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The Korean Journal of Health Psychology

The Mediating Role of Emotion Dysregulation on Prolonged Grief Symptoms and Problematic Drinking according to Cause of Death of the Deceased

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2018, v.23 no.4, pp.1019-1050
https://doi.org/10.17315/kjhp.2018.23.4.011


Abstract

This study examined the relationship between prolonged grief symptoms and problematic drinking and more specifically the mediating role of emotion dysregulation. For this study, 566 Korean adults who had lost their loved ones completed Prolonged Grief Disorder Scale(PG-13), Difficulties in Emotion Regulation Scale(DERS), Alcohol Use Disorder Identification Test(AUDIT), and Bereavement Questionnaires. The data was analyzed using Structural Equation Modeling. A multiple group analysis was also conducted to investigate whether the mediation models differ according to the cause of death (chronic illness, traumatic bereavement). The results are as follows: prolonged grief symptoms confirmed a correlation with problematic drinking. Two study models were used. In model 1, the complete mediation model was adopted, in which prolonged grief symptoms indirectly affected problematic drinking through emotion dysregulation. While in the second model, the partial mediation model of emotion dysregulation was established in the relationship between the prolonged grief symptoms and the subordinate variables (the amount and frequency of alcohol consumption, alcohol dependence, and problems caused by alcohol). This mediating model differed with varying cause of death. Based on these results, the implications of grief counseling and psychotherapy were suggested, and suggestions for follow-up study were discussed.

keywords
사별, 지속비애, 문제성 음주, 정서조절곤란, bereavement, prolonged grief, emotion dysregulation, problematic drinking, cause of death

Reference

1.

강현숙, 이동훈 (2017). 한국판 지속비애 척도의 타당화연구. 한국심리학회지: 상담 및 심리치료, 29(4), 1027-1052.

2.

김소명, 권소희 (2018). 암환자 사별 배우자의 복합적슬픔 영향요인. Journal of Korean Academy of Nursing, 48(1), 59-69.

3.

김수영 (2016). 구조방정식 모형의 기본과 확장. 서울:학지사.

4.

김은정, 김진숙 (2008). 상담일반: 아동기 정서적 외상경험과 우울수준간의 관계에서 정서조절곤란의 매개효과. 상담학연구, 9(4), 1505-1520.

5.

민경환, 이옥경, 김지현, 김민희, 김수안 (2008). 정서심리학. 서울: 시그마프레스.

6.

박현림, 박현진, 장문선, 구본훈, 배대석 (2014). 알코올중독자의 정서인식력과 자기개념, 대인관계 문제간의 관계. 한국심리학회지: 건강, 19(1), 219-234.

7.

신지원, 양난미 (2014). 대학생의 충동성과 문제음주 사이의 관계: 음주동기와 예방행동전략의 매개효과. 상담학연구, 15(5), 1831-1848.

8.

양난미 (2009). 대학상담: 대학생 문제음주와 데이트폭력의 관계에서 특성분노의 매개효과. 상담학연구, 10(4), 2539-2554.

9.

양모현, 류준범, 이경순 (2014). 대학(원)생의 부적응적정서조절 방략, 음주억제 및 충동성이 음주문제와음주량에 미치는 영향. Korean Journal of Clinical Psychology, 33(1), 157-172.

10.

이유미 (2018). 애착불안과 대인관계문제의 관계: 거부민감성과 정서조절곤란의 매개효과. 전남대학교 박사학위 청구논문.

11.

이지영 (2010). 정서조절방략이 정서조절곤란에 미치는영향. 한국심리학회지: 상담 및 심리치료, 22(3), 821-841.

12.

이지영, 권석만 (2006). 정서조절과 정신병리의 관계. 한국심리학회지: 상담 및 심리치료, 18(3), 461-493.

13.

전경숙, 이효영 (2010). 우리나라 남녀 성인의 폭음 및문제음주 영향 요인. 보건교육· 건강증진학회지, 27(1), 91-103.

14.

