Article
Critical Care Medicine
Fur-Hsing Wen, Holly G. Prigerson, Wen-Chi Chou, Chung-Chi Huang, Tsung-Hui Hu, Ming Chu Chiang, Li-Pang Chuang, Siew Tzuh Tang
Summary: This study aimed to investigate the dynamic patterns of co-occurring prolonged grief disorder (PGD), posttraumatic stress disorder (PTSD), and depression symptoms among ICU bereaved surrogates over their first two bereavement years. The results showed that the PGD-PTSD-depression symptom states were highly stable during the first two years, with the majority transitioning towards resilience.
CRITICAL CARE MEDICINE
(2023)
Article
Psychiatry
Paul A. Boelen
Summary: Research suggests that Bereavement can lead to significant mental health problems, including Prolonged Grief Disorder (PGD) being identified as a distinct condition. Through latent class analysis, bereaved individuals can be grouped into low, high, and predominantly PGD symptom subgroups, with higher levels of anxious and depressive avoidance behaviors observed in the PGD subgroup.
PSYCHIATRY RESEARCH
(2021)
Article
Psychiatry
Paul A. Boelen, Ioanna Giannopoulou, Danai Papadatou
Summary: This study investigated the symptom patterns of prolonged grief (PG) and posttraumatic stress (PTS) in a sample of 213 youngsters who experienced a school bus accident resulting in the death of seven peers. The results identified three groups with moderate endorsement of most symptoms, high endorsement of almost all but the avoidance symptoms, and high endorsement of almost all symptoms. These groups differed in levels of grief, PTS, and depression, indicating the importance of early identification for intervention.
PSYCHIATRY RESEARCH
(2023)
Article
Medicine, General & Internal
Rakel Eklund, Maarten C. Eisma, Paul A. Boelen, Filip K. Arnberg, Josefin Sveen
Summary: This study aims to develop and evaluate a CBT-based mobile app called My Grief to reduce prolonged grief symptoms and other psychological symptoms in bereaved parents. A two-armed randomized waitlist-controlled trial will be conducted with parents in Sweden who lost a child between one to ten years ago, with elevated symptoms of prolonged grief. If the app proves to be effective, it will be made publicly accessible on app stores for the benefit of other bereaved parents.
Article
Psychology, Clinical
L. I. M. Lenferink, M. J. A. van den Munckhof, J. de Keijser, P. A. Boelen
Summary: This study examined the factor structure of DSM-5-TR PGD and DSM-5 PTSD in traumatically bereaved individuals, finding that PGD is a distinguishable yet related syndrome to PTSD.
EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
(2021)
Article
Psychology, Clinical
Richard A. Bryant, Elpiniki Andrew, Mayuresh S. Korgaonkar
Summary: This study investigated distinctive neural processes underpinning emotion processing in participants with Prolonged Grief Disorder (PGD) compared to Posttraumatic Stress Disorder (PTSD) and Major Depressive Disorder (MDD). The results showed that PGD had unique neural activation patterns, particularly during processing of happy and sad faces, compared to PTSD and MDD groups. These findings provide initial evidence of distinct neural profiles of PGD and highlight the activation of neural regions implicated in reward networks.
PSYCHOLOGICAL MEDICINE
(2021)
Article
Oncology
Jun Hamano, Tatsuya Morita, Naoko Igarashi, Yasuo Shima, Mitsunori Miyashita
Summary: This study investigated the relationship between family functioning and complicated grief and major depressive disorder in the bereaved families of patients with advanced cancer. The results suggested that specific family conflicts may increase the incidence of these mental disorders.
Article
Psychiatry
Marcin Sekowski, Holly G. Prigerson
Summary: The study found a positive association between anaclitic dependency and PGD symptom severity, while no significant association was found between relatedness dependency and PGD. Therefore, when assessing the risk of PGD in individuals bereaved after the death of a family member, it is important to focus on anaclitic dependency.
