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The relationship between substance misuse and complicated grief: A systematic review
Anna Parisi1, Anjalee Sharma1, Matthew O Howard1
1School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro St. CB 3550, Chapel Hill, NC 27599, USA.
Journal of Substance Abuse Treatment
|June 24, 2019
Summary
Complicated grief and substance misuse are linked, with substance use increasing grief risk and complicated grief worsening substance use. Interventions can help both conditions simultaneously.
Area of Science:
- Psychiatry
- Psychology
- Public Health
Background:
- Complicated grief (CG) is a prolonged disorder with severe consequences.
- The relationship between CG and substance misuse (SM) is not well understood.
Purpose of the Study:
- To systematically review empirical findings on the link between SM and CG.
- To identify risk factors, assessment tools, and treatment strategies.
Main Methods:
- Systematic literature review of 11 databases.
- Included 12 quantitative studies (N=1749) published 1997-2017.
- Evaluated prevalence, assessment, etiology, correlates, risk factors, and treatment.
Main Results:
- Evidence of a positive relationship between CG and SM.
- SM increases risk for CG, especially if substance use precedes bereavement.
- CG predicts increased smoking and alcohol dependence.
Conclusions:
- CG and SM share risk factors and can exacerbate each other.
- Existing CG assessments are effective for individuals with SM.
- Grief interventions show promise for treating both conditions concurrently.
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