The prevalence and correlates of psychiatric comorbidity in individuals with complicated grief

Simon, Naomi M.; Shear, Katherine; Thompson, Elizabeth H.; Zalta, Alyson K.; Perlman, Carol A.; Reynolds, Charles F.; Frank, Ellen; Melhem, Nadine M.; Silowash, Russell

doi:10.1016/j.comppsych.2007.05.002

Cited by 291 publications

(215 citation statements)

References 32 publications

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“…The size of the associations between prolonged grief, depression, and anxiety show that there are strong linear relationships between these constructs, but that there is no complete overlap. This is consistent with both factor analytic studies (Boelen, van de Schoot, van den Hout, de Keijser, & van den Bout, 2010) and studies examining comorbidity of different forms of psychopathology following loss (Simon et al, 2007) which have indicated that prolonged grief, depression, and anxiety are overlapping, yet distinguishable constructs.…”

Section: Discussionsupporting

confidence: 71%

Does worry affect adjustment to bereavement? A longitudinal investigation

Eisma

Boelen

Schüt

et al. 2016

Anxiety, Stress, & Coping

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Background and objectives: Repetitive thought is a trans-diagnostic risk-factor for development of psychopathology. Research on repetitive thought in bereaved individuals has focused primarily on clarifying the role of rumination, repetitive thinking about past negative events and/or negative emotions. While detrimental effects of rumination have been demonstrated following bereavement, surprisingly few studies have aimed to clarify the role of worry, repetitive thinking about potential future negative events, in adjustment to loss. This study sought to fill this gap in knowledge. Methods/Design: One hundred eighty-three bereaved individuals (85.3% women) filled out questionnaires on sociodemographic and loss-related characteristics, worry, and symptom measures of depression, anxiety, and prolonged grief. After six months, 155 participants completed worry and symptom measures again. Using multiple regression analyses, concurrent and longitudinal associations between loss-related variables, worry, and symptoms of psychopathology were examined. Results: Main results were that worry was strongly positively associated with symptoms of anxiety, depression and prolonged grief concurrently and also predicted higher levels of anxiety, depression and prolonged grief longitudinally. Conclusions: Findings suggest that worry influences adjustment to bereavement negatively and may be a potential target in grief therapy, especially when aiming to reduce anxiety. ARTICLE HISTORY

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Section: Discussionsupporting

confidence: 71%

Does worry affect adjustment to bereavement? A longitudinal investigation

Eisma

Boelen

Schüt

et al. 2016

Anxiety, Stress, & Coping

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“…This study recruited a group of older adults who had complicated grief but did not have comorbid major depressive disorder, because although the disorders can be comorbid (Sung et al, 2011), complicated grief is distinct from depression in 50%-60% of clinical samples (Neria et al, 2007;Simon et al, 2007). Statistical methods such as stepwise multiple regression have been used previously in an effort to account for depressive symptomatology (Maccallum & Bryant, 2010).…”

Section: Correlates Of Complicated Griefmentioning

confidence: 99%

“…These symptom clusters include (a) separation distress (intense yearning and searching for the deceased, intrusive preoccupying thoughts about the deceased, and excessive loneliness) and (b) cognitive, emotional, and behavior symptoms (futility about the future, numbness or detachment, disbelief about the death, feeling that life is meaningless or part of oneself has died, a lost sense of security or trust, assuming physical symptoms of the deceased, or excessive anger related to the death). Several studies show discrimination between complicated grief and major depression and between complicated grief and posttraumatic stress disorder (Neria et al, 2007;Simon et al, 2007).…”

mentioning

confidence: 99%

Neuropsychological Correlates of Complicated Grief in Older Spousally Bereaved Adults

