Lower Level Of Dependence Research Articles

Sociodemographic Factors Affecting Older People's Care Dependency in Their Daily Living Environment According to Care Dependency Scale (CDS).

The aim of the research was to determine the influence of sociodemographic factors on older people’s care dependency in their living environment according to the Care Dependency Scale (CDS). Methods: The research was conducted in a group of 151 older people staying in their own homes. The methods applied in the research included a sociodemographic questionnaire and scales including the Abbreviated Mental Test Score (AMTS), CDS, Katz Index of Independence in Activities of Daily Living (ADL), Lawton’s Instrumental Activities of Daily Living (I-ADL), Mini Nutritional Assessment (MNA), and Geriatric Depression Scale (GDS). Results: Gender had a significant impact on the level of care dependency. The surveyed females obtained the medium or high level of dependency more often than males (22.4% vs. 6.1%), and the low level of dependency was significantly more frequent among men than women (p = 0.006). Moreover, the age of the respondents determined their level of care dependency. The subjects with a medium or high level of care dependency were significantly older (p = 0.001). The subjects with a low level of care dependency were more likely to be married than people with a medium/high level (p < 0.001). The level of education had a significant impact on care dependency. A higher level of education correlated with a medium/high level of dependency (p = 0.003). Conclusions: The survey results confirmed that sociodemographic factors have a significant impact on the level of care dependency. When planning care in the home environment, special attention should be paid to older women, who are more likely to lose their independence than men. These women should be given additional support.

Clinical implications of differential procoagulant toxicity of the palearctic viperid genus Macrovipera, and the relative neutralization efficacy of antivenoms and enzyme inhibitors

Species within the viperid genus Macrovipera are some of the most dangerous snakes in the Eurasian region, injecting copious amounts of potent venom. Despite their medical importance, the pathophysiological actions of their venoms have been neglected. Particularly poorly known are the coagulotoxic effects and thus the underlying mechanisms of lethal coagulopathy. In order to fill this knowledge gap, we ascertained the effects of venom upon human plasma for Macrovipera lebetina cernovi, M. l. lebetina, M. l. obtusa, M. l. turanica, and M. schweizeri using diverse coagulation analysing protocols. All five were extremely potent in their ability to promote clotting but varied in their relative activation of Factor X, being equipotent in this study to the venom of the better studied, and lethal, species Daboia russelii. The Insoserp European viper antivenom was shown to be highly effective against all the Macrovipera venoms, but performed poorly against the D. russelii venom. Reciprocally, while Daboia antivenoms performed well against D. russelii venom, they failed against Macrovipera venom. Thus despite the two genera sharing a venom phenotype (Factor X activation) driven by the same toxin type (P-IIId snake venom metalloproteases), the surface biochemistries of the toxins differed significantly enough to impede antivenom cross- neutralization. The differences in venom biochemistry were reflected in coagulation co-factor dependence. While both genera were absolutely dependent upon calcium for the activation of Factor X, dependence upon phospholipid varied. The Macrovipera venoms had low levels of dependence upon phospholipid while the Daboia venom was three times more dependent upon phospholipid for the activation of Factor X. This suggests that the sites on the molecular surface responsible for phospholipid dependence, are the same differential sites that prevent inter-genera antivenom cross- neutralization. Due to cold-chain requirements, antivenoms may not be stocked in rural settings where the need is at the greatest. Thus we tested the efficacy of enzyme inhibitor Prinomastat as a field-deployable treatment to stabilise patients while being transported to antivenom stocks, and showed that it was extremely effective in blocking the Factor X activating pathophysiological actions. Marimastat however was less effective. These results thus not only shed light on the coagulopathic mechanisms of Macrovipera venoms, but also provide data critical for evidence-based design of snakebite management strategies.

