Specific Aim 1: Evaluate the impact of complicated grief group therapy (CGGT) on clinical outcomes of bereaved dementia caregivers experiencing complicated grief (CG), using a randomized controlled attention wait-list design.
Hypothesis: Bereaved dementia caregivers with CG who complete CGGT will demonstrate significantly greater reduction in CG as measured by the Inventory of Complicated Grief (ICG6) and the Brief Grief Questionnaire (BGQ4), and will demonstrate cumulative weekly improvement as measured by the Clinical Global Impression Scale (CGI7), in comparison to participants in the attention wait-list control group.
Specific Aim 2: Identify and interpret individual participant change in complicated grief (CG Δ) by describing individual treatment responses on weekly basis (Aim 2a - Description Aim), determining relationship between facilitator-reported change and participant CG Δ (Aim 2b - Explanation Aim), and determining sensitivity of facilitator-reported change as predictor (Aim 2c - Prediction Aim).
Hypothesis A: Treatment response to CGGT will vary by individual depending on pre-death risk factors & individual symptom profile.
Hypothesis B: Facilitators anticipate, discern and report change in grief in advance of participant report of CG Δ.
Hypothesis C: Facilitator reported change is a sensitive, leading indicator of participant CG Δ.
Principal Investigator: Katherine Supiano
Department: COLLEGE OF NURSING