Adult Separation Anxiety Disorder in Complicated Grief: an exploratory study on frequency and correlates

Abstract Introduction Complicated Grief (CG) has been the subject of increasing attention in the past decades but its relationship with Separation Anxiety Disorder (SEPAD) is still controversial. The aim of the current study was to explore the prevalence and clinical significance of adult SEPAD in a...

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Bibliographic Details
Published in:Comprehensive psychiatry 2017-01, Vol.72, p.6-12
Main Authors: Gesi, Camilla, Carmassi, Claudia, Shear, Katherine M, Schwartz, Theresa, Ghesquiere, Angela, Khaler, Julie, Dell'Osso, Liliana
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anxiety
Anxiety, Separation - diagnosis
Anxiety, Separation - epidemiology
Anxiety, Separation - psychology
Comorbidity
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders
Female
Grief
Humans
Male
Middle Aged
Panic attacks
Panic Disorder - diagnosis
Panic Disorder - epidemiology
Panic Disorder - psychology
Psychiatry
Severity of Illness Index
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - psychology
Studies
Surveys and Questionnaires
Young Adult
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Summary:Abstract Introduction Complicated Grief (CG) has been the subject of increasing attention in the past decades but its relationship with Separation Anxiety Disorder (SEPAD) is still controversial. The aim of the current study was to explore the prevalence and clinical significance of adult SEPAD in a sample of help-seeking individuals with CG. Methods 151 adults with CG, enrolled in a randomized controlled trial comparing the effectiveness of Complicated Grief Treatment to that of Interpersonal Therapy, were assessed by means of the Inventory of Complicated Grief (ICG), the Structured Clinical Interview for DSM-IV, the Hamilton Rating Scale for Depression (HAM-D), the Work and Social Adjustment Scale (WSAS), the Separation Anxiety Symptoms Questionnaire (ASA-27), the Grief Related Avoidance Questionnaire (GRAQ), the Peritraumatic Dissociative Experiences Questionnaire (PDEQ), the Impact of Events Scale (IES). Results 104 (68.9%) individuals with CG were considered to have SEPAD (ASA-27 score ≥ 22). Individuals with SEPAD were more likely to have reported a CG related to the loss of an other close relative or friend (than a parent, spouse/partner or a child) ( p = .02), as well as greater scores on the ICG ( p =
ISSN:0010-440X
1532-8384
DOI:10.1016/j.comppsych.2016.09.002