Co-occurence of approach and avoidance in prolonged grief

The present dataset, syntax and output are connected to a paper with the same name published in European Journal of Psychotraumatology (doi: 10.1080/20008066.2023.2190544). This paper contains a detailed description of the data selection (raw data from which the current dataset was selected is available here: https://doi.org/10.34894/ZR6QDP) as well as sample characteristics, analyses and the results from the analyses.
This dataset contains a) the SPSS data for this particular paper, b) SPSS-syntax to calculate reliabilities, sample characteristics and correlations between the main variables, c) SPSS output relating to the syntax, d) Output from Latent Gold pertaining to the Latent Class Analyses (as html files).
ABSTRACT:
Background: Prolonged grief disorder (PGD) has been included in the International
Classification of Diseases (ICD-11) and the Diagnostic and Statistical Manual of Mental
Disorders 5 Text Revision (DSM-5-TR). Loss-related avoidance behavior perpetuates grief and effective interventions for prolonged grief symptoms target such avoidance behavior. Yet, behaviors characterized by approach of loss-related cues (i.e. rumination, yearning, proximity seeking) are also implicated in prolonged grief reactions.
Objective: To solve this paradox, we will test the Approach Avoidance Processing Hypothesis, which holds that loss-related approach and avoidance behaviors co-occur in PGD, using latent class analyses (LCA).
Methods: Two-hundred eighty-eight bereaved adults (92% female) completed questionnaires assessing loss-related approach behaviors (rumination, yearning, proximity seeking), loss-related avoidance behaviors (anxious avoidance, experiential avoidance) and ICD-11 and DSM-5-TR prolonged grief symptoms.
Results: LCA demonstrated the best fit for a three-class solution comprising a low approach/low avoidance class (n = 98, 34%), a high approach/low avoidance class (n = 79, 27%), and a high approach/high avoidance class (n = 111, 39%). The latter class showed significantly higher prolonged grief symptom levels and higher odds of probable PGD compared to the other classes.
Conclusions: Co-occurrence of loss-related approach and avoidance appears characteristic to prolonged grief reactions. Distinguishing bereaved people with these behavioral patterns from those solely experiencing loss-related approach behaviors may improve the efficacy of PGD therapies.