scholarly journals Suicide bereavement and complicated grief

2012 ◽  
Vol 14 (2) ◽  
pp. 177-186 ◽  
Keyword(s):  
Traumatic Stress ◽  
Complicated Grief ◽  
Post Traumatic Stress ◽  
Suicide Survivors ◽  
Loved One ◽  
Survivors Of Suicide ◽  
Current State ◽  
Suicide Bereavement ◽  
Post Traumatic ◽  
State Of Research

Losing a loved to suicide is one is one of life's most painful experiences. The feelings of loss, sadness, and loneliness experienced after any death of a loved one are often magnified in suicide survivors by feelings of quilt, confusion, rejection, shame, anger, and the effects of stigma and trauma. Furthermore, survivors of suicide loss are at higher risk of developing major depression, post-traumatic stress disorder, and suicidal behaviors, as well as a prolonged form of grief called complicated grief. Added to the burden is the substantial stigma, which can keep survivors away from much needed support and healing resources. Thus, survivors may require unique supportive measures and targeted treatment to cope with their loss. After a brief description of the epidemiology and circumstances of suicide, we review the current state of research on suicide bereavement, complicated grief in suicide survivors, and grief treatment for survivors of suicide.

Adult separation anxiety in patients with complicated grief: relationship with post traumatic stress versus mood spectrum symptomatology

2011 ◽  
Vol 26 (S2) ◽  
pp. 142-142
Author(s):  
C. Carmassi ◽  
C. Socci ◽  
M. Corsi ◽  
I. Pergentini ◽  
E. Massimetti ◽  
...  
Keyword(s):  
Social Adjustment ◽  
Traumatic Stress ◽  
Separation Anxiety ◽  
Complicated Grief ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Control Subjects ◽  
Post Traumatic ◽  
The Impact

IntroductionAround 9–20% of bereaved individuals experience symptoms of complicated grief (CG) associated with significant distress and impairment. Increasing research has been focused on identifying the distinctive set of psychiatric symptoms that characterize this condition with respect to major depression, corroborating the need to include this syndrome in the forthcoming DSM-V as a distinctive diagnosis. Vulnerability to CG has been rooted in attachment disturbances and authors reported that symptoms of separation anxiety in childhood should be considered as predictors of CG onset in adulthood.ObjectivesTo date no study explored symptoms of adult separation anxiety among patients with CG with respect to healthy control subjects (HC).AimsTo explore adult separation anxiety and mood spectrum symptoms in patients with CG with respect to HC.Methods53 patients with CG and 50 control subjects were recruited, Department of Psychiatry, University of Pisa. Assessments: SCID-I/P, the Inventory of Complicated Grief (ICG), the Adult Separation Anxiety Questionnaire (ASA-27), the Work and Social Adjustment Scale (WSAS), the Impact of Event Scale (IES) and the Mood Spectrum-Self Report (MOODS-SR) lifetime version.ResultsPatients with CG reported significantly higher scores on the MOODS-SR, ASA_27, IES and WSAS with respect to controls. The scores on the ASA_27 were more strongly associated with IES scores with respect to other scales.ConclusionsOur results suggest a correlation between adult separation anxiety and CG onset after the loss of a loved one in adulthood, with a possible correlation to a post-traumatic stress symptomatology. Further studies are needed.

Functional Neuroimaging of PTSD

2016 ◽  
Author(s):  
Marie-France Marin ◽  
Mohammed R. Milad
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Functional Neuroimaging ◽  
Post Traumatic Stress ◽  
Key Factors ◽  
Current State ◽  
Recent Developments ◽  
Post Traumatic ◽  
Novel Approaches

