Skip to main content
Top
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 2/2011

01-06-2011

Separation and Traumatic Distress in Prolonged Grief: The Role of Cause of Death and Relationship to the Deceased

Auteurs: Jason M. Holland, Robert A. Neimeyer

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 2/2011

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

A distinction has been drawn between symptoms of separation distress (e.g., yearning/longing for the lost relationship) and traumatic distress (e.g., numbness, anger/bitterness) in prolonged grief disorder (PGD), a chronic and severe form of grieving that has been shown to predict a range of negative mental and physical health outcomes. The present study relied upon information from 947 recently bereaved young adults and tested the hypothesis that levels of separation distress primarily would be influenced by aspects of the relationship with the deceased (i.e., primary attachment figures vs. more distant relationships), whereas levels of traumatic distress would be influenced more by situational factors surrounding the death itself (i.e., cause of death). Results generally supported this hypothesis with a few important qualifications. Implications for the assessment and treatment of bereaved individuals are discussed.
Voetnoten
1
Mardia’s kurtosis coefficient is not normalized. Thus, it should not be interpreted as a z score.
 
2
Chi square values computed using MLM cannot be used to conduct a chi square difference test. Thus, chi square tests computed using maximum likelihood were used to compare the 1 and 2-factor models. This test revealed that the 2-factor model significantly improved fit over the 1-factor model, χ 2(1) = 161.71, p < .001.
 
