Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents

Background: In 2015 nearly 140 million children and adolescents under 18 had experienced the death of one or both parents. Parental death is often considered the most traumatic event that a child can experience in their lifetime. While parental loss may lead to the development of prolonged grief dis...

Full description

Bibliographic Details
Main Authors: Alexis Revet, Agnès Suc, Françoise Auriol, A. A. A. Manik J. Djelantik, Jean-Philippe Raynaud, Eric Bui
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2021.1936916
_version_ 1797844556418383872
author Alexis Revet
Agnès Suc
Françoise Auriol
A. A. A. Manik J. Djelantik
Jean-Philippe Raynaud
Eric Bui
author_facet Alexis Revet
Agnès Suc
Françoise Auriol
A. A. A. Manik J. Djelantik
Jean-Philippe Raynaud
Eric Bui
author_sort Alexis Revet
collection DOAJ
description Background: In 2015 nearly 140 million children and adolescents under 18 had experienced the death of one or both parents. Parental death is often considered the most traumatic event that a child can experience in their lifetime. While parental loss may lead to the development of prolonged grief disorder (PGD), little is known about risk factors for such negative mental health outcome in children. Objective: The present study aims to examine peritraumatic reactions as predictors of PGD in children who lost a parent. Method: Thirty-four children (M age = 10.9, SD = 3.2, 67.6% females) who lost a parent (time since death = 4.6 months, SD = 2.3) were assessed for peritraumatic distress and peritraumatic dissociation experienced at the time of the loss, and for PGD symptom severity at three timepoints post-loss (<6 months; 6–12 months; >12 months). Results: PGD score was correlated with peritraumatic distress (.61; p < .01) but not with peritraumatic dissociation (.24; p = .3). Results from the mixed-model regression analysis identified peritraumatic distress as the only significant predictor of PGD symptom severity (B = 1.58, SE = .31; p < .0001), with no statistically significant effect of peritraumatic dissociation (B = – .43, SE = .36; p = .2), or time (B = – 3.84, SE = 2.99; p = .2). Conclusion: Our results suggest that peritraumatic distress might be useful to identify children at risk for developing PGD, and in need of further support. The development of early preventive strategies to prevent PGD in parentally bereaved children who experienced high peritraumatic distress is warranted.
first_indexed 2024-04-09T17:24:18Z
format Article
id doaj.art-d8a3c2ac70124d0dab3c589f77139ca1
institution Directory Open Access Journal
issn 2000-8066
language English
last_indexed 2024-04-09T17:24:18Z
publishDate 2021-01-01
publisher Taylor & Francis Group
record_format Article
series European Journal of Psychotraumatology
spelling doaj.art-d8a3c2ac70124d0dab3c589f77139ca12023-04-18T14:59:10ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662021-01-0112110.1080/20008198.2021.19369161936916Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescentsAlexis Revet0Agnès Suc1Françoise Auriol2A. A. A. Manik J. Djelantik3Jean-Philippe Raynaud4Eric Bui5Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, CHU de ToulouseCHU de ToulouseHôpital des Enfants, CHU de ToulouseUniversity Medical Centre UtrechtService Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, CHU de ToulouseMassachusetts General HospitalBackground: In 2015 nearly 140 million children and adolescents under 18 had experienced the death of one or both parents. Parental death is often considered the most traumatic event that a child can experience in their lifetime. While parental loss may lead to the development of prolonged grief disorder (PGD), little is known about risk factors for such negative mental health outcome in children. Objective: The present study aims to examine peritraumatic reactions as predictors of PGD in children who lost a parent. Method: Thirty-four children (M age = 10.9, SD = 3.2, 67.6% females) who lost a parent (time since death = 4.6 months, SD = 2.3) were assessed for peritraumatic distress and peritraumatic dissociation experienced at the time of the loss, and for PGD symptom severity at three timepoints post-loss (<6 months; 6–12 months; >12 months). Results: PGD score was correlated with peritraumatic distress (.61; p < .01) but not with peritraumatic dissociation (.24; p = .3). Results from the mixed-model regression analysis identified peritraumatic distress as the only significant predictor of PGD symptom severity (B = 1.58, SE = .31; p < .0001), with no statistically significant effect of peritraumatic dissociation (B = – .43, SE = .36; p = .2), or time (B = – 3.84, SE = 2.99; p = .2). Conclusion: Our results suggest that peritraumatic distress might be useful to identify children at risk for developing PGD, and in need of further support. The development of early preventive strategies to prevent PGD in parentally bereaved children who experienced high peritraumatic distress is warranted.http://dx.doi.org/10.1080/20008198.2021.1936916peritraumatic distressperitraumatic dissociationcomplicated griefchildren and adolescents
spellingShingle Alexis Revet
Agnès Suc
Françoise Auriol
A. A. A. Manik J. Djelantik
Jean-Philippe Raynaud
Eric Bui
Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
European Journal of Psychotraumatology
peritraumatic distress
peritraumatic dissociation
complicated grief
children and adolescents
title Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
title_full Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
title_fullStr Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
title_full_unstemmed Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
title_short Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
title_sort peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents
topic peritraumatic distress
peritraumatic dissociation
complicated grief
children and adolescents
url http://dx.doi.org/10.1080/20008198.2021.1936916
work_keys_str_mv AT alexisrevet peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents
AT agnessuc peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents
AT francoiseauriol peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents
AT aaamanikjdjelantik peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents
AT jeanphilipperaynaud peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents
AT ericbui peritraumaticdistresspredictsprolongedgriefdisordersymptomseverityafterthedeathofaparentinchildrenandadolescents