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Prolonged Grief, Depressive, and Post-Traumatic Stress Symptoms: Random-Intercept Cross-Lagged Panel Analyses

Janshen, Antje (2024) Prolonged Grief, Depressive, and Post-Traumatic Stress Symptoms: Random-Intercept Cross-Lagged Panel Analyses. Research Master thesis, Research Master.

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Abstract

Prolonged grief symptoms co-occur with depressive and, post-traumatic stress (PTS) symptoms, but the temporal relationships between prolonged grief symptoms and other post-loss symptomatology are not well understood. Insights into the temporal relationships can inform treatments for bereaved adults. To clarify these relationships, 307 bereaved adults within their first bereavement year (78% female) completed questionnaires to assess prolonged grief, depressive, and PTS symptoms at five timepoints at 1.5-month intervals. Random-intercept cross-lagged panel modeling was utilized to inspect reciprocal relationships between prolonged grief, depressive, and PTS symptoms. Higher prolonged grief symptoms than usual predicted other psychopathology symptoms and vice versa in all bivariate models. In a model including prolonged grief, depressive, and PTS symptoms, within-person fluctuations in grief levels close after the loss predicted other post-loss symptoms but not vice versa. Most variance could be attributed to stable differences between individuals. Future research should examine the clinical utility of targeting acute grief reactions to prevent the emergence of other post-loss symptomatology. Keywords: prolonged grief symptoms; comorbidity; co-occurrence; longitudinal relationship; posttraumatic stress symptoms; random-intercept cross-lagged analyses

Item Type: Thesis (Research Master)
Supervisor name: Eisma, M.C.
Degree programme: Research Master
Differentiation route: Clinical Psychology and Clinical Neuropsychology [Research Master]
Date Deposited: 15 Jul 2024 07:07
Last Modified: 15 Jul 2024 07:07
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/3858

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