ОСОБИСТІСНІ ЧИННИКИ КОМУНІКАТИВНОЇ КОМПЕТЕНТНОСТІ МАЙБУТНІХ ПІЛОТІВ

The article considers the problem of communicative competence of future pilots and establishes its personal factors. The urgency of the chosen issue is due to the significant contribution of the human factor, including ineffective communication, in the occurrence of aviation incidents and accidents. The purpose of the study was to establish the level of communicative competence and its personal factors in students majoring in "Aviation". The obtained results allowed us to perform correlation analysis using SPSS software package. With the help of L Michelson's Test of Communication Skills and the Methodology for Assessing the Level of Communicative and Organizational Abilities of V Sinyavsky and B Fedoryshyn, it was established that most respondents have well-developed communication skills, but 20% were diagnosed with low level. Correlation analysis of communication indicators and personality traits (FPI test) showed a direct relationship between communicative competence and sociability and balance, and the reverse - with neuroticism, depression, reactive aggression, shyness and emotional lability. Extraversion and masculinity are associated with the expressed communicative abilities of future pilots. The most important personal factors in the communicative competence of future pilots are the low level of dependence in communication and reactive aggression, and the communicative abilities - the low level of shyness and depression. The obtained results confirm the assumptions about the insufficient formation of communicative competence of future pilots and indicate the need for the formation and development of skills of effective communication in the learning process.

ВЛИЯНИЕ ИНОСТРАННОГО СЕКТОРА НА УРОВЕНЬ РАЗВИТИЯ ЭКОНОМИКИ СЕВЕРНЫХ И ПОГРАНИЧНЫХ РЕГИОНОВ

The northern and border regions are remote from the main economic centers of the country. Geographical location is not only a limitation, but also a competitive advantage, which is determined by proximity to economically developed national economies and greater opportunities for interaction. The main goal of the study is to assess the impact of the geographical factor on development dynamics. The object of the study is the border northern regions of the NWFD, Russia and Finland. The study uses a set of methods and tools to analyze the dynamics of the development of territories with a border and northern location. Within the framework of this article, analysis is carried out on the basis of statistical methods of research. Analytical work is based on the information base of Rosstat and data from Internet sources. As part of the study, the level of Russian-Finnish relations in the investment component vector is determined. An assessment of foreign investment in the context of federal districts was made, which made it possible to distinguish the influence of the geographical location factor. Indicators of labor productivity in the national and foreign sectors in the regions of the North-Western Federal District have been determined. The dependence of the productivity indicator on the geographical location of the territory was investigated.The conclusions of the Territory, having a geographical position favorable for foreign economic activity, are not able to fully take advantage of its competitive advantages. The study identified a low level of dependence between geographical location and performance. The results will help to shape the directions of increasing this indicator and can be used in strategic and program documents.

Information interaction, behavioral synchronization and asset market volatility

This paper focuses on the synchronization of trading behavior caused by interactions among traders. The study begins with an agent-based model in which most agents make investment decisions based on three types of information (neighbor, public and private information) according to their heterogeneous personal preferences. Considering the influence of the social relationship network in reality, traders in our model are connected by a complex network. We use four different types of networks. The simulated results of this model reproduce several stylized facts about the asset market. Simulated results show that when preference of traders for neighbor information increases, the level of trust among traders will gradually increase and then there will be a “leap” at a certain point. The mutual trust among traders is achieved through coupling effect in the network. Moreover, with the frequent synchronization of traders’ behavior, extreme phenomena in financial markets will emerge. In addition, our numerical simulations show that when the average degree of network is higher, behavioral synchronization will emerge at a lower level of dependence on neighbor information. The degree distribution of the network will also have a significant influence on the convergence processes of behavioral synchronization. The more heterogeneous the degree distribution is, the easier the behavioral synchronization process will occur. In our simulations, the mode of agent behavior expectation will also enhance the effect of network structure to behavioral synchronization. Finally, this paper affirms the important role of public information and learning mechanism (expectation formation mode) in the process of behavioral synchronization.

Association Between Family Caregiver Burden and Affiliate Stigma in the Families of People with Dementia.

Family caregivers of people with dementia (PWD) have a heavy care burden. Affiliate stigma is the stigma internalized by individuals associated with PWD. Limited research has addressed the affiliate stigma among caregivers of PWD and its influence on caregiver burden. Thus, our study investigated the burden of caregivers of PWD and its relationship with affiliate stigma. In addition, we examined the factors related to affiliate stigma. This cross-sectional study was conducted in a general hospital in Taiwan. We recruited 270 PWD and their family caregivers from the outpatient department. Relevant demographic and clinical assessment data of the patients and caregivers were evaluated. Regression analysis was performed to examine the factors associated with affiliate stigma. In total, 23.7% of the family caregivers had depression and 37.4% had anxiety. Male caregivers had higher levels of anxiety and heavier care burdens related to affiliate stigma compared with female caregivers. Moreover, characteristics such as younger age and low levels of dependence in daily activities among PWD were associated with increased affiliate stigma. A higher family caregiver burden was related to more severe affiliate stigma. Interventions for decreasing the family caregiver burden might reduce the effect of affiliate stigma.

