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Complicated Grief in Older Adults: A Randomized Controlled Trial of Complicated Grief Group Therapy
Abstract
Purpose This study compared the efficacy of complicated grief therapy (CGT; Shear, K. [2003]. Complicated grief: A guidebook for therapists [Liberty Version]. New York State Office of Mental Heath; Shear, K., Frank, E., Houck, P. R., & Reynolds, C. F. 3rd [2005]. Treatment of complicated grief: A randomized controlled trial. The Journal of the American Medical Association, 293, 2601-2608) administered as group therapy (CGGT) with standard group therapy (treatment as usual [TAU]) in older adults presenting with complicated grief (CG). Methods The design was a 2×4, prospective, randomized controlled clinical trial. The independent variable was group type, with 1 group receiving experimental methods based on the work of Shear et al. (Shear, K., Frank, E., Houck, P. R., & Reynolds, C. F. 3rd. [2005]. Treatment of complicated grief: a randomized controlled trial. The Journal of the American Medical Association, 293, 2601-2608), CGGT versus. TAU. The dependent variable was treatment response. Results CGGT participants demonstrated higher treatment response than TAU participants. Although participants in both groups showed improvement in CG measures, CGGT participants realized significantly greater improvement. More importantly, when CG was measured on Prolonged Grief Disorder Scale, nearly half of CGGT participants realized clinically significant improvement. All CGGT completers had Brief Grief Questionnaire scores upon follow-up that, had they scored at that level at pretest, woul…
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“Complicated Grief Treatment (CGT; Shear et al., 2005), which also in cludes cognitive treatment components, found large, positive effects of CGT on PGS (Shear et al., 2016; Supiano and Luptak, 2014).”
From Group-based compassion-focused therapy for prolonged grief symptoms in adults – Results from a randomized controlled trial (2022) · cites this paper as Supiano and Luptak, 2014
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Supiano, K. P., Evans, M., Fetzer, A., Bradbury, L., Gonzalez, K. P., Bott, A., & Wong, B. G. (2025) · Journal of Correctional Health Care · doi:10.1089/jchc.24.05.0043
Self-citationKing, M., Artinian, T., Ladwa, A., Goff, S., Colletta, M., Shear, K., Karl, A., & Dunn, B. D. (2025) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x25100330
Group Vs Individual Grief-Focused Cognitive Behavioral Therapy for Older Adults
Komischke-Konnerup, K. B., Boelen, P. A., Maccallum, F., & O’Connor, M. (2026) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2025.4106
Geleitete Gesprächsgruppen zur Trauerbegleitung nach traumatischen Verlusten
Ritter, K. M., & Stompe, T. (2026) · psychopraxis neuropraxis · doi:10.1007/s00739-026-01145-8
Metadata
- Authors
- Supiano, K. P., & Luptak, M.
- Affiliations
- University of Utah (US)
- Corresponding author
- Supiano, Katherine P.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-07-25
- Volume
- 54
- Issue
- 5
- Pages
- 840-856
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- OpenAlex
- W2133455529
- Cited by
- 104
- References
- 53
- Citations by year
- 2026: 7 · 2025: 12 · 2024: 5 · 2023: 5 · 2022: 10 · 2021: 5 · 2020: 17 · 2019: 11 · 2018: 8 · 2017: 7 · 2016: 6 · 2015: 7 · 2014: 3 · 2013: 1
- FWCI
- 6.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Gerontologist (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 › Psychotherapy Techniques and Applications
- Keywords
- complicated grief, prolonged grief disorder, group therapy, older adults, treatment efficacy, bereavement
- MeSH terms
- Aged, Aged, 80 and over, Aging, Depression, Female, Grief, Humans, Male, Middle Aged, Prospective Studies, Psychotherapy, Group, Surveys and Questionnaires, Severity of Illness Index, Treatment Outcome
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