ArticlePsychological medicine2019
Pre-loss personal factors and prolonged grief disorder in bereaved mothers.
Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Measuring Grief in the Context of Traumatic Loss: A Systematic Review of Assessment Instruments.Trauma, violence & abuse · 2023Pooled it
- The psychological consequences of Sudden Infant Death Syndrome (SIDS) for the family system: A systematic review.Frontiers in psychology · 2023Pooled it
- ICD-11 Prolonged Grief Disorder, Physical Health, and Somatic Problems: A Systematic Review.Clinical psychology in Europe · 2025Review
- Bereavement issues and prolonged grief disorder: A global perspective.Global mental health (Cambridge, England) · 2023Review
- Complicated Grief After the Loss of a Baby: A Systematic Review About Risk and Protective Factors for Bereaved Women.Trends in psychology · 2022Article
- Transitional objects of grief.Comprehensive psychiatry · 2020Article
- Different Trajectories of Prolonged Grief in Bereaved Family Members After Terror.Frontiers in psychiatry · 2020Article
- Prolonged grief disorder in Chinese Shidu parents who have lost their only child.European journal of psychotraumatology · 2020Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundIdentifying characteristics of individuals at greatest risk for prolonged grief disorder (PGD) can improve its detection and elucidate the etiology of the disorder. The Safe Passage Study, a study of women at high risk for sudden infant death syndrome (SIDS), prospectively examined the psychosocial functioning of women while monitoring their healthy pregnancies. Mothers whose infants died of SIDS were followed in bereavement.
methodsPre-loss data were collected from 12 000 pregnant mothers and analyzed for their associations with grief symptoms and PGD in 50 mothers whose infants died from SIDS, from 2 to 48 months after their infant's death, focusing on pre-loss risk factors of anxiety, depression, alcohol use, maternal age, the presence of other living children in the home, and previous child loss.
resultsThe presence of any four risk factors significantly predicted PGD for 24 months post-loss (p < 0.003); 2-3 risk factors predicted PGD for 12 months (p = 0.02). PGD rates increased in the second post-loss year, converging in all groups to approximately 40% by 3 years. Pre-loss depressive symptoms were significantly associated with PGD. Higher alcohol intake and older maternal age were consistently positively associated with PGD. Predicted risk scores showed good discrimination between PGD and no PGD 6-24 months after loss (C-statistic = 0.83).
conclusionsA combination of personal risk factors predicted PGD in 2 years of bereavement. There is a convergence of risk groups to high rates at 2-3 years, marked by increased PGD rates in mothers at low risk. The risk factors showed different effects on PGD.
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Registered trials
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