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The meaning in loss protocol: A clinical trial of online grief therapy. 损失中的意义协议:在线悲伤疗法临床试验。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-28 DOI: 10.1080/07481187.2024.2370633
João Batista, Daniela Alves, Nuno Pires, Joana R Silva, Inês Mendes, Carina Magalhães, Catarina Rosa, João Tiago Oliveira, Miguel M Gonçalves, Robert A Neimeyer
{"title":"The meaning in loss protocol: A clinical trial of online grief therapy.","authors":"João Batista, Daniela Alves, Nuno Pires, Joana R Silva, Inês Mendes, Carina Magalhães, Catarina Rosa, João Tiago Oliveira, Miguel M Gonçalves, Robert A Neimeyer","doi":"10.1080/07481187.2024.2370633","DOIUrl":"https://doi.org/10.1080/07481187.2024.2370633","url":null,"abstract":"<p><p>For a minority of the bereaved, the loss of a significant other can trigger an overwhelming emotional reaction and impaired functioning across life domains, known as prolonged grief disorder (PGD). Hence, ongoing efforts have been made to refine existing treatments to increase their efficacy and to accommodate the idiosyncrasies of grief reactions. This study presents the results of an open clinical trial of the feasibility and effectiveness of the Meaning in Loss (MIL) protocol in an online format. The brief intervention of 12 to 16 sessions combines constructivist and narrative strategies to explore and work through impediments to meaning reconstruction in loss. The sample included 25 participants diagnosed with PGD who were treated by six therapists. Baseline and post-therapy comparisons showed a significant improvement in all clinical measures (grief symptomatology, depression and general distress) and an increase of meaning making regarding the loss. Meaning making was found to be a prospective mediator of symptomatic improvement in grief across the course of therapy. These findings suggest the effectiveness of the MIL protocol in decreasing grief specific and associated symptomatology and argue for the relevance of further controlled evaluations of its efficacy. Moreover, results confirm previous findings that meaning making is a relevant factor in the evolution of grief reactions, including in the context of psychotherapy.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coping and grief symptoms after parental loss in adolescence - a nationwide follow-up study. 青少年失去父母后的应对和悲伤症状--一项全国范围的跟踪研究。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-28 DOI: 10.1080/07481187.2024.2370464
Anne Sophie Schaadt, Pernille Envold Bidstrup, Ida Cathrine Dall, Susanne Rosthøj, Randi Valbjørn Karlsen, Mai-Britt Guldin, Amalie Søholm, Karen-Inge Karstoft, Susanne Oksbjerg Dalton, Beverley Lim Høeg
{"title":"Coping and grief symptoms after parental loss in adolescence - a nationwide follow-up study.","authors":"Anne Sophie Schaadt, Pernille Envold Bidstrup, Ida Cathrine Dall, Susanne Rosthøj, Randi Valbjørn Karlsen, Mai-Britt Guldin, Amalie Søholm, Karen-Inge Karstoft, Susanne Oksbjerg Dalton, Beverley Lim Høeg","doi":"10.1080/07481187.2024.2370464","DOIUrl":"https://doi.org/10.1080/07481187.2024.2370464","url":null,"abstract":"<p><p>Knowledge about effective coping strategies is important to support bereaved adolescents who have lost a parent. We used data on 104 bereaved adolescents (13-17 years) from the FALCON nationwide questionnaire study of parentally bereaved families. We examined associations between adolescents' control-oriented and escape-oriented coping strategies (KidCOPE scale) approximately two months after loss and grief symptoms (PG-13 scale) at six months follow-up. We also examined associations between the perceived efficacy of each coping strategy at baseline and grief symptoms at six months. The use of escape-oriented coping (e.g., distraction, self-criticism and social withdrawal) was associated with higher grief symptoms at six months follow-up (β = 0.4, 95% CI 0.1-0.9, <i>p</i> = 0.02), but no associations were found for control-oriented coping or perceived coping efficacy. Finding alternatives to the use of escape-oriented coping strategies may be an important part of grief interventions for bereaved adolescents.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug-related death bereavement across the globe 全球与毒品有关的死亡丧亲之痛
IF 3.8 4区 医学