조용래. (2007). 정서조절곤란의 평가. Korean Journal of Clinical Psychology, 26(4), 1015-1038.

15.

천미경, 홍현숙, 이희연, 유소연, 모진아 (2012). 일부 지체장애인의 문제음주에 영향을 미치는 요인. 알코올과 건강행동연구, 13(1), 31-44.

16.

한혜성, 최원준, 허승, 허휴정, 채정호 (2016). 종설 복잡성 애도의 이해. 인지행동치료, 16(3), 383-401.

17.

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review, 30(2), 217-237.

18.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Publication.

19.

Anderson, H. (2010). Common grief, complex grieving. Pastoral Psychology, 59(2), 127-136.

20.

Armeli, S., Tennen, H., Todd, M., Carney, M. A., Mohr, C., Affleck, G., & Hromi, A. (2003). A daily process examination of the stress-response dampening effects of alcohol consumption. Psychology of addictive behaviors, 17(4), 266-276.

21.

Baarsen, B., & van Groenou, M. I. B. (2001). Partner loss in later life: Gender differences in coping shortly after bereavement. Journal of Loss &Trauma, 6(3), 243-262.

22.

Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (1989). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care. Geneva: World Health Organization.

23.

Barr, P. (2004). Guilt‐and shame‐proneness and the grief of perinatal bereavement. Psychology and psychotherapy: Theory, research and practice, 77(4), 493-510.

24.

Beechem, M. (1997). Beechem risk inventory for late-onset alcoholism. Journal of drug education, 27(4), 397-410.

25.

Beechem, M. H., Prewitt, J., & Scholar, J. (1996). Loss-grief addiction model. Journal of drug education, 26(2), 183-198.

26.

Bhushan, B., Kumar, S., & Harizuka, S. (2011). Bereavement, cognitive-emotional processing, and coping with the loss: A study of Indian and Japanese students. Journal of social work in end-of-life & palliative care, 7(2-3), 263-280.

27.

Blankfield, A. (1982). Grief and alcohol. The American journal of drug and alcohol abuse, 9(4), 435-446.

28.

Bonanno, G. A. (2004). Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events?. American psychologist, 59(1), 20-28.

29.

Bonanno, G. A. (2009). The other side of sadness:What the new science of bereavement tells us about life after loss. New York: Basic Books.

30.

Bonanno, G. A., & Kaltman, S. (2001). The varieties of grief experience. Clinical psychology review, 21(5), 705-734.

31.

Bonanno, G. A., & Keltner, D. (1997). Facial expressions of emotion and the course of conjugal bereavement. Journal of abnormal psychology, 106(1), 126-137.

32.

Bonanno, G. A., Goorin, L., & Coifman, K. G. (2008). Sadness and grief. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (pp. 797-810). New York, NY: Guilford Press.

33.

Bonanno, G. A., Mihalecz, M. C., & LeJeune, J. T. (1999). The core emotion themes of conjugal loss. Motivation and Emotion, 23(3), 175-201.

34.

Bonanno, G. A., Westphal, M., & Mancini, A. D. (2011). Resilience to loss and potential trauma. Annual review of clinical psychology, 7, 511-535.

35.

Bonanno, G. A., Keltner, D., Holen, A., & Horowitz, M. J. (1995). When avoiding unpleasant emotions might not be such a bad thing: verbal-autonomic response dissociation and midlife conjugal bereavement. Journal of personality and social psychology, 69(5), 975-989.

36.

Bradley, D., DeFife, J. A., Guarnaccia, C., Phifer, M. J., Fani, M. N., Ressler, K. J., & Westen, D. (2011). Emotion dysregulation and negative affect:association with psychiatric symptoms. The Journal of Clinical Psychiatry, 72(5), 685-691.

37.

Brent, D., Melhem, N., Donohoe, M. B., & Walker, M. (2009). The incidence and course of depression in bereaved youth 21 months after the loss of a parent to suicide, accident, or sudden natural death. American Journal of Psychiatry, 166(7), 786-794.

38.