Literatuur
go back to reference Ball, J. F. (1977). Widow’s grief: the impact of age and mode of death. Omega, 7, 307–333. Ball, J. F. (1977). Widow’s grief: the impact of age and mode of death. Omega, 7, 307–333.
go back to reference Bentler, P. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.PubMedCrossRef Bentler, P. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.PubMedCrossRef
go back to reference Boelen, P. A., & van den Bout, J. (2005). Complicated grief, depression, and anxiety as distinct postloss syndromes: a confirmatory factor analysis study. The American Journal of Psychiatry, 162, 2175–2177.PubMedCrossRef Boelen, P. A., & van den Bout, J. (2005). Complicated grief, depression, and anxiety as distinct postloss syndromes: a confirmatory factor analysis study. The American Journal of Psychiatry, 162, 2175–2177.PubMedCrossRef
go back to reference Boelen, P. A., van den Bout, J., & de Keijser, J. (2003a). Traumatic grief as a disorder distinct from bereavement-related depression and anxiety: a replication study with bereaved mental health care patients. The American Journal of Psychiatry, 160, 1339–1341.PubMedCrossRef Boelen, P. A., van den Bout, J., & de Keijser, J. (2003a). Traumatic grief as a disorder distinct from bereavement-related depression and anxiety: a replication study with bereaved mental health care patients. The American Journal of Psychiatry, 160, 1339–1341.PubMedCrossRef
go back to reference Boelen, P. A., van den Bout, J., de Keijser, J., & Hoijtink, H. (2003b). Reliability and validity of the Dutch version of the Inventory of Traumatic Grief (ITG). Death Studies, 27, 227–247.PubMedCrossRef Boelen, P. A., van den Bout, J., de Keijser, J., & Hoijtink, H. (2003b). Reliability and validity of the Dutch version of the Inventory of Traumatic Grief (ITG). Death Studies, 27, 227–247.PubMedCrossRef
go back to reference Bonanno, G. A., Neria, Y., Mancini, A., Coifman, K. G., Litz, B., & Insel, B. (2007). Is there more to grief than depression and PTSD? A test of incremental validity. Journal of Abnormal Psychology, 116, 342–351.PubMedCrossRef Bonanno, G. A., Neria, Y., Mancini, A., Coifman, K. G., Litz, B., & Insel, B. (2007). Is there more to grief than depression and PTSD? A test of incremental validity. Journal of Abnormal Psychology, 116, 342–351.PubMedCrossRef
go back to reference Browne, M., & Cudeck, R. (1993). Alternate ways of assessing model fit. In K. Bollen & J. Long (Eds.), Testing structural equations models (pp. 1136–1162). Newbury Park: Sage. Browne, M., & Cudeck, R. (1993). Alternate ways of assessing model fit. In K. Bollen & J. Long (Eds.), Testing structural equations models (pp. 1136–1162). Newbury Park: Sage.
go back to reference Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park: Sage. Bryk, A. S., & Raudenbush, S. W. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park: Sage.
go back to reference Chen, J. H., Bierhals, A. J., Prigerson, H. G., Kasl, S. V., Mazure, C. M., & Jacobs, S. (1999). Gender differences in the effects of bereavement-related distress in health outcomes. Psychological Medicine, 29, 367–380.PubMedCrossRef Chen, J. H., Bierhals, A. J., Prigerson, H. G., Kasl, S. V., Mazure, C. M., & Jacobs, S. (1999). Gender differences in the effects of bereavement-related distress in health outcomes. Psychological Medicine, 29, 367–380.PubMedCrossRef
go back to reference Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev. ed.). New York: Academic. Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev. ed.). New York: Academic.
go back to reference Currier, J. M., Holland, J. M., Coleman, R. A., & Neimeyer, R. A. (2008). Bereavement following violent death: An assault on life and meaning. In R. Stevenson & G. Cox (Eds.), Perspectives on violence and violent death (pp. 177–202). Amityville: Baywood. Currier, J. M., Holland, J. M., Coleman, R. A., & Neimeyer, R. A. (2008). Bereavement following violent death: An assault on life and meaning. In R. Stevenson & G. Cox (Eds.), Perspectives on violence and violent death (pp. 177–202). Amityville: Baywood.
go back to reference Eth, S., & Pynoos, R. (1985). Interaction of trauma and grief in childhood. In S. Eth & R. Pynoos (Eds.), Post-traumatic stress disorder in children (pp. 169–186). Washington: American Psychiatric Press. Eth, S., & Pynoos, R. (1985). Interaction of trauma and grief in childhood. In S. Eth & R. Pynoos (Eds.), Post-traumatic stress disorder in children (pp. 169–186). Washington: American Psychiatric Press.
go back to reference Faschingbauer, T. R. (1981). Texas revised inventory of grief manual. Houston: Honeycomb. Faschingbauer, T. R. (1981). Texas revised inventory of grief manual. Houston: Honeycomb.