COMPREHENSIVE PSYCHIATRY
(2021)
Article
Critical Care Medicine
Fur-Hsing Wen, Wen-Chi Chou, Chung-Chi Huang, Tsung-Hui Hu, Ming Chu Chiang, Li-Pang Chuang, Siew Tzuh Tang
Summary: This study identified distinct patterns/states of psychological distress in ICU family surrogates during the first 3 months of bereavement and found that those in severe-depressive/borderline-anxiety distress and severe-anxiety/depressive/PTSD distress were more likely to develop prolonged grief disorder (PGD) at 6 months postloss.
Article
Health Care Sciences & Services
Birgit Wagner, Laura Hofmann, Ulrike Maass
Summary: This study evaluated the treatment effects of an internet-based writing intervention for bereaved siblings aged 16-65 years. The results showed that this intervention significantly improved symptoms of depression and prolonged grief disorder in the short- and long-term. Furthermore, all primary and secondary outcomes decreased significantly from baseline to 12-month follow-up.
PALLIATIVE MEDICINE
(2022)
Article
Psychiatry
Janna Keulen, Mariken Spuij, Maja Dekovic, Paul A. Boelen
Summary: Bereaved youths are at risk of developing posttraumatic stress (PTS), with individual differences in presentation and severity. This study identified three subgroups based on PTS symptoms and found differences in severity and symptom configuration. Emotional stability was lower in the pervasive disturbance subgroup. The study highlights the importance of considering heterogeneity in PTS symptomatology for diagnosis and treatment in bereaved youth.
PSYCHIATRY RESEARCH
(2022)
Article
Oncology
Fur-Hsing Wen, Holly G. Prigerson, Wen-Chi Chou, Jen-Shi Chen, Wen-Cheng Chang, Mei Huang Hsu, Siew Tzuh Tang
Summary: The study identified four distinct PGD/depressive-symptom states among family caregivers of cancer patients over the first two years of bereavement. These states ranged from resilient to predominantly depressive, with evidence that PGD and MDD are related but distinct constructs that can occur independently or concurrently. It is recommended to assess for potential comorbidity of MDD when PGD is suspected in bereaved individuals.
Article
Multidisciplinary Sciences
Julia Treml, Michaela Nagl, Elmar Braehler, Paul A. Boelen, Anette Kersting
Summary: The study developed a German version of the Depressive and Anxious Avoidance in Prolonged Grief Questionnaire (DAAPGQ) and evaluated its psychometric properties and validity in a representative sample in Germany. The results suggest that the German-language DAAPGQ is a reliable and valid measure of depressive and anxious avoidance behaviors, providing insight into the role of avoidance in prolonged grief.
Article
Psychology, Social
Yaira Hamama-Raz, Yasmin Shaked
Summary: This study examined the relationship between assumptive worldviews, coping flexibility, adjustment disorder symptoms, and prolonged grief disorder symptoms among Israeli terror-bereaved family members. The findings showed that loss of assumptive worldviews predicted decreased coping flexibility, which then led to increased adjustment disorder symptoms and prolonged grief disorder symptoms. Additionally, adjustment disorder symptoms were found to mediate the link between assumptive worldviews and prolonged grief disorder symptoms. It is important for professionals working with terror-bereaved families to focus on assessing and intervening in adjustment disorder symptoms and coping flexibility abilities.
JOURNAL OF LOSS & TRAUMA
(2023)
Article
Psychiatry
M. L. Vang, H. G. Prigerson, A. Elklit, K. B. Komischke-Konnerup, M. O'Connor
Summary: The study tested competing factor structures of PGD in Danish samples of bereaved adults and found that a two-factor model, reflecting the division of core-and associated symptoms of prolonged grief disorder, provided the best description of PG-13. There was evidence of partial structural invariance of the latent structure of PGD across different types of bereavement, and the convergent and divergent validity analysis supported the validity of the two-factor model of PGD.
PSYCHIATRY RESEARCH
(2022)
Article
Psychiatry
Janna Keulen, Mariken Spuij, Maja Dekovic, Paul A. Boelen
Summary: Bereaved youths are at risk of developing posttraumatic stress (PTS), with individual differences in presentation and severity. This study identified three subgroups based on PTS symptoms and found differences in severity and symptom configuration. Emotional stability was lower in the pervasive disturbance subgroup. The study highlights the importance of considering heterogeneity in PTS symptomatology for diagnosis and treatment in bereaved youth.
