REVIEW OF THE PSYCHOLOGICAL SUPPORT AT COMPLICATED GRIEF BASED ON THE COGNITIVE-BEHAVIOR THERAPY
Oleksandr Avramchuk
Ukrainian Catholic University
https://orcid.org/0000-0001-8512-7817
PDF 9-24 (Українська)

Keywords

bereavement
the process of grieving
complicated grief
psychological support
cognitive-behavioral therapy

How to Cite

Avramchuk, O. (2019). REVIEW OF THE PSYCHOLOGICAL SUPPORT AT COMPLICATED GRIEF BASED ON THE COGNITIVE-BEHAVIOR THERAPY. PSYCHOLOGICAL JOURNAL, 5(8), 9-24. https://doi.org/10.31108/1.2019.5.8.1

Abstract

The article discusses the actual studies concerning the psychological support at complicated grief. The author notes that practitioners and researchers continues debate about the definition, diagnostic criteria and best treatment of the pathopsychological phenomenon that follow the loss of a loved one and usually named as complicated grief. At the present, complicated grief is viewed as a clinical state of a persistent feeling of mourning during, at least, six months with increasing psychosocial disability. Due to many evidences of distinct clinical features for this phenomenon, it was included into the Diagnostic and Statistical Manual for Mental Disorders as a persistent complex bereavement disorder (the condition for further study), and as a new diagnostic category – Prolonged Grief Disorder - is to be added to the International Statistical Classification of Diseases (ICD-11).

The article describes the cognitive model of psychological-emotional changes characteristic for people suffering from complicated grief. The cognitive-behavioral model of complicated grief proposes that a traumatic experience of a loss and negative cognition (negative beliefs about Self, life, and the future and threatening interpretations of grief reactions) plays a core role in the development and persistence of emotional problems, so mourners start to avoid social support.

The emphasis in the performed analysis is laid on the psychological and psychotherapeutic interventions based on the cognitive-behavioral theory; there are evidences of their effectiveness in dealing with people mourning for deceased. The author summarizes that psychotherapeutic interventions based on the cognitive-behavioral therapy are evidence-based, comprehensive, and methodologically substantiated; they are focused on achieving psychological-emotional stability and returning to normal life. The performed approbation of these methods of intervention have shown lowered intensity of bereavement-related depression, anxiety, traumatic pain and the integration of the traumatic memory of death into a grieving person’s life experience.

The cognitive-behavioural model of complicated grief can have wide clinical and psychological practical use, and cognitive-behavioral therapy manuals for dealing with complicated grief (or recommendations based on them) can be proposed as measures of psychotherapeutic and psychosocial support in Ukraine.

 

PDF 9-24 (Українська)

References

Boelen, P. A., van den Bout, J. & de Keijser, J. (2003). Traumatic grief as a disorder distinct from bereavement-related depression and anxiety: A replication study with bereaved mental health care patients. Am J Psychiatry, 160,1339–1341.

Boelen, P. A., de Keijser, J. M., van den Hout, A., & van den Bout, J. (2007). Treatment of complicated grief: a comparison between cognitive-behavioral therapy and supportive counseling. J Consult Clin Psychol, 75, 277–284.

Boelen, P. A., & Prigerson, H. G. (2007). The influence of symptoms of prolonged grief disorder, depression, and anxiety on quality of life among bereaved adults: a prospective study. Eur Arch Psychiatry Clin Neurosci, 257(8), 444–452.

Bonanno, G. A., Neria, Y., Mancini, A., et al. (2007). Is there more to complicated grief than depression and posttraumatic stress disorder? A test of incremental validity. J Abnorm. Psychol, 116 (2), 342–351.

Bryant, R., Kenny, L., Joscelyne, A., Rawson, N., Maccallum, F., Cahill, C., … Nickerson, A. (2014). Treating prolonged grief disorder: a randomized clinical trial. JAMA Psychiatry, 71, 1332–1339. http://dx.doi.org/10.1001/jamapsychiatry.2014.1600

de Groot, M., Neeleman, J., Meer K., & Burger H. (2010) The effectiveness of family-based cognitive-behavior grief therapy to prevent complicated grief in relatives of suicide victims: the mediating role of suicide ideation. Suicide life Threat Behav., 40(5), 425–437.

