WorldWideScience

Sample records for bereavement

  1. Bereavement

    Science.gov (United States)

    Bereavement is the period of grief and mourning after a death. When you grieve, it's part of the normal process of reacting to a loss. You may experience grief as a mental, physical, social or emotional reaction. ...

  2. School Bereavement.

    Science.gov (United States)

    Winter, Elaine

    2000-01-01

    At a New York City school, a parent's death is a community tragedy. Caring for a bereaved student requires a generous investment of time and heart: participation in bereavement rituals; acceptance of wide-ranging emotions; increased individual attention; reliable, consistent routines; physical warmth and comforting; and gentle, honest dialogue.…

  3. Adaptation to Bereavement

    Science.gov (United States)

    Dutton, Yulia Chentsova; Zisook, Sidney

    2005-01-01

    Much of the literature on the effects of conjugal bereavement has focused on the detrimental effects of losing a spouse. Although it is very important to be aware of the emotional, physical, and social problems often associated with bereavement, these difficulties are not universal accompaniments of grief. Accumulating evidence suggests that…

  4. Grief, Bereavement, and Coping with Loss (PDQ)

    Science.gov (United States)

    ... Caregiver Questions to Ask about Advanced Cancer Research Grief, Bereavement, and Coping With Loss (PDQ®)–Patient Version Overview ... a resource to help caregivers of cancer patients. Bereavement and Grief Key Points Bereavement is the period ...

  5. Bereavement after Caregiving

    OpenAIRE

    Schulz, Richard; Hebert, Randy; Boerner, Kathrin

    2008-01-01

    Approximately 20% of bereaved caregivers will experience a variety of psychiatric symptoms including depression and/or complicated grief, a disorder characterized by persistently high levels of distress that impair functioning in important life domains. We identify prebereavement risk factors for poor adjustment after the death of a loved one along with preventive strategies that can be implemented prior to death as well as diagnostic procedures and therapeutic strategies that can be used to ...

  6. Ethical Issues in the Study of Bereavement: The Opinions of Bereaved Adults

    Science.gov (United States)

    Beck, Andrea M.; Konnert, Candace A.

    2007-01-01

    Few studies examine ethical issues in bereavement research and none survey the opinions of bereaved individuals who have not previously participated in bereavement research. This study examined the theoretical opinions of bereaved adults about ethical issues such as attitudes toward bereavement research, timing and methods of recruitment, and…

  7. The Phenomenology and Course of Depression in Parentally Bereaved and Non-Bereaved Youth

    Science.gov (United States)

    Hamdan, Sami; Melhem, Nadine M.; Porta, Giovanna; Payne, Monica Walker; Brent, David A.

    2012-01-01

    Objective: To compare the phenomenology and course of bereavement-related depression to depression that occurred later in the course of bereavement and to depression in non-bereaved youth. Method: This sample is drawn from a cohort of parentally bereaved youth and non-bereaved controls followed for approximately 5 years. Three groups of depressed…

  8. Bereavement Care Provision in Europe

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt; Murphy, Irene; Keegan, Orla;

    2015-01-01

    The Bereavement Care Taskforce of the EAPC has conducted a survey on bereavement care service provision in Europe. Mai-Britt Guldin, Irene Murphy, Orla Keegan, Barbara Monroe, Maria Antonia Lacasta Reverte and Inger Benkel report on the results. One of the key findings is that not all palliative...

  9. Parents bereaved by offspring suicide

    DEFF Research Database (Denmark)

    Bolton, James M; Au, Wendy; Leslie, William D;

    2013-01-01

    CONTEXT Suicide bereavement remains understudied and poorly understood. OBJECTIVES To examine outcomes of parents bereaved by the suicide death of their offspring and to compare these with both nonbereaved parent controls and parents who had offspring die in a motor vehicle crash (MVC). DESIGN...... Population-based case-control study. Suicide-bereaved parents were compared with nonbereaved matched control parents in the general population (n = 1415) and with MVC-bereaved parents (n = 1132) on the rates of physician-diagnosed mental and physical disorders, social factors, and treatment use in the 2...... years after death of the offspring. Adjusted relative rates (ARRs) were generated by generalized estimating equation models and adjusted for confounding factors. SETTING Manitoba, Canada. PARTICIPANTS All identifiable parents who had an offspring die by suicide between 1996 and 2007 (n = 1415). MAIN...

  10. Caregiving, bereavement and complicated grief

    OpenAIRE

    Boerner, Kathrin; Schulz, Richard

    2009-01-01

    Most deaths are preceded by chronic illness and disability and the provision of support by family caregivers. The purpose of this article is to describe how the caregiving experience affects bereavement, with an emphasis on the relationship between challenging caregiving situations and difficult grieving processes – often referred to as `complicated grief'. The article starts with a brief summary of the general literature on caregiving and bereavement. It then defines complicated grief and di...

