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Clinician Communication in Hospice: Constructions of Reality Throughout the End-of-Life Process. 临终关怀中的临床医生沟通：生命终结过程中的现实建构》。
Omega Pub Date : 2025-02-01 Epub Date: 2022-07-21 DOI: 10.1177/00302228221116719
Kelly E Tenzek, Pei C Grant, Rachel M Depner, Kathryn Levy, David J Byrwa
{"title":"Clinician Communication in Hospice: Constructions of Reality Throughout the End-of-Life Process.","authors":"Kelly E Tenzek, Pei C Grant, Rachel M Depner, Kathryn Levy, David J Byrwa","doi":"10.1177/00302228221116719","DOIUrl":"10.1177/00302228221116719","url":null,"abstract":"<p><p>The current study examined qualitative data from hospice clinicians' perspectives on language, surrounding end-of-life (EOL), to understand challenges and opportunities for constructing a trajectory of communication leading towards a good death experience. Findings from two focus groups with nine clinicians' and 12 individual interviews, four of which were follow up interviews after the focus groups, were guided by framework analysis and revealed three themes, <i>constructing language choices, roles and responsibilities,</i> and <i>socio-cultural considerations.</i> We used the Opportunity Model for Presence during the End-of-Life Process (OMP-EOLP) to make sense of the findings and discuss implications for language use throughout the EOL process. We argue additional efforts should be made in recognizing the value of presence checks, re-constructing advance care planning, and utilizing different forms of media as an educational tool and connection mechanism for clinicians with patients and families to achieve a timely engagement of EOL conversations for all healthcare participants.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1109-1136"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40526149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Analysis of Factors Predicting Post-Traumatic Stress Disorder and Grief Following Comrade Loss. 战友离世后创伤后应激障碍和悲伤的预测因素分析。
Omega Pub Date : 2025-02-01 Epub Date: 2022-07-15 DOI: 10.1177/00302228221113616
Einat Yehene, Yossi Martin, Gil Goldzweig
{"title":"An Analysis of Factors Predicting Post-Traumatic Stress Disorder and Grief Following Comrade Loss.","authors":"Einat Yehene, Yossi Martin, Gil Goldzweig","doi":"10.1177/00302228221113616","DOIUrl":"10.1177/00302228221113616","url":null,"abstract":"<p><p>This study explored how \"inhibiting factors\" associated with military-bereavement impact combatants' psychological sequelae following comrade loss. One hundred six eligible Israeli combat male-soldiers completed the Texas-Revised-Inventory of Grief, the post-traumatic-stress-disorder symptoms scale (PSS), the Male Role Norms Scale, the Social Acknowledgment Questionnaire, and a scale assessing Military Encouragement to Grieve (MEG-8). Time since loss had no impact on soldiers' levels of PSS or prolonged grief. Regression analysis indicated that higher masculinity-perception and disapproval from the family predicated higher PSS, above and beyond grief. Conversely, lower disapproval from the family, and higher disapproval from the general community, predicted higher grief, above and beyond PSS. Also, military encouragement significantly mediated the positive relationship between masculinity and sense of social-recognition. The results show how inhibiting factors contribute differently to the perpetuation of PSS and grief. This interplay sheds light on soldiers' \"external\" and \"internal\" loss processes of traumatic bereavement. The practical implications to treatment are also discussed.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"971-989"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluations of Funerals and Health Trajectories in the Second Year After Bereavement-The Ongoing Japan National Survey. 丧亲后第二年的葬礼和健康轨迹评估--正在进行的日本全国调查。
Omega Pub Date : 2025-02-01 Epub Date: 2022-09-06 DOI: 10.1177/00302228221121494
Carl B Becker, Yozo Taniyama, Noriko Sasaki, Megumi Kondo-Arita, Shinya Yamada, Kayoko Yamamoto
