The temporal relationship between change in symptoms of prolonged grief and posttraumatic stress following old age spousal bereavement

Maja O'Connor, Angela Nickerson, Idan M. Aderka, Richard A. Bryant

Research output: Contribution to journalArticlepeer-review


Background High levels of prolonged grief symptoms (PGS) and posttraumatic stress symptoms (PTS) are relatively common following bereavement. The two types of bereavement complications share some but not all of the same features. Little research has studied which of the two precedes the other following the death of a loved one. The purpose of this study was to examine the temporal relationship between change in PGS and PTS during the first 4 years following old age spousal loss. Methods Participants were 237 Danes (40% male; mean age = 73 years, SD = 4.4; range 65-81) who during the year of 2006 lost their spouse. Participants completed self-report questionnaires at 6 months (n = 237), 13 months (n = 198), 18 months (n = 192), and 48 months (n = 213) post loss. Main outcome measures were Inventory of Complicated Grief - Revised and the Harvard Trauma Questionnaire. Results Lower level mediation analyses were performed. Results indicated that PGS mediated 83% of the relationship between time and PTS, whereas PTS only mediated 17% of the relationship between time and PGS. These results suggest that changes in PGS mediated changes in PTS following spousal bereavement to a greater extent than vice versa. Conclusions The findings in the present study indicate that changes in PGS may precede and potentially directly impact changes in PTS following bereavement. This tentative conclusion points to the potential value of targeting PGS in psychological interventions at an early point in the long-term perspective following old age spousal bereavement.

Original languageEnglish
Pages (from-to)335-340
Number of pages6
JournalDepression and Anxiety
Issue number5
StatePublished - 1 May 2015

Bibliographical note

Publisher Copyright:
© 2015 Wiley Periodicals, Inc.


  • PTSD/posttraumatic stress disorder
  • geriatric/aging/elderly
  • grief/bereavement/complicated grief
  • life events/stress
  • treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology


Dive into the research topics of 'The temporal relationship between change in symptoms of prolonged grief and posttraumatic stress following old age spousal bereavement'. Together they form a unique fingerprint.

Cite this