go back to reference Frueh, B. C., Brady, K. L., & de Arellano, M. A. (1998). Racial differences in combat-related PTSD: empirical findings and conceptual issues. Clinical Psychology Review, 18, 287–305.PubMedCrossRef Frueh, B. C., Brady, K. L., & de Arellano, M. A. (1998). Racial differences in combat-related PTSD: empirical findings and conceptual issues. Clinical Psychology Review, 18, 287–305.PubMedCrossRef
go back to reference Goldsmith, B., Morrison, R. S., Vanderwerker, L. C., & Prigerson, H. G. (2008). Elevated rates of prolonged grief disorder in African Americans. Death Studies, 32, 352–365.PubMedCrossRef Goldsmith, B., Morrison, R. S., Vanderwerker, L. C., & Prigerson, H. G. (2008). Elevated rates of prolonged grief disorder in African Americans. Death Studies, 32, 352–365.PubMedCrossRef
go back to reference Green, B. L. (2000). Traumatic loss: conceptual and empirical links between trauma and bereavement. Journal of Personal & Interpersonal Loss, 5, 1–17. Green, B. L. (2000). Traumatic loss: conceptual and empirical links between trauma and bereavement. Journal of Personal & Interpersonal Loss, 5, 1–17.
go back to reference Hogan, N. S., Worden, J. W., & Schmidt, L. A. (2004). An empirical study of the proposed complicated grief disorder criteria. Omega, 48, 263–277. Hogan, N. S., Worden, J. W., & Schmidt, L. A. (2004). An empirical study of the proposed complicated grief disorder criteria. Omega, 48, 263–277.
go back to reference Holland, J. M., Currier, J. M., & Gallagher-Thompson, D. (2009a). Outcomes from the Resources for Enhancing Alzheimer’s Caregiver Health (REACH) program for bereaved caregivers. Psychology and Aging, 24, 190–202.PubMedCrossRef Holland, J. M., Currier, J. M., & Gallagher-Thompson, D. (2009a). Outcomes from the Resources for Enhancing Alzheimer’s Caregiver Health (REACH) program for bereaved caregivers. Psychology and Aging, 24, 190–202.PubMedCrossRef
go back to reference Holland, J. M., Neimeyer, R. A., Boelen, P. A., & Prigerson, H. G. (2009b). The underlying structure of grief: a taxometric investigation of prolonged and normal reactions to loss. Journal of Psychopathology and Behavioral Assessment, 31, 190–201.CrossRef Holland, J. M., Neimeyer, R. A., Boelen, P. A., & Prigerson, H. G. (2009b). The underlying structure of grief: a taxometric investigation of prolonged and normal reactions to loss. Journal of Psychopathology and Behavioral Assessment, 31, 190–201.CrossRef
go back to reference Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef
go back to reference Jacobs, S. C. (1993). Pathologic grief: Maladaptation to loss. Washington: American Psychiatric Press. Jacobs, S. C. (1993). Pathologic grief: Maladaptation to loss. Washington: American Psychiatric Press.
go back to reference Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press. Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press.
go back to reference Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford. Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford.
go back to reference Kulka, R. A., Schlenger, W. A., Fairbanks, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel. Kulka, R. A., Schlenger, W. A., Fairbanks, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
go back to reference Latham, A. E., & Prigerson, H. G. (2004). Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide & Life-Threatening Behavior, 34, 350–362.CrossRef Latham, A. E., & Prigerson, H. G. (2004). Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide & Life-Threatening Behavior, 34, 350–362.CrossRef
go back to reference Laurie, A., & Neimeyer, R. A. (2008). African Americans in bereavement: grief as a function of ethnicity. Omega: Journal of Death and Dying, 57, 173–193.PubMedCrossRef Laurie, A., & Neimeyer, R. A. (2008). African Americans in bereavement: grief as a function of ethnicity. Omega: Journal of Death and Dying, 57, 173–193.PubMedCrossRef
go back to reference Lindy, J. D., Green, B. L., Grace, M., & Titchener, J. (1983). Psychotherapy with survivors of the Beverly Hills Supper Club fire. American Journal of Psychotherapy, 37, 593–610.PubMed Lindy, J. D., Green, B. L., Grace, M., & Titchener, J. (1983). Psychotherapy with survivors of the Beverly Hills Supper Club fire. American Journal of Psychotherapy, 37, 593–610.PubMed
go back to reference Miniño, A. M., Arias, E., Kochanek, K. D., Murphy, S. L., & Smith, B. L. (2002). Deaths: Final data for 2000. National Vital Statistics Reports, 50(15), 1–120. Miniño, A. M., Arias, E., Kochanek, K. D., Murphy, S. L., & Smith, B. L. (2002). Deaths: Final data for 2000. National Vital Statistics Reports, 50(15), 1–120.