The merger of neuroscience and psychiatry during the last two decades has enabled psychiatric neuroscience, as a newly refined discipline, to make great advances in understanding pathophysiology of psychiatric disorders, including post-traumatic stress disorder (PTSD). The advent of neuroimaging tools and the continued exponential growth and sophistication of the methods are key factors underlying advances in the field. In this chapter, informed by neuroimaging tools and basic neuroscience, the authors paint an optimistic canvas to illustrate the current state of knowledge pertaining to the etiology and pathophysiology of PTSD. The chapter describes the state of some recent developments and what is coming on the horizon in terms of novel approaches that may be applied toward the diagnosis and treatment of PTSD.

scholarly journals Headaches in Moria: a reflection on mental healthcare in the refugee camp population of Lesbos

2019 ◽  
Vol 16 (04) ◽  
pp. 96-98 ◽  
Author(s):  
Tom Nutting
Keyword(s):  
Traumatic Stress ◽  
Mental Healthcare ◽  
Refugee Camp ◽  
Lifestyle Changes ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Current State ◽  
Post Traumatic ◽  
The Common ◽  
Perfect Storm

Having returned from a period of volunteering with a healthcare charity working with the refugee camp population of Lesbos in Greece, a junior doctor reflects on the common presentations he saw and the current state of mental healthcare for these patients. The placement of already-traumatised people in an overcrowded and under-resourced camp environment creates a perfect storm for the emergence of post-traumatic stress disorder, depression and anxiety. With extremely limited psychiatric care in place, he considers the simple interventions he could use to help his patients with their distressing symptoms. This prompts exploration of the importance of giving time to listen as well as encouraging small but significant lifestyle changes. After exploring the ethics of psychiatric diagnosis in this setting, the author concludes that while we must acknowledge the political origins of some of the symptomatology in this population, we must continue to strive to treat psychiatric illness with all the appropriate interventions available to us in order to help those in this patient group recover and move forward.

scholarly journals Complicated grief after death of a relative in the intensive care unit

2015 ◽  
Vol 45 (5) ◽  
pp. 1341-1352 ◽  
Author(s):  
Nancy Kentish-Barnes ◽  
Marine Chaize ◽  
Valérie Seegers ◽  
Stéphane Legriel ◽  
Alain Cariou ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Complicated Grief ◽  
Depression Scale ◽  
Multivariate Logistic Regression Model ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Loved One ◽  
Post Traumatic

An increased proportion of deaths occur in the intensive care unit (ICU).We performed this prospective study in 41 ICUs to determine the prevalence and determinants of complicated grief after death of a loved one in the ICU. Relatives of 475 adult patients were followed up. Complicated grief was assessed at 6 and 12 months using the Inventory of Complicated Grief (cut-off score >25). Relatives also completed the Hospital Anxiety and Depression Scale at 3 months, and the Revised Impact of Event Scale for post-traumatic stress disorder symptoms at 3, 6 and 12 months. We used a mixed multivariate logistic regression model to identify determinants of complicated grief after 6 months.Among the 475 patients, 282 (59.4%) had a relative evaluated at 6 months. Complicated grief symptoms were identified in 147 (52%) relatives. Independent determinants of complicated grief symptoms were either not amenable to changes (relative of female sex, relative living alone and intensivist board certification before 2009) or potential targets for improvements (refusal of treatment by the patient, patient died while intubated, relatives present at the time of death, relatives did not say goodbye to the patient, and poor communication between physicians and relatives).End-of-life practices, communication and loneliness in bereaved relatives may be amenable to improvements.

scholarly journals Using the Kübler-Ross Model of Grief with Post-Traumatic Stress Disorder (PTSD): An Analysis of Manchester by the Sea

2021 ◽  
Vol 5 (1) ◽  
pp. 79
Author(s):  
Rong-Rong Wang ◽  
Ya-huei Wang
Keyword(s):  
Mental Illness ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Emotional Responses ◽  
Post Traumatic Stress ◽  
Loved One ◽  
State Of Mind ◽  
Post Traumatic ◽  
Positive State

