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

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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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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: MELHEM, NADINE M.
SHEAR, M. KATHERINE
BRENT, DAVID
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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Phenomenology and Correlates of Complicated Grief in Children and Adolescents

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