The Associations of Complicated Grief, Depression, Posttraumatic Growth, and Hope Among Bereaved Youth

Salloum, Alison; Bjoerke, Anne; Johnco, Carly

doi:10.1177/0030222817719805

Cited by 31 publications

(26 citation statements)

References 46 publications

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“…Complicated grief is common in adolescent suicide survivors who have experienced bereavement due to suicide in an intimate relationship, and it is reported to be closely associated with psychiatric symptoms such as depression [30], anxiety, PTSD, and suicide ideation [31]. Some studies have suggested that there may be a long time-gap between the time of bereavement and the expression of psychiatric symptoms such as depression and anxiety [31], and there is a need to prioritize treatment of complicated grief [32]. This is derived from the fact that complicated grief is accompanied by difficulty accepting bereavement, anger about bereavement, and loss of meaning in life after bereavement, and can persist throughout a lifetime, existing as a clearly separate but related construct with other psychiatric symptoms such as depression, anxiety, and PTSD [32,33].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have suggested that there may be a long time-gap between the time of bereavement and the expression of psychiatric symptoms such as depression and anxiety [31], and there is a need to prioritize treatment of complicated grief [32]. This is derived from the fact that complicated grief is accompanied by difficulty accepting bereavement, anger about bereavement, and loss of meaning in life after bereavement, and can persist throughout a lifetime, existing as a clearly separate but related construct with other psychiatric symptoms such as depression, anxiety, and PTSD [32,33]. One previous study [34] has demonstrated that the core resources to alleviate the symptoms of grief in adolescents are hope and positive expectations about the future.…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors

Kim

Hong²,

Hong

2020

J Korean Acad Child Adolesc Psychiatry

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This study aims to examine the effect of adolescent suicide survivors' experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard. Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8-19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018. Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the "non-suicide survivor with non-referral" and "suicide survivor with non-referral" groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21-2.89] and 4.59 (adjusted odds ratio= 4.59, 95% CI=2.02-10.42) times higher odds of suicide death, respectively, the "suicide survivor with referral" group showed no difference compared to the "non-suicide survivor with referral" group. Conclusion: From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors

Kim

Hong²,

Hong

2020

J Korean Acad Child Adolesc Psychiatry

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“…Time since the loss seems to be an important factor associated with PTG ( Waugh et al, 2018 ). A study on bereaved youth also did not find this curve relationship ( Salloum et al, 2019 ). These results suggested that the patterns of the relationship between grief and growth may vary in different samples.…”

Section: Discussionmentioning

confidence: 99%

“…Lots of studies have examined the relationship between grief and PTG but with conflicting results. Some studies show a negative correlation ( Engelkemeyer and Marwit, 2008 ), some positive ( Xu et al, 2015 ), or no significant correlation at all ( Salloum et al, 2019 ). These inconsistent findings suggest that the relationship between grief and PTG may vary in different bereaved samples.…”

Section: Introductionmentioning

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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“…Other adverse effects include rumination, feelings of guilt for not having prevented the death, and guilt for positive emotions after a loss (Shear, 2008). Combined with a decrease in hope, complicated grief predicts greater depressive and somatic symptoms (Herberman Mash et al, 2013;Salloum et al, 2019). Research suggests that between 10-21% of bereaved students eventually develop complicated grief (Cox et al, 2015;Herberman Mash et al, 2013;Schnider et al, 2007).…”

Section: Impact Of Unresolved Griefmentioning

confidence: 99%

Understanding Bereavement among College Students: Implications for Practice and Research

Shea

Bistricean

2022

IDE

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The experience of losing a first-degree family member, followed by a second-degree family, and a close friend is prevalent among college students. Bereavement affects student success as they must balance grief and academics. Culture also influences the expression and experience of grief, making it essential to understand grief and bereavement in context. The recent COVID-19 global pandemic has exacerbated the experience of loss and grief among college students, which warrants a better understanding and intervention for disenfranchised grief. Social and emotional support for disenfranchised grief is not always provided, as this type of grief is often socially unsanctioned. The lack of support and understanding could make it difficult for individuals with disenfranchised grief to cope with the demands of higher education and bereavement process. Counseling implications for how universities and colleges could intervene on the bereaved student's behalf are discussed.

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The Associations of Complicated Grief, Depression, Posttraumatic Growth, and Hope Among Bereaved Youth

Cited by 31 publications

References 46 publications

The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors

The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors

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

Understanding Bereavement among College Students: Implications for Practice and Research

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