Article

Complicated grief in patients with unipolar depression

Department of Psychiatry, University of Muenster, Germany.
Journal of Affective Disorders (Impact Factor: 3.38). 04/2009; 118(1-3):201-4. DOI: 10.1016/j.jad.2009.01.033
Source: PubMed

ABSTRACT

The loss of a close family member (e.g. child or spouse) has been shown to be one of the most stressful life-events increasing the risk of affective disorders. In the present study, we investigated for the first time the frequency of complicated grief in psychiatric inpatients with unipolar depression. Further, the study was aimed to identify characteristics predicting a complicated grief reaction in depressed patients.
In a sample of 73 DSM-IV diagnosed unipolar affective disordered inpatients grief, depression, anxiety and psychological stress reaction were assessed.
A high prevalence of loss and impairing complicated grief was found in this sample of unipolar depressed patients. Depressed patients with complicated grief were more severely depressed than depressed patients without complicated grief reactions. Higher traumatic stress and close family membership of the lost person were associated with higher severity of grief.
Comorbid complicated grief appears to contribute to greater severity and poorer functioning in unipolar depressed patients and should be specifically addressed in psychotherapeutic treatment.

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    • "Piper, Ogrodniczuk, Azim y Weideman (2001), encontraron que cerca de una tercera parte de las personas que se visitan en atención primaria tienen algún DC. También se ha presentado evidencia en cuanto a la relación entre el DC y la presencia de otros trastornos psiquiátricos (Parkes, 1991;Stroebe et al., 2007) como el trastorno depresivo mayor TDM (Hensley, 2006;Kersting et al., 2009), los trastornos de ansiedad (Marques et al., 2013) y el trastorno de estrés postraumático (Zisook, ChentsovaDutton & Schuchter, 1998). El objetivo de este estudio es explorar la manifestación de las pérdidas no superadas en una muestra de personas que han sufrido la muerte de algún ser querido además de aportar datos significativos para la comprensión del DC; partiendo de la hipótesis de que la sintomatología se acentúa más entre aquellas personas con DC y en quienes consideran tener pérdidas de seres queridos no superadas (PSQNS), por ello un objetivo secundario se destina en analizar la relación entre las manifestaciones de duelo, la historia de pérdidas, la prevalencia del DC y la sintomatología depresiva. "

    Full-text · Article · Jan 2016
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    • "Encontraron que el grado de sintomatología no era muy diferente entre unos y otros, solamente existían diferencias significativas cuando se encontraban niveles severos de DC. En otro estudio de pacientes con TDM también se encontró que aquellos que contaban con el diagnóstico de DC presentaban niveles mayores de depresión (Kersting et al. 2009). Los dos últimos estudios enfatizaron en la importancia de evaluar las pérdidas y el duelo complicado de forma rutinaria en pacientes de salud mental. "
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    ABSTRACT: The importance of loss and bereavement for depression has been established in the literature. Objectives. To identify the prevalence of different kinds of losses among participants and to explore their perception of having overcome (or not) those losses and of their possible relationship with depressive symptoms (if any). Method. An incidental sample of 288 participants was assessed using the History of Loss Inventory (HLI) and the BDI-II. Results. 42.71% of the sample reported not having overcome at least one of their losses. Symptom severity correlated with the total number of losses, and with unresolved bereavement. Conclusion. To explore the history of losses might be convenient both in studies in areas where literature suggests the importance of bereavement such as depression and in therapy right from the first contact with the patient, as an issue to consider for treatment planning. The HLI is a suitable and brief instrument for that purpose.
    Full-text · Article · Aug 2015 · Revista Argentina de Clinica Psicologica
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    • "Encontraron que el grado de sintomatología no era muy diferente entre unos y otros, solamente existían diferencias significativas cuando se encontraban niveles severos de DC. En otro estudio de pacientes con TDM también se encontró que aquellos que contaban con el diagnóstico de DC presentaban niveles mayores de depresión (Kersting et al. 2009). Los dos últimos estudios enfatizaron en la importancia de evaluar las pérdidas y el duelo complicado de forma rutinaria en pacientes de salud mental. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The importance of loss and bereavement for depression has been established in the literature. Objectives. To identify the prevalence of different kinds of losses among participants and to explore their perception of having overcome (or not) those losses and of their possible relationship with depressive symptoms (if any). Method. An incidental sample of 288 participants was assessed using the History of Loss Inventory (HLI) and the BDI-II. Results. 42.71% of the sample reported not having overcome at least one of their losses. Symptom severity correlated with the total number of losses, and with unresolved bereavement. Conclusion. To explore the history of losses might be convenient both in studies in areas where literature suggests the importance of bereavement such as depression and in therapy right from the first contact with the patient, as an issue to consider for treatment planning. The HLI is a suitable and brief instrument for that purpose.
    Full-text · Article · Jan 2015 · Revista Argentina de Clinica Psicologica
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