O’Connor

Arizmendi

2013

The Journals of Gerontology Series B: Psychological Sciences an

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Objectives. Across many research domains, evidence for complicated grief as a distinct psychopathology continues to grow. Previous research from neuropsychology has shown an increased attentional bias to emotionally relevant stimuli in those suffering from complicated grief. This study furthers our understanding of the characteristics that distinguish complicated grief. We expand on previous research by (a) testing older adults, (b) excluding those with comorbid major depressive disorder, (c) using participant-chosen grief-related stimuli, and (d) using a married, nonbereaved control group.Methods. We recruited 76 older adults in 3 groups: spousally bereaved with complicated grief, spousally bereaved with noncomplicated grief, and nonbereaved controls. Performance on the Wisconsin Card Sorting Task, Digit Span Backwards, and the emotional counting Stroop was examined. Results.Results indicate longer reaction time across 3 blocks of grief-related words in the complicated grief group but no difference across 3 blocks of the neutral words. The 3 groups performed comparably on the other neurocognitive tasks, indicating no cognitive differences in working memory or set shifting between groups. Furthermore, these effects of complicated grief generalize to older adults and appear independent of major depression.Discussion. Complicated grief has cognitive interference as a neuropsychological component highlighting it as distinct from noncomplicated grief.

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“…La teoría revisada permitió identificar los componentes propios de la manifestación del duelo, estos componentes están relacionados con ciertos aspectos específicos como factores personales, tipo de muerte, rol del fallecido y tipo de vínculo; pero para determinar duelo patológico se establecen algunos criterios relacionados con el tiempo, la intensidad de la expresión emocional y las creencias distorsionadas, que permiten distinguir esta manifestación de otro tipo de patología (Maccallum & Bryant, 2011;Metzger & Matt 2008;Newson, et al, 2011;;Simon, et al, 2007).…”

Section: Discussionunclassified

“…Esta situación ha puesto en alerta a la comunidad científica que ha realizado diferentes investigaciones en el tema de duelo y específicamente en el de duelo patológico; aspecto que ha originado confusión en algunos casos ya que según los criterios para duelo, este debe considerarse como un trastorno depresivo, lo que impide una adecuada evaluación y tratamiento (Maccallum & Bryant, 2011;Metzger & Matt 2008;Newson et al, 2011;Simon et al, 2007).…”

Section: Limitacionesunclassified

Diseño y análisis psicométrico del inventario IPDP para evaluar el proceso de duelo patológico en adultos

Bernal

Prieto

2018

Divers.: Perspect. Psicol.

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ResumenSe diseñó y realizó el análisis psicométrico de un instrumento para evaluar duelo patológico en adultos. El estudio es de tipo instrumental, los participantes fueron 235 hombres y mujeres mayores de 18 años. La validación de contenido se realizó con 8 jueces expertos en el tema y en psicometría, para la validez de constructo se realizó un análisis factorial exploratorio. Los ítems se agruparon en cuatro (4) factores que explican el 64.64% de la varianza. En el análisis bajo la teoría de respuesta al ítem (TRI), se encontró que el INFIT de los ítems o estadígrafo de ajuste que captura respuestas no esperadas, cerca del nivel de habilidad del evaluado osciló entre 0.6 y 1.19 y el OUTFIT estadígrafo que captura anomalías lejos de las habilidades calibradas para los evaluados, osciló entre .34 y 1.20, resultados que indican que la prueba cumple con los requerimientos psicométricos exigidos para este tipo de instrumentos. El instrumento aporta a la psicología, puesto que puede ser usado como una medida válida, fiable y útil para el objetivo y contexto para el cual fue elaborado.Palabras clave: Duelo (DOO6117), test (SC32180), validez (SC58280), confiabilidad (SC52250), Psicometría (D011594) AbstractWe designed and analyzed an instrument to measure pathological grief in adults with 235 participants. Eight experts in grief and psychometry participated in the content validity phase, and an exploratory factor analysis was performed to assess construct validity. Items were grouped in four factors explaining 64.64% of the variance. The IRT analysis found an infit between 0.6 and 1.19 and the outfit between 0.34 and 1.20. The test fulfills the required psychometric indicators.

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The prevalence and correlates of psychiatric comorbidity in individuals with complicated grief

Abstract: Our data provide further support for the need to identify CG as a psychiatric disorder.

Cited by 291 publications

References 32 publications

Does worry affect adjustment to bereavement? A longitudinal investigation

Does worry affect adjustment to bereavement? A longitudinal investigation

Neuropsychological Correlates of Complicated Grief in Older Spousally Bereaved Adults

Diseño y análisis psicométrico del inventario IPDP para evaluar el proceso de duelo patológico en adultos

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