{"title":"Evaluations of Funerals and Health Trajectories in the Second Year After Bereavement-The Ongoing Japan National Survey.","authors":"Carl B Becker, Yozo Taniyama, Noriko Sasaki, Megumi Kondo-Arita, Shinya Yamada, Kayoko Yamamoto","doi":"10.1177/00302228221121494","DOIUrl":"10.1177/00302228221121494","url":null,"abstract":"<p><p>Our nationwide postal survey analyzing 190 responses from Japanese bereaved who had responded a year earlier found that funeral dissatisfaction <b><i>rose</i></b> during the second year after the funeral. Controverting previous research advocating participation in funeral planning, elderly bereaved spouses forced to decide about and/or pay for the funeral showed elevated grief as much as 2 years later. While not reaching levels diagnosed as prolonged, traumatic, or complicated grief, nevertheless one out of three of our bereaved sample showed continuing daily symptoms of grief from 14 to 24 months after their bereavement, with continued or increasing use of tranquillizers or antidepressants. The medical and pharmaceutical costs incurred by mourners more than a year after bereavement warrant further research into what factors improve or exacerbate the health of grieving bereaved, not limited to a single year after the bereavement.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1313-1324"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factorial Validity, Reliability, Measurement Invariance and the Graded Response Model for the COVID-19 Anxiety Scale in a Sample of Ecuadorians. 新冠肺炎焦虑量表在厄瓜多尔样本中的因子有效性、可靠性、测量不变性和分级反应模型。
Omega Pub Date : 2025-02-01 Epub Date: 2022-07-19 DOI: 10.1177/00302228221116515
Rodrigo Moreta-Herrera, Tomás Caycho-Rodríguez, Alexandra Salinas, Micaela Jiménez-Borja, Daniel Gavilanes-Gómez, Carlos José Jiménez-Mosquera
{"title":"Factorial Validity, Reliability, Measurement Invariance and the Graded Response Model for the COVID-19 Anxiety Scale in a Sample of Ecuadorians.","authors":"Rodrigo Moreta-Herrera, Tomás Caycho-Rodríguez, Alexandra Salinas, Micaela Jiménez-Borja, Daniel Gavilanes-Gómez, Carlos José Jiménez-Mosquera","doi":"10.1177/00302228221116515","DOIUrl":"10.1177/00302228221116515","url":null,"abstract":"<p><p>The aims of the research are to evaluate the factorial validity, internal consistency, measurement invariance, discrimination, and difficulty of the Covid-19 Anxiety Scale (CAS) applied to a sample of Ecuadorian adults (<i>N</i> = 451). The study is based on an instrumental design with Classical Test Theory (CTT) and Item Response Theory (IRT) technics. The results confirmed the validity of the CAS single-factor structure, with measurement invariance across gender and high internal consistency. Additionally, all CAS items displayed adequate discrimination indexes and proper ordering of the difficulty thresholds. In a conclusion, the CAS is a valid measurement scale for Ecuadorian adults.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"1078-1093"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297068/pdf/10.1177_00302228221116515.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40615495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phantom Spouse; Adaptive Strategies of the Older Adult in the Face of the Death of a Spouse: Content Analysis.
Omega Pub Date : 2024-12-25 DOI: 10.1177/00302228241311318
Asal Seraji, Sepideh Nasrollah, Nahid Dehghan Nayeri, Tahereh Nasrabadi
{"title":"Phantom Spouse; Adaptive Strategies of the Older Adult in the Face of the Death of a Spouse: Content Analysis.","authors":"Asal Seraji, Sepideh Nasrollah, Nahid Dehghan Nayeri, Tahereh Nasrabadi","doi":"10.1177/00302228241311318","DOIUrl":"https://doi.org/10.1177/00302228241311318","url":null,"abstract":"<p><p>The death of a spouse in the older adult is a devastating loss. Given that older adults employ unique strategies for adapting to bereavement, this study was conducted to aim explaining the adaptation strategies of the older adult in the face of death of a spouse. The experiences of 21 participants were collected through semi-structured interviews and analyzed using the conventional content analysis approach of Lundman and Granheim's (2004), which led to the creation \"Phantom Spouse\" as the main category with four categories: \"1-speaking to the deceased, 2- Establishing and maintaining the privacy of the deceased, 3- Being committed to the deceased, 4- Inducing the feeling of the presence of the deceased\" and explained fourteen sub-categories. The concept of the phantom spouse represents a novel strategy for maintaining a symbolic and emotional connection with the deceased which leads to facilitating the adaptation process of the older adult to the bereavement of their spouse.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241311318"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Illness Perception Predict Hopelessness and Death Anxiety in Palliative Care Patients?