<p class="AbstractText">People may encounter different stages of grief during the course of bereavement, and not everyone can achieve a positive state of mind. This study intended to analyze how the characters in <em>Manchester by the Sea</em>, mainly Lee Chandler, Patrick Chandler, and Randi, manage their emotional responses when they are facing the loss of a loved one. The study used Elisabeth Kübler-Ross’s five-stage model of grief and post-traumatic stress disorder (PTSD) to analyze how these characters transition through their grief and whether they are likely to suffer from mental illness. Some people, like Randi and Patrick in the film, may recover from bereavement; however, some people, like Lee, may not, eventually becoming afflicted with mental illness or PTSD.</p>

Current state of knowledge of post-traumatic stress, sleeping problems, obesity and cardiovascular disease in paramedics

2013 ◽  
Vol 31 (3) ◽  
pp. 242-247 ◽  
Author(s):  
Sandrine Hegg-Deloye ◽  
Patrice Brassard ◽  
Nathalie Jauvin ◽  
Jérôme Prairie ◽  
Dominique Larouche ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Current State ◽  
Sleeping Problems ◽  
Post Traumatic

The Association between Therapeutic Alliance and Parental Health Outcomes following a Child's Death in the Pediatric Intensive Care Unit

2021 ◽  
Author(s):  
Markita Suttle ◽  
Mark W. Hall ◽  
Murray M. Pollack ◽  
Robert A. Berg ◽  
Patrick S. McQuillen ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Complicated Grief ◽  
Pediatric Intensive Care ◽  
Post Traumatic Stress ◽  
Bereaved Parents ◽  
Post Traumatic ◽  
Child's Death

AbstractTherapeutic alliance reflects the strength and quality of the physician–patient/family relationship. We investigated the association between therapeutic alliance and bereaved parents' mental health and perceived overall health following their child's death in a pediatric intensive care unit (PICU). Bereaved parents were surveyed 6 months after their child's death in a PICU affiliated with the Collaborative Pediatric Critical Care Research Network. Parents were evaluated for complicated grief, depression, and post-traumatic stress using the Inventory of Complicated Grief (ICG), the Patient Health Questionnaire (PHQ-8), and the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT), respectively. Overall health was evaluated using a single item. Therapeutic alliance between parents and their deceased child's PICU physicians was assessed using the Human Connection scale (HCS). Two hundred and thirty-five parents of 158 deceased children completed surveys. Mean ICG score was 34.4 ± 14.9 with 142 (60.4%) parents screening positive for complicated grief. Mean PHQ-8 score was 9.1 ± 6.2 with 102 (43.4%) screening positive for at least moderate depression. Mean SPRINT score was 14.6 ± 8.2 with 122 (51.9%) screening positive for post-traumatic stress disorder. Overall health was perceived as fair for 47 (20.0%) parents and poor for 10 (4.3%). Using multivariable modeling, higher HCS score (greater therapeutic alliance) was significantly associated with lower (better) ICG score (−0.23, 95% CI −0.42, −0.04, p = 0.018). HCS score was not significantly associated with PHQ-8, SPRINT, or overall health scores. We conclude that bereaved parents experience a high level of adverse mental health symptoms including complicated grief, depression, and post-traumatic stress symptoms. Greater therapeutic alliance with PICU physicians may lessen symptoms of complicated grief during bereavement.

Post-traumatic stress disorder: update on diagnosis and treatment

2021 ◽  
pp. 1-3
Author(s):  
Joshua C. Morganstein ◽  
Gary H. Wynn ◽  
James C. West
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Stress Disorder ◽  
Diagnosis And Treatment ◽  
Current Evidence ◽  
Post Traumatic Stress ◽  
Related Disorder ◽  
Current State ◽  
Post Traumatic

SUMMARY Post-traumatic stress disorder (PTSD) is a common trauma and stressor-related disorder. Trauma-focused psychotherapies and selective serotonin reuptake inhibitors represent current state of the art treatment for PTSD, with current evidence favouring psychotherapy as first-line treatment. Much room remains for development of more effective therapeutics. This article give a brief update on diagnosis and treatment of PTSD.

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