Attachment Style and Insight in Schizophrenia: a Cross-Sectional Study.

Attachment theory provides a model for understanding impairments in social and interpersonal functioning. Schizophrenia is a neuropsychiatry disorder frequently associated with compromised social functioning and limited social support networks. However, the relationship between attachment style and psychopathology dimensions, including insight, isn't fully understood To determine whether there is a relationship between the attachment style and markers for severity of schizophrenia and insight. We conducted a cross-sectional study of 41 patients with schizophrenia and 34 patients with non-psychotic disorders used as a control group. Patients were assessed using semi-structured diagnostic interviews and self-reporting questionnaires, including Adult Attachment Scale-Revised. The schizophrenia group was also given the Positive and Negative Syndrome Scale and the Markova and Berrios Insight Scale. Insecure attachment was overrepresented in the schizophrenic group, and this difference was mainly accounted for lower levels of dependence, representing a moderate effect size (Cohen's d = 0.32). In the schizophrenia group, the closeness and the dependence subscale were negatively correlated with psychopathology severity. Using a multiple regression analysis, the insight was predicted by attachment anxiety, accounting for 20% of the total variance (R2 = 0.199, p <0.05). Our data confirm previous evidence that insecure attachment is associated with schizophrenia and suggest that the less comfortable the patient is with closeness and intimacy the greater the severity of symptoms. Furthermore, our findings indicate that higher separation anxiety might predict a better insight.

Survey on smoking habits among seafarers.

Background: Populations living in stressful environments experience higher mortality from lung cancer and chronic diseases. Work-related stress was identified as important determinant of smoking together to health problems caused by a incorrect lifestyles. Aim of the work was to analyze tobacco smoking addiction in seafarers working on merchant ships. Only a few studies are available on this topic. Methods: The survey was conducted using an anonymous questionnaire. The total number of questionnaires filled-in was 1478, out of 2000 distributed (response rate 73.9 %). Results: About half of the sample (55.07%) has never smoked, the 28.96% is currently a smoker, while 15.97% of responders belong to the category of ex-smokers. Analysis of the number of cigarettes smoked every day based on the rank shows that captains and officers smoke more cigarettes than the crew members who smoke 10 cigarettes maximum per day. Analysis of the level of dependence among the smokers group by the Fagerström Test for Nicotine Dependence (FTND) revealed that a 89.0% of sample has a low/very low dependence level, and only the 10.98% of the sample show a high/very high dependence. A further analysis of the results of FTND in the different age groups has shown that the 41-50 and 51-60 age groups have high dependence levels. Conclusions: Working on board is associated to a high risk for chronic, lifestyle-related diseases, due also to lifestyle behaviours. This study suggests to further investigate the presence of other risk factors such as diet, physical exercise, combined with tobacco smoking, obesity. (www.actabiomedica.it)

A Comparative Exploration of the Pedagogical Quality of Parent-Led Child Care Centers and Regular Child Care in The Netherlands

ABSTRACTResearch Findings: This small-scale study features the 1st comparative exploration of the pedagogical quality of parent-led child care and regular child care in The Netherlands. The quality of the interaction skills and the affective relationships between adults and children was evaluated and compared with those of regular child care centers. On average parents in parent-led child care had interactions with adequate to good sensitive responsiveness, respect for autonomy, structuring and limit setting, and verbal communication. Developmental stimulation and fostering positive peer interactions proved to be weaker areas. Parents’ perceptions of the affective relationship with children in the group were characterized by a high level of closeness and a low level of dependency and conflict. Parents experienced a greater degree of closeness but also more conflict and in particular greater dependency with their own children than with the other children. A comparison between parent-led centers and regular urban child care centers revealed some small but significant differences in pedagogical quality. Practice or Policy: Parents can play a more active role in both the design and implementation of child care. It seems interesting to pilot new child care formats in which parents and professional staff collaborate more closely.