  11. Bereavement and Bereavement Care in Health and Social Care: Provision and Practice in Scotland

    Science.gov (United States)

    Stephen, Audrey I.; Wimpenny, Peter; Unwin, Rachel; Work, Fiona; Dempster, Paul; MacDuff, Colin; Wilcock, Sylvia E.; Brown, Alison

    2009-01-01

    The interview study described here aimed to explore current views of and practice in bereavement care and identify priorities for service development in Scotland. Fifty-nine participants who worked with the bereaved in some way, or whose interest was in bereavement or bereavement care, were interviewed. They represented National Health Service…

  12. An Exploration of Lesbian Maternal Bereavement

    Science.gov (United States)

    Cacciatore, Joanne; Raffo, Zulma

    2011-01-01

    Research on parental bereavement has focused historically on single or partnered cross-gendered (heterosexual) bereaved parents. No previous studies have examined the unique experiences of same-gendered bereaved parents. This multiple-case study focused on child death in same-gendered-parent families. The goal of this study was to yield…

  13. Adolescent Development and Bereavement: An Introduction

    Science.gov (United States)

    Balk, David E.

    2011-01-01

    In order to provide the best support possible to grieving youth it is important to understand how bereavement impacts adolescent development and how adolescent development impacts bereavement. In this article, prominent youth bereavement author, David Balk, explores these two key components focusing on cognitive, behavioral, and affective…

  14. Recovery Following Bereavement: Metaphor, Phenomenology, and Culture

    Science.gov (United States)

    Rosenblatt, Paul C.

    2008-01-01

    The concept of recovery following bereavement can be both useful and misleading. As a metaphor, the concept of recovery highlights some aspects of bereavement and obscures others. Bereaved people interviewed in 3 different studies typically did not bring up the term recovery so it did not seem to be a term that described their experience. Across…

  15. Continuing Bonds after Suicide Bereavement in Childhood

    Science.gov (United States)

    Wood, Lindsey; Byram, Victoria; Gosling, A. Sophie; Stokes, Julie

    2012-01-01

    It has been argued that the grieving process after suicide bereavement has unique properties (e.g., J. R. Jordan, 2001). A qualitative study was conducted to explore one aspect of the grieving process--continuing bonds--after suicide bereavement in childhood. Data were collected through semi-structured interviews with 10 suicide-bereaved children…

  16. Recovery following bereavement: metaphor, phenomenology, and culture.

    Science.gov (United States)

    Rosenblatt, Paul C

    2008-01-01

    The concept of recovery following bereavement can be both useful and misleading. As a metaphor, the concept of recovery highlights some aspects of bereavement and obscures others. Bereaved people interviewed in 3 different studies typically did not bring up the term recovery so it did not seem to be a term that described their experience. Across cultures, the concept of recovery can be irrelevant or even misleading in understanding what goes on following bereavement. Arguably, a postmodern perspective in which no single concept is considered relevant for framing what goes on or what is desirable following bereavement might be best.

  17. PTSD in older bereaved people

    DEFF Research Database (Denmark)

    O'Connor, Maja

    2010-01-01

    subsequently assessed two months post-bereavement. They were compared with a control group of 276 married elderly people. The prevalence of PTSD and depression were measured through a self-report questionnaire. Results showed that 16% of the bereaved and 4% of the control group had a PTSD diagnosis (ES=.35......; Cohen's d=.74). It was also concluded that 37% of the bereaved and 22% of the control group had mild to severe depression (ES=.19; Cohen's d=.37). The results suggested that late life spousal bereavement, in some cases, does result in PTSD, and that the disorder is as common in elderly bereaved people......  Late life bereavement has been associated with psychological problems, mainly depression. A few studies indicated that Posttraumatic Stress Disorder (PTSD) was an important issue to investigate in late life bereavement reactions. This study aimed to assess the prevalence of PTSD in recently...

  18. Caregiving, bereavement and complicated grief

    Science.gov (United States)

    Boerner, Kathrin; Schulz, Richard

    2010-01-01

    Most deaths are preceded by chronic illness and disability and the provision of support by family caregivers. The purpose of this article is to describe how the caregiving experience affects bereavement, with an emphasis on the relationship between challenging caregiving situations and difficult grieving processes – often referred to as `complicated grief'. The article starts with a brief summary of the general literature on caregiving and bereavement. It then defines complicated grief and discusses why some caregivers may struggle with the death of their loved one. Finally, it offers practical suggestions for what professionals can do to help caregivers both before and after the death has occurred. PMID:20463850

  19. Helpful Aspects of Bereavement Support for Adults Following an Expected Death: Volunteers' and Bereaved People's Perspectives

