: To describe medical comorbidity in persons with Complicated Grief (CG) and to test whether medical comorbidity in individuals with CG is associated with the severity and duration of CG, after adjusting for age, sex, race, and current depressive symptoms. METHODS: In exploratory analyses, we compared data from participants in an NIMH-sponsored multisite clinical trial of CG ("HEAL": "Healing Emotions After Loss") to archival data from participants matched on age, gender, and race/ethnicity, stratified by the presence or absence of current major depression...
September 20, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28970298/prolonged-but-not-complicated-grief-is-a-mental-disorder
#8
EDITORIAL
Paul K Maciejewski, Holly G Prigerson
The DSM and ICD have taken steps to introduce a grief disorder as a new diagnostic entity. Evidence justifies the inclusion of prolonged grief disorder, but not complicated grief, as a new mental disorder.
October 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28967766/parenthood-after-reproductive-loss-how-psychotherapy-can-help-with-postpartum-adjustment-and-parent-infant-attachment
#9
David J Diamond, Martha O Diamond
Parenting after pregnancy loss is often complicated for people who have not effectively grieved the loss and worked through the trauma. Reproductive losses can trigger shame and self-doubt, damage the sense of self-as-parent, and inflict narcissistic injuries, which, in turn, may impede the resolution of grief. If not addressed, these unresolved feelings may be projected onto subsequent children, potentially disrupting attachment relationships and the child's sense of self. The reproductive story, a lifelong internal narrative that comprises the thoughts, feelings, and hopes about how parenting and adulthood will unfold, and forms the core of parental identity, can be used as a tool in helping parents understand the depth of their feelings, integrate current and past losses into the self, and resolve grief...
October 2, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28950109/care-experiences-of-women-who-used-opioids-and-experienced-fetal-or-infant-loss
#10
Lisa F Scott, Carol Shieh, Rachel A Umoren, Teri Conard
OBJECTIVE: To explore care experiences of women who used prescription or illicit opioids and experienced fetal or infant loss. DESIGN: A qualitative, descriptive design with secondary data analysis. SETTING: The Fetal and Infant Mortality Review program in an urban Midwestern county in the United States. PARTICIPANTS: Eleven women with histories of prescription or illicit opioid use who experienced fetal or infant loss participated in the semistructured telephone or in-person interview portion of the mortality case review...
November 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28946801/community-based-counseling-reaches-and-helps-bereaved-people-living-in-low-income-households
#11
Catherine Newsom, Margaret S Stroebe, Henk Schut, Stewart Wilson, John Birrell, Mirjam Moerbeek, Maarten C Eisma
OBJECTIVE: Poverty is related to increased grief-related mental health problems, leading some to suggest bereavement counseling should be tailored to income. However, information about accessibility and effectiveness of such counseling programs serving low-income households is scarce. This longitudinal study therefore investigated the association between poverty and complicated grief (CG), and the effectiveness of a community-based bereavement counseling program in serving low-income households...
September 25, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28945443/comprehensive-grief-care-for-children-and-families-policy-and-practice-implications
#12
Brook Griese, Michaeleen R Burns, Samantha A Farro, Louise Silvern, Ayelet Talmi
Since the 1998 publication of the groundbreaking Adverse Childhood Experiences (ACE) Study conducted by the Centers for Disease Control and Prevention and Kaiser Permanente, increased research and funding has focused on mitigating experiences that place children at risk for developmental disruption. Surprisingly, the death of a parent, sibling, or other important attachment figure-often noted as one of the most disruptive and potentially traumatic experiences for a child-has received relatively little attention in these efforts...
2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28936597/terminal-weaning-or-immediate-extubation-for-withdrawing-mechanical-ventilation-in-critically-ill-patients-the-arreve-observational-study
#13
René Robert, Amélie Le Gouge, Nancy Kentish-Barnes, Alice Cottereau, Bruno Giraudeau, Mélanie Adda, Djillali Annane, Juliette Audibert, François Barbier, Patrick Bardou, Simon Bourcier, Jeremy Bourenne, Alexandre Boyer, François Brenas, Vincent Das, Arnaud Desachy, Jérôme Devaquet, Marc Feissel, Frédérique Ganster, Maïté Garrouste-Orgeas, Guillaume Grillet, Olivier Guisset, Rebecca Hamidfar-Roy, Anne-Claire Hyacinthe, Sebastien Jochmans, Mercé Jourdain, Alexandre Lautrette, Nicolas Lerolle, Olivier Lesieur, Fabien Lion, Philippe Mateu, Bruno Megarbane, Sybille Merceron, Emmanuelle Mercier, Jonathan Messika, Paul Morin-Longuet, Bénédicte Philippon-Jouve, Jean-Pierre Quenot, Anne Renault, Xavier Repesse, Jean-Philippe Rigaud, Ségolène Robin, Antoine Roquilly, Amélie Seguin, Didier Thevenin, Patrice Tirot, Isabelle Vinatier, Elie Azoulay, Jean Reignier
PURPOSE: The relative merits of immediate extubation versus terminal weaning for mechanical ventilation withdrawal are controversial, particularly regarding the experience of patients and relatives. METHODS: This prospective observational multicentre study (ARREVE) was done in 43 French ICUs to compare terminal weaning and immediate extubation, as chosen by the ICU team. Terminal weaning was a gradual decrease in the amount of ventilatory assistance and immediate extubation was extubation without any previous decrease in ventilatory assistance...
