Complicated grief and deficits in emotional expressive flexibility.

Gupta, Sumati; Bonanno, George A.

doi:10.1037/a0023541

Cited by 130 publications

(93 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Panic attacks have been suggested to reflect difficulty with emotion regulation (Tull and Roemer, 2007), and our findings are also consistent with a potential underlying role of emotion dysregulation in response to loss in the pathophysiology of CG, as has been proposed by others (Boelen et al, 2006; Gupta and Bonanno, 2011). …”

Section: Discussionsupporting

confidence: 92%

Grief-related panic symptoms in Complicated Grief

Bui

Horenstein

Shah

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

Background Although Complicated Grief (CG) has been associated with comorbid Panic Disorder (PD), little is known about panic attacks in CG, and whether panic symptoms may be grief-related. The present study examines the presence and impact of grief-related panic symptoms in CG. Methods Individuals with CG (n=146, 78% women, mean (SD) age =52.4(15.0)) were assessed for CG, DSM-IV diagnoses, work and social impairment, and with the Panic Disorder Severity Scale modified to assess symptoms “related to or triggered by reminders of your loss” and anticipatory worry. Results Overall, 39.7% reported at least one full or limited-symptom grief-related panic attack over the past week, and 32.2% reported some level of anticipatory worry about grief-related panic. Of interest, 17% met DSM criteria for PD. Among those without PD, 34.7% reported at least one full or limited-symptom grief-related panic attack over the past week, and this was associated with higher CG symptom severity (t=−2.23, p<0.05), and functional impairment (t=−3.31, p<0.01). Among the full sample, controlling for CG symptom severity and current PD, the presence of at least one full or limited-symptom grief-related panic attack was independently associated with increased functional impairment (B(SE)=4.86(1.7), p<0.01). Limitations Limitations include a lack of assessment of non grief-related panic symptoms and examination of a sample of individuals seeking treatment for CG. Conclusions Grief-related panic symptoms may be prevalent among individuals with CG and independently contribute to distress and functional impairment.

show abstract

Section: Discussionsupporting

confidence: 92%

Grief-related panic symptoms in Complicated Grief

Bui

Horenstein

Shah

et al. 2015

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

“…Gupta and Bonanno (44) found the ability to flexibly enhance or suppress emotional expression at will was reduced in CG. Burton et al (45) found CG associated with less “forward coping”, defined as the ability to think optimistically, attend to the needs of others, maintain plans and goals, remain calm, reduce painful emotions and be able to laugh.…”

Section: Complicated Grief In Older Adultsmentioning

confidence: 99%

Bereavement and Complicated Grief

Shear

Ghesquiere

Glickman

2013

Curr Psychiatry Rep

176

115

View full text Add to dashboard Cite

Bereavement is a common experience in adults age 60 and older. Loss of a loved one usually leads to acute grief characterized by yearning and longing, decreased interest in ongoing activities, and frequent thoughts of the deceased. For most, acute grief naturally evolves into a state of integrated grief, where the bereaved is able to reengage with everyday activities and find interest or pleasure. About 7% of bereaved older adults, however, will develop the mental health condition of Complicated Grief (CG). In CG, the movement from acute to integrated grief is derailed, and grief symptoms remain severe and impairing. This article reviews recent publications on the diagnosis of CG, risk factors for the condition, and evidenced-based treatments for CG. Greater attention to complicated grief detection and treatment in older adults is needed.

show abstract

“…Theory and research on flexibility has been applied to a number of domains of self-regulation, most notably in experimental studies of coping (Cheng, 2001, 2003) and emotion regulation (Bonanno et al, 2004; Gupta & Bonanno, 2011; Westphal, Seivert, & Bonanno, 2010). The findings from this research consistently demonstrate that no one behavior or strategy is always adaptive, and that in some situations the costs of a behavior or strategy may outweigh its benefits.…”

Section: The Adaptive Value Of Flexibilitymentioning

confidence: 99%

Meaning making, adversity, and regulatory flexibility

Bonanno

2013

Memory

Self Cite

View full text Add to dashboard Cite

Despite the widely accepted belief that meaning making is essential for mental health following adversity, the available research continues to provide mixed findings: meaning-making is sometimes evident, sometimes not, and more frequently than we would expect associated with poor health outcomes. The papers that comprise this issue put flesh to those bones by approaching the question from a narrative memory perspective. Meaning making, these studies demonstrate, is a multi-faceted phenomenon and whether it is necessary or adaptive depends on which particular form of meaning making is considered and on the context and timing in which it occurs. To situate these insights in a broader framework, I consider parallels with the emergent literature on regulatory flexibility and briefly review recent research and theory on that construct as it has been applied in the literatures on coping and emotion regulation. Finally, I close by suggesting a basic framework, informed by the flexibility construct, that might guide future research on meaning making.

show abstract

Complicated grief and deficits in emotional expressive flexibility.

Cited by 130 publications

References 71 publications

Grief-related panic symptoms in Complicated Grief

Grief-related panic symptoms in Complicated Grief

Bereavement and Complicated Grief

Meaning making, adversity, and regulatory flexibility

Contact Info

Product

Resources

About