TY  - JOUR
T1  - Treatment of complicated grief: A randomized controlled trial
AU  - Shear K, Frank E, Houck PR, Reynolds CF
Y1  - 2005/06/01
N1  - 10.1001/jama.293.21.2601
JO  - JAMA
SP  - 2601
EP  - 2608
VL  - 293
IS  - 21
N2  - Context 
                  Complicated grief is a debilitating disorder associated with important
negative health consequences, but the results of existing treatments for it
have been disappointing.Objective 
                  To compare the efficacy of a novel approach, complicated grief treatment,
with a standard psychotherapy (interpersonal psychotherapy).Design 
                  Two-cell, prospective, randomized controlled clinical trial, stratified
by manner of death of loved one and treatment site.Setting 
                  A university-based psychiatric research clinic as well as a satellite
clinic in a low-income African American community between April 2001 and April
2004.Participants 
                  A total of 83 women and 12 men aged 18 to 85 years recruited through
professional referral, self-referral, and media announcements who met criteria
for complicated grief.Interventions 
                  Participants were randomly assigned to receive interpersonal psychotherapy
(n = 46) or complicated grief treatment (n = 49); both
were administered in 16 sessions during an average interval of 19 weeks per
participant.Main Outcome Measure 
                  Treatment response, defined either as independent evaluator-rated Clinical
Global Improvement score of 1 or 2 or as time to a 20-point or better improvement
in the self-reported Inventory of Complicated Grief.Results 
                  Both treatments produced improvement in complicated grief symptoms.
The response rate was greater for complicated grief treatment (51%) than for
interpersonal psychotherapy (28%; P = .02)
and time to response was faster for complicated grief treatment (P = .02). The number needed to treat was 4.3.Conclusion 
                  Complicated grief treatment is an improved treatment over interpersonal
psychotherapy, showing higher response rates and faster time to response.
SN  - 0098-7484
M3  - doi: 10.1001/jama.293.21.2601
UR  - http://dx.doi.org/10.1001/jama.293.21.2601
ER  -