Omega Pub Date : 2024-12-20 DOI: 10.1177/00302228241309958
Funda Çam, Yasemin Boy, Mukadder Mollaoğlu, Samet Korkmaz
{"title":"Does Illness Perception Predict Hopelessness and Death Anxiety in Palliative Care Patients?","authors":"Funda Çam, Yasemin Boy, Mukadder Mollaoğlu, Samet Korkmaz","doi":"10.1177/00302228241309958","DOIUrl":"https://doi.org/10.1177/00302228241309958","url":null,"abstract":"<p><p>Illness perception is crucial in how patients navigate health challenges. Investigating if it predicts hopelessness and death anxiety is vital, especially in palliative care where these burdens are common. This descriptive, cross-sectional study was conducted with 129 patients receiving treatment in the palliative care clinics of a university hospital. Patient Identification Form, Illness Perception Questionnaire, Beck Hopelessness Scale, and Death Anxiety Scale were used as data collection tools. The findings revealed that patients generally have a negative perception of their illness, with moderate levels of hopelessness and high levels of death anxiety. A statistically significant positive correlation was observed between illness perception, death anxiety, and hopelessness. Furthermore, illness perception was found to predict 80.1% of the variation in hopelessness levels and 64.7% of the variation in death anxiety levels among patients. These findings underscore the importance of addressing psychological factors as part of comprehensive palliative care management.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241309958"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIV Patients' Mindfulness Moderates How Death Anxiety and Depression Impact Life Quality.
Omega Pub Date : 2024-12-18 DOI: 10.1177/00302228241310072
Chinenye Joseph Aliche, Erhabor Sunday Idemudia
{"title":"HIV Patients' Mindfulness Moderates How Death Anxiety and Depression Impact Life Quality.","authors":"Chinenye Joseph Aliche, Erhabor Sunday Idemudia","doi":"10.1177/00302228241310072","DOIUrl":"https://doi.org/10.1177/00302228241310072","url":null,"abstract":"<p><p>Many people living with HIV (PLWH) experience death anxiety and depression, which may impact negatively on their health-related quality of life (HRQoL). Mindfulness is a psychological resource that protects against death anxiety and depression and promotes HRQoL. Although a direct association among these variables exist, little is known about their interactive effect. This study examined the role of PLWH mindfulness in the relationship between (a) death anxiety and HRQoL, and (b) depression and HRQoL. Participants included 311 HIV patients (199 women, 122 men, mean age = 30.52) selected from a tertiary healthcare institution in Nigeria. They completed relevant measures. Results showed that mindfulness moderated the effect of death anxiety on HRQoL. Mindfulness also buffered the effect of depression on HRQoL. Clinical efforts to improve HRQoL of PLWH should consider mindfulness-based training program due to its potentials in mitigating the effects of death anxiety and depression on health and recovery.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241310072"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Viewpoint on the Rising Trend of Couple Suicide in India.
Omega Pub Date : 2024-12-17 DOI: 10.1177/00302228241307259
Avanish Bhai Patel, Barsa Priyadarsinee Sahoo
{"title":"A Viewpoint on the Rising Trend of Couple Suicide in India.","authors":"Avanish Bhai Patel, Barsa Priyadarsinee Sahoo","doi":"10.1177/00302228241307259","DOIUrl":"https://doi.org/10.1177/00302228241307259","url":null,"abstract":"<p><p>It is extremely disturbing that in contemporary times, the cases of couple suicide is the matter of grave concern in India. It is observed that couples are committing suicide together in Indian society due to various social circumstances. The present study examines the nature of couple suicide and its causes using egoistic approach of suicide. The data have been collected from leading newspapers of India from 1st January 2023 to 15th May 2024 using systematic content analysis. The present research has identified that love affair is the cause of suicide in most cases of couple suicide. The study also revealed that about 50.59% of couples who are in the age group of 16-25 years committed suicide together due to love affairs. Additionally, the researchers have observed from egoistic point of view that socio-economic changes have unexpectedly affected the social conditions which has promoted the tendency of suicide in couples.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241307259"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-Imagining Childhood Grief: Children as Active Agents in a Transactional Process.