Duffy, M., & Wild, J. (2017). A cognitive approach to Persistent Complex Bereavement disorder (PCBD). The Cognitive Behaviour Therapist, 16 (special issue - invited paper), 1–19. http://dx.doi.org/10.1017/S1754470X17000034

Eisma, M.C., Boelen, P.A., & van den Bout, J. (2015). Internet-based exposure and behavioral activation for complicated grief and rumination: a randomized controlled trial. Behav Ther, 46(6), 729-748.

Guldin, M. (2015). Incidence of Suicide Among Persons Who Had a Parent Who Died During Their Childhood A Population-Based Cohort Study. JAMA Psychiatry, 72 (12), 1227–1234

Lundorff, M., Holmgren, H., Zachariae, R., Farver-Vestergaard, I., & O'Connor, M. (2017). Prevalence of prolonged grief disorder in adult bereavement: a systematic review and meta-analysis. J. Affect. Disord, 212. https://doi.org/10.1016/j.jad.2017.01.030.

Malkinson, R. (2010). Cognitive Behavioural Grief Therapy: The ABC model of Rational-Emotion Behavour. Therapy, Psychological Topics 19, (2), 289–305. http://dx.doi.org/10.1016/j.cpr.2004.07.002

Morris, S.E. (2008) Overcoming grief: A self-help guide using cognitive behavioural techniques. London: Constable and Robinson

Thompson, M. R., Whiteman, A. D., Loucks, K. D. & Daudt, H. M. L. (2017) Complicated Grief in Canada: Exploring the Client and Professional Landscape. Journal of Loss and Trauma, 22(7), 577–598. http://dx.doi.org/10.1080/15325024.2017.1358574

Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M.,

Goodkin, K., … Maciejewski, P. K. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med, 6(8). http://dx.doi.org/10.1371/journal.pmed.1000121.

Rosner, R., Pfoh, G., Kotoucova, M. (2011) Treatment of complicated grief. Eur J Psychotraumatol, 2, 7995. http://dx.doi.org/10.3402/ejpt.v2i0.7995.

Shear, M. K., Frank, E., Houck, P. R., & Reynolds, C. F. (2005). Treatment of complicated grief: a randomized controlled trial. JAMA, 293, 2601-2608.

Shear, M. K., Wang, Y., Skritskaya, N., Duan, N., Mauro, C., & Ghesquiere, A. (2014). Treatment of complicated grief in elderly persons: a randomized clinical trial. JAMA Psychiatry, 71, 1287–1295.

Shear, M. K. (2015). Clinical practice. Complicated grief. N Engl J Med, 372(2), 153–160.

Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Wang, Y., Mauro, C., … Skritskaya, N. (2016). Optimizing treatment of complicated grief: A randomized clinical trial. JAMA Psychiatry, 73(7), 685–694. http://dx.doi.org/10.1001/jamapsychiatry.2016.0892

Wagner, B., Knaevelsrud, C., & Maercker, A. (2006). Internet-based cognitive-behavioral therapy for complicated grief: a randomized controlled trial. Death Stud, 30, 429-453.

Wetherell, J. L. (2012). Complicated grief therapy as a new treatment approach. Dialogues Clin Neurosci, 14(2), 159–166.

Wittouck, C., Van Autreve, S., De Jaegere, E., Portzky, G., & van Heeringen, K. (2011). The prevention and treatment of complicated grief: A meta-analysis. Clinical Psychology Review, 31(1), 69–78. http://dx.doi.org/10.1016/j.cpr.2010.09.005

Wittouck, C., Van Autreve, S., De Jaegere, E., Portzky, G., & van Heeringen, K. (2014). A CBT-based psychoeducational intervention for suicide survivors. Crisis, 35(4), 193–201.

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