Neuropsychological Comparison of Guilt and Grief: A Review of Guilt Aspects in Prolonged Grief Disorder

2021 ◽  
pp. 003022282110241
Author(s):  
Brandon Joa ◽  
Andrew B. Newberg
Keyword(s):  
Psychiatric Disorders ◽  
Scoping Review ◽  
Developmental Psychology ◽  
Medical Literature ◽  
Complicated Grief ◽  
Integrative Approach ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Neuropsychological Development ◽  
Review Criteria

Taking an integrative approach toward developmental psychology and neurophysiology, this review selects findings from the psychological and medical literature on guilt and bereavement that are relevant to considering whether and how guilt contributes to the development of prolonged grief disorder (PGD) in bereaved persons. Mention of guilt is ubiquitous in literature on general grief and PGD, including 54 articles related to the neuropsychological development and manifestations of guilt and grief, as well as their neuroimaging correlates, that met scoping review criteria. However, mechanisms connecting guilt to development of PGD are scarce. Aspects of guilt are conceptually connected to many PGD criteria, opening avenues to explore treatment of PGD by targeting guilt. Positive and prosocial aspects of guilt are especially neglected in the treatment of psychiatric disorders, and consideration of these aspects may improve interventions for PGD such as complicated grief treatment.

scholarly journals Prolonged, but not complicated, grief is a mental disorder

2017 ◽  
Vol 211 (4) ◽  
pp. 189-191 ◽  
Author(s):  
Paul K. Maciejewski ◽  
Holly G. Prigerson
Keyword(s):  
Mental Disorder ◽  
Complicated Grief ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief

SummaryThe DSM and ICD have taken steps to introduce a grief disorder as a new diagnostic entity. Evidence justifies the inclusion of prolonged grief disorder, but not complicated grief, as a new mental disorder.

scholarly journals Prolonged Grief Disorder in a Diverse College Student Sample

2021 ◽  
Vol 11 ◽  
Author(s):  
Kim Glickman
Keyword(s):  
College Students ◽  
Attachment Style ◽  
Associated Factors ◽  
Online Survey ◽  
Complicated Grief ◽  
Unexpected Death ◽  
Prolonged Grief Disorder ◽  
Student Sample ◽  
Prolonged Grief ◽  
Grief Support

Objective: The purpose of this study was to explore the rate of prolonged grief disorder (PGD) and associated factors in a large sample of diverse college students. Sources of grief support and perceived helpfulness of support were also examined.Method: An online survey was administered to bereaved students at three colleges at the City University of New York. PGD measured by the Inventory of Complicated Grief was the primary outcome. Chi-squared and t-tests were used to assess the association between PGD and associated factors.Results: A total of n = 899 participants completed the Inventory of Complicated Grief (ICG) based on a significant death loss = >12 months. An estimated 13.4% (n = 120/899) met criteria for PGD. The rate of PGD was associated with race, history of anxiety or depression, trauma other than the death, insecure attachment style, kinship to the deceased, closeness to the deceased, cause of death, and sudden/unexpected death. The majority of students sought grief support from a friend or family member.Conclusion: The rate of PGD in this sample of college students is similar to that of adults and most prevalent for students of color. Identification of those most at risk is critical to referring these students to effective treatments.

Prolonged Grief Disorder

2014 ◽  
Author(s):  
A.H. Jordan ◽  
B.T. Litz
Keyword(s):  
Prolonged Grief Disorder ◽  
Prolonged Grief

Risk Factors of Prolonged Grief Disorder: A Conceptual Framework

2011 ◽  
Author(s):  
Evgenia Milman ◽  
Christopher J. Mackinnon ◽  
Martin Drapeau
Keyword(s):  
Risk Factors ◽  
Conceptual Framework ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief

scholarly journals Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study

2019 ◽  
Vol 17 (5) ◽  
pp. 507-514 ◽  
Author(s):  
Rachel D. Zordan ◽  
Melanie L. Bell ◽  
Melanie Price ◽  
Cheryl Remedios ◽  
Elizabeth Lobb ◽  
...  
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Psychological Health ◽  
Linear Regression Analysis ◽  
Population Based ◽  
Anticipatory Grief ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief ◽  
Cancer Caregivers

AbstractContextThe short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.ObjectivesThe aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.MethodsA cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n= 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2,n= 167), 13 (T3,n= 143), and 37 months (T4,n= 85) after bereavement.ResultsAt T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (bothp< 0.0001) of PGD in the longer term.ConclusionFor almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.

scholarly journals Prolonged Grief Disorder and Depression in a German Community Sample

Death Studies ◽  
2014 ◽  
Vol 38 (7) ◽  
pp. 476-481 ◽  
Author(s):  
Susanne Schaal ◽  
Anne Richter ◽  
Thomas Elbert
Keyword(s):  
Community Sample ◽  
Prolonged Grief Disorder ◽  
Prolonged Grief
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