Omega Pub Date : 2024-12-17 DOI: 10.1177/00302228241310264
Ceilidh Eaton Russell, Meg Chin, Georg Bollig, Cheryl-Anne Cait, Franco A Carnevale, Jody Chrastek, Bianca Lavorgna, Catriona Macpherson, Stacy S Remke, Lies Scaut, Jane Skeen, Regina Szylit, Camara van Breemen, Ronit Shalev
{"title":"Re-Imagining Childhood Grief: Children as Active Agents in a Transactional Process.","authors":"Ceilidh Eaton Russell, Meg Chin, Georg Bollig, Cheryl-Anne Cait, Franco A Carnevale, Jody Chrastek, Bianca Lavorgna, Catriona Macpherson, Stacy S Remke, Lies Scaut, Jane Skeen, Regina Szylit, Camara van Breemen, Ronit Shalev","doi":"10.1177/00302228241310264","DOIUrl":"https://doi.org/10.1177/00302228241310264","url":null,"abstract":"<p><p>Bereavement during childhood impacts children's wellbeing and biopsychosocial development. Research examining impacts and outcomes of childhood bereavement and supportive interventions has highlighted a myriad of factors that influence children's unique, complex experiences of grief, necessitating a personalized, child-centred approach. Children's grief support is underpinned by well-established grief theories studied primarily in adult populations, and stage-based developmental theories that characterise child development as \"normative\" and universal. We propose a rethinking that recognises: development in childhood as transactional, dynamic, and bidirectional; children as active agents; and social contexts influencing grief and development. This conceptualisation invites expanded understandings of: children's grief in response to death and non-death losses; contextual, relational influences on children's experiences of grief; ways that grieving children's rights and agency are supported and thwarted in their daily lives; and opportunities for professionals, family and community members to support grieving children with compassionate curiosity and cultural humility to nurture grief-literate communities.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241310264"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Qualitative Bereavement Experiences and Support in Community-Dwelling Older Adults: A Scoping Review. 居住在社区的老年人的定性丧亲经历和支持：范围审查。
Omega Pub Date : 2024-12-15 DOI: 10.1177/00302228241308616
Samantha Teichman, Barbara A Mitchell, Indira Riadi, Habib Chaudhury, Albert Banerjee, William Odom
{"title":"Qualitative Bereavement Experiences and Support in Community-Dwelling Older Adults: A Scoping Review.","authors":"Samantha Teichman, Barbara A Mitchell, Indira Riadi, Habib Chaudhury, Albert Banerjee, William Odom","doi":"10.1177/00302228241308616","DOIUrl":"https://doi.org/10.1177/00302228241308616","url":null,"abstract":"<p><p>This scoping review examines qualitative studies on bereavement experiences and support mechanisms for community-dwelling older adults. This area of research is especially timely given rapid population aging and the interplay of heightened vulnerability, cumulative losses, shrinking support systems, and the critical need for bereavement support. Such support not only acts as a preventative health measure but can also serve as a catalyst for fostering meaning-making and navigating grief in later life. Through a scoping search and synthesis of relevant qualitative studies (<i>n</i> = 24), the findings reveal four key themes: the impact of grief on wellbeing, grief perceived as an individual issue, challenges in seeking and receiving support, and positive support experiences and transformations. Knowledge gaps, trends and issues, and areas for further investigation are also highlighted. This discussion contributes to developing targeted bereavement support strategies for community-dwelling older adults.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228241308616"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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