scholarly journals Prolonged Grief Disorder Among Refugees in Psychological Treatment—Association With Self-Efficacy and Emotion Regulation

2020 ◽  
Vol 11 ◽  
Author(s):  
Oriane Lacour ◽  
Naser Morina ◽  
Julia Spaaij ◽  
Angela Nickerson ◽  
Ulrich Schnyder ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Self Efficacy ◽  
Psychological Treatment ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief

The Role of Emotion Regulation and Self-Efficacy in an Internet Intervention for Grief: A Mediation Analysis. (Preprint)

2021 ◽  
Author(s):  
Jeannette Brodbeck ◽  
Thomas Berger ◽  
Nicola Biesold ◽  
Franziska Rockstroh ◽  
Stefanie J. Schmidt ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Relative Strength ◽  
Brief Symptom Inventory ◽  
Internet Intervention ◽  
Prolonged Grief ◽  
Internet Interventions ◽  
Path Models ◽  
Psychopathology Symptoms

BACKGROUND Internet interventions for mental disorders and psychological problems such as prolonged grief have established their efficacy. However, less is known about how internet interventions work and through which mechanisms they are linked to the outcomes. OBJECTIVE As a first step in identifying mechanisms of change, this study examined emotion regulation and loss-related coping self-efficacy as putative mediators in a randomised controlled trial of a guided internet intervention for prolonged grief symptoms after spousal bereavement or separation/divorce. METHODS The sample consisted of older adults who reported prolonged grief or adaptation problems after bereavement or separation/divorce and sought help from a guided internet intervention. They were recruited mainly via newspaper articles. Outcome variables were grief symptoms assessed with the Texas Revised Inventory of Grief and psychopathology symptoms assessed with the Brief Symptom Inventory. Six module-related items assessed loss-focused emotion regulation and loss-related coping-self-efficacy. Path models with the simultaneous inclusion of emotion regulation and self-efficacy investigated the specificity and relative strength of these variables as parallel mediators. RESULTS A total of 100 participants who took part in the guided internet intervention. Average age was 51 years; 80% were separated/divorced, 69% were female and 76% were of Swiss origin. The internet intervention increased emotion-regulation skills (b = .34; P = .001) and loss-related self-efficacy (b = .30; P = .002) which both correlated with improvements in grief and psychopathology symptoms. Path models including both putative mediators simultaneously indicated that emotion regulation was directly associated with improvements in grief symptoms (b = .40; P = <.001) but not psychopathology symptoms (b = .01; P = .638). Loss-related self-efficacy was directly related to improvements in psychopathology symptoms (b = .28; P = .017) but not grief symptoms (b = .16; P = .186). The path from the intervention to the improvement in grief remained significant (b = .25; P = .007) in contrast to the path from the intervention to improvements in psychopathology (b = .13; P = .179). CONCLUSIONS Emotion regulation and loss-related coping self-efficacy are promising therapeutic targets for optimizing internet interventions for grief. Emotion regulation appears to be more important for enabling grief processing whereas loss-related coping self-efficacy might be more relevant for improving psychopathology in general. Emotion regulation and coping self-efficacy should be further examined as transdiagnostic or disorder-specific putative mediators in internet interventions for other disorders. CLINICALTRIAL ClinicalTrials.gov NCT02900534; https://clinicaltrials.gov/ct2/show/NCT02900534. INTERNATIONAL REGISTERED REPORT RR2-doi:10.1186/s13063-016-1759-5

Prolonged Grief Disorder

2014 ◽  
Author(s):  
A.H. Jordan ◽  
B.T. Litz
Keyword(s):  
Prolonged Grief Disorder ◽  
Prolonged Grief

Risk Factors of Prolonged Grief Disorder: A Conceptual Framework

2011 ◽  
Author(s):  
Evgenia Milman ◽  
Christopher J. Mackinnon ◽  
Martin Drapeau
Keyword(s):  
Risk Factors ◽  
Conceptual Framework ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief

scholarly journals Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study

2019 ◽  
Vol 17 (5) ◽  
pp. 507-514 ◽  
Author(s):  
Rachel D. Zordan ◽  
Melanie L. Bell ◽  
Melanie Price ◽  
Cheryl Remedios ◽  
Elizabeth Lobb ◽  
...  
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Psychological Health ◽  
Linear Regression Analysis ◽  
Population Based ◽  
Anticipatory Grief ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Cancer Caregivers

AbstractContextThe short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.ObjectivesThe aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.MethodsA cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n= 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2,n= 167), 13 (T3,n= 143), and 37 months (T4,n= 85) after bereavement.ResultsAt T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (bothp< 0.0001) of PGD in the longer term.ConclusionFor almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.

scholarly journals Prolonged Grief Disorder and Depression in a German Community Sample

Death Studies ◽  
2014 ◽  
Vol 38 (7) ◽  
pp. 476-481 ◽  
Author(s):  
Susanne Schaal ◽  
Anne Richter ◽  
Thomas Elbert
Keyword(s):  
Community Sample ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief

Disturbo da lutto prolungato. Validazione psicometrica dei criteri proposti per DSM-V e ICD-11

PSICOBIETTIVO ◽  
2010 ◽  
pp. 91-118
Keyword(s):  
Item Response Theory ◽  
Item Response ◽  
Response Theory ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Dsm V ◽  
Dsm Iv

Contesto: Il lutto č un'esperienza universale e la sua associazione con morbilitŕ e mortalitŕ in eccesso č ben definita. Tuttavia, il lutto diventa una seria preoccupazione per la salute in una minoranza di casi. Per tali individui l'intenso cordoglio persiste, č doloroso e invalidante e puň soddisfare i criteri di un disturbo mentale distinto. Al momento, il lutto non č riconosciuta come un disturbo mentale nel DSM-IV o nell'ICD-10. L'obiettivo di questo studio č di determinare la validitŕ psicometrica dei criteri del disturbo da lutto prolungato (Prolonged Grief Disorder, PGD) per migliorare la rilevazione e il trattamento potenziale degli individui in lutto a maggiore rischio di dolore persistente e disfunzioni. Metodi e Risultati: Un totale di 291 soggetti in lutto č stato intervistato per tre volte, raggruppato in gruppi da 0-6, 6-12 e 12-24 mesi post-perdita. Le analisi della Item Response Theory (IRT) hanno fornito i sintomi del PGD maggiormente informativi e obiettivi. Le analisi combinatorie hanno individuato l'algoritmo del PGD piů sensibile e specifico che č stato poi testato per valutarne la validitŕ psicometrica. I criteri richiedono reazioni ad una perdita significativa che includa l'esperienza dello struggimento (ad esempio, la sofferenza fisica o emotiva come un risultato del ricongiungimento voluto, ma incompiuto, con il defunto) e almeno cinque dei seguenti nove sintomi sperimentati almeno quotidianamente o in maniera invalidante: sentirsi emotivamente intorpiditi, storditi, o che la vita č priva di senso; vivere sfiduciati; amarezza per la perdita, difficoltŕ ad accettare la perdita; confusione di identitŕ; evitamento della realtŕ della perdita, o difficoltŕ di proseguire con la vita. I sintomi devono essere presenti a livelli sufficientemente alti da almeno sei mesi dalla morte ed essere associati ad una compromissione funzionale. Conclusioni: I criteri fissati per il PGD sembrano in grado di identificare le persone in lutto con un maggiore rischio di dolore e disfunzione permanente. I risultati confermano la validitŕ psicometrica dei criteri del PGD che proponiamo per l'inclusione nel DSM-V e nell'ICD-11.

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