PSYCHIATRY RESEARCH
(2022)
Article
Psychology, Multidisciplinary
Jacques Cherblanc, Cynthia Gagnon, Isabelle Cote, Christiane Bergeron-Leclerc, Susan Cadell, Genevieve Gauthier, Paul A. Boelen
Summary: The study aimed to validate the French-Canadian version of the Traumatic Grief Inventory Self-Report (TGI-SR), which assesses both Persistent Complex Bereavement Disorder and Prolonged Grief Disorder. The online survey with 728 participants showed that the scale had high internal consistency, significant correlation with other scales measuring similar concepts, and the ability to distinguish between different groups. This study supports the use of the TGI-SR French-Canadian version for assessing complications of grief by clinicians and researchers.
Article
Psychology, Social
Ruud A. Jongedijk, Michiel F. van Vreeswijk, Jeroen W. Knipscheer, Rolf J. Kleber, Paul A. Boelen
Summary: This study examines how traumatic events (TEs) should be defined and their specificity for Post-traumatic Stress Disorder (PTSD) in a general mental health care population. It found that non-PTSD disorders had a high prevalence of TEs, with female patients, previous mental health care, and the likelihood of being diagnosed with PTSD being associated with more severe trauma definitions. Reexperiencing symptoms were particularly common among mood disorders.
JOURNAL OF LOSS & TRAUMA
(2023)
Article
Multidisciplinary Sciences
Kaz De Jong, Saara Martinmaki, Hans Te Brake, Rolf Kleber, Joris Haagen, Ivan Komproe
Summary: Among international aid workers, maintaining good health before and during field assignments, as well as utilizing different components of the Sense of Coherence (SOC), plays a crucial role in preventing negative health effects. Gender differences in coping mechanisms were observed, with males trying to understand stressors and females mobilizing their resources. The meaningfulness of work was found to be a significant factor in maintaining health.
Article
Psychiatry
Paul A. Boelen, Ioanna Giannopoulou, Danai Papadatou
Summary: This study investigated the symptom patterns of prolonged grief (PG) and posttraumatic stress (PTS) in a sample of 213 youngsters who experienced a school bus accident resulting in the death of seven peers. The results identified three groups with moderate endorsement of most symptoms, high endorsement of almost all but the avoidance symptoms, and high endorsement of almost all symptoms. These groups differed in levels of grief, PTS, and depression, indicating the importance of early identification for intervention.
PSYCHIATRY RESEARCH
(2023)
Article
Psychology, Applied
Janske H. W. van Eersel, Toon W. Taris, Paul A. Boelen
Summary: This study examined the impact of engagement in non-work activities on mitigating the negative outcomes of job loss. Results showed that engaging in activities fulfilled basic needs and reduced emotional distress. However, the effect sizes were small and the mediation effect of basic needs was not confirmed.
Article
Criminology & Penology
Saara E. Martinmaki, Kaz de Jong, Ivan H. Komproe, Paul A. Boelen, Rolf J. Kleber
Summary: To date, there have been no cohort studies on sexual harassment and mental health among humanitarian field-workers. This study found that sexual harassment is a relatively common issue among international humanitarian aid field-workers, and it is associated with negative changes in mental health. These findings highlight the importance of addressing sexual harassment in the humanitarian sector.
JOURNAL OF INTERPERSONAL VIOLENCE
(2023)
Article
Psychology, Clinical
Haza F. Rahim, Trudy T. M. Mooren, Jeroen W. Knipscheer, Femke van den Brink, Joanne M. Chung, Odilia M. Laceulle, Paul A. Boelen
Summary: This study aimed to examine the relationship between premigration, perimigration, and postmigration risk factors and psychological symptoms in Syrian emerging adults with refugee backgrounds, and to test cultural identity conflict as a possible mediator. The results showed that higher exposure to migration risk factors was associated with more psychological symptoms, and higher cultural identity conflict also contributed to these associations.
