Valid measurement of DSM-5 persistent complex bereavement disorder and DSM-5-TR and ICD-11 prolonged grief disorder: The Traumatic Grief Inventory-Self Report Plus (TGI-SR+)

Abstract Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19.Methods: This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms.Results: Prevalence of PGD was 37.8% screened by IPGDS and 39.9% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms was associated with losing a close person by COVID-19 rather than complications (B: 5.284; 95% CI: 0.521–10.047), losing a partner (B: 6.645; 95% CI: 2.547–10.743), child (B: 6.013; 95% CI: 0.128–11.899), parent (B: 5.554; 95% CI: 1.679–9.429), grandparent (B: 4.894; 95% CI: 0.690–0.097), feeling more traumatic about the loss (B: 1.574; 95% CI: 0.413–2.735), being closer to the deceased (B: 1.610; 95% CI: 0.368–2.851), and having more conflicts with the deceased (B: 0.743; 95% CI: -0.040–1.527).Conclusions: Echoing to researchers’ concerns, prevalence of PGD is high among people bereaved due to COVID-19. Individuals with higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.

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Who suffered most after deaths due to COVID-19? Prevalence and correlates of prolonged grief disorder in COVID-19 related bereaved adults

Globalization and Health ◽

10.1186/s12992-021-00669-5 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Suqin Tang ◽

Zhendong Xiang

Keyword(s):

Online Survey ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Self Report ◽

Related Factors ◽

Cross Sectional ◽

Prolonged Grief Disorder ◽

Prolonged Grief ◽

Traumatic Grief ◽

Related Information

Abstract Background Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19. Methods This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms. Results Prevalence of PGD was 37.8% screened by IPGDS and 29.3% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms assessed by IPGDS was associated with losing a close person by COVID-19 rather than complications (B: 5.35; 95% CI: 0.54–10.05), losing a partner (B: 7.80; 95% CI: 3.24–12.37), child (B: 8.15; 95% CI: 1.03–15.26), and parent (B: 5.49; 95% CI: 1.49–9.48) rather than losing a relative or a person with other relationship, feeling more traumatic about the loss (B: 1.71; 95% CI: 0.52–2.90), being closer with the deceased (B: 1.60; 95% CI: 0.34–2.86). Moreover, Losing a grandparent (B: 6.62; 95% CI: 0.53–12.71) and having more conflicts with the deceased (B: 1.05; 95% CI: − 0.008–2.11) were related to higher levels of grief symptoms assessed by TGI-SR. Conclusions Echoing researchers’ concerns, the prevalence of PGD is high among people bereaved due to COVID-19. Individuals with a higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.

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37,650 ways to have “persistent complex bereavement disorder” yet only 48 ways to have “prolonged grief disorder”

Psychiatry Research ◽

10.1016/j.psychres.2017.12.050 ◽

2018 ◽

Vol 261 ◽

pp. 88-89 ◽

Cited By ~ 8

Author(s):

Lonneke I.M. Lenferink ◽

Maarten C. Eisma

Keyword(s):

Prolonged Grief Disorder ◽

Prolonged Grief ◽

Persistent Complex Bereavement ◽

Persistent Complex Bereavement Disorder

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Who suffered most after deaths due to COVID-19? Prevalence and correlates of prolonged grief disorder in COVID-19 related bereaved adults

10.21203/rs.3.rs-118229/v2 ◽

2021 ◽

Author(s):

Suqin Tang ◽

Zhendong Xiang

Keyword(s):