go back to reference Muthén, L. K., & Muthén, B. O. (2006). Mplus user’s guide (4th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2006). Mplus user’s guide (4th ed.). Los Angeles: Muthén & Muthén.
go back to reference Neimeyer, R. A., & Sands, D. C. (2011). Meaning reconstruction in bereavement: From principles to practice. In R. A. Neimeyer, H. Winokuer, D. Harris, & G. Thornton (Eds.), Grief and bereavement in contemporary society: Bridging research and practice. New York: Routledge. Neimeyer, R. A., & Sands, D. C. (2011). Meaning reconstruction in bereavement: From principles to practice. In R. A. Neimeyer, H. Winokuer, D. Harris, & G. Thornton (Eds.), Grief and bereavement in contemporary society: Bridging research and practice. New York: Routledge.
go back to reference Neimeyer, R. A., Baldwin, S. A., & Gillies, J. (2006). Continuing bonds and reconstructing meaning: Mitigating complications in bereavement. Death Studies, 30, 715–738.PubMedCrossRef Neimeyer, R. A., Baldwin, S. A., & Gillies, J. (2006). Continuing bonds and reconstructing meaning: Mitigating complications in bereavement. Death Studies, 30, 715–738.PubMedCrossRef
go back to reference Ott, C. H. (2003). The impact of complicated grief on mental and physical health at various points in the bereavement process. Death Studies, 27, 249–272.PubMedCrossRef Ott, C. H. (2003). The impact of complicated grief on mental and physical health at various points in the bereavement process. Death Studies, 27, 249–272.PubMedCrossRef
go back to reference Perilla, J. L., Norris, F. H., & Lavizzo, E. A. (2002). Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD 6 months after Hurricane Andrew. Journal of Social and Clinical Psychology, 21, 20–45.CrossRef Perilla, J. L., Norris, F. H., & Lavizzo, E. A. (2002). Ethnicity, culture, and disaster response: identifying and explaining ethnic differences in PTSD 6 months after Hurricane Andrew. Journal of Social and Clinical Psychology, 21, 20–45.CrossRef
go back to reference Peugh, J. L., & Enders, C. K. (2005). Using the SPSS mixed procedure to fit cross-sectional and longitudinal multilevel models. Educational and Psychological Measurement, 65, 717–741.CrossRef Peugh, J. L., & Enders, C. K. (2005). Using the SPSS mixed procedure to fit cross-sectional and longitudinal multilevel models. Educational and Psychological Measurement, 65, 717–741.CrossRef
go back to reference Prigerson, H. G., & Jacobs, S. C. (2001). Diagnostic criteria for traumatic grief: A rationale, consensus criteria, and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 613–645). Washington: American Psychological Association.CrossRef Prigerson, H. G., & Jacobs, S. C. (2001). Diagnostic criteria for traumatic grief: A rationale, consensus criteria, and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 613–645). Washington: American Psychological Association.CrossRef
go back to reference Prigerson, H. G., Frank, E., Kasl, S. V., Reynolds, C. F., Anderson, B., Zubenko, G. S., et al. (1995a). Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses. The American Journal of Psychiatry, 152, 22–30.PubMed Prigerson, H. G., Frank, E., Kasl, S. V., Reynolds, C. F., Anderson, B., Zubenko, G. S., et al. (1995a). Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses. The American Journal of Psychiatry, 152, 22–30.PubMed
go back to reference Prigerson, H. G., Maciejewski, P., Reynolds, C., Bierhals, A., Newsom, J., Fasiczka, A., et al. (1995b). Inventory of complicated grief. Psychiatry Research, 59, 65–79.PubMedCrossRef Prigerson, H. G., Maciejewski, P., Reynolds, C., Bierhals, A., Newsom, J., Fasiczka, A., et al. (1995b). Inventory of complicated grief. Psychiatry Research, 59, 65–79.PubMedCrossRef
go back to reference Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F., Shear, M. K., Newsom, J. T., et al. (1996). Complicated grief as a disorder distinct from bereavement-related depression and anxiety: a replication study. The American Journal of Psychiatry, 153, 1484–1486.PubMed Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F., Shear, M. K., Newsom, J. T., et al. (1996). Complicated grief as a disorder distinct from bereavement-related depression and anxiety: a replication study. The American Journal of Psychiatry, 153, 1484–1486.PubMed
go back to reference Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F., Shear, M. K., Day, N., et al. (1997). Traumatic grief as a risk factor for mental and physical morbidity. The American Journal of Psychiatry, 154, 616–623.PubMed Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F., Shear, M. K., Day, N., et al. (1997). Traumatic grief as a risk factor for mental and physical morbidity. The American Journal of Psychiatry, 154, 616–623.PubMed
