Feasibility of Present-Centered Therapy for Prolonged Grief Disorder: Results of a Pilot Study

Vogel, Anna; Comteße, Hannah; Nocon, Agnes; Kersting, Anette; Rief, Winfried; Steil, Regina; Rosner, Rita

doi:10.3389/fpsyt.2021.534664

Cited by 5 publications

(4 citation statements)

References 62 publications

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“…Of high clinical importance is the fact that NR was well-tolerated by the patients, although it included painful exposure components. The dropout rate in this study for NR (5.7%, n = 2) was lower than in previous studies examining treatment among PGD patients (e.g., 18% in the study by Shear et al, 2014; 21% in the study by Rosner et al, 2014; 29% in the study by Boelen & Prigerson, 2007; 15% in the study by Vogel et al, 2021). As mentioned above, dropout percentages can be misleading in small samples and may therefore limit one's ability to draw conclusions from the present study.…”

Section: Session-by-session Change In Pgd Symptomscontrasting

confidence: 71%

A quasi‐experimental trial of narrative reconstruction for prolonged grief disorder: Symptomatic improvement and enhanced memory integration

Elinger,

Hasson‐Ohayon,

Bar‐Shachar

et al. 2023

J Clin Psychol

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BackgroundProlonged grief disorder (PGD) was recently approved as a formal diagnosis in the DSM‐5‐TR. The implementation of bereavement interventions is frequently requested, but their effectiveness has been controversial. Narrative reconstruction (NR) is a time‐limited integrative therapy, originally developed for the treatment of post‐traumatic stress disorder (PTSD) and adapted for the treatment of PGD. NR consists of exposure to the loss memory, a detailed written reconstruction of the loss memory narrative, and an elaboration of the personal significance of that memory for the bereaved.ObjectivesIn this study we evaluated the efficacy of NR for PGD.MethodIn this study, 33 participants with PGD were quasi‐randomized—that is, assigned to an immediate (n = 20) or delayed (n = 13) 16‐session NR intervention. PGD, intrusion, avoidance and depression symptoms, as well as levels of the loss memory integration, were assessed at pretreatment, post‐treatment, and at a 3‐month follow‐up.ResultsMixed linear models showed significant intervention effects for PGD and intrusive symptomatology. Results also showed an increase in integration of the loss memory, and improvements remained stable for all outcomes at follow‐up.ConclusionIn this study we established NR as an effective intervention for PGD and call for further validation in future studies. Integrating this intervention into the routine care of people with PGD seems important and beneficial.

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Section: Session-by-session Change In Pgd Symptomscontrasting

confidence: 71%

A quasi‐experimental trial of narrative reconstruction for prolonged grief disorder: Symptomatic improvement and enhanced memory integration

Elinger,

Hasson‐Ohayon,

Bar‐Shachar

et al. 2023

J Clin Psychol

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“…Data were collected from January 2018 to August 2019. Due to the nature of an ongoing trial, this study comprises the most recently collected baseline data of this trial in addition to baseline data used in two previous publications (Comtesse et al, 2020;Vogel et al, 2021). The study protocol has been approved by the Institutional Review Board (IRB) of the Catholic University Eichstaett-Ingolstadt (2016/2021.…”

Section: Methods Participantsmentioning

confidence: 99%

Same name, same content? Evaluation of DSM-5-TR and ICD-11 prolonged grief criteria.

