View in EDS HTML Full Text PDF Full Text

Prolonged Grief in Refugees Seeking Treatment for PTSD: Comorbidity with Post‐Traumatic Stress Symptoms and Network Structure.

Saved in:
Bibliographic Details
Title: Prolonged Grief in Refugees Seeking Treatment for PTSD: Comorbidity with Post‐Traumatic Stress Symptoms and Network Structure.
Authors: Lechner‐Meichsner, Franziska (AUTHOR), Rueger, Mirjam Sophie (AUTHOR), Nehler, Kai Jannik (AUTHOR), Ehring, Thomas (AUTHOR), Preiss, Hannah (AUTHOR), Morina, Nexhmedin (AUTHOR), Churbaji, Dana (AUTHOR), Mewes, Ricarda (AUTHOR), Giesebrecht, Julia (AUTHOR), Weise, Cornelia (AUTHOR), Steil, Regina (AUTHOR)
Source: Clinical Psychology & Psychotherapy. May/Jun2025, Vol. 32 Issue 3, p1-14. 14p.
Subjects: Treatment of post-traumatic stress disorder, Post-traumatic stress disorder, Self-evaluation, Wounds & injuries, Research funding, Psychology of refugees, Interviewing, Complicated grief, Descriptive statistics, Emotions, Bereavement, Comorbidity
Abstract: Refugees often experience traumatic events and the loss of loved ones, leading to post‐traumatic stress disorder (PTSD), complex PTSD (cPTSD) and prolonged grief disorder (PGD). It has been repeatedly shown that comorbidity between PGD and PTSD is frequent especially after violent losses, but only few studies have investigated the relationship between PGD and cPTSD. The network approach to psychopathology is well suited to investigate associations between different symptoms. We therefore combined a traditional investigation of the probable prevalence of PGD and its comorbidity with PTSD and cPTSD in refugees and used network analysis to identify central symptoms and bridge symptoms. A total N of 92 treatment‐seeking refugees who had experienced both loss and traumatic events completed a self‐report measure of PGD and clinical interviews for PTSD and cPTSD. We determined the probable prevalence of PGDICD‐11 and rates of comorbidity. Network centrality and associations between symptoms of PGD and cPTSD were examined using network analysis. The probable prevalence of PGDICD‐11 was 28.04%. Of those with probable PGDICD‐11, 65.38% also met criteria for comorbid PTSDICD‐11 and 19.23% for comorbid cPTSD. The most central PGD symptom in the network was difficulties engaging in social or other activities, and the most central cPTSD symptom was negative self‐concept. The most important PGD bridge symptom was emotional numbness. Results underscore the importance of screening for PGD in treatment‐seeking traumatized refugees in order to consider it in treatment planning. The relatively small sample size and the stability indices call for cautious interpretation of the results. Trial Registration: DRKS‐ID: DRKS00019876. Summary: This is the first prolonged grief and post‐traumatic stress symptom network analysis in refugees.Prolonged grief disorder is an important mental health problem in refugees.Emotional numbness and avoidance were the most important bridge symptoms.Screening for PGD is important in traumatized treatment‐seeking refugees.Culturally sensitive grief‐focused interventions should be offered to refugees. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 186163183
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Prolonged Grief in Refugees Seeking Treatment for PTSD: Comorbidity with Post‐Traumatic Stress Symptoms and Network Structure.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lechner‐Meichsner%2C+Franziska%22">Lechner‐Meichsner, Franziska</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rueger%2C+Mirjam Sophie%22">Rueger, Mirjam Sophie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nehler%2C+Kai Jannik%22">Nehler, Kai Jannik</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ehring%2C+Thomas%22">Ehring, Thomas</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Preiss%2C+Hannah%22">Preiss, Hannah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morina%2C+Nexhmedin%22">Morina, Nexhmedin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Churbaji%2C+Dana%22">Churbaji, Dana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mewes%2C+Ricarda%22">Mewes, Ricarda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giesebrecht%2C+Julia%22">Giesebrecht, Julia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weise%2C+Cornelia%22">Weise, Cornelia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Steil%2C+Regina%22">Steil, Regina</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. May/Jun2025, Vol. 32 Issue 3, p1-14. 