go back to reference Prigerson, H. G., Ahmed, I., Silverman, G. K., Saxena, A., Maciejewski, P. K., Jacobs, S. C., et al. (2002). Rates and risks of complicated grief among psychiatric clinic patients in Karachi, Pakistan. Death Studies, 26, 781–792.PubMedCrossRef Prigerson, H. G., Ahmed, I., Silverman, G. K., Saxena, A., Maciejewski, P. K., Jacobs, S. C., et al. (2002). Rates and risks of complicated grief among psychiatric clinic patients in Karachi, Pakistan. Death Studies, 26, 781–792.PubMedCrossRef
go back to reference Prigerson, H. G., Vanderwerker, L. C., & Maciejewski, P. K. (2008). A case for inclusion of prolonged grief disorder in DSM-V. In M. Stroebe, R. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 165–186). Washington: American Psychological Association. Prigerson, H. G., Vanderwerker, L. C., & Maciejewski, P. K. (2008). A case for inclusion of prolonged grief disorder in DSM-V. In M. Stroebe, R. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 165–186). Washington: American Psychological Association.
go back to reference Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., et al. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 6, e1000121.PubMedCrossRef Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., et al. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 6, e1000121.PubMedCrossRef
go back to reference Pynoos, R. S., & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: research implications. Journal of Traumatic Stress, 1, 445–473.CrossRef Pynoos, R. S., & Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: research implications. Journal of Traumatic Stress, 1, 445–473.CrossRef
go back to reference Ringdal, G. I., Jordhøy, M. S., Ringdal, K., & Kaasa, S. (2001). Factors affecting grief reactions in close family members to individuals who have died of cancer. Journal of Pain and Symptom Management, 22, 1016–1026.PubMedCrossRef Ringdal, G. I., Jordhøy, M. S., Ringdal, K., & Kaasa, S. (2001). Factors affecting grief reactions in close family members to individuals who have died of cancer. Journal of Pain and Symptom Management, 22, 1016–1026.PubMedCrossRef
go back to reference Rubin, S. S., Malkinson, R., & Witztum, E. (2003). Trauma and bereavement: conceptual and clinical issues revolving around relationships. Death Studies, 27, 667–690.PubMedCrossRef Rubin, S. S., Malkinson, R., & Witztum, E. (2003). Trauma and bereavement: conceptual and clinical issues revolving around relationships. Death Studies, 27, 667–690.PubMedCrossRef
go back to reference Rubin, S. S., Malkinson, R., Koren, D., & Michaeli, E. (2009). The Two-Track Model of Bereavement Questionnaire (TTBQ): development and validation of a relational measure. Death Studies, 33, 305–333.PubMedCrossRef Rubin, S. S., Malkinson, R., Koren, D., & Michaeli, E. (2009). The Two-Track Model of Bereavement Questionnaire (TTBQ): development and validation of a relational measure. Death Studies, 33, 305–333.PubMedCrossRef
go back to reference Rynearson, T. (1994). Psychotherapy of bereavement after homicide. Journal of Psychotherapy Practice and Research, 3, 341–347. Rynearson, T. (1994). Psychotherapy of bereavement after homicide. Journal of Psychotherapy Practice and Research, 3, 341–347.
go back to reference Sanders, C. M. (1981). Comparison of younger and older spouses in bereavement outcome. Omega, 11, 217–232. Sanders, C. M. (1981). Comparison of younger and older spouses in bereavement outcome. Omega, 11, 217–232.
go back to reference Singer, J. D. (1998). Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models. Journal of Educational and Behavioral Statistics, 24, 323–355. Singer, J. D. (1998). Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models. Journal of Educational and Behavioral Statistics, 24, 323–355.
go back to reference Stroebe, M., Schut, H., & Finkenauer, C. (2001). The traumatization of grief? A conceptual framework for understanding the trauma-bereavement interface. Israel Journal of Psychiatry and Related Sciences, 38, 185–201.PubMed Stroebe, M., Schut, H., & Finkenauer, C. (2001). The traumatization of grief? A conceptual framework for understanding the trauma-bereavement interface. Israel Journal of Psychiatry and Related Sciences, 38, 185–201.PubMed
Metagegevens
Titel
Separation and Traumatic Distress in Prolonged Grief: The Role of Cause of Death and Relationship to the Deceased
Auteurs
Jason M. Holland
Robert A. Neimeyer
Publicatiedatum
01-06-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 2/2011
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-010-9214-5

Andere artikelen Uitgave 2/2011

Journal of Psychopathology and Behavioral Assessment 2/2011 Naar de uitgave