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Psychiatr Serv 57:1291-1297, September 2006
doi: 10.1176/appi.ps.57.9.1291
© 2006 American Psychiatric Association
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Article

Screening for Complicated Grief Among Project Liberty Service Recipients 18 Months After September 11, 2001

Katherine M. Shear, M.D., Carlos T. Jackson, Ph.D., Susan M. Essock, Ph.D., Sheila A. Donahue, M.A. and Chip J. Felton, M.S.W.

OBJECTIVE: The authors surveyed a sample of Project Liberty crisis counseling recipients approximately 1.5 years after the terrorist attacks on September 11, 2001, to determine the proportion of respondents who screened positive for complicated grief, a recently identified condition marked by symptoms of continuing separation distress and accompanying bereavement-related traumatic distress. METHODS: A total of 149 service recipients drawn from eight high-volume providers responded to a telephone survey that included questions to screen for complicated grief. RESULTS: Approximately half of the recipients knew someone who had been killed in the attacks. Of those recipients, 44 percent screened positive for complicated grief. Individuals who lost a family member were more likely than those who lost an acquaintance to screen positive for complicated grief. Positive screens were associated with functional impairment independent of the presence of symptoms consistent with full or subthreshold major depression or posttraumatic stress disorder (PTSD). Thirty-two percent of those who screened positive for complicated grief did not meet even subthreshold criteria for major depression or PTSD. CONCLUSIONS: Results affirmed the importance of complicated grief as a unique condition and indicated the need to attend to the psychological consequences of bereavement in disaster-related mental health services.


Related Article:

Project Liberty: New York's Crisis Counseling Program Created in the Aftermath of September 11, 2001
Sheila A. Donahue, Carol B. Lanzara, Chip J. Felton, Susan M. Essock, and Sharon Carpinello
Psychiatr Serv 2006 57: 1253-1258. [Full Text] [PDF]



This article has been cited by other articles:


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Psychiatr. Serv.Home page
S. A. Donahue, C. B. Lanzara, C. J. Felton, S. M. Essock, and S. Carpinello
Project Liberty: New York's Crisis Counseling Program Created in the Aftermath of September 11, 2001
Psychiatr Serv, September 1, 2006; 57(9): 1253 - 1258.
[Full Text] [PDF]


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Psychiatr. Serv.Home page
C. T. Jackson, N. H. Covell, K. M. Shear, C. Zhu, S. A. Donahue, S. M. Essock, and C. J. Felton
The Road Back: Predictors of Regaining Preattack Functioning Among Project Liberty Clients
Psychiatr Serv, September 1, 2006; 57(9): 1283 - 1290.
[Abstract] [Full Text] [PDF]


Home page
Psychiatr. Serv.Home page
S. A. Donahue, C. T. Jackson, K. M. Shear, C. J. Felton, and S. M. Essock
Outcomes of Enhanced Counseling Services Provided to Adults Through Project Liberty
Psychiatr Serv, September 1, 2006; 57(9): 1298 - 1303.
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