Online cognitive behavioral therapy for prolonged grief after traumatic loss: A randomized waitlist-controlled trial

Abstract

Prolonged grief disorder, a condition characterized by severe, persistent and disabling grief, is newly included in ICD-11 and DSM-5-TR. Prolonged grief symptoms can be effectively treated with face-to-face or internet-delivered cognitive behavioral therapy. Traumatic losses may elicit higher prevalence of severe grief reactions. While face-to-face cognitive behavioral therapy appears efficacious in treating prolonged grief symptoms in traumatically bereaved individuals, it is not yet clear if internet-based cognitive behavioral therapy is efficacious for this population. Therefore, we investigated the efficacy of a 12-week internet-delivered cognitive behavioral therapy for people bereaved through traffic accidents in a randomized waitlist-controlled trial (registration number: NL7497, Dutch Trial Register). Forty adults bereaved though a traffic accident were randomized to internet-based cognitive behavioral therapy (n = 19) or a waitlist control condition (n = 21). Prolonged grief, posttraumatic stress and depression symptoms were assessed at baseline, post-treatment and 8-week follow-up. Dropout in the treatment condition was relatively high (42%) compared to the control condition (19%). Nevertheless, multilevel analyses showed that internet-based cognitive behavioral therapy strongly reduced prolonged grief, posttraumatic stress and depression symptoms relative to the control condition at post-treatment and follow-up. We conclude that internet-based cognitive behavioral therapy appears a promising treatment for traumatically bereaved adults.

Treatment Gap in Mental Health Care for Victims of Road Traffic Accidents

“…2022; Lenferink et al. 2021, 2023). The current study focused on MHS needs and usage of people confronted with nonlethal accidents.…”

Faktor-Faktor yang Berhubungan dengan Perilaku dan Motivasi Masyarakat terhadap Pertolongan Pertama pada Korban Kecelakaan Lalu Lintas

“…Azmi & Ram (2023) kecelakaan di jalan raya mengurangi produktivitas korban dan keluarga serta peningkatan pembiayaan. Studi Lenferink et al, (2023) mengidentifikasi korban kecelakaan lalu lintas mengalami gejala kesedihan yang berkepanjangan, stress pasca trauma dan depresi. Menurut Ahmed et al, (2023) kecelakaan di jalan raya merupakan sumber utama kematian dan cedera serius yang kurang terlayani di seluruh dunia dan memerlukan perhatian segera.…”