    Science.gov (United States)

    Diamond, Holly; Llewelyn, Susan; Relf, Marilyn; Bruce, Carrie

    2012-01-01

    Helpful and unhelpful aspects of bereavement support were investigated from the perspectives of 24 bereaved adults and their volunteer bereavement support workers. Most commonly reported themes were the provision of hope and reassurance, and the opportunity for continued sharing and support. Significantly more clients than volunteers reported…

  20. Bereavement Support in an Acute Hospital: An Irish Model

    Science.gov (United States)

    Walsh, Trish; Foreman, Maeve; Curry, Philip; O'Driscoll, Siobhan; McCormack, Martin

    2008-01-01

    In the first Irish study to examine a hospital-based bereavement care program, 1 year's cohort of bereaved people was surveyed. A response rate of over 40% provided 339 completed questionnaires from bereaved next-of-kin. The findings suggest that a tiered pyramid model of bereavement care (the Beaumont model) may be functional in a number of ways.…

  1. Spiritual Evolution of Bereavement Counselors: An Exploratory Qualitative Study

    Science.gov (United States)

    Puterbaugh, Dolores T.

    2008-01-01

    This article draws from a phenomenological study on the experience of being a bereavement counselor. Ten bereavement counselors shared their experiences in bereavement counseling. Spiritual and emotional aspects of bereavement counseling with grieving and dying persons are discussed as well as the spiritual effects on and growth processes of the…

  2. Death and Dying Anxiety among Bereaved and Nonbereaved Elderly Parents

    Science.gov (United States)

    Azaiza, Faisal; Ron, Pnina; Shoham, Meyrav; Tinsky-Roimi, Tal

    2011-01-01

    This study examines differences in death and dying anxiety between bereaved and nonbereaved elderly Israeli parents, as well as correlates of these factors among bereaved parents. A total of 97 parents (49 bereaved, 48 nonbereaved) completed measures of death and dying anxiety and religiosity. Bereaved parents reported significantly higher dying…

  3. A Modest Proposal about Bereavement and Recovery

    Science.gov (United States)

    Balk, David E.

    2008-01-01

    The author argues that the term "recovery" aptly describes the trajectory following the bereavement of most persons. While the term "resilience" has gained ascendancy in the thanatology literature and the term "recovery" has been dismissed as inappropriate to denote responses over time to being bereaved, the irony is that all dictionaries of the…

  4. North Yorkshire Schools' Responses to Pupil Bereavement

    Science.gov (United States)

    Holland, John; McLennan, Derek

    2015-01-01

    This was a research project carried out in North Yorkshire schools by the loss and bereavement research group of the Educational Psychology Service. The background was an interest in how schools responded to bereaved pupils, whether they had a structured response, trained staff and training needs, from where they sought support and the level of…

  5. Mediators between bereavement and somatic symptoms

    Directory of Open Access Journals (Sweden)

    Konkolÿ Thege Barna

    2012-06-01

    Full Text Available Abstract Background In our research we examined the frequency of somatic symptoms among bereaved (N = 185 and non-bereaved men and women in a national representative sample (N = 4041 and investigated the possible mediating factors between bereavement status and somatic symptoms. Methods Somatic symptoms were measured by the Patient Health Questionnaire (PHQ-15, anxiety with a four-point anxiety rating scale, and depression with a nine-item shortened version of the Beck Depression Inventory. Results Among the bereaved, somatic symptoms proved to be significantly more frequent in both genders when compared to the non-bereaved, as did anxiety and depression. On the multivariate level, the results show that both anxiety and depression proved to be a mediator between somatic symptoms and bereavement. The effect sizes indicated that for both genders, anxiety was a stronger predictor of somatic symptoms than depression. Conclusions The results of our research indicate that somatic symptoms accompanying bereavement are not direct consequences of this state but they can be traced back to the associated anxiety and depression. These results draw attention to the need to recognize anxiety and depression looming in the background of somatic complaints in bereavement and to the importance of the dissemination of related information.

  6. Depression and Bereavement in the Elderly.

    Science.gov (United States)

    Gilewski, Michael J.; And Others

    Bereavement and depression are two clinical problems which are prevalent in elderly persons and which may coincide in older adults. This study was conducted to examine how depression interacts with bereavement status. Data were obtained from 393 adults over the age of 55 who participated at four times of measurement (within 1 month of their…

  7. The broken heart : suicidal ideation in bereavement

    NARCIS (Netherlands)

    Stroebe, Margaret; Stroebe, Wolfgang; Abakoumkin, Georgios

    2005-01-01

    OBJECTIVE: This report examined suicidal behavior during bereavement. METHOD: Suicidal ideation was examined in a group of 60 recently bereaved widows and widowers compared to 60 individually matched married comparison subjects. RESULTS: Suicidal ideation was higher among widowed people than married

