Cited by 54Grief, Bereavement, and Mental HealthPosttraumatic Stress Disorder ResearchDeath, Funerary Practices, and Mourning

Prolonged Grief Disorder and Depression in Widows Due to the Rwandan Genocide

Schaal, Susanne, Elbert, Thomas, Neuner, Frank·2009·OMEGA - Journal of Death and Dying

Abstract

Should pathological grief be viewed as a nosological category, separate from other forms of mental diseases? Diagnostic criteria for “Prolonged Grief Disorder” (PGD) have recently been specified by Prigerson and her coworkers. We interviewed a total of 40 widows who had lost their husbands during the Rwandan genocide in 1994. We assessed Major Depression using the Mini-International Neuropsychiatric Interview (M.I.N.I.) and prolonged grief reactions with the PG-13. In order to examine the distinctiveness of the two syndromes we performed a multitrait correlational matrix analysis using modified versions of Generalized Proximity Functions (GPFs). 12.5% ( n = 5) of the sample fulfilled the criteria for a diagnosis of PGD; 40% ( n = 16) met criteria for Major Depressive Episode. The two syndromes were strongly associated. No discriminant validity was found between the two constructs suggesting that PGD may rather be an appearance of depression than a separate nosological entity.

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Crossref · 10.2190/om.59.3.b

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Authors
Schaal, S., Elbert, T., & Neuner, F.
Affiliations
University of Konstanz (DE)
Corresponding author
Schaal, Susanne
Venue
OMEGA - Journal of Death and Dying
Published
2009-11
Volume
59
Issue
3
Pages
203-219
ISSN
  • 0030-2228 (ISSN-L)
  • 1541-3764
OpenAlex
W2046803188
Cited by
54
References
40
Citations by year
2024: 2 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 8 · 2012: 8
FWCI
6.02
Type
journal article
Language
en
Open access
closed
Locations
  • OMEGA - Journal of Death and Dying (publishedVersion)
  • PubMed (publishedVersion)
  • PUB – Publications at Bielefeld University (Bielefeld University) (submittedVersion)
  • Publikationen an der Universität Bielefeld (Universität Bielefeld) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
Keywords
prolonged grief disorder, major depressive disorder, widowhood, Rwandan genocide, pathological grief, discriminant validity, bereavement
MeSH terms
Adult, Anxiety, Depression, Family Relations, Female, Grief, Homicide, Humans, Life Change Events, Middle Aged, Surveys and Questionnaires, Rwanda, Stress Disorders, Post-Traumatic, Warfare, Women's Health, Survivors, Widowhood

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