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The centrality of a loss-event: Patterns, correlates, and predictive value
1Department of Clinical Psychology, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands.
Anxiety, Stress, and Coping
|January 29, 2021
Summary
This study identified three subgroups of bereaved individuals based on how central the loss event is in their lives. Higher loss centrality predicts prolonged grief symptoms over time.
Area of Science:
- Psychology
- Bereavement Studies
- Mental Health Research
Background:
- The centrality of a loss-event is known to sustain emotional distress after bereavement.
- Understanding subgroups within bereaved populations is crucial for targeted interventions.
Purpose of the Study:
- To distinguish subgroups of bereaved individuals based on loss-centrality manifestations.
- To associate subgroup membership with socio-demographic and loss-related variables.
- To link subgroup membership with prolonged grief (PG), posttraumatic stress (PTS), and depression symptoms.
Main Methods:
- 398 bereaved individuals completed the Centrality of Event Scale and symptom measures.
- Latent profile analysis (LPA) was used to identify loss-centrality profiles.
- Assessments were conducted concurrently and at 6-month follow-up.
Main Results:
- LPA revealed three profiles: low, average, and high loss-centrality.
- Partner's death and younger age were associated with higher centrality.
- Low centrality predicted lower concurrent PG, PTS, and depression.
- High centrality predicted elevated PG at 6 months, beyond baseline.
Conclusions:
- Distinct subgroups of loss-centrality were identified.
- Higher endorsement of loss-centrality manifestations characterized these subgroups.
- Clinical implications for understanding and treating prolonged grief are discussed.
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