Objective: The authors sought to determine the long-term impact of sudden parental death on youths and pathways between youth bereavement and impairment.
Method: Youths (N=216) who lost a parent to suicide, accident, or sudden natural death and nonbereaved youths (N=172) were followed periodically for up to 7 years. The incidence and prevalence of disorder and of functional impairment, as well as pathways to impairment, were assessed using Cox and mixed-effects logistic regression and structural equation modeling.
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The participant will calculate the time period and risk factors that indicate greater incident depression risks for youths following the death of a parent.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Duration: 1 hour
Begin Date: September 1, 2018
End Date: August 31, 2020
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Title: The Burden of Bereavement: Early-Onset Depression and Impairment in Youths Bereaved by Sudden Parental Death in a 7-Year Prospective Study
Authors: Steven Pham, M.D., Giovanna Porta, M.S., Candice Biernesser, L.C.S.W., M.P.H., Monica Walker Payne, M.A., Satish Iyengar, Ph.D., Nadine Melhem, Ph.D., David A. Brent, M.D.
Affiliations: From the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh (S.P., C.B., S.I., N.M., D.A.B.); Cincinnati Children’s Hospital Medical Center, Cincinnati (S.P.); the Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati (S.P.); the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh (G.P., C.B., M.W.P., D.A.B.); and the Department of Statistics, University of Pittsburgh, Pittsburgh (S.I.).
Disclosures: Dr. Brent receives royalties from Guilford Press, has received or will receive royalties from the electronic self-rated version of the Columbia–Suicide Severity Rating Scale from eResearch Technology, is on the editorial board of UpToDate, is a reviewer for Healthwise, and is a consultant for McKesson. The other authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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