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Dual-Process Bereavement Group Intervention (DPBGI) for Widowed Older Adults.
- Source :
-
Gerontologist . Oct2019, Vol. 59 Issue 5, p983-994. 12p. 1 Diagram, 4 Charts. - Publication Year :
- 2019
-
Abstract
- Background and Objectives To examine the primary and secondary outcomes of a theory-driven group bereavement intervention for widowed older adults through a cluster-randomized controlled trial. Research Designs and Methods Twelve community centers providing health and social services for elderly people were randomly assigned to the experimental condition, the dual-process bereavement group intervention-Chinese (DPBGI-C) and to the control condition, the loss-oriented bereavement group intervention-Chinese (LOBGI-C). Both interventions comprised weekly, 2-hr sessions for 7 weeks followed by a 4-hr outing in the eighth week. Of 215 widowed older adults contacted and assessed, 125 eligible participants were interviewed three times—preintervention, postintervention, and at a 16-week follow-up—to assess complicated grief symptoms, anxiety, depression, loneliness, and social support. Results Using intention-to-treat analysis, both interventions produced improvements in grief, depression, and social support, but effect sizes were larger with the DPBGI-C. The participants in the DPBGI-C condition also reported reduced anxiety, emotional loneliness, and social loneliness, whereas those in the LOBGI-C condition did not. There were interactions between intervention type and time with respect to grief, anxiety, emotional loneliness, and social loneliness. Discussion and Implications Although traditional LOBGI-C can help to reduce grief and depression in bereaved older adults, the DPBGI-C was found to be superior as it had a greater and more extensive impact on outcomes. This is the first study of the effectiveness of this evidence-based, theory-driven intervention for widowed Chinese older adults and has implications for theory building and practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANXIETY diagnosis
*DIAGNOSIS of mental depression
*PREVENTION of mental depression
*WIDOWHOOD
*BEREAVEMENT
*EMOTIONS
*GRIEF
*GROUP psychotherapy
*INTENTION
*LONELINESS
*STATISTICAL sampling
*SOCIAL services
*EVIDENCE-based medicine
*SOCIAL support
*EFFECT sizes (Statistics)
*RANDOMIZED controlled trials
*TREATMENT effectiveness
*OLD age
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 00169013
- Volume :
- 59
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Gerontologist
- Publication Type :
- Academic Journal
- Accession number :
- 138760270
- Full Text :
- https://doi.org/10.1093/geront/gny095