CC May 2016 Complicated Grief

echoecho's version from 2016-09-11 16:35


Question Answer
The loss of a loved one is a time of what?intense emotional pain and suffering
What is a normal response to seperation and stress?grief
What is the progresion of the typical grief response?emotions can wax and wane uncontrollably but tends to decrease in intensity over time
Complicated grief or prolonged grief disorder can affect up to ___ to ___% of the population?2; 3
Symptoms are present for > ____ month beyond what is regarded as a typical interval of grieving a loss (typically ____ months)?1; 6
What should be taken into consideration when determining appropriate duration of grieving?social, cultural and religious norms
Prevalence of complicated grief rises to ___ to ___% if the death is a romantic partner and even higher in patients who suffer the loss of a child?10; 20
Another circumstance that increases the likelihood of grief complications is?an unexpected violent death
Women > ____ years tend to suffer complicated grief at higher rates than male counterparts?60
What are the risk factors for complicated grief?previous social stressors (depression, substance abuse, poor social support, financial strain)
What is complicated grief associated with?health complications like sleep disturbance, substance abuse (alcohol), suicidal thoughts, immune dysfucntion, cardiovascular disease
Assessing patients beginning at the ____ month mark of their loss is generally recommended?6
What are the hallmark findings of complicated grief?impairment of daily function with intense rumination and diminished sense of self
Untreated, symptoms generally decrease slowly, although can be _____?persistent
It is vital to differentiate complicated grief from what?MDD (major depressive disorder), PTSD
What is the difference between MDD and complicated grief?in complicated grief, patient has feelings of sadness, guilt and self-criticism and all related to the deceased person whereas in MDD, feelings are more global
While the loss of a loved one is traumatic, PTSD manifests more with _____?anxiety (maily related to triggeres) rather than with sadness
*** what has been shown in randomized controlled trials to be the most effective, first-line treatment?psychotherapy
What is complicated grief therapy focused on?treatment to assess the nature of the loss, promote self-reflection, set future goals and build strategies to confront future stressors
There is some evidence from open-label trials to support use of what medication in treatment of complicated grief, however, should not be considered first-line option?anti-depressants
Have benzaodiazepines and sleep aid meds been found to have efficacy in the treatment of grief?no
*** SUMMARY = Symptoms of complicated grief are present for > ____ month beyond what is regarded as a typical interval of grieving a loss (typically ___ months)?1; 6
*** SUMMARY = Prevalence of complicated grief is higher after a loss of a what 3 types of loss?1) romantic partner 2) child 3) unexpected violent death
*** SUMMARY: What therapy is most effective, first-line treatment of complicated grief?psychotherapy