Treating complicated grief and substance use disorders: a pilot study

Journal of Substance Abuse Treatment
Allan ZuckoffRussell Silowash

Abstract

Empirically supported treatments for co-occurring substance use disorders (SUDs) and grief problems are lacking, despite the salience of grief pathology in substance abusers. Identification of a syndrome of complicated grief, distinct from bereavement-related depression and anxiety, led to the development of a targeted treatment, but this treatment has not been tried with persons with SUDs. We recruited 16 adults with complicated grief and substance dependence or abuse into an open pilot study of a manualized 24-session treatment, incorporating motivational interviewing and emotion coping and communication skills into our efficacious complicated grief treatment. Completer and intent-to-treat analyses showed significant reductions in Inventory of Complicated Grief and Beck Depression Inventory scores, with large effect sizes. Timeline Followback percent days abstinent increased significantly in both analyses, with medium to large effect sizes, and cravings declined significantly. Study limitations notwithstanding, complicated grief and substance use treatment appears to be a promising intervention that merits further research.

References

Jun 1, 1983·Archives of General Psychiatry·A T McLellanK A Druley
Jan 1, 1982·The American Journal of Drug and Alcohol Abuse·A Blankfield
Nov 29, 1995·Psychiatry Research·H G PrigersonM Miller
Jul 1, 1997·The American Journal of Psychiatry·M J HorowitzC H Stinson
Apr 22, 1999·The British Journal of Psychiatry : the Journal of Mental Science·H G PrigersonS Zisook
Aug 6, 1999·Journal of Substance Abuse Treatment·E TrifflemanS Kellogg
Mar 11, 2000·Journal of Consulting and Clinical Psychology·W Fals-StewartP Rutigliano
Oct 19, 2000·Psychological Medicine·G K SilvermanH G Prigerson
Aug 23, 2001·Journal of Substance Abuse Treatment·K T BradyK M Carroll
Sep 5, 2001·The American Journal of Psychiatry·M K ShearS Masters
Jan 5, 2002·The Journal of Clinical Psychiatry·N M MelhemM K Shear
Apr 3, 2002·Archives of General Psychiatry·Deborah HasinJean Endicott
Jan 14, 2003·The Journal of Clinical Psychiatry·Kate L HarknessRebecca A Silberman
Apr 18, 2003·Journal of Consulting and Clinical Psychology·Paige OuimetteJohn W Finney
Oct 1, 2003·Journal of Consulting and Clinical Psychology·Brian L BurkeMarisa Menchola
Aug 3, 2004·The American Journal of Psychiatry·Nadine M MelhemDavid Brent
Sep 24, 2004·Clinical Psychology Review·Wendy G LichtenthalHolly G Prigerson
Dec 9, 2004·Suicide & Life-threatening Behavior·Amy E Latham, Holly G Prigerson
Mar 23, 2005·Journal of Substance Abuse Treatment·Rebecca DodgeRajita Sinha
Mar 25, 2005·The New England Journal of Medicine·Jiong LiPreben Bo Mortensen
Nov 3, 2005·The American Journal of Psychiatry·Paul A Boelen, Jan van den Bout
Aug 25, 2007·Annual Review of Clinical Psychology·Jennifer HettemaWilliam R Miller

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Citations

Jul 17, 2007·European Archives of Psychiatry and Clinical Neuroscience·Katherine ShearRussell Sillowash
May 23, 2012·Palliative & Supportive Care·Linda C Lewin, Kathleen J Farkas
Aug 20, 2014·Current Psychiatry Reports·Sidney ZisookM Katherine Shear
May 9, 2008·International Journal of Prisoner Health·Raelene M LeachChris Holmwood
Feb 2, 2011·Depression and Anxiety·M Katherine ShearAparna Keshaviah
May 31, 2011·Journal of Affective Disorders·Sharon C SungNaomi M Simon
Nov 5, 2014·Psychological Medicine·H C Saavedra PérezH Tiemeier
Oct 1, 2013·Aging & Mental Health·Virginia BarbosaJosé Carlos Rocha
Apr 21, 2020·Case Reports in Psychiatry·Olalekan OlaoluTolu Olupona
Feb 5, 2021·Frontiers in Psychology·Beatriz Caparrós, Laura Masferrer
Dec 31, 2021·Substance Use & Misuse·Lauren Bethune ScroggsJennifer J Wright McDougal

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