JOURNAL OF CLINICAL PSYCHOLOGY
(2023)
Article
Psychology, Multidisciplinary
Ruud A. Jongedijk, Paul A. Boelen, Jeroen W. Knipscheer, Rolf J. Kleber
Summary: The field of traumatic stress is marked by controversy and lack of continuity. Throughout history, there have been disputes about the psychological consequences and causes of severe adverse events. A review of historical literature shows that psychotrauma has always been a subject of controversy, with significant heterogeneity in symptom expression and varying definitions of conditions. The causes of trauma have also been debated, such as biological, psychological, socio-economic, cultural, political, or legal factors. A more flexible diagnostic approach is proposed to account for the ongoing variation in symptomatology.
REVIEW OF GENERAL PSYCHOLOGY
(2023)
Review
Psychology, Clinical
Carlijn Maria van Es, Beatrice El Khoury, Eva A. M. van Dis, Hans te Brake, Elisa van Ee, Paul A. Boelen, Trudy Mooren
Summary: The aim of this study was to examine the impact and efficacy of multiple family therapy (MFT) on mental health problems and family functioning. A total of 31 controlled studies were included in a systematic review, and 16 studies were included in a meta-analysis. The findings suggest that MFT is offered in diverse settings and has some positive effects on mental health and family functioning.
Article
Behavioral Sciences
L. I. M. Lenferink, M. C. Eisma, M. Y. Buiter, J. de Keijser, P. A. Boelen
Summary: Prolonged grief disorder, a condition characterized by severe, persistent, and disabling grief, can be effectively treated with internet-delivered cognitive behavioral therapy. This study investigated the efficacy of a 12-week internet-based cognitive behavioral therapy for adults bereaved through traffic accidents and found that it strongly reduced prolonged grief, post-traumatic stress, and depression symptoms.
COGNITIVE BEHAVIOUR THERAPY
(2023)
Article
Psychology, Clinical
Lonneke I. M. Lenferink, Iris van Dijk, Maarten C. Eisma, Rakel Eklund, Paul A. Boelen, Josefin Sveen
Summary: This study evaluated the psychometric properties of the Swedish version of the Traumatic Grief Inventory Self-Report Plus (TGI-SR+) as a screening instrument for prolonged grief (PG) symptoms. The results showed that the TGI-SR+ demonstrated reliability and validity in assessing DSM-5-TR and ICD-11 PG symptoms, as they correlated with symptoms of post-traumatic stress, depression, and an older measure of PG symptoms.
CLINICAL PSYCHOLOGY & PSYCHOTHERAPY
(2023)
Article
Neurosciences
Paul A. Boelen
Summary: This study explores the role of savoring beliefs in symptoms of posttraumatic stress following negative life events. The results show that these beliefs, especially regarding present and future events, can mitigate the impact of confrontation with adverse events.
ANXIETY STRESS AND COPING
(2023)
Article
Psychology, Clinical
I. Van Dijk, P. A. Boelen, J. de Keijser, L. I. M. Lenferink
Summary: Researchers developed a new tool to assess symptoms of prolonged grief disorder (PGD) in bereaved children and adolescents, based on input from grief experts and bereaved youths. The tool was adjusted according to feedback from experts and children, and further quantitative research is being conducted to evaluate its psychometric qualities.
EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY
(2023)
Article
Psychology, Clinical
Paul A. Boelen, Maja O'Connor, Marjolein A. Missler
Summary: Recovery after the death of a loved one involves maintaining and strengthening satisfaction with life (SWL). This study found that SWL consists of both time-invariant and time-varying components, with the time-varying components being more strongly associated with prolonged grief. Boosting SWL through external influences may be beneficial.
