Cited by 39Grief, Bereavement, and Mental HealthDeath, Funerary Practices, and MourningDeath Anxiety and Social Exclusion

Neuropsychological Correlates of Complicated Grief in Older Spousally Bereaved Adults

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O'Connor, M.-F., Arizmendi, B. J.·2014·The Journals of Gerontology Series B: Psychological Sciences and Social Sciences

Abstract

OBJECTIVES: Across many research domains, evidence for complicated grief as a distinct psychopathology continues to grow. Previous research from neuropsychology has shown an increased attentional bias to emotionally relevant stimuli in those suffering from complicated grief. This study furthers our understanding of the characteristics that distinguish complicated grief. We expand on previous research by (a) testing older adults, (b) excluding those with comorbid major depressive disorder, (c) using participant-chosen grief-related stimuli, and (d) using a married, nonbereaved control group. METHODS: We recruited 76 older adults in 3 groups: spousally bereaved with complicated grief, spousally bereaved with noncomplicated grief, and nonbereaved controls. Performance on the Wisconsin Card Sorting Task, Digit Span Backwards, and the emotional counting Stroop was examined. RESULTS: Results indicate longer reaction time across 3 blocks of grief-related words in the complicated grief group but no difference across 3 blocks of the neutral words. The 3 groups performed comparably on the other neurocognitive tasks, indicating no cognitive differences in working memory or set shifting between groups. Furthermore, these effects of complicated grief generalize to older adults and appear independent of major depression. DISCUSSION: Complicated grief has cognitive interference as a neuropsychological component highlighting it as distinct from noncomplicated grief.

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  1. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient edition. (SCID-I/NP) New York: Biometrics Research, New York State Psychiatric Institute.
  2. Wechsler, D. (1945/1997). Wechsler Memory Scale®-Third edition (WMS-III). San Antonio, TX: Harcourt Assessment.

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Authors
O'Connor, M.-F., & Arizmendi, B. J.
Affiliations
University of Arizona (US)
Venue
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Published
2013-04-03
Volume
69B
Issue
1
Pages
12-18
ISSN
  • 1079-5014 (ISSN-L)
  • 1758-5368
OpenAlex
W2128763509
Cited by
39
References
40
Citations by year
2026: 2 · 2025: 4 · 2024: 6 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 2
FWCI
3.34
Type
journal article
Language
en
Open access
Locations
  • The Journals of Gerontology Series B (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • National Institutes of Health (AG019610)
  • National Institute on Aging (P30-AG019610-12, AG019610, P30AG019610, K01AG028404)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
  • Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
Keywords
complicated grief, death of a spouse, older adults, attentional bias, emotional Stroop task, cognitive interference, reaction time, major depressive disorder, working memory, set-shifting, neuropsychological correlates
MeSH terms
Aged, Aged, 80 and over, Bereavement, Cognition, Depression, Female, Grief, Humans, Male, Middle Aged, Neuropsychological Tests, Case-Control Studies, Widowhood, Stroop Test

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