3.1 What is prolonged grief (+treatment) Flashcards
Waar gaat artikel Boelen&Smid over?
Boelen&Smid (2017)
- Ontstaan van PGD
- Risk factors
- Prevention
- Treatment
Grief task model
Boelen&Smid (2017)
Differentiates between normal (succesfully managing grief tasks) and disturbed grief.
Grief tasks: VB accepting the reality of the loss and adjusting to a world without the person.
Prolonged grief
Boelen&Smid (2017)
Experiencing the death of a loved one elevates the risk of psychiatric disorders.
PGD occurs in 10% of bereaved individuals.
Shows through separation distress going on for longer than 6 months in children and 12 months in adults.
PGD and other mental health disorders
Boelen&Smid (2017)
HIgher risk for lower life quality, suicidality and poorer physical health.
Occurs often together with:
- MDD
- PTSD
- GAD
- Adult separation anxiety
Risk factors
Boelen&Smid (2017)
- Women
- Lower education
- Insecure attachment style
- Neuroticism
- Nature of relationship with deceased (the more important, the more increase of PGD)
- Unnatural and violent deaths are related to more severe grief
Prevention PGD
Boelen&Smid (2017)
- Psychological intervention (secondary prevention for people who have elevated risk show small to modest effects)
- Self help (mixed results)
- Medication (no studies yet)
Treatment
Psycholgical interventions
Boelen&Smid (2017)
Recommended treatment form.
- CBT
- Exposure interventions (reduce avoiding and motivate verbalizing and exploring the separation)
- Cognitive interventions (find and change maladaptive cognitions)
- Behavioural activation (actively adjust to loss)
Treatment
Self help interventions
Boelen&Smid (2017)
Not yet examined
Treatment
Psychological first aid
Boelen&Smid (2017)
Can be done by first responders or disaster relief workers.
They can provide them with what they need and help finding connections with medical and social supporters
Treatment
Pharmacological interventions
Boelen&Smid (2017)
Rather used to target depression.
