ArticlePsychological medicine2023
Coping strategies as a causal mediator of the effect of loss-related memory characteristics and negative loss-related appraisals on symptoms of PGD, PTSD and depression.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Pooling data from studies on prolonged grief: the Multi-region Archive of Research data on Bereavement and Loss from Empirical Studies (MARBLES) project.European journal of psychotraumatology · 2026Article
- Internet Cognitive Therapy for Prolonged Grief Disorder (iCT-PG): a developmental case series.European journal of psychotraumatology · 2026Article
- When Memories Keep Grief Alive: A Dynamic Model of Memory Characteristics and Prolonged Grief.Psychotherapy and psychosomatics · 2026Article
- A protocol for a pilot randomised controlled trial of an online cancer bereavement group.Pilot and feasibility studies · 2026Article
- Desire thinking as a cognitive mechanism of yearning after bereavement.Journal of affective disorders · 2026Article
- Exploring anxiety as a potential mediator of the association between home destruction and PTSD symptoms among hemodialysis patients in Gaza after 7th Oct 2023.PLOS mental health · 2026Article
- Supporting those bereaved by cancer: a service evaluation and investigation of cognitive behavioural mechanisms in the treatment of prolonged grief.European journal of psychotraumatology · 2025Article
- Unraveling attachment - A network analysis of the cognitive pathways linking attachment and prolonged grief.Psychological medicine · 2025Article
- A protocol for a pilot randomised controlled trial of unguided internet cognitive behaviour therapy for grief in adolescents.Internet interventions · 2024Article
- From loss to disorder: The influence of maladaptive coping on prolonged grief.Psychiatry research · 2024Article
- Post-migration stressors, mental health and well-being in resettled refugees from Syria: Do individuals' coping strategies matter?Conflict and health · 2023Article
- The relationship between social acknowledgment and prolonged grief symptoms: a multiple mediation effect of beliefs about the goodness and controllability of grief-related emotions.European journal of psychotraumatology · 2023Article
- Psychometric Characteristics of the Oxford Grief Memory Characteristics Scale and Its Relationship With Symptoms of ICD-11 and DSM-5-TR Prolonged Grief Disorder.Frontiers in psychiatry · 2022Article
Corrections and comments
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2 authors at 1 institution in 1 country.
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Abstract
backgroundPsychological models of posttraumatic stress disorder (PTSD) and prolonged grief disorder (PGD) make predictions about the role of unhelpful coping strategies in maintaining difficulties by blocking self-correction of negative appraisals and memory integration following stressful life events like bereavement. However, few studies have tested these predictions directly.
methodWe used counterfactually based causal mediation to assess whether unhelpful coping strategies mediated the relationship between (1) loss-related memory characteristics and/or (2) negative grief-related appraisals and symptoms of PGD, PTSD and depression using a three-wave longitudinal sample (
resultsCoping strategies mediated the relationship between negative appraisals and memory characteristics and symptoms of PGD, PTSD and depression after adjusting for demographics and loss characteristics. Sensitivity analyses suggested that these results were most robust for PGD, followed by PTSD and then depression. Multiple mediation analyses suggested that all four subscales (avoidance, proximity seeking, loss rumination and injustice rumination) individually mediated the effect of memory characteristics and appraisals on PGD.
conclusionsThese results suggest that core predictions of the cognitive model for PTSD and the cognitive behavioural model of PGD are useful in predicting symptoms of post-loss mental health problems in the first 12-18 months after loss. Targeting unhelpful coping strategies is likely to reduce symptoms of PGD, PTSD and depression.
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