From an information consumer to an information author: a new approach to business intelligence

ABSTRACTSelf-Service Business Intelligence (SSBI) enables business users, such as executives, managers, analysts, and knowledge workers to build reports on a need-basis to support their decisions and actions toward business success. This suggests that business users are empowered not only to consume information but also to author it. Yet, research on SSBI is mainly concentrated at the industrial level, and furthermore little is known on the way SSBI is changing the current state of BI. To address this lack of knowledge, this study explores the attributes of SSBI that are necessary to extend the role of a business user beyond that of an information consumer by drawing on the literature of Self-Service Technologies (SST). This study provides a new definition of SSBI as a new approach to BI. Furthermore, it highlights the duality of high levels of co-production and low levels of dependency as key to the SSBI approach.

Use Behaviors, Dependence, and Nicotine Exposure Associated with Ad Libitum Cigar Smoking.

To examine factors important to cigar smoking and subsequent nicotine exposure, we evaluated the impact of cigar type, cigarette smoking history, and inhalation behaviors on nicotine dependence, smoking topography, and biomarkers of exposure in current exclusive cigar smokers. Adult, exclusive cigar smokers (N = 77) were recruited based on cigar type, cigarette smoking history, and self-reported inhalation behaviors. Participants smoked their own brand product ad libitum for up to one hour; dependence symptoms, smoking topography, and biomarkers of exposure were assessed. Cigar smokers showed low levels of dependence. Cigar smoking alleviated withdrawal and craving symptoms, increased plasma nicotine concentration, and increased exhaled CO. Multiple regression analyses indicate that inhalation behaviors were associated with increased dependence and greater reductions in withdrawal symptoms upon cigar smoking. Large cigar smokers smoked longer and smoked more tobacco than small cigar and cigarillo smokers. Furthermore, large cigar smokers and self-reported inhalers were exposed to more nicotine than small cigar smokers and non-inhalers. Our study suggests that cigar type and smoking behaviors affect dependence and nicotine exposure upon cigar smoking. These findings provide additional insight into the substantial risks associated with cigar smoking.

Tanning Capacity and Nicotine Dependence Among African Americans

PurposeRecent findings suggest a link between facultative melanin and nicotine dependence among African Americans. We hypothesized that tanning capacity is associated with the time to first cigarette (TTFC) of the day. MethodsUsing a criterion based sample of 150 adult African American current smokers, reflectometer measures of constitutive and facultative melanin, tanning capacity, smoking status and history, saliva cotinine, sociodemographic characteristics, and stress and discrimination scales were recorded.TTFC was categorized as: 1) within the first 5 min versus more than 5 min; and 2) within the first 30 min versus more than 30 min. Descriptive and multivariate analyses were conducted. ResultsAnalysis revealed significantly higher tanning capacity among individuals who smoked their first cigarette of the day within the first 5 min of awakening (13.5) than among those who smoked after 5 min (10.3, p = 0.01) and among those who smoked within the first 30 min (12.8 vs. 9.6, p = 0.03) compared to those who initiated after this time point.Multivariate logistic regression indicated that tanning capacity was significantly and positively related (OR = 1.14, 95% CI = 1.05–1.22) to TTFC within the first 5 min and was also significantly related to TTFC within the first 30 min (OR = 1.13, CI = 1.03–1.23). ConclusionTanning capacity was positively associated with a behavioral measure of nicotine dependence among African American smokers. This association was consistent whether comparing smokers at higher or lower levels of dependence. Future research should examine tanning capacity and other indicators of melanin content with smoking cessation rates and tobacco-attributable health disparities.

Analysis of vehicle emission control strategy in Makassar City using interpretative structural modelling

Air pollution is an environmental problem that threatens major cities in Indonesia, especially from vehicle emissions. This study aimed to analyse the strategy of motor vehicle emission pollution control in Makassar using interpretative structural modelling (ISM) method. This method uses expert judgement in making data. The results showed that the sub-element of fuel efficiency (E7) located at sector 4 (independent) is a key element which is highly influential in controlling air pollution from vehicle emissions. It is driver power aspect in the air pollution control of emission with low level of dependence to other sub-elements. Limitations of government funding are key elements that influence the air pollution control of emission which became constraints, whereas the role of key actors are the local government.

Analysis of vehicle emission control strategy in Makassar City using interpretative structural modelling

Air pollution is an environmental problem that threatens major cities in Indonesia, especially from vehicle emissions. This study aimed to analyse the strategy of motor vehicle emission pollution control in Makassar using interpretative structural modelling (ISM) method. This method uses expert judgement in making data. The results showed that the sub-element of fuel efficiency (E7) located at sector 4 (independent) is a key element which is highly influential in controlling air pollution from vehicle emissions. It is driver power aspect in the air pollution control of emission with low level of dependence to other sub-elements. Limitations of government funding are key elements that influence the air pollution control of emission which became constraints, whereas the role of key actors are the local government.

