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The Korean Journal of Health Psychology

A Latent Profile Analysis of Prolonged Grief Symptoms among Bereaved adults

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2019, v.24 no.2, pp.371-391
https://doi.org/10.17315/kjhp.2019.24.2.005



Abstract

The objective of this study was to investigate the sociodemographic and bereavement-related variables that affect the patterns of prolonged grief symptoms of Korean adults who had lost their loved ones. A Prolonged Grief Disorder Scale (PG-13) was used and Latent Profile Analysis (LPA) was performed to identify pattern of prolonged grief symptoms. Also, a hierarchical logistic regression analysis was conducted to identify sociodemographic variables and bereavement-related variables that influence grouping. The results were as follows. Two different classes were found: a resilient class and, a prolonged grief symptoms class. These groups showed that traumatic stress was higher than separation stress. Significant class differences were found in religion, time since the event, the deceased's age at death, relationship with deceased, and cause of death. Based on these results, the implication and limitations were discussed.

keywords
bereavement, prolonged grief, latent profile analysis, korean adults, 사별, 지속비애, 잠재프로파일 분석, 성인

Reference

1.

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

2.

김계양, 박종원, 김완석. (2016). 한국판 지속 유대 척도의 타당화. 한국심리학회지: 문화 및 사회문제, 22(2), 263-283.

3.

신지영, 김시형, 이동훈. (2019). 사별의 예측 여부에 따른지각된 사회적 지지와 지속비애 증상의 관계: 외상 후 부정적 인지와 침습적 반추, 의도적 반추의매개효과. 한국심리학회지: 상담 및 심리치료, 31(1), 185-215.

4.

유상미, 이민수, 전태연, 김희철, 김재민, 임현우, 황선희. (2011). 잠재적 집단 분석 (Latent class analysis)을 이용한 우울증의 임상양상 연구. Korean Journal of Clinical Psychology, 30(2), 553-570.

5.

이동훈, 김시형, 신지영. (2018). 사별을 경험한 성인의지각된 사회적 지지와 지속비애 증상의 관계. 한국심리학회지: 상담 및 심리치료, 30(1), 143-172.

6.

이윤주, 조계화, 이현지. (2007). 상담일반: 사별에 관한최근 연구동향 분석. 상담학연구, 8(3), 839-857.

7.

Amick-McMullan, A., Kilpatrick, D. G., & Resnick, H. S. (1991). Homicide as a risk factor for PTSD among surviving family members. Behavior Modification, 15(4), 545-559.

8.

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

9.

Anderson, M. J., Marwit, S. J., Vandenberg, B., & Chibnall, J. T. (2005). Psychological and religious coping strategies of mothers bereaved by the sudden death of a child. Death studies, 29(9), 811-826.

10.

Archer, J., & Fisher, H. (2008). Bereavement and reactions to romantic rejection : a psychobiological perspective. In: Handbook of bereavement research and practice: 21st century perspectives. American Psychological Association, Washington, DC, pp. 349-371

11.

Barbato, A., & Irwin, H. J. (1992). Major therapeutic systems and the bereaved client. Australian Psychologist, 27(1), 22-27.

12.

Barry, L. C., Kasl, S. V., & Prigerson, H. G. (2002). Psychiatric disorders among bereaved persons:the role of perceived circumstances of death and preparedness for death. The American Journal of Geriatric Psychiatry, 10(4), 447-457.

13.

Bauer, J. J., & Bonanno, G. A. (2001). I can, I do, I am: The narrative differentiation of self-efficacy and other self-evaluations while adapting to bereavement. Journal of Research in Personality, 35(4), 424-448.

14.

Boelen, P. A., Reijntjes, A., Djelantik, A. M. J., & Smid, G. E. (2016). Prolonged grief and depression after unnatural loss: Latent class analyses and cognitive correlates. Psychiatry Research, 240, 358-363.

15.

Boelen, P. A., & van den Bout, J. (2005). Complicated grief, depression, and anxiety as distinct postloss syndromes: A confirmatory factor analysis study. American Journal of Psychiatry, 162(11), 2175-2177.

16.

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.

17.

Bonanno, G. A., Moskowitz, J. T., Papa, A., & Folkman, S. (2005). Resilience to loss in bereaved spouses, bereaved parents, and bereaved gay men. Journal of personality and Social Psychology, 88(5), 827.

18.

Bonanno, G. A., Papa, A., & O'Neill, K. (2001). Loss and human resilience. Applied and Preventive Psychology, 10(3), 193-206.

19.

Burke, L. A., & Neimeyer, R. A. (2013). Prospective risk factors for complicated grief: A review of the empirical literature. In M. Stroebe, H. Schut, & J. van den Bout (Eds.), Complicated grief:Scientific foundations for health care professionals (pp. 145-161). New York, NY, US: Routledge/Taylor & Francis Group.

20.

Burke, L. A., Neimeyer, R. A., McDevitt-Murphy, M. E., Ippolito, M. R., & Roberts, J. M. (2011). Faith in the wake of homicide: Religious coping and bereavement distress in an African American sample. International Journal for the Psychology of Religion, 21(4), 289-307.

