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The pain of grief: Exploring the concept of psychological pain and its relation to complicated grief, depression, and risk for suicide in bereaved adults
Author(s) -
Frumkin Madelyn R.,
Robinaugh Donald J.,
LeBlanc Nicole J.,
Ahmad Zeba,
Bui Eric,
Nock Matthew K.,
Simon Naomi M.,
McNally Richard J.
Publication year - 2021
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.23024
Subject(s) - suicidal ideation , psychological pain , psychopathology , psychology , depression (economics) , grief , clinical psychology , complicated grief , psychiatry , suicide prevention , poison control , medicine , medical emergency , economics , macroeconomics
Objective Emotional or psychological pain is a core symptom of complicated grief (CG), yet its correlates are largely unexamined among bereaved individuals. Method Bereaved adults ( N = 135) completed self‐reports regarding psychological pain, CG, depression, and suicidality. We assessed correlations among these variables and tested whether psychological pain was elevated among individuals with CG and individuals with current or past suicidal thoughts and behaviors. Using logistic regression, we also assessed psychological pain, depression, and CG symptom severity as predictors of suicide risk. Results Psychological pain was strongly associated with both CG and depression severity and was elevated among subjects reporting current or past suicidality. CG and depression were not statistically significant predictors of suicidal ideation after accounting for the effects of psychological pain. Conclusions Psychological pain is strongly associated with bereavement‐related psychopathology and warrants further investigation in studies examining the nature and treatment of CG.