Wild foods (plants and animals) in the green famine belt of Ethiopia: Do they contribute to household resilience to seasonal food insecurity?

The role of wild in combating problems of food shortage is paramount. However, existing approaches to combat food insecurity shock have generally focused on reducing vulnerability via increasing productivity of domesticated foods. In contrast, approaches that enhance resilience mainly through wild food sources have been less focused. This study examined the contribution of wild to household resilience to food insecurity in the green famine belt of Ethiopia. A cross-sectional survey of 220 households was conducted using a structured questionnaire, key informant interviews, and semi-participant observations. Factor analysis was run using SPSS to analyze data. Correlation analysis was used to examine the direction and strength of association between wild and the income and food access (IFA), a latent proxy indicator of resilience. Cross-tabulation was also run to determine the proportion of households in each ethno-culture group under each resilience category. The mean amount of wild obtained by households was 156.61 kg per household per annum. This was about 5 % and 9 % of, gross and, net food available from all sources respectively. Wild contributed well to household resilience as the factor loading (Factor2 = 0.467) was large enough and were significantly correlated with IFA (r = 0.174). Wild vegetables were the most collected and consumed type of wild constituting 52.4 % of total amount of wild foods. The total amount of wild was smaller than that of domesticated sources of food. The majority of households (38.6 %) reported reduced source of wild foods as a reason for this. Smaller proportion of the indigenous (11.2 %) than the non-indigenous (34.1 %) ethno-culture group reported one or more reasons for their lower level of dependence on wild foods. From the study we concluded that wild had important contribution to households' resilience to food shortages and are likely to continue to contribute in the future, this being more to indigenous than non-indigenous ethno-culture group. Therefore, a resilience building policy that incorporates wild should be adopted, and research that aims at exploring their current status and future prospect are urgently required.

Factors associated with six-year weight change in young and middle-aged adults in the Young Finns Study

Objective. To examine factors associated with weight change and obesity risk in young and middle-aged adults. Subjects/methods. The Young Finns Study with its 923 women and 792 men aged 24–39 years at baseline were followed for six years. Variables associated with the weight change were investigated with regression models. Results. The average weight change was 0.45 kg/year in women and 0.58 kg/year in men. In women, weight change was steady across all ages. In men, weight changes were more pronounced in younger age groups. In women (weight gain > 2 kg, n = 490), medication for anxiety, low occupational status, high baseline BMI (body mass index), high intake of sweet beverages, high childhood BMI, high salt (NaCl and/or KCl) use, low number of children, low childhood family income, high stature and low level of dependence (a temperament subscale) were associated with increased weight gain (in the order of importance). In men (weight gain > 2 kg, n = 455), high stature, high intake of french fries, low intake of sweet cookies, young age, recent divorce, low intake of cereals, high intake of milk, depressive symptoms, rural childhood origin, high baseline BMI and unemployment were associated with more pronounced weight gain. Sedentarity (screen-time) was associated with weight gain only in young men. Physical activity and genetic risk for high BMI (score of 31 known variants) were not consistently associated with weight change. Conclusions. Socio-economic factors, temperamental and physical characteristics, and some dietary factors are related with weight change in young/middle-aged adults. The weight change occurring in adulthood is also determined by childhood factors, such as high BMI and low family income.

Psychosocial functioning in patients with alcohol-related liver disease post liver transplantation

Emotional and role functioning difficulties are associated with chronic alcohol use and liver disease. Little is known about prospective changes in psychological and psychosocial functioning following orthotopic liver transplantation (OLT) amongst patients with alcoholic liver disease (ALD). We aimed to assess the functioning of this patient group post liver transplantation. Comprehensive psychosocial assessment of depression (Beck Depression Inventory [BDI]), anxiety (State-Trait Anxiety Inventory—Form X [STAI]) and psychosocial adjustment (Psychosocial Adjustment to Illness Scale—Self-Report version [PAIS-SR]) was conducted with 42 ALD patients available for pre and post OLT testing. Dependence severity was assessed by the Brief Michigan Alcoholism Screening Test (bMAST). Significant reductions in average anxiety and depression symptoms were observed 12-months post-OLT. Significant improvements in psychosocial adjustment to illness were also reported. Patients with higher levels of alcohol dependence severity pre transplant assessment improved comparably to those with lower levels of dependence. In summary, the study found that OLT contributed to reducing overall levels of mood and anxiety symptoms in ALD patients, approximating general (non-clinical) population norms. Psychosocial adjustment also improved significantly post liver transplantation.