21.

Carr, D., House, J. S., Kessler, R. C., Nesse, R. M., Sonnega, J., & Wortman, C. (2000). Marital quality and psychological adjustment to widowhood among older adults: A longitudinal analysis. The Journals of Gerontology Series B:Psychological Sciences and Social Sciences, 55(4), S197-S207

22.

Cha, Y. R. (2014). Current Status on Studies of Bereaved Family in Korea: Research Trends for 1994-2013. Korean Journal of Hospice and Palliative Care, 17(3), 134-141.

23.

Cleiren, M. P. H. D. (1993). Bereavement and adaptation. Washington, DC: Hemisphere.

24.

Coifman, K. G., Bonanno, G. A., & Rafaeli, E. (2007). Affect dynamics, bereavement and resilience to loss. Journal of Happiness Studies, 8(3), 371-392.

25.

Djelantik, A. M. J., Smid, G. E., Kleber, R. J., & Boelen, P. A. (2017). Symptoms of prolonged grief, post-traumatic stress, and depression after loss in a Dutch community sample: A latent class analysis. Psychiatry Research, 247, 276-281.

26.

Fraley, R. C., & Bonanno, G. A. (2004). Attachment and loss: A test of three competing models on the association between attachment-related avoidance and adaptation to bereavement. Personality and Social Psychology Bulletin, 30(7), 878-890.

27.

Freeman, S. (2005). Grief and Loss. Understanding the Journey.

28.

Gass-Sternas, K. A. (1994). Single parent widows:Stressors, appraisal, coping, resources, grieving responses and health. Marriage & Family Review, 20(3-4), 411-445.

29.

Gilbert, K. R. (1997). Couple coping with the death of a child. In C. R. Figley, B. E. Bride, & N. Mazza (Eds.), The series in trauma and loss. Death and trauma: The traumatology of grieving (pp. 101-121). Philadelphia, PA, US: Taylor & Francis.

30.

Golden, A. M. J., & Dalgleish, T. (2010). Is prolonged grief distinct from bereavement-related posttraumatic stress?. Psychiatry Research, 178(2), 336-341.

31.

He, L., Tang, S., Yu, W., Xu, W., Xie, Q., & Wang, J. (2014). The prevalence, comorbidity and risks of prolonged grief disorder among bereaved Chinese adults. Psychiatry Research, 219(2), 347-352.

32.

Hebert, R. S., Dang, Q., & Schulz, R. (2006). Preparedness for the death of a loved one and mental health in bereaved caregivers of patients with dementia: findings from the REACH study. Journal of Palliative Medicine, 9(3), 683-693.

33.

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.

34.

Janoff-Bulman, R. (1992). Shattered assumptions. New York: The Free Press.

35.

Kersting, A., Brähler, E., Glaesmer, H., & Wagner, B. (2011). Prevalence of complicated grief in a representative population-based sample. Journal of Affective Disorders, 131(1-3), 339-343.

36.

Kristensen, P., Weisæth, L., & Heir, T. (2010). Predictors of complicated grief after a natural disaster: A population study two years after the 2004 South-East Asian tsunami. Death Studies, 34(2), 137-150.

37.

Lenferink, L. I., de Keijser, J., Smid, G. E., Djelantik, A. M. J., & Boelen, P. A. (2017). Prolonged grief, depression, and posttraumatic stress in disaster-bereaved individuals: latent class analysis. European Journal of Psychotra Umatology, 8(1), 1298311.

38.

Lichtenthal, W. G., Burke, L. A., & Neimeyer, R. A. (2011). Religious coping and meaning-making following the loss of a loved one. Counseling and Spirituality, 30(2), 113-135.

39.

Lobb, E. A., Kristjanson, L. J., Aoun, S. M., Monterosso, L., Halkett, G. K., & Davies, A. (2010). Predictors of complicated grief: A systematic review of empirical studies. Death Studies, 34(8), 673-698.

40.

Lundorff, M., Holmgren, H., Zachariae, R., Farver-Vestergaard, I., & O’Connor, M. (2017). Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of Affective Disorders, 212, 138-149.

41.

Maccallum, F., & Bryant, R. A. (2018). Prolonged grief and attachment security: A latent class analysis. Psychiatry research, 268, 297-302.

42.

Mancini, A. D., Prati, G., & Bonanno, G. A. (2011). Do shattered worldviews lead to complicated grief? Prospective and longitudinal analyses. Journal of Social and Clinical Psychology, 30(2), 184-215.

43.

Melhem, N. M., Day, N., Shear, M. K., Day, R., Reynolds III, C. F., & Brent, D. (2004). Traumatic grief among adolescents exposed to a peer’s suicide. American Journal of Psychiatry, 161(8), 1411-1416.

44.

Min, J., Li, Y., Xu, L., & Chi, I. (2018). Psychological vulnerability of widowhood: financial strain, social engagement and worry about having no care-giver as mediators and moderators. Ageing & Society, 38(11), 2356-2375.

45.

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.

46.

Murphy, S. A., Clark Johnson, L., 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.

47.

