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Cited by 76Grief, Bereavement, and Mental HealthPosttraumatic Stress Disorder ResearchDeath, Funerary Practices, and Mourning

Efficacy of an integrative CBT for prolonged grief disorder: A long-term follow-up

Rosner, Rita, Bartl, Helga, Pfoh, Gabriele, Kotoučová, Michaela, Hagl, Maria·2015·Journal of Affective Disorders
DOI 10.1016/j.jad.2015.04.051
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Abstract

BACKGROUND: While some intervention trials have demonstrated efficacy in treating prolonged grief disorder (PGD), data on long-term treatment effects are scarce. METHODS: Fifty-one outpatients with clinically relevant prolonged grief symptoms, who had participated in a randomized controlled trial (RCT), were followed up, on average, 1.5 years after integrative cognitive behavioral therapy for PGD (PG-CBT). Initial assessment procedures were repeated, with PGD symptom severity as the main outcome and general mental health symptoms as secondary outcomes. As results in the immediate and delayed treatment groups (former wait list) were similar, the follow-up data were pooled. RESULTS: Overall, 80% of the original ITT sample could be reached, that is 89% of the 37 treated participants, as well as 8 out of 14 participants who had dropped out of the RCT. The considerable short-term treatment success of PG-CBT was stable; pre to follow-up Cohen׳s d was large, with 1.24 in the ITT analysis and 2.22 for completers. The pre to post-improvement in overall mental health was maintained. LIMITATIONS: Since the RCT wait list group had been treated after their waiting period as well, no controlled long-term outcomes are available. CONCLUSIONS: PG-CBT proved to be effective in the longer run. In comparison to other RCTs on prolonged grief this is the largest sample followed up for this long.

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Crossref · 10.1016/j.jad.2015.04.051

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26 of 26 references verified0 citation errors · 0 not checkable

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  • The empirical data generated by the new diagnoses promise to yield a much greater understanding of how to recognize and treat these disorders in different settings worldwide.

    “The empirical data generated by the new diagnoses promise to yield a much greater understanding of how to recognize and treat these disorders in different settings worldwide [70–72].”

    From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [72]

  • CBT, particularly exposure-based approaches, seems particularly efficacious in reducing PGS, yielding large effect sizes.

    “studies suggest that Cognitive Behavioral Therapy (CBT), and in particular exposure-based approaches, which are congruent with the cognitive-behavioral model, seem particularly efficacious in reducing PGS, yielding large effect sizes (Boelen et al., 2007; Bryant et al., 2014; Rosner et al., 2015).”

    From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Rosner et al., 2015

  • In a 1.5-year follow-up study of fifty-one patients who had received integrative CBT for PDD, 64% of those who completed the study had achieved or maintained recovery at follow-up.

    “In another 1.5-year follow-up study including fifty-one patients with clinically significant prolonged grief symptoms who had participated in a randomized controlled trial in which they had received integrative CBT for PDD, this intervention proved effective in the long term.In terms of clinical significance, 64% of those who completed the study had achieved or maintained recovery at follow-up (Ro”

    From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Rosner et al., 2015

  • CBT for PGD is effective in the long term according to the follow-up study at one and a half years.

    “It is effective in the long term according to the follow-up study at one and a half years.”

    From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Rosner et al., 2015

  • CBT for PGD proved effective in the long run.

    “* CBT for PGD proved effective in the long run (Rosner et al., 2015).”

    From Prolonged grief disorder treatment: An approach to COVID-19 grief (2023) · cites this paper as Rosner et al., 2015

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Research works printed but not linked: 1

  1. Rosner, 2007, Was hilft bei Trauer nach interpersonalen Verlusten? Eine Literaturübersicht zu Behandlungsstudien bei. Erwachsenen [Effective interventions after bereavement. A literature review of treatment studies on adults], Psychodyn. Psychother., 6, 47

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Authors
Rosner, R., Bartl, H., Pfoh, G., Kotoučová, M., & Hagl, M.
Affiliations
  • Catholic University of Eichstätt-Ingolstadt (DE)
  • Ludwig-Maximilians-Universität München (DE)
Corresponding author
Rosner, Rita
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2015-09
Volume
183
Pages
106-112
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2015.04.051
OpenAlex
W1622644686
Cited by
76
References
27
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 12 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 6 · 2018: 4 · 2017: 13 · 2016: 5 · 2015: 2
FWCI
9.92
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 › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
Keywords
prolonged grief disorder, long-term treatment outcomes, symptom maintenance, general mental health, bereavement, treatment retention, follow-up
MeSH terms
Adult, Affective Symptoms, Depression, Female, Follow-Up Studies, Grief, Humans, Male, Mental Health, Middle Aged, Severity of Illness Index, Waiting Lists, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome

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