Highlights
- •This manuscript illustrates that grieving individuals can be recruited, assigned, and retained in a peer support model intended to prevent complications of grieving in the first year post-loss.
This feasibility and acceptance pilot study for preventing complications of bereavement
within the first year post loss recruited 20 adult grievers within 9 months of becoming
bereft and assigned consenting subjects to peer supporters trained by a non-profit
bereavement support organization for weekly or bi-weekly telephone-based peer support
until month 13 post-loss. Subjects who met DSM-5 criteria for major depressive disorder
or showed an Inventory of Complicated Grief (ICG) score exceeding 19, 6 months or
more post loss, were assigned to 12 to 16 weeks of interpersonal psychotherapy (IPT)
with an experienced therapist. Eight and six subjects completed the protocol assigned
to peer support and IPT, respectively, with pre/post Patient Health Questionnaire-9
scores of 5.38 (2.45) versus 3.25 (4.13) (p = 0.266) and 16.67 (7.17) versus 8.40
(5.73) (p =0.063); and pre/post ICG scores of 12.50 (4.72) versus 5.00 (2.51) (p = 0.016)
and 35.17 (5.12) versus 8.4 (5.73) (p = 0.063). Implications of this two-tiered model
of early intervention for preventing complications of grief are discussed.
Key Words
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References
- Diagnostic and Statistical Manual.Fifth ed. American Psychiatric Press, Arlington, VA2013
- Grief and bereavement: what psychiatrists need to know.World Psychiatry. 2009; 8: 67-74
- Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses.Am J Psychiatry. 1995; 152: 22-30
- Treatment of bereavement-related major depressive episodes in later life: a controlled study of acute and continuation treatment with nortriptyline and interpersonal psychotherapy.Am J Psychiatry. 1999; 156: 202-208
- Bupropion sustained release for bereavement: results of an open trial.J Clin Psychiatry. 2006; 62: 227-230
- A post hoc comparison of paroxetine and nortriptyline for symptoms of traumatic grief.J Clin Psychiatry. 1998; 59: 241-245
- Acute open-trial nortriptyline therapy of bereavement-related depression in late life.J Clin Psychiatry. 1991; 52: 307-310
- Optimizing treatment of complicated grief: a randomized clinical trial.JAMA Psychiatry. 2016; 73: 685-694
- Narrative reconstruction therapy.Eur J Psychotraumatol. 2016; 7: 30687https://doi.org/10.3402/ejpt.v7.30687
- Treatment of complicated grief: a randomized controlled trial.JAMA. 2005; 293: 2601-2608
- Treatment for complicated grief: state of the science and ways forward.Curr Opin Psychiatry. 2016; 29: 286-291
- Complicated grief therapy as a new treatment approach.Dialogues Clin Neurosci. 2012; 14: 159-166
- A randomized controlled trial of an Internet-based therapist-assisted indicated preventive intervention for prolonged grief disorder.Behav Res Ther. 2004; 61: 23-34
- Comprehensive Guide to Interpersonal Psychotherapy.Basic Books, New York, NY2000
- The PHQ-9: validity of a brief depression severity measure.J Gen Intern Med. 2001; 16: 606-613
- Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss.Psychiatry Res. 1995; 59: 65-79
- A technique for the measurement of attitudes.Arch Psychol. 1932; 140: 1-55
Article info
Publication history
Published online: May 25, 2017
Accepted:
May 18,
2017
Received in revised form:
May 16,
2017
Received:
February 7,
2017
Identification
Copyright
© 2017 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.