Murphy, S. A., Johnson, L. C., Lohan, J., & Tapper, V. J. (2002). Bereaved parents' use of individual, family, and community resources 4 to 60 months after a child's violent death. Family &Community Health, 25(1), 71-82.

48.

Muthén, B., & Muthén, L. K. (2000). Integrating person‐centered and variable‐centered analyses:Growth mixture modeling with latent trajectory classes. Alcoholism: Clinical and Experimental Research, 24(6), 882-891.

49.

Neimeyer, R. A., & Burke, L. A. (2011). Complicated grief in the aftermath of homicide: Spiritual crisis and distress in an African American sample. Religions, 2(2), 145-164.

50.

Neimeyer, R. A., & Levitt, H. (2001). Coping and coherence: A narrative perspective on resilience. In C. R. Snyder (Ed.), Coping with stress:Effective people and processes (pp. 47-67). New York, NY, US: Oxford University Press.

51.

Newson, R. S., Boelen, P. A., Hek, K., Hofman, A., & Tiemeier, H. (2011). The prevalence and characteristics of complicated grief in older adults. Journal of Affective Disorders, 132(1-2), 231-238.

52.

Nickerson, A., Liddell, B. J., Maccallum, F., Steel, Z., Silove, D., & Bryant, R. A. (2014). Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC psychiatry, 14(1), 106.

53.

Nolen-Hoeksema, S., & Larson, J. (1999). Coping with loss. Mahwah, NJ: Eribaum.

54.

Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., ..., & Bonanno, G. (2009). Prolonged grief disorder:Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 6(8), e1000121.

55.

Reed, M. D. (1993). Sudden death and bereavement outcomes: The impact of resources on grief symptomatology and detachment. Suicide and Life‐Threatening Behavior, 23(3), 204-220.

56.

Riley, L. P., LaMontagne, L. L., Hepworth, J. T., & Murphy, B. A. (2007). Parental grief responses and personals growth following the death of a child. Death Studies, 31(4), 277-299.

57.

Rynearson, T. (1994). Psychotherapy of bereavement after homicide. The Journal of psychotherapy practice and research, 3(4), 341.

58.

Sabar, S. (2000). Bereavement, grief, and mourning:A gestalt perspective. Gestalt Review, 4(2), 152-168.

59.

Schulz, R. I. C. H. A. R. D., Boerner, K. A. T. H. R. I. N., & Hebert, R. S. (2008). Caregiving and bereavement. Handbook of bereavement research and practice: Advances in theory and intervention, 265-285.

60.

Sherkat, D. E., & Reed, M. D. (1992). The effects of religion and social support on self-esteem and depression among the suddenly bereaved. Social Indicators Research, 26(3), 259-275.

61.

Silverman, P. R., & Worden, J. W. (1992). Children's reactions in the early months after the death of a parent. American Journal of Orthopsychiatry, 62(1), 93-104.

62.

Specht, J., Egloff, B., & Schmukle, S. C. (2011). The benefits of believing in chance or fate: External locus of control as a protective factor for coping with the death of a spouse. Social Psychological and Personality Science, 2(2), 132-137.

63.

Stroebe, M., Schut, H., & Finkenauer, C. (2001). The traumatization of grief? A conceptual framework for understanding the trauma-bereavement interface. Israel Journal of Psychiatry and Related Sciences, 38(3/4), 185-201.

64.

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

65.

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.

66.

Stroebe, W., & Stroebe, M. S. (1987). Bereavement and health: The psychological and physical consequences of partner loss. Cambridge University Press.

67.

Thompson, A. L., Miller, K. S., Barrera, M., Davies, B., Foster, T. L., Gilmer, M. J., ..., & Gerhardt, C. A. (2011). A qualitative study of advice from bereaved parents and siblings. Journal of Social work in end-of-life & palliative care, 7(2-3), 153-172.

68.

Van Doorn, C., Kasl, S. V., Beery, L. C., Jacobs, S. C., & Prigerson, H. G. (1998). The influence of marital quality and attachment styles on traumatic grief and depressive symptoms. The Journal of Nervous and Mental Disease, 186(9), 566-573.

69.

Vanderwerker, L. C., Jacobs, S. C., Parkes, C. M., & Prigerson, H. G. (2006). An exploration of associations between separation anxiety in childhood and complicated grief in later life. The Journal of Nervous and Mental Disease, 194(2), 121-123.

70.

Vanderwerker, L. C., & Prigerson, H. G. (2004). Social support and technological connectedness as protective factors in bereavement. Journal of Loss and Trauma, 9(1), 45-57.

71.

Wang, J., & Wang, X. (2012). Structural equation modeling: Applications using Mplus. United Kingdom: John Wiley & Sons.

72.

Wortmann, J. H., & Park, C. L. (2008). Religion and spirituality in adjustment following bereavement:An integrative review. Death Studies, 32(8), 703-736.

73.

Zhou, N., Yu, W., Tang, S., Wang, J., & Killikelly, C. (2018). Prolonged Grief and Post-traumatic Growth after Loss: Latent Class Analysis. Psychiatry Research, 267, 221-227

The Korean Journal of Health Psychology