Patient Personality and Time-limited Group Psychotherapy for Complicated Grief

Piper, William E.; McCallum, Mary; Joyce, Anthony S.; Rosie, John S.; Ogrodniczuk, John S.

doi:10.1521/ijgp.51.4.525.51307

Cited by 141 publications

(134 citation statements)

References 26 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…If a patient tests positive, the interviewer can acquire further information about the losses and (or) refer the patient to someone who specializes in the assessment and treatment of patients with CG. Cost-efficient treatments such as short-term group therapy can effectively treat psychiatric outpatients with CG (14,15). Before it can be treated, however, CG needs to be identified.…”

Section: Discussionmentioning

confidence: 99%

Screening for Complicated Grief: When Less May Provide More

2005

View full text Add to dashboard Cite

C omplicated grief commonly refers to extremes in the intensity and duration of grief symptoms and their clinical complications (1,2). Studies investigating the prevalence of CG among psychiatric outpatients report levels ranging from 20% to 33% (3-5). Despite these high levels, CG is often not detected in initial assessments. This may be due to lack of focus on death losses by both patients and clinicians. Clinicians are expected to inquire about presenting problems, precipitating events, mental status, potential for self-harm, previous disorders and treatments, and current disorders. Little time is available to explore such important events as deaths. Consequently, information relevant to treatment decisions is not obtained. It would be useful to have a few screening questions that possess high sensitivity (that is, identification of patients with CG) and high specificity (that is, identification of patients without CG).Our recent prevalence study (5) provided responses to 2 sets of potential screening items. Table 1 lists 5 items from the TRIG (6) that cover events that clinical reports (7) claim are risk factors or indicators of CG. Affirmative responses to items 3 and 5, and negative answers to items 1, 2, and 4, are thought to indicate increased likelihood of CG. However, supportive research evidence is lacking.Another set of items came from questionnaires used to determine the presence of CG: the PGQ (8) and the IES (9). Subsequent to our prevalence study, we conducted a factor analysis of items from the 2 questionnaires and the BDI-II (10). Separate grief and depression factors emerged (11), which indicated unique symptoms for CG. For the current study, we chose a few items that were highly loaded on the grief factors. We hypothesized that one or more combinations of the items would emerge as CG identifiers that could be used to screen patients. Objective: This study aimed to discover screening questions for initial assessments of psychiatric outpatients to identify which patients are likely experiencing complicated grief (CG). Method:We examined the responses of 235 outpatients to questionnaire items. One set came from the Texas Revised Inventory of Grief (TRIG). This set represented events cited in clinical literature as indicators or risk factors for CG. Another set came from a factor analysis of items that define CG. We determined relations between items and CG, analyzed sensitivity and specificity, and compared the 2 sets of items. Results:The factor analysis items were superior. The 2 best items correctly identified nearly 90% of patients with and without CG. Conclusion:The items can be transformed into screening questions to be used in initial interviews.(Can J Psychiatry 2005;50:680-684)Information on funding and support and author affiliations appears at the end of the article. Clinical Implication· A few screening items may be able to identify most psychiatric outpatients with CG. This may be more productive than requesting clinicians to conduct thorough assessments for CG. Limitation· The find...

show abstract

Section: Discussionmentioning

confidence: 99%

Screening for Complicated Grief: When Less May Provide More

2005

View full text Add to dashboard Cite

show abstract

“…These researchers randomly assigned individuals to either a supportive treatment or an interpretive treatment. The researchers found that individuals with more secure attachments to the deceased (Ogrodniczuk et al, 2002) and more psychological mindedness (Piper et al, 2001) did better in both treatments. However, individuals with higher-quality relations with all attachment figures (i.e., better relational capacity) did better in the interpretive group, and individuals with lower-quality relations did better in the supportive group.…”

Section: Empirical Evidence For Bereavement Interventionsmentioning

confidence: 98%

“…Two recent studies compared the effects of two group interventions for individuals deemed to have elevated levels of grief-related symptoms 3 months following the loss of a loved one (Ogrodniczuk, Piper, McCallum, Joyce, & Rosie, 2002;Piper, McCallum, Joyce, Rosie, & Ogrodniczuk, 2001). These researchers randomly assigned individuals to either a supportive treatment or an interpretive treatment.…”

Section: Empirical Evidence For Bereavement Interventionsmentioning

confidence: 99%

Intersections Between Grief and Trauma: Toward an Empirically Based Model for Treating Traumatic Grief

Regehr¹,

Sussman²

2004

Brief Treatment and Crisis Intervention

View full text Add to dashboard Cite

“…To begin with, the effectiveness of interventions was examined with small sample sizes. Only group therapy intervention studies managed to collect the data from a large enough sample size (Piper et al 2001, Piper et al 2007.…”

Section: Group Therapymentioning

confidence: 99%

“…The benefit from the intervention may be affected by the therapists' competencies or attitudes rather than the treatment techniques. Although the changes in the outcomes were analysed according to the therapist and found no effect on the magnitude of change, there is still a doubt in drawing any definite conclusions (Piper et al 2001, Boelen et al 2007, Piper et al 2007 …”

Section: Group Therapymentioning

confidence: 99%

Patolojik Yas Terapilerinin Etkinliği: Sistematik Derleme

Enez¹

2017

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry

View full text Add to dashboard Cite

ÖzYas tutmak, kaybın ardından kayba verilen tepkinin benzersizliği ile ilişkili olarak gelişen doğal, dinamik ve çok boyutlu bir süreçtir. Patolojik yas ise, bireyin doğal iyileşme sürecinde ortaya çıkan komplikasyonlar nedeniyle normal yas sürecinin alışılmadık şekilde uzadığı bir sendromdur. Yas tutan bireylerin yaklaşık üçte biri patolojik yas belirtileri göstermektedir. Patolojik yas yaşayan bireylerin kaygı, depresyon, fiziksel belirtiler ve yaşamı tehdit eden davranışları ifade eden bazı klinik şikâyetleri rapor etme eğiliminde oldukları belirlenmiştir. Bu çalışmanın amacı, patolojik yas tedavisi için geliştirilmiş olan psikoterapi modellerini tespit etmek ve bu modellerin yas sürecine uyum üzerindeki etkileri hakkında çıkarım yapmaktır.Anahtar sözcükler: Patolojik, yas, tedavi, müdahale, sistematik derleme. AbstractGrief is a normal, dynamic and multidimensional process, which relates to the individuality and uniqueness of reactions to loss. However, complicated grief is a syndrome where normal grief is unusually prolonged because of complications in the natural healing process. Approximately one third of grieving individuals develop complicated grief symptoms. The individuals suffering from complicated grief tend to report clinical complaints that refer to anxiety, depression, psychical symptoms and life-threatening behaviours. The aims of this study were: to identify which psychotherapy-based interventions were designed for the treatment of complicated grief; and to make an inference about the effect of these interventions.

show abstract

Patient Personality and Time-limited Group Psychotherapy for Complicated Grief

Cited by 141 publications

References 26 publications

Screening for Complicated Grief: When Less May Provide More

Screening for Complicated Grief: When Less May Provide More

Intersections Between Grief and Trauma: Toward an Empirically Based Model for Treating Traumatic Grief

Patolojik Yas Terapilerinin Etkinliği: Sistematik Derleme

Contact Info

Product

Resources

About