Cognitive behavioral variables mediate the associations of neuroticism and attachment insecurity with Prolonged Grief Disorder severity

Boelen, Paul A.; Klugkist, Irene

doi:10.1080/10615806.2010.527335

Cited by 58Grief, Bereavement, and Mental HealthDeath Anxiety and Social ExclusionDeath, Funerary Practices, and Mourning

Cognitive behavioral variables mediate the associations of neuroticism and attachment insecurity with Prolonged Grief Disorder severity

Boelen, Paul A., Klugkist, Irene·2011·Anxiety, Stress, & Coping

DOI 10.1080/10615806.2010.527335

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Abstract

Prolonged Grief Disorder (PGD) is a debilitating syndrome of grief. A recent cognitive behavioral model asserts that three processes are critical to this condition: (1) insufficient integration of the loss with autobiographical knowledge about the self and the lost person; (2) negative cognitions; and (3) anxious and depressive avoidance behaviors. These processes are assumed to contribute to PGD symptoms and to mediate the influence of personality-related vulnerabilities on the development and maintenance of these symptoms. The present study examined the mediational role of these three processes in the linkage between neuroticism, attachment anxiety, and attachment avoidance on the one hand and PGD symptom severity on the other hand. Self-reported data from 348 bereaved people were used. The results showed that the three personality variables were significantly associated with PGD symptom severity. Moreover, the results provided support for the mediating effects of indices of insufficient integration, negative cognitions, as well as avoidance behaviors - even after controlling for the shared variance between mediators. Theoretical and clinical implications are discussed.

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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 [71]
Multiple types of loss-related avoidance assessed with one generic measure show large positive concurrent and longitudinal associations with complicated grief symptoms.
“Other investigations, assessing multiple types of lossrelated avoidance (mostly experiential) with one generic measure and CG symptoms, demonstrated large positive associations between these constructs concurrently and longitudinally (Boelen, 2009; Boelen, 2010a; Boelen & Klugkist, 2011; Boelen, van den Bout, & van den Hout, 2006).”
From Emotion Regulatory Strategies in Complicated Grief: A Systematic Review (2021) · cites this paper as Boelen & Klugkist, 2011

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Authors: Boelen, P. A., & Klugkist, I.
Affiliations: Utrecht University (NL)
Corresponding author: Boelen, Paul A.
ORCID: Boelen, Paul A.
Klugkist, Irene
Venue: Anxiety, Stress, & Coping
Publisher: Informa UK Limited
Published: 2010-11-10
Volume: 24
Issue: 3
Pages: 291-307
ISSN: 1061-5806 (ISSN-L)
1477-2205
DOI: 10.1080/10615806.2010.527335
OpenAlex: W2022310580
Cited by: 58
References: 23
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 1
FWCI: 1.76
Type: journal article
Language: en
Open access: closed
Locations: Anxiety Stress & Coping (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
Keywords: prolonged grief disorder, neuroticism, insecure attachment, attachment anxiety, attachment avoidance, bereavement, negative thinking, avoidance behavior, personality vulnerability
MeSH terms: Adolescent, Adult, Aged, Anxiety Disorders, Mental Disorders, Cognition, Depressive Disorder, Female, Grief, Humans, Male, Middle Aged, Models, Psychological, Neurotic Disorders, Object Attachment, Surveys and Questionnaires, Severity of Illness Index, Social Behavior, Young Adult

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Cognitive behavioral variables mediate the associations of neuroticism and attachment insecurity with Prolonged Grief Disorder severity

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