Burke, L. A., & Neimeyer, R. A. (2013). 11Prospective risk factors for complicated grief. Complicated grief: Scientific foundations for health care professionals. New York, NY:Routledge.

39.

Byrne, G. J., Raphael, B., & Arnold, E. (1999). Alcohol consumption and psychological distress in recently widowed older men. Australian & New Zealand Journal of Psychiatry, 33(5), 740-747.

40.

Cacciatore, J., Lacasse, J. R., Lietz, C. A., & McPherson, J. (2014). A parent's tears: primary results from the traumatic experiences and resiliency study. OMEGA-Journal of Death and Dying, 68(3), 183-205.

41.

Canino, G., Bravo, M., Ramírez, R., Febo, V. E., Rubio-Stipec, M., Fernández, R. L., & Hasin, D. (1999). The Spanish Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): reliability and concordance with clinical diagnoses in a Hispanic population. Journal of studies on alcohol, 60(6), 790-799.

42.

Cheung, M. W. (2007). Comparison of approaches to constructing confidence intervals for mediating effects using structural equation models. Structural Equation Modeling: A Multidisciplinary Journal, 14(2), 227-246.

43.

Coifman, K. G., & Bonanno, G. A. (2010). Emotion context sensitivity in adaptation and recovery. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 157-173). New York, NY, US:Guilford Press.

44.

Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of personality and social psychology, 69(5), 990-1005.

45.

Currier, J. M., Holland, J. M., & Neimeyer, R. A. (2006). Sense-making, grief, and the experience of violent loss: Toward a mediational model. Death studies, 30(5), 403-428.

46.

Denny, G. M., & Lee, L. J. (1984). Grief work with substance abusers. Journal of Substance Abuse Treatment, 1(4), 249-254.

47.

Depue, R. A., & Morrone-Strupinsky, J. V. (2005). A neurobehavioral model of affiliative bonding:Implications for conceptualizing a human trait of affiliation. Behavioral and Brain Sciences, 28(3), 313-349.

48.

Diminich, E. D., & Bonanno, G. A. (2014). Faces, feelings, words: divergence across channels of emotional responding in complicated grief. Journal of abnormal psychology, 123(2), 350-361.

49.

Doka, K. J. (Ed.). (2014). Living with grief: After sudden loss suicide, homicide, accident, heart attack, stroke. New York: Taylor & Francis.

50.

Döveling, K. (2015). Emotion regulation in bereavement: searching for and finding emotional support in social network sites. New Review of Hypermedia and Multimedia, 21(1), 106-122.

51.

Erlangsen, A., Runeson, B., Bolton, J. M., Wilcox, H. C., Forman, J. L., Krogh, J., . . . Conwell, Y. (2017). Association between spousal suicide and mental, physical, and social health outcomes: a longitudinal and nationwide register-based study. Jama psychiatry, 74(5), 456-464.

52.

Farberow, N. L., Gallagher-Thompson, D., Gilewski, M., & Thompson, L. (1992). Changes in grief and mental health of bereaved spouses of older suicides. Journal of Gerontology, 47(6), 357-366.

53.

Fernández-Alcántara, M., Cruz-Quintana, F., Pérez-Marfil, M. N., Catena-Martínez, A., Pérez-García, M., & Turnbull, O. H. (2016). Assessment of emotional experience and emotional recognition in complicated grief. Frontiers in psychology, 7(1), 1-10.

54.

Field, N. P., & Filanosky, C. (2009). Continuing bonds, risk factors for complicated grief, and adjustment to bereavement. Death Studies, 34(1), 1-29.

55.

Fortuna, L. R., Porche, M. V., & Padilla, A. (2018). A treatment development study of a cognitive and mindfulness‐based therapy for adolescents with co‐occurring post‐traumatic stress and substance use disorder. Psychology and Psychotherapy: Theory, Research and Practice, 91(1), 42-62.

56.

Gerber, I., Rusalem, R., Harmon, N., Battin, D., & Arkin, A. (1975). Anticipatory grief and aged widows and widowers. Journal of Gerontology, 30(2), 225-229.