Online Survey ◽

Linear Regression Analysis ◽

Multiple Linear Regression Analysis ◽

Self Report ◽

Related Factors ◽

Cross Sectional ◽

Prolonged Grief Disorder ◽

Prolonged Grief ◽

Traumatic Grief ◽

Related Information

Abstract Background: Deaths by COVID-19 have left behind nearly 12 million recent bereaved individuals worldwide and researchers have raised concerns that the circumstances of COVID-19 related deaths will lead to a rise prevalence of prolonged grief disorder (PGD) cases. However, to date, no studies have examined the prevalence of PGD among people bereaved due to COVID-19. This study aimed to estimate the prevalence of PGD and investigated demographic and loss-related factors associated with prolonged grief symptoms among Chinese individuals bereaved due to COVID-19.Methods: This was a cross-sectional online survey conducted between September 1 and October 3, 2020. A total of 422 Chinese participants (55.5% males; 32.73 [9.31] years old) who lost a close person due to COVID-19 participated in the study. Demographic and loss-related information was collected, and self-reported prolonged grief symptoms were measured by a 13-item International Prolonged Grief Disorder Scale (IPGDS: 1–65) and a 17-item Traumatic Grief Inventory Self Report (TGI-SR: 1–85). Multiple linear regression analysis was used to determine the associated factors of levels of grief symptoms.Results: Prevalence of PGD was 37.8% screened by IPGDS and 29.3% by TGI-SR. No difference was found in levels of grief symptoms between participants whose close one died more than 6 months ago and those who experienced the loss less than 6 months ago. More severe prolonged grief symptoms assessed by IPGDS was associated with losing a close person by COVID-19 rather than complications (B: 5.35; 95% CI: 0.54–10.05), losing a partner (B: 7.80; 95% CI: 3.24–12.37), child (B: 8.15; 95% CI: 1.03–15.26), and parent (B: 5.49; 95% CI: 1.49–9.48) rather than losing a relative or a person with other relationship, feeling more traumatic about the loss (B: 1.71; 95% CI: 0.52–2.90), being closer with the deceased (B: 1.60; 95% CI: 0.34–2.86). Moreover, Losing a grandparent (B: 6.62; 95% CI: 0.53–12.71) and having more conflicts with the deceased (B: 1.05; 95% CI: -0.008–2.11) were related to higher levels of grief symptoms assessed by TGI-SR. Conclusions: Echoing to researchers’ concerns, prevalence of PGD is high among people bereaved due to COVID-19. Individuals with higher risk of developing PGD should be identified and bereavement support should be offered as early as possible.

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Symptoms of persistent complex bereavement disorder, depression, and PTSD in a conjugally bereaved sample: a network analysis

Psychological Medicine ◽

10.1017/s0033291718001769 ◽

2018 ◽

Vol 48 (14) ◽

pp. 2439-2448 ◽

Cited By ~ 18

Author(s):

Matteo Malgaroli ◽

Fiona Maccallum ◽

George A. Bonanno

Keyword(s):

Network Analysis ◽

Graphical Models ◽

Community Sample ◽

Self Report ◽

Post Traumatic Stress ◽

Dsm 5 ◽

Persistent Complex Bereavement ◽

Core Symptoms ◽

Persistent Complex Bereavement Disorder ◽

Conjugally Bereaved

AbstractBackgroundComplicated and persistent grief reactions afflict approximately 10% of bereaved individuals and are associated with severe disruptions of functioning. These maladaptive patterns were defined in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as persistent complex bereavement disorder (PCBD), but its criteria remain debated. The condition has been studied using network analysis, showing potential for an improved understanding of PCBD. However, previous studies were limited to self-report and primarily originated from a single archival dataset. To overcome these limitations, we collected structured clinical interview data from a community sample of newly conjugally bereaved individuals (N= 305).MethodsGaussian graphical models (GGM) were estimated from PCBD symptoms diagnosed at 3, 14, and 25 months after the loss. A directed acyclic graph (DAG) was generated from initial PCBD symptoms, and comorbidity networks with DSM-5 symptoms of major depressive disorder (MDD) and post-traumatic stress disorder (PTSD) were analyzed 1 year post-loss.ResultsIn the GGM, symptoms from the social/identity PCBD symptoms cluster (i.e. role confusion, meaninglessness, and loneliness) tended to be central in the network at all assessments. In the DAG, yearning activated a cascade of PCBD symptoms, suggesting how symptoms lead into psychopathological configurations. In the comorbidity networks, PCBD and depressive symptoms formed separate communities, while PTSD symptoms divided in heterogeneous clusters.ConclusionsThe network approach offered insights regarding the core symptoms of PCBD and the role of persistent yearnings. Findings are discussed regarding both clinical and theoretical implications that will serve as a step toward a more integrated understanding of PCBD.

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Persistent Complex Bereavement Disorder

10.1093/med/9780190457136.003.0006 ◽

2018 ◽

Author(s):

Meredith E. Charney ◽

Sarah Wieman ◽

Nicole Leblanc ◽

Naomi Simon

Keyword(s):

Differential Diagnosis ◽

Clinical Features ◽

Psychological Response ◽

Prolonged Grief ◽

Loved One ◽

Traumatic Grief ◽

Assessment And Treatment ◽

Persistent Complex Bereavement ◽

Persistent Complex Bereavement Disorder ◽

Over Time

Grief is an intensely painful, but natural and normal psychological response following the death of a loved one. Although there is no uniform pattern for adapting to loss, for the majority of people, acute grief naturally evolves over time into a more integrated, less painful form of grief in a way that is healthy and adaptive; this enables return to a satisfying life without the deceased. However, a growing literature has shown that complications can arise such that the natural recovery from acute grief stalls and grief becomes persistently intense and debilitating. This chapter describes the etiology, diagnostic and clinical features, differential diagnosis, epidemiology, pathophysiology, assessment, and treatment of this condition, termed “complicated grief,” “traumatic grief,” “prolonged grief,” or “persistent complex bereavement disorder.”

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