Death Studies Pub Date : 2024-06-28 DOI: 10.1080/07481187.2024.2371148
David E. Balk
{"title":"Drug-related death bereavement across the globe","authors":"David E. Balk","doi":"10.1080/07481187.2024.2371148","DOIUrl":"https://doi.org/10.1080/07481187.2024.2371148","url":null,"abstract":"Published in Death Studies (Ahead of Print, 2024)","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141587100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A scoping review of theories and models applied for grief and bereavement projects. 对应用于悲伤和丧亲之痛项目的理论和模式进行范围审查。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-27 DOI: 10.1080/07481187.2024.2370460
Christina Yeni Kustanti, Christantie Effendy, Nelsensius Klau Fauk, Priyani Haryanti, Hidayat Arifin, Isnanto Isnanto, Ninik Yunitri, Faniea Maawati, Yan Adi Wibawa, Tiara Octary, Nurlia Ikaningtyas
{"title":"A scoping review of theories and models applied for grief and bereavement projects.","authors":"Christina Yeni Kustanti, Christantie Effendy, Nelsensius Klau Fauk, Priyani Haryanti, Hidayat Arifin, Isnanto Isnanto, Ninik Yunitri, Faniea Maawati, Yan Adi Wibawa, Tiara Octary, Nurlia Ikaningtyas","doi":"10.1080/07481187.2024.2370460","DOIUrl":"https://doi.org/10.1080/07481187.2024.2370460","url":null,"abstract":"<p><p>This scoping review aimed to identify the theory-based studies related to grief and bereavement in palliative care. The investigation was carried out by searching seven databases and conducting manual searches. The search procedure yielded 51 scholarly papers, which revealed 33 theories or models and 37 instruments. The theories and models can be classified into distinct categories, namely grief patterns and coping mechanisms. This study can be a valuable reference for future research endeavors, particularly those employing deductive methodologies. It offers guidance in selecting appropriate theories or models that can be applied to further studies.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141455785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It turned out right for both of us": A qualitative study about a preference for home death and actual place of death. "结果对我们双方都是正确的":关于在家死亡和实际死亡地点偏好的定性研究。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-25 DOI: 10.1080/07481187.2024.2369847
Margareta Aurén-Møkleby, Gunvor Aasbø, Olav Magnus S Fredheim, Anne Marit Mengshoel, Kari N Solbrække, Lisbeth Thoresen
{"title":"\"It turned out right for both of us\": A qualitative study about a preference for home death and actual place of death.","authors":"Margareta Aurén-Møkleby, Gunvor Aasbø, Olav Magnus S Fredheim, Anne Marit Mengshoel, Kari N Solbrække, Lisbeth Thoresen","doi":"10.1080/07481187.2024.2369847","DOIUrl":"https://doi.org/10.1080/07481187.2024.2369847","url":null,"abstract":"<p><p>This qualitative study was conducted in Norway to explore couples' preference for home death when one of the partners was dying from cancer, and what made home death possible or not. We conducted dyad interviews with five couples. After the patients' death, the spouses participated in individual interviews. The data were interpreted using thematic narrative analysis. One patient died at home, and three died in a healthcare institution. The narratives show how interdependency and mutual care were important when dealing with home death. When care needs were manageable at home, home was perceived a safe place and the preferred place for death. When care needs were experienced to become unmanageable at home, the sense of safety changed and admission to a health care institution was considered the best option. Regardless of place of death, the spouses experienced the end to have turned out right for their partner and themselves.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Female military service members and veterans: Understanding treatment seeking behavior and previous suicide risk among suicide decedents. 女性军人和退伍军人:了解自杀者寻求治疗的行为和之前的自杀风险。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-24 DOI: 10.1080/07481187.2024.2370468
Allison E Bond, Claire Houtsma, Mary E Shapiro, Shelby L Bandel, Jayna Moceri-Brooks, Michael D Anestis
