文章基本信息

标题：Group-based compassion-focused therapy (CFT) for Prolonged Grief Disorder (PGD): A randomized controlled trial
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作者：Maja O’Connor
期刊名称：European Journal of Psychotraumatology
印刷版ISSN：2000-8198
电子版ISSN：2000-8066
出版年度：2021
卷号：12
期号：2
页码：41-41
语种：English
出版社：Taylor & Francis Group
摘要：Clinically relevant symptoms of PGD are present in 1:10 bereaved adults. With the ongoing pandemic, more losses and more severe grief reactions due to extreme circumstances are expected. CFT addresses human suffering in terms of guilt, anger, shame, and self-criticism that are likely to be central in grief. Yet, the efficacy of CFT on PGD is largely unknown. The present study evaluates the efficacy of group-based CFT on PGD-symptoms in adults following a spousal or parental loss. Method: Adults reporting >25 on the PGD-scale (PG-13) 11 months post-loss were identified from The Aarhus Bereavement Study. Eighty-three individuals participated (mean age = 60.45; women = 67.5%; partner-loss = 83.1%; PG-13 baseline = 31.7) and were randomized to an 8-week, group-based CFT for PGD-program (n = 42) or a wait-list control (n = 41). Symptoms of PGD, PTSD, depression, and anxiety were measured at pre, post-intervention, 3 and 6 months follow-up. Results: Across all time-points, statistically significant interaction effects were found for PTSD (p = .040, Cohen’s d = .49), while none of the remaining outcomes reached statistical significance (ps = 0.252-0.589; Cohen’s ds: 0.13-0.30). Conclusions: Possible interpretations include that CFT cultivates sensitivity towards suffering and engaging kindly in alleviating this, which may need more sessions to have its effect on PGD-symptoms. Moreover, CFT may be too cognitively demanding for older bereaved adults, who often experience mild cognitive difficulties. Identification and treatment of PGD are especially important in a pandemic. Potential treatments for complicated grief reactions should be addressed. Adaptions of CFT for PGD should be tested in future research before being recommended for PGD.