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Complicated grief

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https://www.readbyqxmd.com/read/28099046/death-notification-someone-needs-to-call-the-family
#1
Rachel Ombres, Lauren Montemorano, Daniel Becker
BACKGROUND: The death notification process can affect family grief and bereavement. It can also affect the well-being of involved physicians. There is no standardized process for making death notification phone calls. We assumed that residents are likely to be unprepared before and troubled after. OBJECTIVE: We investigated current death notification practices to develop an evidence-based template for standardizing this process. DESIGN: We used results of a literature review and open-ended interviews with faculty, residents, and widows to develop a survey regarding resident training and experience in death notification by phone...
January 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28086836/an-internet-based-self-help-intervention-for-older-adults-after-marital-bereavement-separation-or-divorce-study-protocol-for-a-randomized-controlled-trial
#2
Jeannette Brodbeck, Thomas Berger, Hans Joerg Znoj
BACKGROUND: Marital bereavement and separation or divorce are among the most stressful critical life events in later life. These events require a dissolution of social and emotional ties, adjustments in daily routine and changes in identity and perspectives for the future. After a normative grief or distress reaction, most individuals cope well with the loss. However, some develop a prolonged grief reaction. Internet-based self-help interventions have proved beneficial for a broad range of disorders, including complicated grief...
January 13, 2017: Trials
https://www.readbyqxmd.com/read/28063859/assessing-palliative-care-content-in-dementia-care-guidelines-a-systematic-review
#3
REVIEW
Pamela Durepos, Abigail Wickson-Griffiths, Afeez Abiola Hazzan, Sharon Kaasalainen, Vasilia Vastis, Lisa Battistella, Alexandra Papaioannou
CONTEXT: Families of persons with dementia continue to report unmet needs during end-of-life. Strategies to improve care and quality of life for persons with dementia include development of clinical practice guidelines (CPG) and an integrative palliative approach. OBJECTIVES: We aimed to assess palliative care content in dementia CPGs in order to identify the presence or limitations of recommendations and discussion pertaining to common issues or domains affected by illness as described by the Canadian Hospice Palliative Care 'Square of Care'...
January 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28054288/post-traumatic-stress-disorder-and-complicated-grief-are-common-in-caregivers-of-neuro-icu-patients
#4
Stephen A Trevick, Aaron S Lord
BACKGROUND: To explore the effect of end of life and other palliative decision making scenarios on the mental health of family members of patients in the neuro-intensive care unit. METHODS: Decision makers of patients in the neuro-ICU at a large, urban, academic medical center meeting palliative care triggers were identified from November 10, 2014, to August 27, 2015. Interviews were conducted at 1 and 6 months post-enrollment. At 1 month, the Inventory of Complicated Grief-Revised (ICG-R), Impact of Events Scale-Revised (IES-R), and the Family Satisfaction-ICU (FS-ICU) were performed along with basic demographic questionnaires...
January 4, 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28051926/the-process-of-change-in-complicated-grief-group-therapy-for-bereaved-dementia-caregivers-an-evaluation-using-the-meaning-of-loss-codebook
#5
Katherine P Supiano, Lara Burns Haynes, Vicki Pond
Caring for a person with dementia is challenging and has adverse health and mental health effects that, for 9-25% of caregivers persist into bereavement in the form of complicated grief (CG). For those bereaved dementia caregivers unable to satisfactorily process grief, specialized Complicated Grief Group Therapy (CGGT) can restore a healthy grief process. We investigated the progression of therapeutic change in CGGT participants (N = 16 in three treatment groups), using an adapted version of Meaning of Loss Codebook (MLC; Gillies et al...
January 4, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28042073/predictors-of-complicated-grief-and-depression-in-bereaved-caregivers-a-nationwide-prospective-cohort-study
#6
Mette Kjaergaard Nielsen, Mette Asbjoern Neergaard, Anders Bonde Jensen, Peter Vedsted, Flemming Bro, Mai-Britt Guldin
CONTEXT: Complicated grief and depressive symptoms in bereaved caregivers have been associated with female gender, spousal relation and pre-loss psychological distress, but population-based, prospective studies are scarce. OBJECTIVES: We aimed to investigate whether severe pre-loss grief and depressive symptoms, caregiver burden, preparedness for death, communication about dying and socio-economic factors predicted complicated grief and post-loss depressive symptoms...
December 29, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27996983/-complicated-grief-in-dsm-5-era
#7
Claudia Carmassi, Ciro Conversano, Marialisa Pinori, Carlo Antonio Bertelloni, Riccardo Dalle Luche, Camilla Gesi, Liliana Dell'Osso
An increasing number of data has been recently focused on recognizing pathological grief reactions and on the distinction from physiological processes. Particularly, several studies have supported Complicated Grief (CG) as an independent disorder, in order to define the failure of spontaneous physiological mourning resolution. Upon these studies, the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) with the name of "Persistent Complex Bereavement Disorder". This article aims at retracing the history of clinical research about the physiological and psychopathological processes related to grief and aims at presenting the main scientific studies that have described the features of the CG defining it as a distinct disorder...
November 2016: Rivista di Psichiatria
https://www.readbyqxmd.com/read/27892842/complicated-grief-after-suicide-bereavement-and-other-causes-of-death
#8
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
The authors 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, preloss 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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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...
January 2017: 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
#17
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
#18
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
#19
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
#20
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
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