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Bereavement and complicated grief
M Katherine Shear1, Angela Ghesquiere, Kim Glickman
1Columbia University School of Social Work, Room 829, 1255 Amsterdam Avenue, New York, NY, 10027, USA, ks2394@columbia.edu.
Most older adults experience grief after loss, but 7% develop Complicated Grief (CG). This review covers CG diagnosis, risk factors, and treatments in older adults, highlighting the need for greater attention.
Area of Science:
- Gerontology
- Psychiatry
- Mental Health
Background:
- Bereavement is a common experience for adults aged 60 and older.
- Acute grief, characterized by yearning and intrusive thoughts, typically evolves into integrated grief.
- However, approximately 7% of bereaved older adults develop Complicated Grief (CG).
Purpose of the Study:
- To review recent publications on the diagnosis of Complicated Grief (CG) in older adults.
- To identify risk factors associated with the development of CG in this demographic.
- To summarize evidence-based treatments for CG.
Main Methods:
- Literature review of recent publications.
- Focus on studies addressing diagnosis, risk factors, and treatments for CG.
- Analysis of findings specific to the older adult population.
Main Results:
- Complicated Grief (CG) involves persistent, impairing grief symptoms that derail the natural progression to integrated grief.
- Key risk factors for CG in older adults are discussed.
- Evidence-based treatment modalities for CG are presented.
Conclusions:
- Complicated Grief (CG) is a distinct mental health condition requiring specific attention in older adults.
- Early detection and intervention are crucial for managing CG.
- Further research and clinical focus on CG in older populations are warranted.
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