Exploring Outcomes Related to Anxiety and Depression in Completers of a Randomized Controlled Trial of Complicated Grief Treatment
Abstract
Unlabelled The present study examines a more fine-grained analysis of anxiety-related and depression-related outcomes amongst a sample of treatment completers who were assigned to complicated grief treatment (CGT) (n = 35) or interpersonal psychotherapy (IPT) (n = 34) in a previously reported randomized controlled trial. We examined effects of antidepressant use and measures of anxiety and depression, focusing especially on guilt related to the death or deceased and grief-related avoidance in order to further understand the differential effectiveness of CGT and IPT amongst participants who received the full course of treatment. Analyses showed that CGT produced greater reductions in anxiety and depressive symptoms including negative thoughts about the future and grief-related avoidance. CGT's advantage over IPT in lowering depression was most pronounced amongst those not taking antidepressants. Our results further elucidate CGT effects and support the idea that CG and major depressive disorder are distinct conditions. Key practitioner message Targeted treatment for complicated grief (CG) produces benefits in associated mood and anxiety symptoms and CG symptoms. Amongst patients with CG, interpersonal psychotherapy seems relatively ineffective in ameliorating depressive symptoms. Grief-related depressive symptoms may not respond to standard treatments unless CG symptoms are also addressed. Reducing grief-related symptoms, such as anxieties about the future, guilt related to th…
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Randomized studies have demonstrated the efficacy of both interpersonal therapy and complicated grief-focused therapy in treating PGD, with significantly better results with complicated grief-focused therapy.
“Other randomized studies have demonstrated the efficacy of both interpersonal therapy and complicated grief-focused therapy in treating PGD, with significantly better results being reported with complicated grief-focused therapy.”
From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Glickman et al., 2016
Complicated grief therapy achieved a greater decrease in anxiety and depression symptoms, including negative thoughts about the future and grief-related avoidance, compared with bereavement-focused Interpersonal Therapy in older bereaved adults.
“-Complicated grief therapy had a significantly greater effect and greater tolerability compared with bereavement-focused Interpersonal Therapy in older adults who have experienced bereavement and achieved a greater decrease in anxiety and depression symptoms including negative thoughts about the future and grief-related avoidance (Shear et al., 2014;Glickman et al., 2016;Simon, 2015).”
From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Glickman et al., 2016
Complicated grief therapy had a significantly greater effect and greater tolerability compared with bereavement-focused Interpersonal Therapy in older adults who have experienced bereavement.
“-Complicated grief therapy had a significantly greater effect and greater tolerability compared with bereavement-focused Interpersonal Therapy in older adults who have experienced bereavement and achieved a greater decrease in anxiety and depression symptoms including negative thoughts about the future and grief-related avoidance (Shear et al., 2014;Glickman et al., 2016;Simon, 2015).”
From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Glickman et al., 2016
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References 19 · Cited by 18
- Authors
- Glickman, K., Shear, M. K., & Wall, M.
- Affiliations
- York College, City University of New York (US)
- Columbia University (US)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Glickman, Kim
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2014-12-22
- Volume
- 23
- Issue
- 2
- Pages
- 118-124
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W1940743356
- Cited by
- 18
- References
- 19
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2021: 2 · 2020: 3 · 2018: 4 · 2017: 1 · 2016: 1
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- complicated grief, interpersonal psychotherapy, depression, anxiety, guilt, antidepressant use, major depressive disorder, treatment outcomes
- MeSH terms
- Antidepressive Agents, Anxiety Disorders, Attitude to Death, Depressive Disorder, Female, Grief, Humans, Male, Middle Aged, Psychotherapy
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