Narrative reconstruction therapy for prolonged grief disorder – a pilot study

Background: Prolonged grief disorder (PGD) is a chronic and disabling condition that affects approximately 10% of non-traumatically bereaved people. Narrative reconstruction (NR), originally designed for the treatment of posttraumatic stress disorder (PTSD), is a time-limited integrative therapy con...

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Main Authors: Gali Elinger, Ilanit Hasson-Ohayon, Eran Barkalifa, Paul A. Boelen, Tuvia Peri
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2021.1896126
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author Gali Elinger
Ilanit Hasson-Ohayon
Eran Barkalifa
Paul A. Boelen
Tuvia Peri
author_facet Gali Elinger
Ilanit Hasson-Ohayon
Eran Barkalifa
Paul A. Boelen
Tuvia Peri
author_sort Gali Elinger
collection DOAJ
description Background: Prolonged grief disorder (PGD) is a chronic and disabling condition that affects approximately 10% of non-traumatically bereaved people. Narrative reconstruction (NR), originally designed for the treatment of posttraumatic stress disorder (PTSD), is a time-limited integrative therapy consisting of exposure to the loss memory, detailed written reconstruction of the loss memory narrative, and an elaboration of the personal significance of that memory for the bereaved. Objective: This pilot study examined the efficacy of NR therapy in reducing symptoms in bereaved people diagnosed with PGD. Method: Ten PGD patients participated in the study and were treated with 16 weekly sessions of NR. PGD, PTSD, and depression symptoms, as well as levels of loss integration, were assessed at pre-treatment, post-treatment, and at a 3-month follow-up. Results: Following NR, participants showed significant reductions in PGD, depression, and PTSD symptoms, and elevated levels of trauma integration. Symptoms showed further improvement at the three-month follow-up. Conclusions: These findings provide preliminary evidence for the feasibility and efficacy of NR in treating PGD. Narrative reconstruction therapy requires further evaluation in randomized controlled trials.
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spelling doaj.art-a27addac77ef4e71bcbf71a2c31e363b2023-04-18T14:59:09ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662021-01-0112110.1080/20008198.2021.18961261896126Narrative reconstruction therapy for prolonged grief disorder – a pilot studyGali Elinger0Ilanit Hasson-Ohayon1Eran Barkalifa2Paul A. Boelen3Tuvia Peri4Bar-Ilan UniversityBar-Ilan UniversityBen-Gurion UniversityUtrecht UniversityBar-Ilan UniversityBackground: Prolonged grief disorder (PGD) is a chronic and disabling condition that affects approximately 10% of non-traumatically bereaved people. Narrative reconstruction (NR), originally designed for the treatment of posttraumatic stress disorder (PTSD), is a time-limited integrative therapy consisting of exposure to the loss memory, detailed written reconstruction of the loss memory narrative, and an elaboration of the personal significance of that memory for the bereaved. Objective: This pilot study examined the efficacy of NR therapy in reducing symptoms in bereaved people diagnosed with PGD. Method: Ten PGD patients participated in the study and were treated with 16 weekly sessions of NR. PGD, PTSD, and depression symptoms, as well as levels of loss integration, were assessed at pre-treatment, post-treatment, and at a 3-month follow-up. Results: Following NR, participants showed significant reductions in PGD, depression, and PTSD symptoms, and elevated levels of trauma integration. Symptoms showed further improvement at the three-month follow-up. Conclusions: These findings provide preliminary evidence for the feasibility and efficacy of NR in treating PGD. Narrative reconstruction therapy requires further evaluation in randomized controlled trials.http://dx.doi.org/10.1080/20008198.2021.1896126pilot studynarrative reconstructionpgdptsdmemory integration
spellingShingle Gali Elinger
Ilanit Hasson-Ohayon
Eran Barkalifa
Paul A. Boelen
Tuvia Peri
Narrative reconstruction therapy for prolonged grief disorder – a pilot study
European Journal of Psychotraumatology
pilot study
narrative reconstruction
pgd
ptsd
memory integration
title Narrative reconstruction therapy for prolonged grief disorder – a pilot study
title_full Narrative reconstruction therapy for prolonged grief disorder – a pilot study
title_fullStr Narrative reconstruction therapy for prolonged grief disorder – a pilot study
title_full_unstemmed Narrative reconstruction therapy for prolonged grief disorder – a pilot study
title_short Narrative reconstruction therapy for prolonged grief disorder – a pilot study
title_sort narrative reconstruction therapy for prolonged grief disorder a pilot study
topic pilot study
narrative reconstruction
pgd
ptsd
memory integration
url http://dx.doi.org/10.1080/20008198.2021.1896126
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