Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder
Background: Prolonged grief disorder (PGD) causes significant impairment in approximately 7% of bereaved people. Although cognitive behaviour therapy (CBT) has been shown to effectively treat PGD, there is a need to identify predictors of treatment non-response. Methods: PGD patients (N = 80) were r...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2017-12-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008198.2018.1556551 |
| _version_ | 1828065792929824768 |
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| author | Richard A. Bryant Lucy Kenny Amy Joscelyne Natasha Rawson Fiona Maccallum Catherine Cahill Sally Hopwood |
| author_facet | Richard A. Bryant Lucy Kenny Amy Joscelyne Natasha Rawson Fiona Maccallum Catherine Cahill Sally Hopwood |
| author_sort | Richard A. Bryant |
| collection | DOAJ |
| description | Background: Prolonged grief disorder (PGD) causes significant impairment in approximately 7% of bereaved people. Although cognitive behaviour therapy (CBT) has been shown to effectively treat PGD, there is a need to identify predictors of treatment non-response. Methods: PGD patients (N = 80) were randomly allocated to receive 10 weekly two-hour group CBT sessions and (a) four individual sessions of exposure therapy or (b) CBT without exposure. PGD was assessed by self-report measures at baseline, post-treatment (N = 61), and six-months (N = 56) after treatment. Results: Post-treatment assessments indicated that greater reduction in grief severity relative to pretreatment levels was associated with being in the CBT/Exposure condition, and lower baseline levels of self-blame and avoidance. At follow-up, greater grief symptom reduction was associated with being in the CBT/Exposure condition and lower levels of avoidance. Conclusions: These patterns suggest that strategies that target excessive self-blame and avoidance during treatment may enhance response to grief-focused cognitive behaviour therapy. |
| first_indexed | 2024-04-10T23:20:05Z |
| format | Article |
| id | doaj.art-a064c7a548334138b54cfd2cecb3fe42 |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-10T23:20:05Z |
| publishDate | 2017-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-a064c7a548334138b54cfd2cecb3fe422023-01-12T15:31:30ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662017-12-018010.1080/20008198.2018.15565511556551Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorderRichard A. Bryant0Lucy Kenny1Amy Joscelyne2Natasha Rawson3Fiona Maccallum4Catherine Cahill5Sally Hopwood6University of New South WalesUniversity of New South WalesUniversity of New South WalesUniversity of New South WalesUniversity of New South WalesUniversity of New South WalesUniversity of New South WalesBackground: Prolonged grief disorder (PGD) causes significant impairment in approximately 7% of bereaved people. Although cognitive behaviour therapy (CBT) has been shown to effectively treat PGD, there is a need to identify predictors of treatment non-response. Methods: PGD patients (N = 80) were randomly allocated to receive 10 weekly two-hour group CBT sessions and (a) four individual sessions of exposure therapy or (b) CBT without exposure. PGD was assessed by self-report measures at baseline, post-treatment (N = 61), and six-months (N = 56) after treatment. Results: Post-treatment assessments indicated that greater reduction in grief severity relative to pretreatment levels was associated with being in the CBT/Exposure condition, and lower baseline levels of self-blame and avoidance. At follow-up, greater grief symptom reduction was associated with being in the CBT/Exposure condition and lower levels of avoidance. Conclusions: These patterns suggest that strategies that target excessive self-blame and avoidance during treatment may enhance response to grief-focused cognitive behaviour therapy.http://dx.doi.org/10.1080/20008198.2018.1556551prolonged griefcognitive behaviour therapypredictortreatment response |
| spellingShingle | Richard A. Bryant Lucy Kenny Amy Joscelyne Natasha Rawson Fiona Maccallum Catherine Cahill Sally Hopwood Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder European Journal of Psychotraumatology prolonged grief cognitive behaviour therapy predictor treatment response |
| title | Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| title_full | Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| title_fullStr | Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| title_full_unstemmed | Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| title_short | Predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| title_sort | predictors of treatment response for cognitive behaviour therapy for prolonged grief disorder |
| topic | prolonged grief cognitive behaviour therapy predictor treatment response |
| url | http://dx.doi.org/10.1080/20008198.2018.1556551 |
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