57.

Glass, T. A., Prigerson, H., Kasl, S. V., & De Leon, C. F. M. (1995). The effects of negative life events on alcohol consumption among older men and women. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 50(4), S205-S216.

58.

Glickman, K., Shear, M. K., & Wall, M. M. (2017). Mediators of outcome in complicated grief treatment. Journal of clinical psychology, 73(7), 817-828.

59.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54.

60.

Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281-291.

61.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes:implications for affect, relationships, and well-being. Journal of personality and social psychology, 85(2), 348-362.

62.

Gupta, S., & Bonanno, G. A. (2011). Complicated grief and deficits in emotional expressive flexibility. Journal of abnormal psychology, 120(3), 635-643.

63.

Hamdan, S., Melhem, N. M., Porta, M. G., Song, M. S., & Brent, D. A. (2013). Alcohol and substance abuse in parentally bereaved youth. The Journal of clinical psychiatry, 74(8), 828-833.

64.

Hardison, H. G., Neimeyer, R. A., & Lichstein, K. L. (2005). Insomnia and complicated grief symptoms in bereaved college students. Behavioral sleep medicine, 3(2), 99-111.

65.

Hogan, N. S., & Schmidt, L. A. (2002). Testing the grief to personal growth model using structural equation modeling. Death Studies, 26(8), 615-634.

66.

Holahan, C. J., Moos, R. H., Holahan, C. K., Cronkite, R. C., & Randall, P. K. (2001). Drinking to cope, emotional distress and alcohol use and abuse: a ten-year model. Journal of Studies on Alcohol, 62(2), 190-198.

67.

Holland, J. M., & Neimeyer, R. A. (2011). Separation and traumatic distress in prolonged grief: The role of cause of death and relationship to the deceased. Journal of Psychopathology and Behavioral Assessment, 33(2), 254-263.

68.

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis:Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal, 6(1), 1-55.

69.

Jacobs, S. (1995). Stress of bereavement and consequent psychiatric illness. In M. Carolyn &Mazure (Eds.), Does Stress Cause Psychiatric Illness? (pp. 187). Washington DC: American Psychiatric Publication.

70.

Keesee, N. J., Currier, J. M., & Neimeyer, R. A. (2008). Predictors of grief following the death of one's child: The contribution of finding meaning. Journal of clinical psychology, 64(10), 1145-1163.

71.

Kersting, A., Brähler, E., Glaesmer, H., & Wagner, B. (2011). Prevalence of complicated grief in a representative population-based sample. Journal of affective disorders, 131(1), 339-343.

72.

Keyes, K. M., Pratt, C., Galea, S., McLaughlin, K. A., Koenen, K. C., & Shear, M. K. (2014). The burden of loss: unexpected death of a loved one and psychiatric disorders across the life course in a national study. American Journal of Psychiatry, 171(8), 864-871.

73.

Kline, R. B. (2005). Methodology in the social sciences. New York: Guilford Press.

74.

Kristensen, P., Weisæth, L., & Heir, T. (2012). Bereavement and mental health after sudden and violent losses: a review. Psychiatry:Interpersonal & Biological Processes, 75(1), 76-97.

75.

Latham, A. E., & Prigerson, H. G. (2004). Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide and Life-Threatening Behavior, 34(4), 350-362.

76.

Li, J., Laursen, T. M., Precht, D. H., Olsen, J., & Mortensen, P. B. (2005). Hospitalization for mental illness among parents after the death of a child. New England Journal of Medicine, 352(12), 1190-1196.

77.

Lichtenthal, W. G., Cruess, D. G., & Prigerson, H. G. (2004). A case for establishing complicated grief as a distinct mental disorder in DSM-V. Clinical psychology review, 24(6), 637-662.

78.

Lindemann, E. (1944). Symptomatology and management of acute grief. American journal of psychiatry, 101(2), 141-148.

79.

MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological methods, 1(2), 130-149.

80.