September 22, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28910996/think-adult-think-child-why-should-staff-caring-for-dying-adults-ask-what-the-death-means-for-children-in-the-family
#14
Sir Al Aynsley-Green
Introduction: Bereaved children and young people in the UK are 'hidden mourners'. Sources of data: Review of primary and secondary evidence on childhood bereavement. Area of agreement: Children experience grief that varies according to the circumstance of death and their cognitive ability. Voluntary organizations can be supportive, but provision is patchy and vulnerable to austerity. Areas of concern: Adult-centric denial of the importance and long-term consequences of childhood grief; uncertainty in how best to relate to bereaved children in faiths and in schools...
September 1, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28885932/screening-for-complicated-grief-in-a-military-mental-health-clinic
#15
Eileen M Delaney, Kathryn J Holloway, Derek M Miletich, Jennifer A Webb-Murphy, Nicole M Lanouette
INTRODUCTION: Bereavement is one of the most common and stressful life experiences one can endure. Typical grief reactions follow a course of recovery in which individuals come to terms with the loss and resume functioning within weeks to months. However, for some, grief remains indefinitely distressing. Complicated Grief (CG) refers to significant chronic impairment that stems from bereavement. Military service members experience myriad factors that likely increase their risk for developing CG...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28868909/-recognizing-complicated-grief-from-a-doctor-s-point-of-view
#16
András Zelena
By reviewing two bereavement support group cases I wish to demonstrate the important role a doctor, also receptive of his patients' non-verbal signals, has in the early recognition of complicated grief and halted grief process. Doctors are aware of individual traumas and destinies, and general practitioners are familiar with the details of their patients' life and home circumstances, could be catalysts for the continuation of the halted grief process. They discover the real cause of trauma behind several psychosomatic symptoms...
September 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28846510/psychological-mindedness-and-psychotherapy-process-in-short-term-group-therapy
#17
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
Psychological mindedness is regarded as an important patient characteristic that can influence the course of psychotherapy. The purpose of this study was to investigate the relationship between patients' capacity for psychological mindedness and aspects of the group psychotherapy process as experienced and rated by therapists and other group members. Participants were 110 patients who completed two forms of short-term group therapy for the treatment of complicated grief. Psychological mindedness was assessed at pretreatment by external raters using a video-interview procedure...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28767332/short-term-group-therapy-for-complicated-grief-the-relationship-between-patients-in-session-reflection-and-outcome
#18
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
OBJECTIVE: The objective of the present study was to examine the nature of patients' work in two types of short-term group psychotherapy. The study sought to investigate the relationship between patients' psychodynamic work versus supportive work in group psychotherapy and treatment outcome at termination and at 6-month follow-up. Psychodynamic work refers to reflection regarding intrapsychic motivations, defenses, and relational patterns, and supportive work refers to practical problem solving...
2017: Psychiatry
https://www.readbyqxmd.com/read/28730182/tracking-deceased-related-thinking-with-neural-pattern-decoding-of-a-cortical-basal-ganglia-circuit
#19
Noam Schneck, Stefan Haufe, Tao Tu, George A Bonanno, Kevin Ochsner, Paul Sajda, J John Mann
BACKGROUND: Deceased-related thinking is central to grieving and potentially critical to processing of the loss. Self-report measurements might fail to capture important elements of deceased-related thinking and processing. Here, we used a machine learning approach applied to fMRI - known as neural decoding - to develop a measure of ongoing deceased-related processing. METHODS: 23 subjects grieving the loss of a first-degree relative, spouse or partner within 14 months underwent two fMRI tasks...
July 2017: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/28711756/meaningful-communication-before-death-but-not-present-at-the-time-of-death-itself-is-associated-with-better-outcomes-on-measures-of-depression-and-complicated-grief-among-bereaved-family-members-of-cancer-patients
#20
Hiroyuki Otani, Saran Yoshida, Tatsuya Morita, Maho Aoyama, Yoshiyuki Kizawa, Yasuo Shima, Satoru Tsuneto, Mitsunori Miyashita
CONTEXT: Few studies have explored the clinical significance of the family's presence or absence at the moment of a patient's death and meaningful communication (saying "goodbye") in terms of post-bereavement outcomes. OBJECTIVES: To explore the potential association between the family's depression/complicated grief and their presence at the moment of a patient's death and the patient's communication with the family. METHODS: A nationwide questionnaire survey was conducted on 965 family members of cancer patients who had died at palliative care units...
July 13, 2017: Journal of Pain and Symptom Management
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