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Table 3 Psychotherapy Interventions

From: Bereavement care interventions: a systematic review

Type

Format

Pop

CG

RA

Num

TSL (days)

DT

Key Outcome Measures

Article

Cognitive-behavioral

Individual

Senior

Y

N

58/NR

120–180

70 days; 4 sessions

Mastery (Personal Mastery Scale); Well-being (MHI subscales, ABS Subscale, PERI self-esteem); Distress (PERI Demoralization Scales, MHI subscales)

Reich & Zautra, 1989

 

Individual

Senior

N

NA

4/4

540–730

98 days; 14–18 sessions

Distress (SUDS); Grief (ICG); Depression (BDI); Anxiety (BAI)

Harkness, Shear, et al, 2002**

 

Individual

Adult

Y

Y

30/25

>90

35 days; 10 sessions

Avoidance/Intrusion (IES); Anxiety (SCL-90); Depression (SCL-90); Mood (POMS)

Lange, van de Ven, et al, 2001

 

Individual

Adult

Y

Y-NE

26/14

180–7300

70 days; 6 sessions

Depression (Wakefield, BDI); Physical Symptoms (Mawson et al, 1981); Fear (FQ); Grief (TRIG); Avoidance (Bereavement Avoidance Tasks)

Sireling, Cohen, & Marks, 1988

 

Group

Adult

Y

Y-NE

261/147

46–229

84 days; 8 sessions

Mental Distress (BSI, GSI); PTS Symptoms (TES); Grief (GES); Physical Health (HHB); Marital Strain (DAS)

Murphy, Johnson, et al, 1998 Murphy, 1997

 

Group

Adult

Y

Y-NE

110/80

~730

28 days; 8 sessions

Coping and Adaptation (TAT)

Balk, Lampe, et al, 1998

 

Group

Adult

Y

N

38/21

90–750

70 days; 10 sessions

Treatment Expectancy (Expectancy Scale); Depression (BDI); Avoidance, Anxiety (Social Anxiety and Distress Scale); Enjoyability (Pleasant Events Scale); Life Satisfaction (Life Satisfaction Scale)

Walls & Meyers, 1985

 

Group

Adult

N

NA

8/8

>30

56 days; 8 sessions

Avoidance/Intrusion (IES); Depression (BDI, SCL-90-R); Anxiety (SCL-90-R, STAI); Grief (GRI); Distress (PERI Demoralization)

Sikkema, Kalichman, et al, 1995****

 

Group

Child

Y

UC

19/18

<730

NR

Behavior (BRIC-S, BRIC-H); Depression (DSRS); Grief (BP)

Hilliard, 2001

Psycho-dynamic

Individual

Senior

Y

Y

228

~60

<180 days; Unlimited sessions

Number of Office Visits, Types of Illnesses

Gerber, Wiener, Battin, et al, 1975

 

Individual

Senior

Y

Y-NE

33/30

90–1170

14 days; 4 sessions

Mental Distress (BSI); Depression (GDS); Hopelessness (GHS); Avoidance/Intrusion (IES); Mood (PANAS)

Segal, Bogaards, et al, 1999

 

Individual

Adult

Y

Y

66/56

<49

90 days; up to 9 sessions

General Health(general health questionnaire)

Raphael, 1977

 

Individual

Adult

Y

N

72/63

60–462

12–20 sessions

Avoidance/Intrusion (IES-A, IES-I); Depression (SCL-90); Anxiety (SCL-90); Total Pathology (SCL-90); Stress-Intrusion (SRRS); Neurotic Symptoms (BPRS)

Horowitz, Weiss, et al, 1984

 

Individual

Adult

N

Y-NE

12/6

365–3650

196 days

Depression (Wakefield); Grief (TRIG) Phobic Avoidance (FQ); Hostility/Anger/Guilt (HAG); Attitude to self and deceased (author-created scales); Avoidance (Bereavement Avoidance Tasks); Physical Symptoms (Maddison & Viola, 1968); Compulsive Behavior (Compulsive Activity Checklist); Social Adjustment (Watson & Marks, 1971)

Mawson, Marks, et al, 1981

 

Individual

Adult

N

NA

1/1

<180

112 days; 10 sessions

Grief (Grief Scale); Coping (CRI)

Orton, 1994

 

Group

Senior

Y

Y

150/117

<365–7300

540 days; 6 sessions

Depression (BDI); Socialization (RSAS)

Constantino, 1988*****

Psycho-dynamic

Group

Adult

Y

Y-NE

56/53

120–330

8 sessions

Depression, Anxiety, Somatization (Hopkins Symptom Checklist); Grief Intensity, Preoccupation, Guilt, Anger (Lieberman & Videka-Sherman, 1986); Psychological Distress (Bradburn Affect Balance Scale); Locus of Control (Pearlman et al, 1981); Self-Esteem (Rosenberg scale, 1965); Social Adjustment (Pearlman et al, 1981, Lieberman & Videka-Sherman, 1986)

Lieberman & Yalom, 1992

 

Group

Adult

Y

N

50/50

NR

90 days; 14 sessions

Grief (TRIG)

Sabatini, 1988–89

 

Group

Adult

N

Y

139/107

90–17155

84 days; 12 sessions

Avoidance/Intrusion (IES); Grief (TRIG); Interpersonal Distress (IIP); Social Functioning (SAS-SR); Depression (BDI); Anxiety (STAI); Mental Distress (BSI, GSI); Self-Esteem (SES); Physical Functioning (SF-36); Symptomatic Distress (SCL-90)

Piper, McCallum, et al, 2001*

 

Group

Adult

N

Y-NE

61/55

120–1095

84 days; 12 sessions

Avoidance/Intrusion (IES); Stress Symptoms (SRRS); Depression (BDI); Mental Distress (BPRS, SCL-90); Social Functioning (SAS-SR); Overall Functioning (GAS)

Marmar, Horowitz, et al, 1988**

 

Group

Child

Y

N

16/16

30–365

56 days

Depression (CDI); Behavior (AP, AT); Grief (BP); Family alliance (TP); Grief, family relationship (TC)

Tonkins & Lambert, 1996

 

Group

Child

N

NA

45/37

30–3650

70 days

Trauma (CPTSRI)

Salloum, Avery, & McClain, 2001

Psycho-analytic

Group

Adult

N

N

154/59

NR

84 days; 12 sessions

Affect (author created); Psychodynamic Work (PWORS); Severity of objectives (author created)

McCallum, Piper, & Morin, 1993

Inter-personal

Individual

Senior

Y

Y-NE

80/66

216–279

112 days; up to 16 sessions

Grief (TRIG)

Reynolds, Miller, et al, 1999***

Behavioral and Psycho-dynamic

Individual

Adult

Y

N

83/83

<1825

15–20 sessions

Anger (State Trait Anger Inventory); Anxiety (STAI); Avoidance/Intrusion (IES); Somatic/psychoneurotic symptoms (SCL-90); (Locus of Control Scale)

Kleber & Brom, 1987

  1. Notes: * Study also included support/counselling condition. ** Treatment also included aspects of interpersonal psychotherapy. *** Study also included pharmacotherapy condition. **** Treatment also included aspects of social support. ***** Study also included social activities condition. Legend: Type, Type of Intervention; Format, Format of Intervention; Pop, Target Population; CG, Control Group; RA, Random Assignment; Num, Number of subjects; TSL, Time Since Loss; DT, Duration of Trial; NA, Not Applicable; NR, Not Reported; UC, Unclear; Y, Yes; N, No; Y-NE Randomization mentioned, but allocation method not explicitly stated.