Macpherson, L., Calvin, N. T., Richards, J. M., Guller, L., Mayes, L. C., Crowley, M. J., . . . Lejuez, C. W. (2012). Development and preliminary validation of a behavioral task of negative reinforcement underlying risk‐taking and its relation to problem alcohol Use in college freshmen. Alcoholism: clinical and experimental research, 36(6), 950-957.

81.

Mancini, A. D., & Bonanno, G. A. (2009). Predictors and parameters of resilience to loss: Toward an individual differences model. Journal of personality, 77(6), 1805-1832.

82.

Martin, S., & Privette, G. (1989). Process model of grief therapy in an alcohol treatment program. Journal for Specialists in Group Work, 14(1), 46-52.

83.

Martinson, I. M., McClowry, S. G., Davies, B., & Kuhlenkamp, E. J. (1994). Changes over time: a study of family bereavement following childhood cancer. Journal of Palliative Care, 10(1), 19-25.

84.

Masferrer, L., Garre-Olmo, J., & Caparrós, B. (2017). Is complicated grief a risk factor for substance use? A comparison of substance-users and normative grievers. Addiction Research &Theory, 25(5), 361-367.

85.

Mirsu-Paun, A. (2016). Grief cognitions and cognitive-emotional regulation associated with romantic breakup distress among college students. European Psychiatry, 33, 342.

86.

Murphy, S. A., Johnson, L. C., Wu, L., Fan, J. J., & Lohan, J. (2003). Bereaved parents' outcomes 4to 60 months after their children's deaths by accident, suicide, or homicide: a comparative study demonstrating differences. Death studies, 27(1), 39-61.

87.

Murphy, S. A., Braun, T., Tillery, L., Cain, K. C., Johnson, L. C., & Beaton, R. D. (1999). PTSD among bereaved parents following the violent deaths of their 12‐to 28‐year‐old children: A longitudinal prospective analysis. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 12(2), 273-291.

88.

Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical psychology review, 24(8), 981-1010.

89.

O’Connor, M. F., Wellisch, D. K., Stanton, A. L., Eisenberger, N. I., Irwin, M. R., & Lieberman, M. D. (2008). Craving love? Enduring grief activates brain's reward center. Neuroimage, 42(2), 969-972.

90.

Ott, C. H. (2003). The impact of complicated grief on mental and physical health at various points in the bereavement process. Death studies, 27(3), 249-272.

91.

Parkes, C. M. (1972). Bereavement: Studies of grief in later life. New York: International Universities Press.

92.

Parkes, C. M. (1988). Bereavement as a psychosocial transition: Processes of adaptation to change. Journal of Social Issues, 44(3), 53-65.

93.

Parkes, K. R. (1990). Coping, negative affectivity, and the work environment: Additive and interactive predictors of mental health. Journal of Applied Psychology, 75(4), 399-409.

94.

Perreira, K. M., & Sloan, F. A. (2001). Life events and alcohol consumption among mature adults: a longitudinal analysis. Journal of studies on alcohol, 62(4), 501-508.

95.

Pfefferbaum, B., Vinekar, S. S., Trautman, R. P., Lensgraf, S. J., Reddy, C., Patel, N., & Ford, A. L. (2002). The effect of loss and trauma on substance use behavior in individuals seeking support services after the 1995 Oklahoma City bombing. Annals of Clinical Psychiatry, 14(2), 89-95.

96.

Pilling, J., Thege, B. K., Demetrovics, Z., & Kopp, M. S. (2012). Alcohol use in the first three years of bereavement: a national representative survey. Substance abuse treatment, prevention, and policy, 7(1), 1-5.

97.

Prigerson, H. G., & Jacobs, S. C. (2001). Traumatic grief as a distinct disorder: A rationale, consensus criteria, and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 613-645). Washington, DC, US:American Psychological Association.

98.

Prigerson, H. G., Vanderwerker, L. C., & Maciejewski, P. K. (2008). A case for inclusion of prolonged grief disorder in DSM-V. In M. S. Stroebe, R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 165-186). Washington, DC, US: American Psychological Association.