Combination treatment with varenicline and bupropion in an adaptive smoking cessation paradigm.

The authors assessed the efficacy and safety of combination treatment with varenicline and sustained-release bupropion for smokers who, based on an assessment of initial smoking reduction prior to the quit date, were deemed unlikely to achieve abstinence using nicotine patch treatment. In a randomized, double-blind, parallel-group adaptive treatment trial, the authors identified 222 cigarette smokers who failed to show a reduction of more than 50% in smoking after 1 week of nicotine patch treatment. Smokers were randomly assigned to receive 12 weeks of varenicline plus bupropion or varenicline plus placebo. The primary outcome measure was continuous smoking abstinence at weeks 8-11 after the target quit date. Both treatments were well tolerated. Participants who received the combination treatment had a significantly higher abstinence rate than those who received varenicline plus placebo (39.8% compared with 25.9%; odds ratio=1.89; 95% CI=1.07, 3.35). Combination treatment had a significantly greater effect on abstinence rate in male smokers (odds ratio=4.26; 95% CI=1.73, 10.49) than in female smokers (odds ratio=0.94; 95% CI=0.43, 2.05). It also had a significantly greater effect in highly nicotine-dependent smokers (odds ratio=3.51, 95% CI=1.64, 7.51) than in smokers with lower levels of dependence (odds ratio=0.71, 95% CI=0.28, 1.80). Among smokers who did not show a sufficient initial response to prequit nicotine patch treatment, combination treatment with varenicline and bupropion proved more efficacious than varenicline alone for male smokers and for smokers with a high degree of nicotine dependence.

Dependence rate of smokers in undergraduate dental school

Introduction: The habit of smoking, can cause dependence for smokers and also it can cause various diseases and health problems, both physical health and oral health. Smoking habits are also occured in the health students which they should show good example to the community to live a healthy lifestyle, including a role as well as to reduce their smoking habits, and also providing information to the effects of smoking. The purpose of this study was to determine the dependence rate of smoking in undergraduate Dental School Faculty of Dentistry, Padjadjaran University. Methods: This study was a descriptive type using the survey technique. Sampling was conducted with a snowball technique. The sample of 39 smokers comprising 24 men and 15 women. Respondents filled in questionnaires and the responses to questionnaires have different points to determine the level of smoking dependence. Results: The results shows that about 76.9% of the total sample included in the category of dependence rate of smoking are very low, 20.5% with a lower category, and 2.6% with the medium category. Conclusion: Smoker students in undergraduate Dental School has a very low level of dependence.

Complicated Grief and Depression in Young Adults

Young adults experience problematic responses to loss more often than is commonly recognized. Few empirical studies have examined the contribution of intrapersonal and interpersonal characteristics to grief and depression in bereaved young adults. This study investigated the association of dependency and quality of the relationship with the deceased (i.e., depth and conflict) with complicated grief (CG) and depression. Participants were 157 young adults aged 17 to 29 years who experienced loss of a family member or close friend within the past 3 years (mean = 1.74 years). Participants completed the Inventory of Complicated Grief, Beck Depression Inventory, Depth and Conflict subscales of the Quality of Relationships Inventory, and the Dependency subscale of the Depressive Experiences Questionnaire. Relationships among dependency and interpersonal depth and conflict and CG and depression were examined through analyses of covariance. Sixteen percent of participants met criteria for CG and 34% had mild to severe depression. Dependency and depth were independently related to CG and dependency was related to depression, but the pattern of associations was somewhat different for each outcome. Greater depth was associated with CG, at both high and low levels of dependency. High levels of dependency were related to more depressive symptoms. Interpretation of the findings is limited by the relatively small sample size and cross-sectional design. CG and depression are related but distinct responses to loss. Although dependency is associated with both CG and depression after loss, relationships between the bereaved and deceased that are characterized by high levels of depth are particularly related to the development of CG symptoms.