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Am J Psychiatry 1997; 154:616-623
Copyright © 1997 by American Psychiatric Association
Traumatic grief as a risk factor for mental and physical morbidity
HG Prigerson, AJ Bierhals, SV Kasl, CF Reynolds 3rd, MK Shear, N Day, LC Beery, JT Newsom and S Jacobs
Department of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, PA 15213, USA. Prigersonhg@msx.upmc.edu
OBJECTIVE: The aim of this study was to confirm and extend the authors'
previous work indicating that symptoms of traumatic grief are predictors of
future physical and mental health outcomes. METHOD: The study group
consisted of 150 future widows and widowers interviewed at the time of
their spouse's hospital admission and at 6-week and 6-, 13- , and 25- month
follow-ups. Traumatic grief was measured with a modified version of the
Grief Measurement Scale. Mental and physical health outcomes were assessed
by self-report and interviewer evaluation. Survival analysis and linear and
logistic regressions were used to determine the risk for adverse mental and
physical health outcomes posed by traumatic grief. RESULTS: Survival and
regression analyses indicated that the presence of traumatic grief symptoms
approximately 6 months after the death of the spouse predicted such
negative health outcomes as cancer, heart trouble, high blood pressure,
suicidal ideation, and changes in eating habits at 13- or 25-month
follow-up. CONCLUSIONS: The results suggest that it may not be the stress
of bereavement, per se, that puts individuals at risk for long- term mental
and physical health impairments and adverse health behaviors. Rather, it
appears that psychiatric sequelae such as traumatic grief are of critical
importance in determining which bereaved individuals will be at risk for
long-term dysfunction.
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