{"title":"Female military service members and veterans: Understanding treatment seeking behavior and previous suicide risk among suicide decedents.","authors":"Allison E Bond, Claire Houtsma, Mary E Shapiro, Shelby L Bandel, Jayna Moceri-Brooks, Michael D Anestis","doi":"10.1080/07481187.2024.2370468","DOIUrl":"https://doi.org/10.1080/07481187.2024.2370468","url":null,"abstract":"<p><p>To examine the differences in treatment seeking behaviors, previous suicidal thoughts, previous suicide attempts, and disclosure of suicidal thoughts among female service members (SM)/Veteran suicide decedents who used a firearm and those who used another method. Data was acquired from the National Violent Death Reporting System which is maintained and monitored by the Center for Disease Control and Prevention. Data included in the present study were from suicide deaths that occurred between 2003-2018. Female SM/Veterans who died by firearm suicide had lower proportions of current mental health or substance use treatment, lifetime mental health or substance use treatment, and previous suicide attempts compared to those who used another method. Female SM/Veterans who die by firearm suicide are less likely to encounter mental health services than those who use another method. Conversations on secure firearm storage need to occur outside of the health care setting.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the complexity of suicide loss: PTSD, complex PTSD and prolonged grief disorder following suicide bereavement. 了解自杀丧亲的复杂性:自杀丧亲后的创伤后应激障碍、复杂创伤后应激障碍和长期悲伤障碍。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-24 DOI: 10.1080/07481187.2024.2369858
Laura Hofmann, Birgit Wagner
{"title":"Understanding the complexity of suicide loss: PTSD, complex PTSD and prolonged grief disorder following suicide bereavement.","authors":"Laura Hofmann, Birgit Wagner","doi":"10.1080/07481187.2024.2369858","DOIUrl":"https://doi.org/10.1080/07481187.2024.2369858","url":null,"abstract":"<p><p>Suicide-bereaved individuals are often confronted with profound grief reactions and have an increased risk for mental health disorders. Little is known about the development of complex post-traumatic stress disorder (CPTSD) following a loss by suicide. This paper aims to assess the prevalence of CPTSD, PTSD, prolonged grief disorder (PGD), and depression as well as to identify sociodemographic and loss-related factors regarding their development. A total of 161 suicide loss survivors (91.3% female) completed a questionnaire, which collected symptoms of grief (TGI-SR+), PTSD, CPTSD (ITQ), and depression (PHQ-D). In total, 12.4% met the diagnosis for CPTSD, 5.0% for PTSD. A total of 22.0% fulfilled the diagnosis for PGD. 41.6% showed at least moderate symptoms of depression. Pearson's correlation showed that time since loss was negatively associated with PG and PTSD symptoms, kinship to the deceased was associated with PG severity. The sample scored high on all disturbances in self-organization (DSO) symptom clusters typical for CPTSD. A focus on symptoms of CPTSD may be a necessary component in the care of survivors of suicide loss.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a storybook package for bereaved siblings: a pilot study of the effectiveness for enhancing the perceived knowledge and confidence of health and social care professionals in Hong Kong. 为失去亲人的兄弟姐妹开发故事书套餐:对提高香港医疗和社会护理专业人员的知识和信心的有效性的试点研究。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-22 DOI: 10.1080/07481187.2024.2369889
Wallace Chi Ho Chan, Clare Tsz Kiu Yu, Grace Suk Man Leung, Molin Kwok Yin Lin, Miranda Mei Mui Leung, Denis Ka Shaw Kwok, Jody Ka-Wing Wu
{"title":"Developing a storybook package for bereaved siblings: a pilot study of the effectiveness for enhancing the perceived knowledge and confidence of health and social care professionals in Hong Kong.","authors":"Wallace Chi Ho Chan, Clare Tsz Kiu Yu, Grace Suk Man Leung, Molin Kwok Yin Lin, Miranda Mei Mui Leung, Denis Ka Shaw Kwok, Jody Ka-Wing Wu","doi":"10.1080/07481187.2024.2369889","DOIUrl":"https://doi.org/10.1080/07481187.2024.2369889","url":null,"abstract":"<p><p>A pilot randomized controlled trial was conducted to examine the effectiveness of a storybook package for enhancing the perceived knowledge and confidence of health and social care professionals in working with bereaved child siblings and their parents before and after the loss. Open-ended questions were asked to collect feedback, and