  8. Bereavement care interventions: a systematic review

    Directory of Open Access Journals (Sweden)

    Feudtner Chris

    2004-07-01

    Full Text Available Abstract Background Despite abundant bereavement care options, consensus is lacking regarding optimal care for bereaved persons. Methods We conducted a systematic review, searching MEDLINE, PsychINFO, CINAHL, EBMR, and other databases using the terms (bereaved or bereavement and (grief combined with (intervention or support or counselling or therapy and (controlled or trial or design. We also searched citations in published reports for additional pertinent studies. Eligible studies had to evaluate whether the treatment of bereaved individuals reduced bereavement-related symptoms. Data from the studies was abstracted independently by two reviewers. Results 74 eligible studies evaluated diverse treatments designed to ameliorate a variety of outcomes associated with bereavement. Among studies utilizing a structured therapeutic relationship, eight featured pharmacotherapy (4 included an untreated control group, 39 featured support groups or counselling (23 included a control group, and 25 studies featured cognitive-behavioural, psychodynamic, psychoanalytical, or interpersonal therapies (17 included a control group. Seven studies employed systems-oriented interventions (all had control groups. Other than efficacy for pharmacological treatment of bereavement-related depression, we could identify no consistent pattern of treatment benefit among the other forms of interventions. Conclusions Due to a paucity of reports on controlled clinical trails, no rigorous evidence-based recommendation regarding the treatment of bereaved persons is currently possible except for the pharmacologic treatment of depression. We postulate the following five factors as impeding scientific progress regarding bereavement care interventions: 1 excessive theoretical heterogeneity, 2 stultifying between-study variation, 3 inadequate reporting of intervention procedures, 4 few published replication studies, and 5 methodological flaws of study design.

  9. Why nurses need to understand the principles of bereavement theory.

    Science.gov (United States)

    Greenstreet, Wendy

    This article considers the value of bereavement theory to nurses. The contexts in which nurses care for the bereaved are identified and the terms "bereavement", "grief"and "mourning" are defined. A selection of psychological and sociological bereavement theory and models are considered in relation to their value in nursing practice. The increasing richness of bereavement theory strengthens potential understanding of the process of grief. Critical and creative use of this theory can offer valuable guidance to nurses caring for the bereaved and can help promote confidence, thus enabling them to provide appropriate support. PMID:15215713

  10. Bereavement: a postgraduate training design for psychologists

    Directory of Open Access Journals (Sweden)

    Maricel Peña Villamar

    2015-09-01

    Full Text Available Background: death is a fact that impacts the lives of all human beings, so that it can neither be ignored nor distanced from its subsequent bereavement period, even if being wished. The grief reaction is one of the problems that most frequently demand the assistance of health staff, especially psychologists in all health care areas.Objective: to devise a system of activities that contributes to increase the psychologists’ knowledge about bereavement and its management.Methods: a multiple cases study was carried out with the application of two research instruments (questionnaire and interview to those psychologists who work in primary and secondary health care in Las Tunas municipality to diagnose their needs related to the management of bereavement. Qualitative methodology was used, based on the method of participatory action research, and workshops were designed as forms of educational intervention.Results: it was proved that psychologists have insufficient theoretical and methodological training in relation to care for the bereaved. Consequently, psychotherapeutic workshops were designed, offering the general methodology and procedures to be followed by the professional who assists the bereaved.Conclusions: psychotherapeutic workshops constitute a referential theoretical and practical model very useful for the preparation of psychologists to deal with bereavement.

  11. Parents bereaved by infant death

    DEFF Research Database (Denmark)

    Christiansen, Dorte M.; Elklit, Ask; Olff, Miranda

    2013-01-01

    Losing an infant or fetus late in pregnancy, during birth or in the first year of life is a potentially traumatic event for parents. However, little is known about the factors contributing to chronic posttraumatic stress reactions in this population. The present study examined chronic posttraumatic...... stress disorder (PTSD) symptoms and potential correlates in 634 mothers and fathers up to 18 years (M=3.4 years) after the death of their infant. Members of a private national support organization for parents bereaved by infant death were contacted and asked to participate in the study. Participants...... avoidance, attachment anxiety, emotion-focused coping, avoidant coping, feeling let down and social support satisfaction accounted for 44% of the variance in PTSD severity. The study highlights the long-term impact of infant loss and points to attachment, coping and social support as important contributors...

