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Cited by 220Grief, Bereavement, and Mental HealthDeath, Funerary Practices, and MourningCOVID-19 and Mental Health

Phenomenology and Correlates of Complicated Grief in Children and Adolescents

MELHEM, NADINE M., MORITZ, GRACE, WALKER, MONICA, SHEAR, M. KATHERINE, BRENT, DAVID·2007·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/chi.0b013e31803062a9
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Abstract

Objective To describe the phenomenology of complicated grief (CG) in parentally bereaved children and adolescents and to examine its correlates. Method This is a preliminary report from an ongoing 5-year, population-based, longitudinal study of the impact of parental loss on family members. Analyses of cross-sectional data at intake are presented. The sample consists of 129 children and adolescents of parents who died by suicide, accident, or sudden natural death. Their average age is 13.3 +/- 3.1 years (range 7-18 years). A modified version of the Inventory of Complicated Grief-Revised (ICG-R) was administered and its factor structure, internal consistency, and convergent and discriminant validity were examined. Results CG was significantly related to functional impairment even after controlling for current depression, anxiety, and posttraumatic stress disorder. CG was also associated with other measures of psychopathology, including suicidal ideation. Conclusions In this preliminary analysis, CG appears to be a clinically significant syndrome in children and adolescents. Longitudinal data will help to clarify the prognostic significance of CG as well as to examine the interrelationship of CG and other psychopathology over time.

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  • Postloss features include the feelings of accountability and that the individual could have done something to prevent the death (i.e., guilt).

    “Postloss features include the feelings of accountability and that the individual could have done something to prevent the death (i.e., guilt; Bridge et al., 2003;Melhem et al., 2007).”

    From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Melhem et al., 2007

  • Preloss features such as history of psychiatric problems, feelings that others are accountable for the death, and postloss features such as quality of remaining parental relationship, and life events, affected the long-term mental health and developmental outcome.

    “preloss features such as history of psychiatric problems, feelings that others are accountable for the death, and postloss features such as quality of remaining parental relationship, and life events, affected the long-term mental health and developmental outcome”

    From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Melhem et al., 2007

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Authors
MELHEM, N. M., MORITZ, G., WALKER, M., SHEAR, M. K., & BRENT, D.
Affiliations
  • University of Pittsburgh (US)
  • University of Pittsburgh Medical Center (US)
Corresponding author
  • MELHEM, NADINE M.
  • BRENT, DAVID
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2007-04
Volume
46
Issue
4
Pages
493-499
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/chi.0b013e31803062a9
OpenAlex
W1970662936
Cited by
220
References
39
Citations by year
2026: 9 · 2025: 8 · 2024: 6 · 2023: 19 · 2022: 5 · 2021: 10 · 2020: 6 · 2019: 12 · 2018: 14 · 2017: 20 · 2016: 11 · 2015: 15 · 2014: 13 · 2013: 13 · 2012: 19
FWCI
9.83
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01-MH65368, R01MH065368)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
complicated grief, bereavement, parental death, children and adolescents, psychopathology, suicidal ideation, functional disability, suicide bereavement
MeSH terms
Accidents, Adolescent, Psychology, Adolescent, Child, Psychology, Child, Cross-Sectional Studies, Death, Sudden, Depressive Disorder, Female, Grief, Humans, Longitudinal Studies, Male, Parents, Suicide

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