Madelyn R Frumkin1, Donald J Robinaugh2,3, Nicole J LeBlanc2,3, Zeba Ahmad4, Eric Bui2,3, Matthew K Nock5, Naomi M Simon6, Richard J McNally5. 1. Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri, USA. 2. Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA. 3. Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA. 4. Department of Psychology, Hunter College, City University of New York, New York City, New York, USA. 5. Department of Psychology, Harvard University, Cambridge, Massachusetts, USA. 6. Department of Psychiatry, NYU Langone Health, New York University School of Medicine, New York City, New York, USA.
Abstract
OBJECTIVE: Emotional or psychological pain is a core symptom of complicated grief (CG), yet its correlates are largely unexamined among bereaved individuals. METHOD: Bereaved adults (N = 135) completed self-reports regarding psychological pain, CG, depression, and suicidality. We assessed correlations among these variables and tested whether psychological pain was elevated among individuals with CG and individuals with current or past suicidal thoughts and behaviors. Using logistic regression, we also assessed psychological pain, depression, and CG symptom severity as predictors of suicide risk. RESULTS: Psychological pain was strongly associated with both CG and depression severity and was elevated among subjects reporting current or past suicidality. CG and depression were not statistically significant predictors of suicidal ideation after accounting for the effects of psychological pain. CONCLUSIONS: Psychological pain is strongly associated with bereavement-related psychopathology and warrants further investigation in studies examining the nature and treatment of CG.
OBJECTIVE: Emotional or psychological pain is a core symptom of complicated grief (CG), yet its correlates are largely unexamined among bereaved individuals. METHOD: Bereaved adults (N = 135) completed self-reports regarding psychological pain, CG, depression, and suicidality. We assessed correlations among these variables and tested whether psychological pain was elevated among individuals with CG and individuals with current or past suicidal thoughts and behaviors. Using logistic regression, we also assessed psychological pain, depression, and CG symptom severity as predictors of suicide risk. RESULTS: Psychological pain was strongly associated with both CG and depression severity and was elevated among subjects reporting current or past suicidality. CG and depression were not statistically significant predictors of suicidal ideation after accounting for the effects of psychological pain. CONCLUSIONS: Psychological pain is strongly associated with bereavement-related psychopathology and warrants further investigation in studies examining the nature and treatment of CG.
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