  12. Parents Bereaved by Infant Death

    DEFF Research Database (Denmark)

    Christiansen, Dorte Mølgaard; Elklit, Ask; Olff, Miranda

    2013-01-01

    Objective: Losing an infant or fetus late in pregnancy, during birth or in the first year of life is a potentiallytraumatic event for parents. However, little is known about the factors contributing to chronic posttraumatic stress reactions in this population. The present study examined chronic...... posttraumatic stress disorder (PTSD)´symptoms and potential correlates in 634 mothers and fathers up to 18 years (M=3.4 years) after the death of their infant. Methods: Members of a private national support organization for parents bereaved by infant death were contacted and asked to participate in the study......, female sex, attachment avoidance, attachment anxiety, emotion-focused coping, rational coping, feeling let down and social support satisfaction accounted for 42% of the variance in PTSD severity. Conclusions: The study highlights the long-term impact of infant loss and points to attachment, coping...

  13. Recovery Following Bereavement: An Examination of the Concept

    Science.gov (United States)

    Balk, David E.

    2004-01-01

    Herman Feifel noted that appropriate attention to one's mourning and grieving allowed the dead to die and the bereaved "to redefine and reintegrate oneself into life" (H. Feifel, 1977, p. 9). The author takes this central focus on bereavement outcomes as the springboard for an examination of the concept recovery following bereavement. He examines…

  14. Risk Factors for Bereavement Outcome: A Multivariate Approach

    Science.gov (United States)

    van der Houwen, Karolijne; Stroebe, Margaret; Stroebe, Wolfgang; Schut, Henk; van den Bout, Jan; Wijngaards-De Meij, Leoniek

    2010-01-01

    Bereavement increases the risk of ill health, but only a minority of bereaved suffers lasting health impairment. Because only this group is likely to profit from bereavement intervention, early identification is important. Previous research is limited, because of cross sectional designs, small numbers of risk factors, and use of a single measure…

  15. Maternal bereavement and cryptorchidism in offspring

    DEFF Research Database (Denmark)

    Ingstrup, Katja Glejsted; Olsen, Jørn; Wu, Chunsen;

    2015-01-01

    BACKGROUND: Cryptorchidism (undescended testis) is a common anomaly with largely unexplained etiology. Animal studies have suggested maternal emotional stress as a potential risk factor, but this has not been studied in humans. We aimed to investigate whether maternal bereavement due to the death...... interval = 0.92-1.14]). Results were similar when the diagnosis was verified with surgery. We adjusted for maternal and paternal age, birth year, and family history of cryptorchidism. CONCLUSION: We observed no association between maternal bereavement before and during pregnancy and the occurrence...

  16. Water immersion in neonatal bereavement photography.

    Science.gov (United States)

    Duffey, Heather

    2014-01-01

    Water immersion in neonatal bereavement photography is a new technique intended to enhance the quality of the photographs provided to families following their loss. Water immersion appears to be most helpful following a second trimester fetal demise. This technique can be used by nurses, professional photographers and others in addition to more traditional neonatal bereavement photography. It does not require special skills or equipment and can be implemented in virtually any perinatal setting. The enhanced quality of photographs produced with this method can potentially provide a source of comfort to grieving families.

  17. Assumptive Worldviews and Problematic Reactions to Bereavement

    Science.gov (United States)

    Currier, Joseph M.; Holland, Jason M.; Neimeyer, Robert A.

    2009-01-01

    Forty-two individuals who had lost an immediate family member in the prior 2 years and 42 nonbereaved matched controls completed the World Assumptions Scale (Janoff-Bulman, 1989) and the Symptom Checklist-10-Revised (Rosen et al., 2000). Results showed that bereaved individuals were significantly more distressed than nonbereaved matched controls,…

  18. Bereavement in early life and later childhood overweight

    DEFF Research Database (Denmark)

    Li, Jiong; Olsen, Jørn; Vestergaard, Mogens;

    2012-01-01

    Objective: The rise in the occurrence of childhood obesity during the last decades in many populations indicates an important role of environmental exposures, which may operate very early in life. We aimed to examine the association between bereavement during the first 6 years of life, as a stress...... indicator, and subsequent risk of overweight in school-aged children. Methods: We followed 46,401 singletons born in Denmark who underwent annual health examinations at 7-13 years of age in school of Copenhagen. A total of 492 children experienced bereavement by death of a parent during the first 6 years...... of life. We compared BMI levels, changes in BMI, and the prevalence of overweight at 7-13 years of age between bereaved and non-bereaved children. Results: Between bereaved children and non-bereaved children, there were no differences in average BMI levels at any age or changes in BMI at 7-13 years of age...

  19. College Students' Grief and Coping Strategies in Bereavement and Separation

    OpenAIRE

    Nakajima, Naomi; Kodama, Kenichi

    2013-01-01

    The purposes of this study are to clarify the characteristics of college students' bereavement and separation and the relationship between coping strategies and grief reactions in bereavement and separation. 212 college students completed questionnaires. The results indicated that the majority of the respondents have experienced some bereavement or separation, in particular, separation from the lover. Multiple regression analyses showed that coping strategies such as "avoidance", "abandonment...

