title: Treating complicated grief: effects on sleep quality.
abstract: Complicated grief (CG) is characterized by recurrent distressing emotions and intrusive thoughts related to the loss of a loved one and avoidance of reminders of the deceased. Poor sleep quality characterizes CG. Cognitive-behavioral therapy and interpersonal psychotherapy reduce CG symptom severity. The effect of these treatments on sleep quality is not known, however. We investigated whether complicated grief treatments (CGTs) improve sleep quality, as assessed by the Pittsburgh Sleep Quality Index. Data collected from 95 adults who participated in a randomized controlled trial were reviewed. Poor sleep quality persisted despite clinically significant improvements in CG severity posttreatment. Given that sleep disturbance is a risk factor for poor health outcomes, adjunctive sleep interventions may be necessary to enhance CGT outcomes.
authors.affiliation: Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. germaina@upmc.edu
authors.forename: Anne
authors.initials: A
authors.lastname: Germain
authors.forename: Katherine
authors.initials: K
authors.lastname: Shear
authors.forename: Timothy H
authors.initials: TH
authors.lastname: Monk
authors.forename: Patricia R
authors.initials: PR
authors.lastname: Houck
authors.forename: Charles F
authors.initials: CF
authors.lastname: Reynolds
authors.forename: Ellen
authors.initials: E
authors.lastname: Frank
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Buysse
mesh_terms: D000275:Adjustment Disorders / Q000150:complications / Q000628:therapy*; D000704:Analysis of Variance; D015928:Cognitive Behavioral Therapy; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D011614:Psychotherapy, Brief; D016032:Randomized Controlled Trials as Topic; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology / Q000628:therapy*