EUROPEAN JOURNAL OF TRAUMA & DISSOCIATION
(2023)
Article
Clinical Neurology
Jai Carmichael, Jennie Ponsford, Kate Rachel Gould, Gershon Spitz
Summary: The traditional approaches to measuring depression after traumatic brain injury (TBI) have limitations. This study adopted a symptom-oriented approach and found that post-TBI depression is highly heterogeneous. Different depressive symptoms have distinct associations with personal, injury-related, treatment, and outcome factors.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Xiaoning Sun, Min Chen, Guanghai Wang, Fan Jiang
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Aleksander Kwas
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Josine E. Verhoeven, Laura K. M. Han, Brenda W. J. H. Penninx
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Review
Clinical Neurology
Erin Crowe, Petra K. Staiger, Steven J. Bowe, Imogen Rehm, Richard Moulding, Caitlyn Herrick, David J. Hallford
Summary: This study aimed to integrate the evidence regarding the relationship between emotion regulation difficulties and TTM symptoms, and found that individuals with higher levels of TTM severity appear to exhibit decreased overall emotion regulation abilities and strategies.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Fjolla Berisha, Marjolaine Rivest-Beauregard, Jai Shah, Michelle Lonergan, Alain Brunet
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Yi-Tseng Tsai, Tzu-Jung Chuang, Sriyani Padmalatha Konara Mudiyanselage, Han-Chang Ku, Yi-Lin Wu, Chung-Yi Li, Nai-Ying Ko
Summary: Sleep disturbances are associated with higher suicide rates, and this association is independent of depression. Paying attention to sleep disturbances among PLHIV is crucial when monitoring suicidal ideation.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Junyou Chen, Ingrid D. Lui, Yu Cheng Hsu, Paul S. F. Yip
Summary: Despite rapid social changes in Hong Kong, marriage remains a strong protective factor against suicide for both men and women, particularly among younger individuals. Increasing suicide rates among divorced/separated, never-married, or widowed individuals suggest a need for more psychosocial support.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
A. Perry, K. Gordon-Smith, K. J. S. Lewis, A. Di Florio, N. Craddock, L. Jones, I. Jones
Summary: This study found that the experience of losing at least one night of sleep was associated with an increased risk of postpartum psychosis in women with bipolar disorder. Sleep quality in late pregnancy was not associated with postpartum psychosis, and perinatal sleep disruption was not associated with postpartum depression.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Dear J. Affect Disord, Mark J. Niciu, Robert C. Meisner, Brent R. Carr, Ali A. Farooqui, David Feifel, Adam Kaplin, Paul M. Kim, Christopher D. Schneck, Jennifer L. Vande Voort, Sagar Parikh, E. Jeremy Kendrick
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Tao Wang, Li Yang, Lan Yang, Bao-Peng Liu, Cun-Xian Jia
Summary: This study systematically reviewed the association between psychological pain and suicidality in patients with major depressive disorder (MDD). The results showed that psychological pain was a risk factor for suicidality in MDD patients, especially for those of advancing age. Reducing psychological pain in MDD patients is important for preventing suicidality.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Letter
Clinical Neurology
Juan Carlos Hugues, Abel Nogueira-Lopeza, Maeva Flayellea, Cora von Hammersteind, Joel Billieuxa
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Ogechi Cynthia Onyeka, Samuel D. Spencer, Alison Salloum, Katie Jiannetto, Eric A. Storch
Summary: This study examined the relationship among family accommodation (FA), posttraumatic stress symptoms (PTSS), and functional impairment. The results showed that FA was significantly associated with PTSS and functional impairment. Baseline FA partially mediated the relationship between baseline PTSS and functional impairment. Changes in FA from pre- to post-treatment were associated with relevant outcome variables at post-treatment and 12-month follow-up.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Yumeng Shi, Chao Yu
Summary: This study found a negative correlation between the intake of active microbes in the diet and depression.
JOURNAL OF AFFECTIVE DISORDERS
(2024)
Article
Clinical Neurology
Qiurui Nie, Yu Shen, Mengqin Luo, Zhiyong Sheng, Rui Zhou, Guangmin Li, Wei Huang, Shenjian Chen
Summary: The study assessed the sleep duration, sleep disorders, and trouble sleeping among adults in the United States from 2005 to 2018, revealing a high prevalence of abnormal sleep durations and increasing rates of sleep disorders and trouble sleeping.
JOURNAL OF AFFECTIVE DISORDERS
(2024)