99.

Prigerson, H. G., Bierhals, A. J., Kasl, S. V., & Reynolds, C. F., III. (1997). Traumatic grief as a risk factor for mental and physical morbidity. The American journal of psychiatry, 154(5), 616-623.

100.

Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., & Maciejewski, P. K. (2009). Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLOS Medicine, 6(8), 1-12.

101.

Prigerson, H. G., Bridge, J., Maciejewski, P. K., Beery, L. C., Rosenheck, R. A., Jacobs, S. C., . . . Brent, D. A. (1999). Influence of traumatic grief on suicidal ideation among young adults. American Journal of Psychiatry, 156(12), 1994-1995.

102.

Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL, US: Research Press.

103.

Rogalla, K. B. (2018). Anticipatory Grief, Proactive Coping, Social Support, and Growth: Exploring Positive Experiences of Preparing for Loss. OMEGA-Journal of Death and Dying. doi:10.1177/0030222818761461

104.

Rottenberg, J., Gross, J. J., & Gotlib, I. H. (2005). Emotion context insensitivity in major depressive disorder. Journal of abnormal psychology, 114(4), 627-639.

105.

Russell, D. W., Kahn, J. H., Spoth, R., & Altmaier, E. M. (1998). Analyzing data from experimental studies: A latent variable structural equation modeling approach. Journal of Counseling Psychology, 45(1), 18-29.

106.

Satorra, A., & Bentler, P. M. (2010). Ensuring positiveness of the scaled difference chi-square test statistic. Psychometrika, 75(2), 243-248.

107.

Sbarra, D. A., & Hazan, C. (2008). Coregulation, dysregulation, self-regulation: An integrative analysis and empirical agenda for understanding adult attachment, separation, loss, and recovery. Personality and Social Psychology Review, 12(2), 141-167.

108.

Schaefer, C., Quesenberry, C. P., Jr., & Wi, S. (1995). Mortality following conjugal bereavement and the effects of a shared environment. American Journal of Epidemiology, 141(12), 1142-1152.

109.

Scheider, D. M., Sneath, L., & Waynick, T. C. (2012). Grief and loss. In D. K. Snyder & C. M. Monson (Eds.), Couple-based interventions for military and veteran families: A practitioner's guide (pp. 260-284). New York, NY, US: Guilford Press.

110.

Schulz, R., Boerner, K., & Hebert, R. (2008). Caregiving and bereavement. In M. S. Stroebe, R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice:Advances in theory and intervention (pp. 265-286), Washington DC: American Psychological Association.

111.

Shear, K., Frank, E., Houck, P. R., & Reynolds, C. F. (2005). Treatment of complicated grief: a randomized controlled trial. Jama, 293(21), 2601-2608.

112.

Shear, K., Monk, T., Houck, P., Melhem, N., Frank, E., Reynolds, C., & Sillowash, R. (2007). An attachment-based model of complicated grief including the role of avoidance. European archives of psychiatry and clinical neuroscience, 257(8), 453-461.

113.

Shear, M. K. (2012). Getting straight about grief. Depression and anxiety, 29(6), 461-464.

114.

Shear, M. K., Frank, E., Foa, E., Cherry, C., Reynolds, C. F., III., Vander Bilt, J., & Masters, S. (2001). Traumatic grief treatment: A pilot study. American Journal of Psychiatry, 158(9), 1506-1508.

115.

Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., . . . Keshaviah A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and anxiety, 28(2), 103-117.

116.

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological methods, 7(4), 422-445.

117.

Shuchter, S. R., & Zisook, S. (1993). The course of normal grief. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement:Theory, research, and intervention (pp. 23-43). New York, NY, US: Cambridge University Press.

118.

Simon, N. M., Shear, K. M., Thompson, E. H., Zalta, A. K., Perlman, C., Reynolds, C. F., . . . Silowash, R. (2007). The prevalence and correlates of psychiatric comorbidity in individuals with complicated grief. Comprehensive psychiatry, 48(5), 395-399.

