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Text
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<a href="http://doi.org/10.1176/appi.ajp.163.7.1208" target="_blank" rel="noreferrer">http://doi.org/10.1176/appi.ajp.163.7.1208</a>
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Title
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Family focused grief therapy: a randomized, controlled trial in palliative care and bereavement
Publisher
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The American Journal Of Psychiatry
Date
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2006
Subject
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Female; Humans; Male; Grief; Palliative Care; Terminal Care; Adult; Follow-Up Studies; Middle Aged; Family Relations; Treatment Outcome; Longitudinal Studies; Social Adjustment; Family Health; Personality Inventory; Stress; bereavement; Caregivers/psychology; Family/psychology; SSHRC CURA; Family Therapy/methods; Depressive Disorder/therapy; Psychological/therapy
Creator
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Kissane DW; McKenzie M; Bloch S; Moskowitz C; McKenzie DP; O'Neill I
Description
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OBJECTIVE: The aim of family focused grief therapy is to reduce the morbid effects of grief among families at risk of poor psychosocial outcome. It commences during palliative care of terminally ill patients and continues into bereavement. The authors report a randomized, controlled trial. METHOD: Using the Family Relationships Index, the authors screened 257 families of patients dying from cancer: 183 (71%) were at risk, and 81 of those (44%) participated in the trial. They were randomly assigned (in a 2:1 ratio) to family focused grief therapy (53 families, 233 individuals) or a control condition (28 families, 130 individuals). Assessments occurred at baseline and 6 and 13 months after the patient's death. The primary outcome measures were the Brief Symptom Inventory, Beck Depression Inventory, and Social Adjustment Scale. The Family Assessment Device was a secondary outcome measure. Analyses allowed for correlated family data and employed generalized estimating equations based on intention to treat and controlling for site. RESULTS: The overall impact of family focused grief therapy was modest, with a reduction in distress at 13 months. Significant improvements in distress and depression occurred among individuals with high baseline scores on the Brief Symptom Inventory and Beck Depression Inventory. Global family functioning did not change. Sullen families and those with intermediate functioning tended to improve overall, whereas depression was unchanged in hostile families. CONCLUSIONS: Family focused grief therapy has the potential to prevent pathological grief. Benefit is clear for intermediate and sullen families. Care is needed to avoid increasing conflict in hostile families.
2006
Identifier
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<a href="http://doi.org/10.1176/appi.ajp.163.7.1208" target="_blank" rel="noreferrer">10.1176/appi.ajp.163.7.1208</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2006
Adult
Backlog
Bereavement
Bloch S
Caregivers/psychology
Depressive Disorder/therapy
Family Health
Family Relations
Family Therapy/methods
Family/psychology
Female
Follow-up Studies
Grief
Humans
Journal Article
Kissane DW
Longitudinal Studies
Male
McKenzie DP
McKenzie M
Middle Aged
Moskowitz C
O'Neill I
Palliative Care
Personality Inventory
Psychological/therapy
Social Adjustment
SSHRC CURA
Stress
Terminal Care
The American Journal Of Psychiatry
Treatment Outcome