| Spousal bereavement in older adults: common, resilient, and chronic grief with defining characteristics. | |
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MedLine Citation:
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PMID: 17435484 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Carol H Ott; Robert J Lueger; Sheryl T Kelber; Holly G Prigerson |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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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:
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Created Date: 2007-04-16 Completed Date: 2007-06-26 Revised Date: 2011-12-07 |
Medline Journal Info:
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Nlm Unique ID: 0375402 Medline TA: J Nerv Ment Dis Country: United States |
Other Details:
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Languages: eng Pagination: 332-41 Citation Subset: AIM; IM |
Affiliation:
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College of Nursing, University of Wisconsin-Milwaukee, 53201-0413, USA. carolott@uwm.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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CA106370/CA/NCI NIH HHS; MH56529/MH/NIMH NIH HHS; MH63892/MH/NIMH NIH HHS; R01 CA106370-07/CA/NCI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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