NL-OMON25798
Recruiting
Not Applicable
A randomised controlled trial examining the effect of a cognitive behavioural treatment for bereaved children combined with parental support.
niversiteit UtrechtFaculteit Sociale WetenschappenDepartement Kinder- en JeugdstudiesPostbus 801403508 TC UTRECHTNederland0 sites160 target enrollmentTBD
ConditionsThe death of a loved one in childhood and adolescence is a risk factor for distress and dysfunction. This event has been associated with increased emotional problems including elevated depression, anxiety, and posttraumatic stress, as well as somatic complaints and behavioural problems (Dowdney, 2008Kaplow, Layne, & Pynoos, 2012). An estimated 5% to 10% of children, experience clinically significant psychiatric problems following loss, including major depression, posttraumatic stress-disorder (PTSD), and Prolonged Grief Disorder (PGD) (Melhem, Moritz, Walker, Shear, & Brent, 2007Melhem, Porta, Shamseddeen, Walker, & Brent, 2011).PGD encompasses several symptoms including separation distress, preoccupation with thoughts about the lost person, a sense of purposelessness about the future, numbness, bitterness, difficulties accepting the loss and difficulty moving on with life without the lost person (Prigerson et al., 2009Shear et al., 2011). Although PGD has mostly been studied among adults, a growing body of empirical studies has shown that children and adolescents can develop PGD symptoms, that can be reliably assessed, are distinct from normal grief, depression and anxiety, including PTSD, and are predictive of significant concomitant internalizing and externalizing problems (Brown & Goodman, 2005Dillen, Fontaine, & Verhofstadt-Denève, 2008Spuij, Prinzie et al., 2012Spuij, Reitz et al., 2012). Evidence that, in a small percentage of people, acute grief reactions turn into chronic debilitating distress, blocking reestablishment of normal routines, will likely lead to the inclusion of two bereavement-related disorders in the DSM-5, namely Adjustment Disorder Related to Bereavement, located in its main text, and Persistent Complex Bereavement-Related Disorder, located in its appendix (APA, 2000APA, 2012for discussions see Boelen & Prigerson, 2012Kaplow et al., 2012Wakefield, 2012).
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- The death of a loved one in childhood and adolescence is a risk factor for distress and dysfunction. This event has been associated with increased emotional problems including elevated depression, anxiety, and posttraumatic stress, as well as somatic complaints and behavioural problems (Dowdney, 2008
- Sponsor
- niversiteit UtrechtFaculteit Sociale WetenschappenDepartement Kinder- en JeugdstudiesPostbus 801403508 TC UTRECHTNederland
- Enrollment
- 160
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
/A
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Children aged 8\-18 years;
- •2\. Suffered the loss of a loved one at least six months ago;
Exclusion Criteria
- •1\. Severe suicide ideation with child or parent(s);
- •2\. Receiving concurrent psychosocial help;
Outcomes
Primary Outcomes
Not specified
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