thematic analyses were conducted to generate the themes. Quantitative findings provided preliminary but not strong evidence of its effectiveness, but qualitative findings showed that participants perceived their knowledge about supporting bereaved siblings and their parents was enhanced and considered the storybook package a useful tool for facilitating their practice. Participants also reflected on how real and specific the stories in the storybook should be. This study is the first step in developing an evidence-based practice tool for health and social care professionals. Future studies are required to further examine its effectiveness for practice.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When does disruption of meaning in bereavement become debilitating? Screening for deleterious outcomes with the ISLES-SF. 丧亲之痛的意义中断何时会使人衰弱?利用 ISLES-SF 筛查有害结果。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-22 DOI: 10.1080/07481187.2024.2364495
Sherman Aclaracion Lee, Robert A Neimeyer, Carolyn Ng, Lisa Veglahn, Amy S Tucci
{"title":"When does disruption of meaning in bereavement become debilitating? Screening for deleterious outcomes with the ISLES-SF.","authors":"Sherman Aclaracion Lee, Robert A Neimeyer, Carolyn Ng, Lisa Veglahn, Amy S Tucci","doi":"10.1080/07481187.2024.2364495","DOIUrl":"https://doi.org/10.1080/07481187.2024.2364495","url":null,"abstract":"<p><p>Meaning reconstruction is a central process in bereavement adaptation. However, clinical measures or means for identifying individuals whose struggles with meaning making have become dysfunctional have yet to be developed for clinicians to readily use in practice. Therefore, the objective of this study was to evaluate the diagnostic effectiveness of the Integration of Stressful Life Experiences Scale-Short Form (ISLES-SF) for measuring clinically significant struggles with meaning making of loss. The results of this study of 118 bereaved adults support the diagnostic use of the ISLES-SF (sensitivity of 83% and specificity of 73%), as well as an identified cut-score (≥ 14) that researchers and clinicians can employ to accurately and efficiently identify those whose difficulties with making meaning of loss have become debilitating. The results also showed that those who scored in the clinical range of the ISLES-SF displayed higher levels of anxiety, depression and prolonged grief than those not struggling with meaning making.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond bereavement: Identifying risk and protective factors for prolonged grief disorder. 超越丧亲之痛:识别长期悲伤障碍的风险和保护因素。
IF 2.1 4区 医学
Death Studies Pub Date : 2024-06-22 DOI: 10.1080/07481187.2024.2369865
Alia Asmat, Anam Nawaz Malik, Holly G Prigerson, Tahir Saleem
{"title":"Beyond bereavement: Identifying risk and protective factors for prolonged grief disorder.","authors":"Alia Asmat, Anam Nawaz Malik, Holly G Prigerson, Tahir Saleem","doi":"10.1080/07481187.2024.2369865","DOIUrl":"https://doi.org/10.1080/07481187.2024.2369865","url":null,"abstract":"<p><p>Prolonged Grief Disorder (PGD) manifests as a long-lasting and incapacitating response to bereavement. The goal of this qualitative study is to understand the intricate interplay of risk and protective factors that underlie PGD by exploring into the perspectives of expert clinicians in Pakistan. Our investigation encompassed in-depth interviews with eight clinical experts comprising clinical psychologists (<i>N</i> = 4, possessing Higher Education Commission-recognized degrees) and psychiatrists (<i>N</i> = 4, certified by Pakistan Medical Commission). Collectively, these professionals possessed a wealth of knowledge exceeding five years in the specialized management of PGD. Thematic analysis of the transcribed interviews, conducted using NVIVO, revealed a comprehensive taxonomy of risk factors contributing to PGD. These encompassed maladaptive thought patterns, psychological distress, attachment styles, and environmental factors. We identified a host of protective factors that may mitigate the development of PGD. These encompassed cultural, social, and familial support systems, individual coping mechanisms, and various treatment modalities.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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