Document Detail


Spousal bereavement in older adults: common, resilient, and chronic grief with defining characteristics.
MedLine Citation:
PMID:  17435484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to identify empirically patterns of grief among 141 older bereaved spouses. A longitudinal hierarchical cluster procedure with the Ward agglomeration method was used to identify distinct clusters based on grief scores. Three clusters were identified: common (49%), resilient (34%), and chronic (17%) grief. Members of the common grief cluster experienced elevated levels of grief and depressive symptoms that decreased over time. Members of the resilient cluster experienced the lowest levels of grief and depression and the highest quality of life. The chronic grief cluster experienced the highest levels of grief and depression, more sudden deaths, the lowest self-esteem, and the highest marital dependency. The majority in this chronic cluster also met proposed criteria for a diagnosis of complicated grief. Five out of every six bereaved spouses adjusted well over time, and about a third of these showed considerable resilience without negative consequences. One out of six experienced a chronic grief syndrome. Early identification of this syndrome can lead to referral to newly emergent treatments specific for grief.
Authors:
Carol H Ott; Robert J Lueger; Sheryl T Kelber; Holly G Prigerson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  195     ISSN:  0022-3018     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-16     Completed Date:  2007-06-26     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  332-41     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Age Factors
Anxiety Disorders / epidemiology,  psychology
Bereavement*
Chronic Disease
Cluster Analysis
Connecticut / epidemiology
Data Collection
Depressive Disorder, Major / diagnosis,  epidemiology,  psychology
Female
Grief*
Humans
Male
Marriage
Mental Disorders / diagnosis*,  epidemiology,  psychology
Psychotherapy
Quality of Life
Self-Help Groups
Social Support
Spouses / classification,  psychology*,  statistics & numerical data
Stress Disorders, Post-Traumatic / epidemiology,  psychology
Terminology as Topic
Grant Support
ID/Acronym/Agency:
CA106370/CA/NCI NIH HHS; MH56529/MH/NIMH NIH HHS; MH63892/MH/NIMH NIH HHS; R01 CA106370/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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