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Psychological distress and bereavement
W Middleton1, B Raphael, P Burnett
1Department of Psychiatry, University of Queensland, Australia.
The Journal of Nervous and Mental Disease
|July 1, 1997
Summary
This study tracked 115 grieving individuals for 12 months, finding significant decreases in depression and anxiety over time. Core bereavement symptoms correlated with psychological distress across all participants.
Area of Science:
- Psychology
- Psychiatry
- Grief Research
Background:
- Bereavement is a significant life event associated with psychological distress.
- Understanding the long-term psychological impact of grief is crucial for developing effective support strategies.
Purpose of the Study:
- To prospectively examine psychological changes in bereaved individuals over 12 months.
- To investigate differences in psychological outcomes among various bereaved groups (spouses, adult children, parents).
- To explore the relationship between core bereavement experiences and psychological distress.
Main Methods:
- Prospective follow-up of 115 bereaved subjects (spouses, adult children, parents) over 12 months.
- Administration of the Zung Depression Scale, Spielberger's State and Trait Anxiety Measure, GHQ-28, and Eysenck's Personality Inventory at four time points.
- Correlation analysis between psychological measures and core bereavement phenomenology.
Main Results:
- Significant decreases in depression, state and trait anxiety, neuroticism, and GHQ-28 scores were observed over the 12-month study period.
- No significant differences in psychological variables were found between the spouse, adult child, and parent groups.
- Scores on depression, anxiety, and neuroticism consistently correlated with core bereavement items across all time points and groups.
Conclusions:
- Psychological distress, including depression and anxiety, generally improves over the first year of bereavement.
- The experience of grief and its psychological impact appear similar across different types of bereaved relationships.
- Core bereavement phenomenology is a significant predictor of psychological distress during the grieving process.