Haneveld¹,

Rosner²,

Vogel³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: Investigating the concordance of prolonged grief disorder (PGD) criteria that have been recently introduced to the 5th text revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) and the International Classification of Diseases 11 th Revision (ICD-11). Method: N = 193 treatmentseeking bereaved adults were assessed with the prolonged grief disorder 13 + 9 interview. Data were examined in terms of (a) diagnostic rates for PGD DSM-5-TR and PGD ICD-11 , including increases of the PGD ICD-11 accessory symptom threshold (PGD ICD-11-X+ ) and time criterion (PGD ICD-11-12 months ), (b) dimensionality, (c) the frequency with which single PGD symptoms occur, and (d) concurrent validity in terms of psychological symptoms and loss-related characteristics. Results: The diagnostic rate of PGD DSM-5-TR (52%) was significantly lower than that of PGD ICD-11 (76%) and agreement between the two criteria sets was moderate, κ = 0.51, 95% CI [0.47-0.55]. Increasing the PGD ICD-11 accessory symptom threshold did not improve the diagnostic agreement. In contrast, increasing the ICD-11 time criterion led to almost perfect agreement between PGD ICD-11-12 months and PGD DSM-5-TR , κ = 0.91, 95% CI [0.89-0.93]. Confirmatory factor analysis results indicated a one-factor model fit best for both PGD DSM-5-TR and PGD ICD-11. Emotional pain symptoms (e.g., guilt) were predominantly reported by patients with a PGD ICD-11 diagnosis, while attachment disturbance symptoms (e.g., identity disruption) were reported more often by patients with a PGD DSM-5-TR diagnosis. Conclusions: Despite methodological limitations of this study, results indicate discordance in PGD DSM-5-TR and PGD ICD-11 regarding diagnostic rates and single symptom occurrence, while

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“…Hence, healing was expected from re-engaging with the family and the community. Increasing social support is indeed one element in some evidence-based treatments for PGD [e.g., ( 59 )] and a focus on grief-related daily problems has also been found to be helpful ( 60 ). Participants also put much emphasis on religious or spiritual authorities and practices which is in line with previous findings regarding the role of religion in help-seeking of refugee groups [e.g., ( 28 , 30 , 33 , 34 )].…”

Section: Discussionmentioning

confidence: 99%

Beliefs About Causes and Cures of Prolonged Grief Disorder Among Arab and Sub-Saharan African Refugees

Lechner-Meichsner

Comteße

2022

Front. Psychiatry

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BackgroundMany refugees have experienced the death of a loved one under traumatic circumstances. Accordingly, the prevalence of Prolonged Grief Disorder (PGD) among refugees is high. Culture-specific symptoms of PGD have been described previously, but beliefs about causes and cures of PGD among refugees remain unknown. We therefore aimed at identifying illness beliefs and treatment expectations regarding PGD among refugees.MethodWe focused on refugees from Arab countries (n = 14) and from Sub-Sahara Africa (n = 9) and applied qualitative and quantitative methods. In a semi-structured interview, participants first answered questions about assumed causes and potential cures for prototypical PGD symptoms according to ICD-11 that were presented in a vignette as representatives of their own culture. In the quantitative part, they completed the Cause Subscale of the Illness Perception Questionnaire (IPQ-R) that included additional culture-specific items. Interviews were analyzed with Qualitative Content Analysis.ResultsIn both groups of refugees, PGD symptoms were predominantly attributed to a close relationship to the deceased, lack of social support, personal vulnerabilities, and circumstances of the death. Participants also named a number of flight-related causes (e.g., inability to perform or participate in rituals, feeling isolated in the host country). None of the participants attributed PGD symptoms to supernatural causes. Descriptive analyses of responses on the IPQ-R indicated that participants predominantly attributed PGD symptoms to psychological causes. Participants believed that PGD can be cured and predominantly mentioned social and religious support. Psychological help was only mentioned by a minority of participants. In both groups, participants emphasized that a therapist must be familiar with the patient's culture and rituals. Participants also mentioned stigma associated with seeking psychological help.ConclusionResults suggest specific beliefs of refugees regarding causes and cures of PGD as well as similarities with Western conceptualizations. A culture-sensitive approach to the treatment of PGD in refugees that can include knowledge of culture-specific rituals and incorporating religious beliefs as well as decreasing stigma and increasing mental health literacy seem important. The study is limited by its focus on only two groups of refugees and its small sample size.

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Feasibility of Present-Centered Therapy for Prolonged Grief Disorder: Results of a Pilot Study

Cited by 5 publications

References 62 publications

A quasi‐experimental trial of narrative reconstruction for prolonged grief disorder: Symptomatic improvement and enhanced memory integration

A quasi‐experimental trial of narrative reconstruction for prolonged grief disorder: Symptomatic improvement and enhanced memory integration

Same name, same content? Evaluation of DSM-5-TR and ICD-11 prolonged grief criteria.

Beliefs About Causes and Cures of Prolonged Grief Disorder Among Arab and Sub-Saharan African Refugees

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