14p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Treatment+of+post-traumatic+stress+disorder%22">Treatment of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+refugees%22">Psychology of refugees</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Complicated+grief%22">Complicated grief</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Bereavement%22">Bereavement</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Refugees often experience traumatic events and the loss of loved ones, leading to post‐traumatic stress disorder (PTSD), complex PTSD (cPTSD) and prolonged grief disorder (PGD). It has been repeatedly shown that comorbidity between PGD and PTSD is frequent especially after violent losses, but only few studies have investigated the relationship between PGD and cPTSD. The network approach to psychopathology is well suited to investigate associations between different symptoms. We therefore combined a traditional investigation of the probable prevalence of PGD and its comorbidity with PTSD and cPTSD in refugees and used network analysis to identify central symptoms and bridge symptoms. A total N of 92 treatment‐seeking refugees who had experienced both loss and traumatic events completed a self‐report measure of PGD and clinical interviews for PTSD and cPTSD. We determined the probable prevalence of PGDICD‐11 and rates of comorbidity. Network centrality and associations between symptoms of PGD and cPTSD were examined using network analysis. The probable prevalence of PGDICD‐11 was 28.04%. Of those with probable PGDICD‐11, 65.38% also met criteria for comorbid PTSDICD‐11 and 19.23% for comorbid cPTSD. The most central PGD symptom in the network was difficulties engaging in social or other activities, and the most central cPTSD symptom was negative self‐concept. The most important PGD bridge symptom was emotional numbness. Results underscore the importance of screening for PGD in treatment‐seeking traumatized refugees in order to consider it in treatment planning. The relatively small sample size and the stability indices call for cautious interpretation of the results. Trial Registration: DRKS‐ID: DRKS00019876. Summary: This is the first prolonged grief and post‐traumatic stress symptom network analysis in refugees.Prolonged grief disorder is an important mental health problem in refugees.Emotional numbness and avoidance were the most important bridge symptoms.Screening for PGD is important in traumatized treatment‐seeking refugees.Culturally sensitive grief‐focused interventions should be offered to refugees. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186163183
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/cpp.70097
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 14
        StartPage: 1
    Subjects:
      – SubjectFull: Treatment of post-traumatic stress disorder
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Wounds & injuries
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Psychology of refugees
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Complicated grief
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Bereavement
        Type: general
      – SubjectFull: Comorbidity
        Type: general
    Titles:
      – TitleFull: Prolonged Grief in Refugees Seeking Treatment for PTSD: Comorbidity with Post‐Traumatic Stress Symptoms and Network Structure.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lechner‐Meichsner, Franziska
      – PersonEntity:
          Name:
            NameFull: Rueger, Mirjam Sophie
      – PersonEntity:
          Name:
            NameFull: Nehler, Kai Jannik
      – PersonEntity:
          Name:
            NameFull: Ehring, Thomas
      – PersonEntity:
          Name:
            NameFull: Preiss, Hannah
      – PersonEntity:
          Name:
            NameFull: Morina, Nexhmedin
      – PersonEntity:
          Name:
            NameFull: Churbaji, Dana
      – PersonEntity:
          Name:
            NameFull: Mewes, Ricarda
      – PersonEntity:
          Name:
            NameFull: Giesebrecht, Julia
      – PersonEntity:
          Name:
            NameFull: Weise, Cornelia
      – PersonEntity:
          Name:
            NameFull: Steil, Regina
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: May/Jun2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 10633995
          Numbering:
            – Type: volume
              Value: 32
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Clinical Psychology & Psychotherapy
              Type: main
ResultId 1