Update on Bereavement Research: Evidence-Based Guidelines for the Diagnosis and Treatment of Complicated Bereavement
- 1 October 2006
- journal article
- Published by Mary Ann Liebert Inc in Journal of Palliative Medicine
- Vol. 9 (5), 1188-1203
- https://doi.org/10.1089/jpm.2006.9.1188
Abstract
The past decade has witnessed considerable growth in the evidence-base from which clinical recommendations for bereavement care can be made. Research now provides guidance to assist clinicians in: a) recognizing differences between complicated and uncomplicated bereavement reactions, b) identifying risk factors that may make certain individuals more vulnerable to bereavement-related complications, c) appreciating and monitoring for potential adverse outcomes associated with bereavement and d) taking actions to prevent or minimize maladjustment to the loss. In this article we distinguish between the course of normal grief and abnormally prolonged, or complicated grief; clarify distinctions between Complicated Grief Disorder and other mental disorders secondary to bereavement; review outcomes associated with Complicated Grief Disorder; describe research on resilience in bereavement; present findings on stigmatization and the use of mental health services among recently bereaved persons; and summarize where the field is with respect to establishing the efficacy and effectiveness of bereavement interventions. Promising new psychotherapies for Complicated Grief Disorder have shown clinical efficacy. Nevertheless, further research is needed to enhance the detection of vulnerable bereaved persons, to promote resilience following significant interpersonal loss, and to tailor interventions to address the attachment issues that lie at the heart of this disorder.Keywords
This publication has 50 references indexed in Scilit:
- A Call for Sound Empirical Testing and Evaluation of Criteria for Complicated Grief Proposed for DSM-VOMEGA - Journal of Death and Dying, 2006
- Complicated Grief and Suicidal Ideation in Adult Survivors of SuicideSuicide and Life-Threatening Behavior, 2005
- SOCIAL SUPPORT AND TECHNOLOGICAL CONNECTEDNESS AS PROTECTIVE FACTORS IN BEREAVEMENTJournal of Loss and Trauma, 2004
- Prospective Patterns of Resilience and Maladjustment During Widowhood.Psychology and Aging, 2004
- Complicated Grief in Survivors of SuicideCrisis: The Journal of Crisis Intervention and Suicide Prevention, 2004
- Functional Neuroanatomy of Grief: An fMRI StudyAmerican Journal of Psychiatry, 2003
- Effects of euthanasia on the bereaved family and friends: a cross sectional studyBMJ, 2003
- Consensus criteria for traumatic griefThe British Journal of Psychiatry, 1999
- When avoiding unpleasant emotions might not be such a bad thing: Verbal-autonomic response dissociation and midlife conjugal bereavement.Journal of Personality and Social Psychology, 1995
- The Depression of Widowhood after Thirteen MonthsThe British Journal of Psychiatry, 1973