Patterns, Predictors, and Prognostic Validity of Persistent Complex Bereavement Disorder Symptoms in Recently Bereaved Adults : A Latent Class Analysis

Persistent complex bereavement (PCBD) was entered to DSM-5. No studies have yet examined the nature, prevalence, prognostic validity, and underlying mechanisms of PCBD symptom patterns in recently bereaved people. Knowledge on these issues could improve the early identification and treatment of disturbed grief. Latent class analysis was used to identify subgroups characterized by different PCBD symptom patterns among recently (≤6 months) bereaved adults (n = 476). In a subgroup (n = 251), we assessed associations of class membership with PCBD severity and functional impairment assessed 3 years later. Associations between class membership and sociodemographic and cognitivebehavioral variables were also examined. We identified a resilient (50.0%), separation distress (36.1%), and high PCBD symptoms (13.9%) class. Class membership had prognostic value as evidenced by associations with PCBD severity and functional impairment assessed 3 years later. Deaths of partners/children, unexpectedness of the loss, and maladaptive cognitions and avoidance behaviors were also associated with membership of the pervasive symptom classes.



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Referentie: 
Paul A. Boelen, PhD, Geert E. Smid, MD, PhD, Huibertha B. Mitima-Verloop, MSc, Jos de Keijser, PhD, and Lonneke I.M. Lenferink, PhD | 2019
In: The Journal of Nervous and Mental Disease ISSN: 0022-3018 | 207 | 11 | November | 913-920
https://doi.org/10.1097/NMD.0000000000001053
Trefwoorden: 
Adults, Bereavement, Diagnosis, Diagnostic Validity, Methodology, Personality Traits, Posttraumatic Stress Disorder, Predictors, Prolonged Grief Disorder, PTSD (DSM-5), PTSD (en), Research, Separation, Statistical Analysis, Traumatic Grief