119.

Skolnick, V. (1979). The addictions as pathological mourning: An attempt at restitution of early losses. American Journal of Psychotherapy, 33(2), 281-290.

120.

Stasiewicz, P. R., Bradizza, C. M., & Slosman, K. S. (2018). Emotion Regulation Treatment of Alcohol Use Disorders: Helping Clients Manage Negative Thoughts and Feelings. New York, NY: Routledge.

121.

Stevens, J. (1996). Applied multivariate statistics for the social sciences (3rd ed.). Mahwah, NJ:Lawrence Erlbaum.

122.

Stroebe, M., & Stroebe, W. (1991). Does "grief work"work?. Journal of consulting and clinical psychology, 59(3), 479-482.

123.

Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370(9603), 1960-1973.

124.

Stroebe, M., Schut, H., & Van den Bout, J. (Eds.). (2013). Complicated grief: Scientific foundations for health care professionals. New York, NY:Routledge.

125.

Stroebe, M. S., Folkman, S., Hansson, R. O., & Schut, H. (2006). The prediction of bereavement outcome: Development of an integrative risk factor framework. Social science & medicine, 63(9), 2440-2451.

126.

Stroebe, M., van Son, M., Stroebe, W., Kleber, R., Schut, H., & van den Bout, J. (2000). On the classification and diagnosis of pathological grief. Clinical psychology review, 20(1), 57-75.

127.

Sweeting, H. N., & Gilhooly, M. L. (1990). Anticipatory grief: A review. Social Science &Medicine, 30(10), 1073-1080.

128.

Tamers, S. L., Okechukwu, C., Bohl, A. A., Guéguen, A., Goldberg, M., & Zins, M. (2014). The impact of stressful life events on excessive alcohol consumption in the French population: findings from the GAZEL cohort study. PloS one, 9(1), e87653.

129.

Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2), 250-283.

130.

Vance, J. C., Boyle, F. M., Najman, J. M., & Thearle, M. J. (1995). Gender differences in parental psychological distress following perinatal death or sudden infant death syndrome. The British Journal of Psychiatry, 167(6), 806-811.

131.

Weiss, N. H., Tull, M. T., Anestis, M. D., & Gratz, K. L. (2013). The relative and unique contributions of emotion dysregulation and impulsivity to posttraumatic stress disorder among substance dependent inpatients. Drug &Alcohol Dependence, 128(1), 45-51.

132.

Weiss, N. H., Tull, M. T., Viana, A. G., Anestis, M. D., & Gratz, K. L. (2012). Impulsive behaviors as an emotion regulation strategy: Examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. Journal of anxiety disorders, 26(3), 453-458.

133.

Wetherell, J. L. (2012). Complicated grief therapy as a new treatment approach. Dialogues in clinical neuroscience, 14(2), 159-166.

134.

Williams, R. E., & Kraft, J. S. (2012). The mindfulness workbook for addiction: A guide to coping with the grief, stress and anger that trigger addictive behaviors. CA: New Harbinger Publications.

135.

Worden, J. W. (2008). Grief Counseling and Grief Therapy: A Handbook for the Mental Health Practitioner. New York: Springer Publishing Company.

136.

Zisook, S., & Lyons, L. (1990). Bereavement and unresolved grief in psychiatric outpatients. OMEGA-Journal of Death and Dying, 20(4), 307-322.

137.

Zisook, S., Simon, N. M., Reynolds, C. F., III., Pies, R., Lebowitz, B., Young, I. T., . . . Shear, M. K. (2010). Bereavement, Complicated Grief and DSM:Part 2: Complicated Grief. The Journal of clinical psychiatry, 71(8), 1097-1098.

138.

Zuckoff, A., Shear, K., Frank, E., Daley, D. C., Seligman, K., & Silowash, R. (2006). Treating complicated grief and substance use disorders: A pilot study. Journal of substance abuse treatment, 30(3), 205-211.

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