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Text: small | med | large Source: JAMA and Archives Journals
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Negative Grief Emotions Decline About 6-months After The Loss Of A Loved One
be stabilized with Alzheimer's medications such as Reminyl,
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normal responses from most people are acceptance and yearning for the
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deceased, according to a new study in the February 21 issue of JAMA
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that is an empirical examination of the stage theory of grief.
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Paul K. Maciejewski, Ph.D., from the Yale University School of Medicine, New Haven, Conn., and colleagues analyzed data collected between January 2000 and January 2003 from 233 individuals participating in the Yale Bereavement Study. The study participants had a family member or loved one who died from natural, not traumatic causes; and had at least one complete assessment of the five grief indicators included in the stage theory of grief within 24 months following the death. The vast majority (83.8 percent) of participants were spouses of the deceased. The remaining participants (16.2 percent) were adult children, parents, or siblings of the deceased.
"Counter to stage theory, disbelief was not the initial, dominant grief indicator," the researchers found. "Acceptance was the most frequently endorsed item and yearning was the dominant negative grief indicator from one to 24 months postloss. In models that take into account the rise and fall of psychological responses, once rescaled, disbelief decreased from an initial high at one month postloss, yearning peaked at four months postloss, anger peaked at five months postloss, and depression peaked
at six months postloss." The authors add, "acceptance increased steadily through the
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study observation period ending at 24 months postloss."
"Identification of the normal stages of grief following a death from natural causes
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enhances understanding of how the average person cognitively and emotionally
processes the loss of a family member," the authors write. "Regardless of how the
data are analyzed, all of the negative grief indicators are in decline by approximately
six months postloss. The persistence of these negative emotions beyond six months
is therefore likely to reflect a more difficult than average adjustment and suggests the
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