Prevalence of complicated grief in a representative population-based sample.

Kersting, Anette; Brähler, Elmar; Glaesmer, Heide; Wagner, Birgit

doi:10.1016/j.jad.2010.11.032

Cited by 628Grief, Bereavement, and Mental HealthDeath, Funerary Practices, and MourningMental Health Treatment and Access

Prevalence of complicated grief in a representative population-based sample.

Kersting, Anette, Brähler, Elmar, Glaesmer, Heide, Wagner, Birgit·2011·Journal of Affective Disorders

DOI 10.1016/j.jad.2010.11.032

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Abstract

Background Complicated grief (CG) has been proposed as a distinct diagnostic category in the next edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). However, few epidemiological studies to date have measured CG in the general population.Methods Prevalence of CG, sociodemographic characteristics, and grief-related factors were examined in a representative population-based survey (N = 2520) through face-to-face contact. The sample included all bereaved subpopulations and all age groups from 14 to 95 years.Results The conditional prevalence of developing CG after major bereavement was 6.7%; the prevalence of CG in the general sample was 3.7%. Predictors of higher risk for developing CG were female gender, lower income (< €1250/month), older age (> 61 years), having lost a child or a spouse, or cancer as the cause of death.Limitations The sample of bereaved people was small, and some categories contained very few cases. Psychiatric comorbidities were not assessed in this study.Conclusions The results indicate that CG is prevalent in the population, and risk factors were identified.

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Studies estimate that only 7-10% of bereaved people may suffer from prolonged grief disorder.
“Studies estimate that only 7-10% of bereaved people may suffer from this condition 77,78 .”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [77]
At the level of the general population, estimates indicate that only 2-3% of people may experience prolonged grief disorder.
“At the level of the general population, estimates indicate that only 2-3% of people may experience prolonged grief disorder, in contrast with the nearly universal experience of bereavement 62,77 .”
From Emerging experience with selected new categories in the <scp>ICD</scp>‐11: complex <scp>PTSD</scp>, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder (2022) · cites this paper as [77]
In a representative population-based German sample, those bereaved by a violent death had a disordered grief rate of 20%.
“In a representative population-based German sample, those bereaved by a violent death had a disordered grief rate of 20% (Kersting et al., 2011).”
From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Kersting et al., 2011
Recent studies of disordered grief in the Global North find prevalence rates ranging from 3.7% to 9.8%.
“For example, recent studies of the rates of disordered grief in the Global North find prevalence rates ranging from 3.7% (Kersting et al., 2011) to 9.8% (Lundorff et al., 2017).”
From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Kersting et al., 2011
The pooled disordered grief rate in refugee and post-conflict samples is much higher than prevalence rates in general population samples.
“This is much higher than prevalence studies of general population samples.”
From The assessment of grief in refugees and post-conflict survivors: a narrative review of etic and emic research (2018) · cites this paper as Kersting et al., 2011

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Authors: Kersting, A., Brähler, E., Glaesmer, H., & Wagner, B.
Affiliations: Leipzig University (DE)
Corresponding author: Wagner, Birgit
ORCID: Kersting, Anette
Brähler, Elmar
Glaesmer, Heide
Wagner, Birgit
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2011-06
Volume: 131
Issue: 1-3
Pages: 339-343
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2010.11.032
OpenAlex: W2073391963
Cited by: 628
References: 24
Citations by year: 2026: 14 · 2025: 37 · 2024: 48 · 2023: 48 · 2022: 37 · 2021: 58 · 2020: 67 · 2019: 55 · 2018: 54 · 2017: 60 · 2016: 42 · 2015: 41 · 2014: 23 · 2013: 20 · 2012: 19
FWCI: 22.79
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (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 › Social Psychology › Mental Health Treatment and Access
Keywords: complicated grief, bereavement, prevalence, risk factors, gender differences, socioeconomic status, loss of a child, death of a spouse, cancer mortality, general population
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Bereavement, Cross-Sectional Studies, Female, Germany, Grief, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Sex Factors, Socioeconomic Factors, Prevalence, Young Adult

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Prevalence of complicated grief in a representative population-based sample.

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