  20. Personality, negative social exchanges, and physical health among bereaved adults

    Directory of Open Access Journals (Sweden)

    Nicole M Silva

    2016-03-01

    Full Text Available While much research has investigated the association between personality and health, little research has done so using a bereaved sample. Additionally, little research has investigated how personality influences the frequency of negative social exchanges bereaved individuals receive. This study utilized a structural equation model to investigate the associations among age, gender, personality, negative social exchanges, length of bereavement, and self-reported physical health in a sample of bereaved adults. Results indicated that personality was associated with negative social exchanges and physical health. Therefore, these variables are important and should be studied further in this context.

  1. Oedipal determinants in differential outcome of bereavement.

    Science.gov (United States)

    Gill, H S

    1986-03-01

    According to psychoanalytic theory, a bereaved individual's prior relationship with the lost person affects his vulnerability to bereavement. Freud attributed the vulnerability to the intensity of ambivalence, and Fenichel saw Oedipal rivalry as one example of that ambivalence. It is argued that, after the death of a parent, reality testing, crucial to the resolution of the Oedipus complex, is disrupted differently for children of the same sex, from those of the opposite sex. Based on Freud's and Fenichel's clinical observations, the effects of disrupted reality testing were transformed into a testable hypothesis. The predictions were validated by testing them against the data supplied by patients before they had any professional contact, when two-thirds of bereaved psychotherapy patients exhibited different effects when the deceased parent was of the same sex, from when he/she was of the opposite sex. A majority of the same-sex children develop an unconscious sense of guilt, which blocks their expression of Oedipal attitudes towards both parents and which attacks their capacity to function adequately at work, and in their sex-linked roles; while the opposite-sex children maintain their preference for the dead parent, aversion to the alive one, and have idealized expectations of their lovers or spouses. PMID:3964582

  2. Continuing Bonds, Attachment Style, and Adjustment in the Conjugal Bereavement among Hong Kong Chinese

    Science.gov (United States)

    Ho, Samuel M. Y.; Chan, Ide S. F.; Ma, Ernie P. W.; Field, Nigel P.

    2013-01-01

    The present study examined the effects of attachment style and continuing bonds, defined as the extent to which a bereaved individual feels that the deceased remains a part of his/her life, on post bereavement adjustment among 71 conjugally bereaved individuals. It was shown that bereaved individuals with an anxious attachment style tended to show…

  3. Adapting the Transtheoretical Model of Change to the Bereavement Process

    Science.gov (United States)

    Calderwood, Kimberly A.

    2011-01-01

    Theorists currently believe that bereaved people undergo some transformation of self rather than returning to their original state. To advance our understanding of this process, this article presents an adaptation of Prochaska and DiClemente's transtheoretical model of change as it could be applied to the journey that bereaved individuals…

  4. A Psychometric Evaluation of the Core Bereavement Items

    Science.gov (United States)

    Holland, Jason M.; Nam, Ilsung; Neimeyer, Robert A.

    2013-01-01

    Despite being a routinely administered assessment of grieving, few studies have empirically examined the psychometric properties of the Core Bereavement Items (CBI). The present study investigated the factor structure, internal reliability, and concurrent validity of the CBI in a large, diverse sample of bereaved young adults (N = 1,366).…

  5. Grief, Depressive Symptoms, and Physical Health among Recently Bereaved Spouses

    Science.gov (United States)

    Utz, Rebecca L.; Caserta, Michael; Lund, Dale

    2012-01-01

    Purpose: Widowhood is among the most distressing of all life events, resulting in both mental and physical health declines. This paper explores the dynamic relationship between physical health and psychological well-being among recently bereaved spouses. Design and Methods: Using a sample of 328 bereaved persons who participated in the "Living…

  6. Bereavement and College Students: The Role of Counseling Psychology

    Science.gov (United States)

    Servaty-Seib, Heather L.; Taub, Deborah J.

