
@article{ref1,
title="Treatment gap in bereavement care: (online) bereavement support needs and use after traumatic loss",
journal="Clinical psychology and psychotherapy",
year="2020",
author="Lenferink, L. I. M. and de Keijser, J. and Eisma, M. C. and Smid, G. E. and Boelen, P. A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="People bereaved through road traffic accidents (RTAs) are at risk for severe and disabling grief (i.e., pathological grief). Knowledge about needs and use of  bereavement care, including psychotherapy, pharmacotherapy, and support groups is  limited. This study charted (correlates of) the needs and use of bereavement care in  RTA bereaved people. Furthermore, while online grief treatment seems effective, it  is unknown whether it is perceived as acceptable. Accordingly, we examined the  acceptability of online treatment. Dutch RTA bereaved adults (N=273) completed  self-report measures about needs and use of bereavement care, acceptability of  online grief treatment, and pathological grief. Regression analyses were used to  identify correlates of care needs and use and acceptability of online treatment. The  majority (63%) had received help from psychotherapy, pharmacotherapy, and/or support  groups. One in five participants had not used bereavement care services, despite  reporting elevated pathological grief levels and/or expressing a need for care,  pointing to a treatment gap. Use of psychological support before the loss was the  strongest predictor of bereavement care needs and use following the loss. A minority  (35%) reported being inclined to use online grief treatment if in need of support. More openness towards online services was related to greater acceptability of online  treatment. In conclusion, 20% of RTA bereaved people with pathological grief or care  needs had not received care. This treatment gap may be reduced by improving  accessibility of online treatments. However, as only 35% was open to using online  treatments, increasing the acceptability of (online) treatments appears important.<p /> <p>Language: en</p>",
language="en",
issn="1063-3995",
doi="10.1002/cpp.2544",
url="http://dx.doi.org/10.1002/cpp.2544"
}