scholarly journals Symptomatology following loss and trauma: Latent class and network analyses of prolonged grief disorder, posttraumatic stress disorder, and depression in a treatment‐seeking trauma‐exposed sample

2019 ◽  
Vol 37 (1) ◽  
pp. 26-34 ◽  
Author(s):  
A. A. A. Manik J. Djelantik ◽  
Donald J. Robinaugh ◽  
Rolf J. Kleber ◽  
Geert E. Smid ◽  
Paul A. Boelen
2018 ◽  
Vol 53 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Fiona Maccallum ◽  
Richard A Bryant

Objective: Individuals vary in how they respond to bereavement. Those who experience poor bereavement outcomes often report symptoms from more than one diagnostic category. This study sought to identify groups of individuals who share similar patterns of prolonged grief disorder and posttraumatic stress disorder symptoms to determine whether these profiles are differentially related to negative appraisals thought to contribute to prolonged grief disorder and posttraumatic stress disorder symptomatology. Methods: Participants were 185 bereaved adults. Latent class analysis was used to identify subgroups of individuals who showed similar patterns of co-occurrence of prolonged grief disorder and posttraumatic stress disorder symptoms. Multinomial regression was used to examine the extent to which appraisal domains and sociodemographic and loss factors predicted class membership. Results: Latent class analysis revealed three classes of participants: a low symptom group, a high prolonged grief disorder symptom group, and a high prolonged grief disorder and posttraumatic stress disorder symptom group. Membership of the prolonged grief disorder group and prolonged grief disorder and posttraumatic stress disorder group was predicted by higher mean negative self-related appraisals. Demographic and loss-related factors did not predict group membership. Conclusion: These findings have implications for understanding co-occurrence of prolonged grief disorder and posttraumatic stress disorder symptoms following bereavement. Findings are consistent with theoretical models highlighting the importance of negative self-related beliefs in prolonged grief disorder.


2019 ◽  
pp. 003022281985490 ◽  
Author(s):  
Jasmine R. Eddinger ◽  
Madeleine M. Hardt ◽  
Joah L. Williams

This review gives an overview of treatments used to concurrently reduce symptoms of posttraumatic stress disorder (PTSD) and prolonged grief disorder (PGD). For purposes of this review, emphasis is placed on locating and comparing literature on exposure- and nonexposure-based treatments. Across 14 studies, the overall findings suggest that treatments are generally effective in treating PTSD and PGD concurrently and that treatments incorporating exposure-based components performed similarly to those without exposure-based components. However, methodological limitations preclude the ability to draw firm conclusions about the added impact of exposure-based components in traumatic grief treatment. Future directions for research on concurrent treatments for PTSD and PGD are discussed.


2020 ◽  
pp. 003022282096376
Author(s):  
Megan Weber Falk ◽  
Anette Alvariza ◽  
Ulrika Kreicbergs ◽  
Josefin Sveen

Posttraumatic stress disorder (PTSD) and prolonged grief disorder (PGD) are well-documented in parentally bereaved adolescents. Whether or not the parent’s death is perceived as traumatic may be influenced by several end-of-life-related factors. This study aimed to examine the associations between end-of-life-related factors, symptoms of posttraumatic stress disorder (PTSD), symptoms of prolonged grief disorder and PGD, and the association between PTSD and PGD. Mann-Whitney U tests and Spearman correlation were used to analyze the relationships between end-of-life-related factors, PTSD, and PGD. Regretting one’s decision to be present or not present at the time of death resulted in a significant difference in self-reported scores for PTSD, but not PGD.


Death Studies ◽  
2012 ◽  
Vol 36 (2) ◽  
pp. 97-117 ◽  
Author(s):  
Susanne Schaal ◽  
Jean-Pierre Dusingizemungu ◽  
Nadja Jacob ◽  
Frank Neuner ◽  
Thomas Elbert

2018 ◽  
Vol 5 ◽  
Author(s):  
P. Hyland ◽  
R. Ceannt ◽  
F. Daccache ◽  
R. Abou Daher ◽  
J. Sleiman ◽  
...  

BackgroundThe World Health Organization will publish its 11th revision of the International Classification of Diseases (ICD-11) in 2018. The ICD-11 will include a refined model of posttraumatic stress disorder (PTSD) and a new diagnosis of complex PTSD (CPTSD). Whereas emerging data supports the validity of these proposals, the discriminant validity of PTSD and CPTSD have yet to be tested amongst a sample of refugees.MethodsTreatment-seeking Syrian refugees (N = 110) living in Lebanon completed an Arabic version of the International Trauma Questionnaire; a measure specifically designed to capture the symptom content of ICD-11 PTSD and CPTSD.ResultsIn total, 62.6% of the sample met the diagnostic criteria for PTSD or CPTSD. More refugees met the criteria for CPTSD (36.1%) than PTSD (25.2%) and no gender differences were observed. Latent class analysis results identified three distinct groups: (1) a PTSD class, (2) a CPTSD class and (3) a low symptom class. Class membership was significantly predicted by levels of functional impairment.ConclusionSupport for the discriminant validity of ICD-11 PTSD and CPTSD was observed for the first time within a sample of refugees. In support of the cross-cultural validity of the ICD-11 proposals, the prevalence of PTSD and CPTSD were similar to those observed in culturally distinct contexts.


2010 ◽  
Vol 125 (1-3) ◽  
pp. 374-378 ◽  
Author(s):  
Paul A. Boelen ◽  
Rens van de Schoot ◽  
Marcel A. van den Hout ◽  
Jos de Keijser ◽  
Jan van den Bout

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