    2010-01-01

    In this review article, the authors integrate the theoretical, empirical, and clinical literature relevant to the phenomenon of college student bereavement. They synthesize information on two theories of mourning that appear to fit well with the experience of bereaved college students with information about the developmental, cohort, and…

  7. Early Parental Adjustment and Bereavement after Childhood Cancer Death

    Science.gov (United States)

    Barrera, Maru; O'connor, Kathleen; D'Agostino, Norma Mammone; Spencer, Lynlee; Nicholas, David; Jovcevska, Vesna; Tallet, Susan; Schneiderman, Gerald

    2009-01-01

    This study comprehensively explored parental bereavement and adjustment at 6 months post-loss due to childhood cancer. Interviews were conducted with 18 mothers and 13 fathers. Interviews were transcribed verbatim and analyzed based on qualitative methodology. A model describing early parental bereavement and adaptation emerged with 3 domains:…

  8. Risk of childhood injuries after prenatal exposure to maternal bereavement

    DEFF Research Database (Denmark)

    Virk, Jasveer; Li, Jiong; Lauritsen, Jens;

    2013-01-01

    The aim of this study was to assess the risk of injuries among children exposed to a stressful life exposure (defined as bereavement) before conception or during fetal life.......The aim of this study was to assess the risk of injuries among children exposed to a stressful life exposure (defined as bereavement) before conception or during fetal life....

  9. Longitudinal Effects of Parental Bereavement on Adolescent Developmental Competence

    Science.gov (United States)

    Brent, David A.; Melhem, Nadine M.; Masten, Ann S.; Porta, Giovanna; Walker Payne, Monica

    2012-01-01

    The aim of this study is to assess the impact of sudden parental bereavement on subsequent attainment of developmental competencies. This longitudinal study reports on 126 youth bereaved by sudden parental death (suicide, accident, or natural death) and 116 demographically similar nonbereaved controls assessed at 9, 21, 33, and 62 months after…

  10. Attitudes to Bereavement and Intellectual Disabilities in an Irish Context

    Science.gov (United States)

    Dodd, Philip; McEvoy, John; Guerin, Suzanne; McGovern, Elizabeth; Smith, Elaine; Hillery, John

    2005-01-01

    Background: The influence of grief and bereavement on the lives of people with intellectual disabilities is currently receiving much interest. Many of the long-standing rituals associated with bereavement are still practised in Ireland, probably more than in many other Western countries. The present authors were interested in studying the…

  11. Caregiving and bereavement research : Bridges over the gap

    NARCIS (Netherlands)

    Stroebe, M.S.; Boerner, K.

    2015-01-01

    The authors reflect on the advancements in the integration of caregiving and bereavement research. They state that they observe increasing evidence of continuity in caregiving and bereavement investigation and integration. They find that the Caregiver Health Effects Study and Resources for Enhancing

  12. Religion and Spirituality in Adjustment Following Bereavement: An Integrative Review

    Science.gov (United States)

    Wortmann, Jennifer H.; Park, Crystal L.

    2008-01-01

    Surprisingly little research has examined the widely held assumption that religion and spirituality are generally helpful in adjusting to bereavement. A systematic literature search located 73 empirical articles that examined religion/spirituality in the context of bereavement. The authors describe the multidimensional nature of…

  13. Locus of Control and Helplessness: Gender Differences among Bereaved Parents

    Science.gov (United States)

    Rubinstein, Gidi

    2004-01-01

    This study investigated locus of control (LC) and hopelessness (H) among 25 pairs of bereaved parents, who lost their children in the Arab--Israeli conflict, and 25 pairs of demographically matched non-bereaved parents (mean age 53). Four of the 5 hypotheses were supported by results. LC was significantly more external and H was significantly…

  14. Effects of suicide bereavement on mental health and suicide risk

    DEFF Research Database (Denmark)

    Pitman, Alexandra; Osborn, David; King, Michael;

    2014-01-01

    Between 48 million and 500 million people are thought to experience suicide bereavement every year. Over the past decade, increased policy attention has been directed towards suicide bereavement, but with little evidence to describe the effect of exposure or to provide appropriate responses. We...... used a systematic approach to carry out a narrative review of studies of the effect of suicide bereavement on mortality, mental health, and social functioning, and compared them with effects from other bereavements. We found 57 studies that satisfied strict inclusion criteria. Results from...... these studies suggested that exposure to suicide of a close contact is associated with several negative health and social outcomes, depending on an individual's relationship to the deceased. These effects included an increased risk of suicide in partners bereaved by suicide, increased risk of required admission...

  15. Long-Term Effects of the Family Bereavement Program on Multiple Indicators of Grief in Parentally Bereaved Children and Adolescents

    Science.gov (United States)

    Sandler, Irwin N.; Ma, Yue; Tein, Jenn-Yun; Ayers, Tim S.; Wolchik, Sharlene; Kennedy, Cara; Millsap, Roger

    2010-01-01

    Objectives: This article reports on results from a randomized experimental trial of the effects of the Family Bereavement Program (FBP) on multiple measures of grief experienced by parentally bereaved children and adolescents over a 6-year period. Method: Participants were 244 youths (ages 8-16, mean age = 11.4 years) from 156 families that had…

  16. Bereavement and the Brain: Invitation to a Conversation Between Bereavement Researchers and Neuroscientists

    Science.gov (United States)

