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Cited by 30Grief, Bereavement, and Mental HealthIdentity, Memory, and TherapyPosttraumatic Stress Disorder Research

Variables Mediating the Linkage Between Loss Centrality and Postloss Psychopathology

Boelen, Paul A.·2012·Journal of Nervous & Mental Disease
DOI 10.1097/nmd.0b013e318266ba02
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Abstract

Event centrality refers to the degree to which the memory of a negative life event is a core component of a person's identity. There is evidence that greater event centrality is associated with more intense psychopathology after different events, including the death of a loved one. This study sought to advance our understanding of the variables mediating the linkage between loss centrality and postloss psychopathology. Specifically, using multiple mediation analyses, we examined the role of a) intrusiveness of memories about the loss event, b) negative future cognitions and catastrophic misinterpretations of one's own grief reactions, and c) depressive avoidance and rumination in mediating the associations between loss centrality and postloss psychopathology. The outcomes showed that memory intrusiveness, the two cognitive variables, and the two behavioral strategies emerged as unique, independent mediators of the linkages between loss centrality and the indices of postloss psychopathology when controlling for the shared variance between the proposed mediators. The implications of these findings are discussed.

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  • Rumination, in which people repetitively think about the causes and consequences of the death, contributes to worse emotional states in prolonged grief disorder.

    “They include studies that have pointed to the importance of rumination, in which people tend to repetitively think about the causes and consequences of the death, which then contributes to worse emotional states 112,113 .”

    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 [112]

  • Grief rumination and its subtypes generally show moderate to large positive associations with complicated grief symptoms concurrently and longitudinally.

    “Grief rumination and its subtypes generally show moderate to large positive associations with CG symptoms concurrently and longitudinally (Boelen, 2012; Boelen &amp;van den Hout, 2008; Doering et al., 2018; Eisma et al., 2013; Eisma, Schut, et al., 2015; Johnsen et al., 2018; Pohlkamp et al., 2018; Tang et al., 2019; van der Houwen et al., 2010).”

    From Emotion Regulatory Strategies in Complicated Grief: A Systematic Review (2021) · cites this paper as Boelen, 2012

  • Surveys demonstrated moderate to large positive associations between depressive avoidance and complicated grief symptoms concurrently and longitudinally.

    “Surveys demonstrated moderate to large positive associations between depressive avoidance and CG symptoms concurrently (Boelen, 2012; Boelen et al., 2015; Boelen &amp; Eisma, 2015; Boelen &amp; van den Bout, 2010; Eisma et al., 2013) and longitudinally (Eisma et al., 2013).”

    From Emotion Regulatory Strategies in Complicated Grief: A Systematic Review (2021) · cites this paper as Boelen, 2012

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Authors
Boelen, P. A.
Affiliations
Utrecht University (NL)
Corresponding author
Boelen, Paul A.
ORCID
Boelen, Paul A.
Venue
Journal of Nervous & Mental Disease
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012-09
Volume
200
Issue
9
Pages
801-806
ISSN
0022-3018 (ISSN-L)
DOI
10.1097/nmd.0b013e318266ba02
OpenAlex
W2314173398
Cited by
30
References
15
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 1
FWCI
1.45
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
event centrality, grief, catastrophic misinterpretation, rumination, bereavement, mediation
MeSH terms
Adult, Aged, Bereavement, Depression, Female, Humans, Life Change Events, Male, Middle Aged, Models, Psychological, Psychiatric Status Rating Scales, Surveys and Questionnaires, Self Concept

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