University of Twente Student Theses
Exploring Reactivity Effects of Self-monitoring Grief Reactions : A Randomized Waitlist Controlled Trial
Philipp, Y.N. (2024) Exploring Reactivity Effects of Self-monitoring Grief Reactions : A Randomized Waitlist Controlled Trial.
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| Abstract: | Introduction: Prolonged grief disorder (PGD) has recently been added to ICD11 and DSM-5- TR. Using Experience Sampling Methodology (ESM) to assess PGD symptoms within the context of daily life seems to be promising. This study investigated the reactivity effects of using ESM to measure levels of PGD symptoms in people who experienced the loss of a loved one three to six months prior. Methods: Treatment-seeking individuals (N = 184) were randomly allocated to either an ESM or waitlist condition. PGD severity was assessed before (T1) and after a two-week ESM phase (T2). An ANCOVA was conducted to compare changes in the group average from T1 to T2. Reliable change indices (RCI) of individual reactivity effects were calculated based on which participants were regrouped into no change/worsening of symptoms or significant improvement. A binary logistic regression investigated a set of variables to predict membership to the latter two groups. Results: The ANCOVA of changes in PGD severity was not significant [F(1,120) = 0.01, p = .94]. Calculating RCIs based on individual changes in PGD scores revealed a group of people (N = 35) improving in symptomatology. A binary logistic regression predicting belongingness to that group was significant for the variables “baseline PGD symptoms” (B = 0.06, Wald χ²(1) = 9.05, p = .003) and “unexpectancy of death” (B = 0.36, Wald χ²(1) = 4.57, p = .03). Discussion: Findings indicate that ESM is safe to use for assessing PGD symptoms in bereaved people. Individual reactivity effects suggest that self-monitoring PGD symptoms might even help to improve more severely grieving people. |
| Item Type: | Essay (Master) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology MSc (66604) |
| Link to this item: | https://purl.utwente.nl/essays/98966 |
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