ArticleSocial psychiatry and psychiatric epidemiology2016
Factorial structure of complicated grief: associations with loss-related traumatic events and psychosocial impacts of mass conflict amongst West Papuan refugees.
Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Complex post-traumatic stress disorder in refugees, asylum seekers, and internally displaced people: a systematic review and meta-analysis.European journal of psychotraumatology · 2026Pooled it
- An Integrative Adapt Therapy for common mental health symptoms and adaptive stress amongst Rohingya, Chin, and Kachin refugees living in Malaysia: A randomized controlled trial.PLoS medicine · 2020Trial
- Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review.Conflict and health · 2024Review
- Childhood maltreatment and NSSI in prisoners: mediation through self-identity and moderation by sensation-seeking.Frontiers in psychiatry · 2024Article
- Scalable interventions for refugees.Global mental health (Cambridge, England) · 2023Review
- A prevalence assessment of prolonged grief disorder in Syrian refugees.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021Article
- Quality of mental health questionnaires in conflict-affected adult populations in low and middle income countries: A systematic review.Journal of migration and health · 2021Review
- Psychosocial mechanisms of change in symptoms of Persistent Complex Bereavement Disorder amongst refugees from Myanmar over the course of Integrative Adapt Therapy.European journal of psychotraumatology · 2020Article
- Association Between Prolonged Grief and Attitudes Toward Reconciliation in Bereaved Survivors of the Khmer Rouge Regime in Cambodia.Frontiers in psychiatry · 2020Article
- Functional impairment as a proxy measure indicating high rates of trauma exposure, post-migration living difficulties, common mental disorders, and poor health amongst Rohingya refugees in Malaysia.Translational psychiatry · 2019Article
- Theoretical background, first stage development and adaptation of a novel Integrative Adapt Therapy (IAT) for refugees.Epidemiology and psychiatric sciences · 2019Article
- A population study of prolonged grief in refugees.Epidemiology and psychiatric sciences · 2019Article
- The structure and psychosocial correlates of complicated bereavement amongst refugees from West Papua.Social psychiatry and psychiatric epidemiology · 2019Article
- Developing a measure of adaptive stress arising from the psychosocial disruptions experienced by refugees based on a sample of displaced persons from West Papua.International journal of methods in psychiatric research · 2019Article
- Prolonged grief disorder among asylum seekers in Germany: the influence of losses and residence status.European journal of psychotraumatology · 2019Article
- The Assessment of Grief in Refugees and Post-conflict Survivors: A Narrative Review of Etic and Emic Research.Frontiers in psychology · 2018Review
- Beyond PTSD and Fear-Based Conditioning: Anger-Related Responses Following Experiences of Forced Migration-A Systematic Review.Frontiers in psychology · 2018Article
- The ADAPT model: bridging the gap between psychosocial and individual responses to mass violence and refugee trauma.Epidemiology and psychiatric sciences · 2017Article
- The Relationship of Complex Post-traumatic Stress Disorder and Post-traumatic Stress Disorder in a Culturally Distinct, Conflict-Affected Population: A Study among West Papuan Refugees Displaced to Papua New Guinea.Frontiers in psychiatry · 2017Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDefinitions of complicated grief vary across diagnostic systems, being represented as persistent complex bereavement (PCB) in DSM-5 and prolonged grief disorder (PGD) in the proposed revision of the ICD system. A past study in a high-income country has identified a six-factor structure for complicated grief, but there are no data testing this or any other model across cultures. The present study reports findings from a survey amongst West Papuan refugees (n = 230, response rate = 92 %) residing in Port Moresby, Papua New Guinea. MATERIALS AND
methodsWe applied culturally adapted measures of conflict-related traumatic event (TEs) (drawing specifically on domains of conflict and loss), symptoms of complicated grief adapted and modified to the culture, and a multidimensional psychosocial index of the broader effects of conflict and displacement.
resultsConfirmatory factor analysis yielded a single higher order construct of complicated grief comprising six factors of yearning/preoccupation; shock/disbelief; anger/negative appraisal; behavioural change; estrangement from others/impairment; and a novel dimension of confusion/diminished identity. In contrast, our analysis failed to support DSM or ICD models of PCB or PGD. A Multiple Indicators Multiple Causes (MIMIC) model revealed that traumatic loss and the sense of injustice each were associated with the unitary construct of complicated grief and its subdomains of yearning/preoccupation; shock/disbelief; anger/negative appraisal (exclusive to injustice); and estrangement from others/social impairment (exclusive to TE domain of conflict and loss).
conclusionsConflict and loss associated with feelings of injustice may be especially pathogenic in generating the anger/negative appraisal component of complicated grief amongst refugees.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.