Psychometric properties of the Prolonged Grief Disorder-13 (PG-13) in bereaved Swedish parents

Pohlkamp, Lilian; Kreicbergs, Ulrika; Prigerson, Holly G.; Sveen, Josefin

doi:10.1016/j.psychres.2018.06.004

Cited by 98 publications

(119 citation statements)

References 46 publications

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“…The potential for poor well‐being and stress overload among double bereaved children and young adults is also found in other studies to exceed the capacity of normal coping abilities and resulted in prolongation and complicated grief (Marcussen, Hounsgaard, O’Connor, et al, ; Margaret Stroebe & Schut, ). It is evident that particular support is required to specifically mitigate the stress overload these children and young adults experience to promote their well‐being (Marcussen, Hounsgaard, O’Connor, et al, ; Pohlkamp, Kreicbergs, Prigerson, & Sveen, ; WHO—World Health Organization, ).…”

Section: Discussionmentioning

confidence: 99%

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Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies

Marcussen

Thuen

O’Connor

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore how children and young adults from divorced families experience double bereavement when they lose a divorced parent with cancer and how the double bereavement influences their mental health consequences and need of support. Background Children and young people who are confronted with the cancer and death of a parent is a highly stressful life event, which is associated with an increased risk of mental health problems, especially when children experience divorced parental cancer and death. Design Participant observations and interviews with a phenomenological‐hermeneutic approach and COREQ standards for reporting qualitative research. Methods We conducted 340 hr of participant observations within nine different support groups totalling 27 children and young adults from divorced families and included 28 interviews with participants and relatives. Analyses are based on Ricoeur's theory of interpretation: naïve reading, structural analysis, interpretation and discussion. Results The experiences with double bereavement identified three main themes: 1. navigating through multiple transitions and disruptions within two family worlds; 2. consequences for mental health including stress overload and disruptions to well‐being; and 3. need for accessible support derived from close relationships and professionals within and in‐between family worlds. Conclusion Children and young adult's double bereavement includes multiple transitions and disruptions often related to stress overload and mental health problems. Support from close relationships and professionals is experienced as helpful in the prevention and mitigation of mental health problems. Relevance to clinical practice There is a need for targeted accessible support availability to children, young adults and their families when a divorced parent is dying of cancer in clinical practice. Our findings suggest that specific health policies for health professionals should be developed to target improved support for these families.

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Section: Discussionmentioning

confidence: 99%

“…It is evident that particular support is required to specifically mitigate the stress overload these children and young adults experience to promote their well-being (Marcussen, Hounsgaard, O'Connor, et al, 2019a;Pohlkamp, Kreicbergs, Prigerson, & Sveen, 2018;WHO-World Health Organization, 2018). Service, Denmark, 2012).…”

Section: Well-beingmentioning

confidence: 99%

Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies

Marcussen

Thuen

O’Connor

et al. 2020

Journal of Clinical Nursing

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“…PG‐13 is scored as a continuous measure by summing the eleven symptom items and excluding the two duration and functional impairment items . The total score ranges from 11 to 55, with a higher score indicating more symptoms of PGD, cut‐off equal to or more than 35. Cronbach's α was 0.89.…”

Section: Methodsmentioning

confidence: 99%

Bereaved mothers' and fathers' prolonged grief and psychological health 1 to 5 years after loss—A nationwide study

2019

Self Cite

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Objective To assess differences in prolonged grief, depression, posttraumatic stress, and sleep disturbances in bereaved parents across years since loss (1‐5 years) and by gender and to assess potential interactive effects of time since loss and gender on bereavement outcomes. Methods This study examined symptom levels of prolonged grief disorder, depression, posttraumatic stress, and insomnia in bereaved parents. A sample, including 133 mothers and 92 fathers who had lost a child to cancer 1 to 5 years previously, subdivided to five subsamples, one for each year since loss. Analysis of variance (ANOVA) was used to assess differences in symptom levels, related to years since loss, and gender. Results Regardless of how many years had passed since the loss, symptom levels of prolonged grief, depression, posttraumatic stress symptoms, and insomnia were elevated in all subsamples. Mothers showed higher symptom levels of prolonged grief, depression, and posttraumatic stress than fathers. However, no significant interaction effects were found between years since loss and gender on any of the symptom levels. Conclusions Cancer‐bereaved mothers and fathers are vulnerable to prolonged grief and psychological symptoms up to 5 years after the death of their child. Findings highlight that bereaved parents may need long‐term support, and the results deserve further attention in research and clinical care.

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“…A five-point scoring system was used (1 = never and 5 = several times a day) to rate the first 11 items. The last two items regarding the length of bereavement and functional impairment were to be answered “yes” or “no.” Total scores of the 11 items excluding the functional impairment and length items were calculated to represent the severity levels of grief symptoms ( Pohlkamp et al, 2018 ). The Chinese version of PG-13 was shown to have good validity and reliability and was widely used in bereaved people ( He et al, 2014 ; Zhou et al, 2018 ).…”

Section: Methodsmentioning

confidence: 99%

Grief and Posttraumatic Growth Among Chinese Bereaved Parents Who Lost Their Only Child: The Moderating Role of Interpersonal Loss

Wen

Zhou

et al. 2020

Front. Psychol.

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Objective : Losing the only child is considered as the most severe kind of bereavement. It can trigger intense grief symptoms along with loss of psychosocial resources, but meanwhile, it can also lead to posttraumatic growth (PTG). The current study aimed to examine (a) whether a curvilinear relationship exists between grief and PTG and (b) the moderating role of resources-loss among Chinese bereaved parents who lost their only child (shidu parents). Methods : One hundred and ninety-nine shidu parents from five provinces completed the assessment packet covering prolonged grief symptoms and PTG, as well as resource loss. Hierarchical regression analyses were computed to examine the curvilinear relationship and the moderating effect of interpersonal loss and socio-economic loss. Results : There was no significant curvilinear relationship between grief and PTG in shidu parents. Under the high levels of interpersonal loss, shidu parents’ PTG scores decreased as the severity of grief increased. However, the socio-economic loss did not show a significant moderating effect. Conclusion : The results of the current study did not show a significant curvilinear relationship between grief and PTG in shidu parents. High levels of grief coupled with high levels of interpersonal loss may interfere with their ability to achieve PTG. Therefore, evaluating degrees of interpersonal loss seems to be an important part of the treatment process when working with shidu parents. To facilitate their adaptation from a positive perspective, helping them maintain existing or develop new interpersonal relationships may be helpful.

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Psychometric properties of the Prolonged Grief Disorder-13 (PG-13) in bereaved Swedish parents

Cited by 98 publications

References 46 publications

Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies

Double bereavement, mental health consequences and support needs of children and young adults—When a divorced parent dies

Bereaved mothers' and fathers' prolonged grief and psychological health 1 to 5 years after loss—A nationwide study

Grief and Posttraumatic Growth Among Chinese Bereaved Parents Who Lost Their Only Child: The Moderating Role of Interpersonal Loss

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