    O'Connor, Mary-Frances

    2005-01-01

    A recent development by neuroscience is neuroimaging, a method of looking into the "black box" of the brain while people are feeling, doing, and thinking in real time. The first fMRI study of bereavement has recently been published, and the present article summarizes it in non-specialist language, focusing on its theoretical and clinical…

  17. Losing a child: finding meaning in bereavement

    Directory of Open Access Journals (Sweden)

    Julia Bogensperger

    2014-03-01

    Full Text Available Background: Confronting the loss of a loved one leads us to the core questions of human existence. Bereaved parents have to deal with the rupture of a widely shared concept of what is perceived to be the natural course of life and are forced into meaning reconstruction. Objective: This study aims to expand upon existing work concerning specific themes of meaning reconstruction in a sample of bereaved parents. More specifically, the relationship between meaning reconstruction, complicated grief, and posttraumatic growth was analyzed, with special attention focused on traumatic and unexpected losses. Method: In a mixed methods approach, themes of meaning reconstruction (sense-making and benefit-finding were assessed in in-depth interviews with a total of 30 bereaved parents. Posttraumatic growth and complicated grief were assessed using standardized questionnaires, and qualitative and quantitative results were then merged using data transformation methods. Results: In total 42 themes of meaning reconstruction were abstracted from oral material. It was shown that sense-making themes ranged from causal explanations to complex philosophical beliefs about life and death. Benefit-finding themes contained thoughts about personal improvement as well as descriptions about social actions. Significant correlations were found between the extent of sense-making and posttraumatic growth scores (rs=0.54, rs=0.49; p<0.01, especially when the death was traumatic or unexpected (rs=0.67, rs=0.63; p<0.01. However, analysis revealed no significant correlation with complicated grief. Overall results corroborate meaning reconstruction themes and the importance of meaning reconstruction for posttraumatic growth.

  18. Rumination following bereavement : Assessment, working mechanisms and intervention

    OpenAIRE

    Eisma, M.C.

    2015-01-01

    We aimed to gain better understanding of rumination, a risk factor for poor bereavement outcome, so it can be targeted more effectively in therapeutic interventions. We defined grief-related rumination as thinking repetitively and recurrently about the causes and consequences of a loss and loss-related negative emotions. Although many researchers regarded rumination after bereavement as a maladaptive confrontation strategy, others have recently claimed that rumination could serve as cognitive...

  19. Spiritual Distress in Bereavement: Evolution of a Research Program

    OpenAIRE

    Laurie A. Burke; Neimeyer, Robert A., 1954-

    2014-01-01

    Many mourners turn to their spiritual beliefs and traditions when confronted by the death of a loved one. However, prior studies have either focused primarily on the benefits of faith following loss or studied spiritual struggle outside the context of bereavement. Moreover, scales to measure bereavement-related crises of faith and interventions specifically designed for spiritually inclined, distressed grievers are virtually non-existent. Our program of research, which to date has consisted o...

  20. War and bereavement: consequences for mental and physical distress.

    Directory of Open Access Journals (Sweden)

    Nexhmedin Morina

    Full Text Available BACKGROUND: Little is known about the long-term impact of the killing of a parent in childhood or adolescence during war on distress and disability in young adulthood. This study assessed current prevalence rates of mental disorders and levels of dysfunction among young adults who had lost their father due to war-related violence in childhood or adolescence. METHODS: 179 bereaved young adults and 175 non-bereaved young adults were interviewed a decade after experiencing the war in Kosovo. Prevalence rates of Major Depressive Episode (MDE, anxiety, and substance use disorders, and current suicide risk were assessed using the Mini-International Neuropsychiatric Interview. The syndrome of Prolonged Grief Disorder (PGD was assessed with the Prolonged Grief Disorder Interview (PG-13. Somatic symptoms were measured with the Patient Health Questionnaire. General health distress was assessed with the General Health Questionnaire. FINDINGS: Bereaved participants were significantly more likely to suffer from either MDE or any anxiety disorder than non-bereaved participants (58.7% vs. 40%. Among bereaved participants, 39.7% met criteria for Post-Traumatic Stress Disorder, 34.6% for PGD, and 22.3% for MDE. Bereaved participants with PGD were more likely to suffer from MDE, any anxiety disorder, or current suicide risk than bereaved participants without PGD. Furthermore, these participants reported significantly greater physical distress than bereaved participants without PGD. CONCLUSION: War-related loss during middle childhood and adolescence presents significant risk for adverse mental health and dysfunction in young adulthood in addition to exposure to other war-related traumatic events. Furthermore, the syndrome of PGD can help to identify those with the greatest degree of distress and dysfunction.

  1. A Longitudinal Study of PTSD in the Elderly Bereaved: Prevalence and Predictors

    DEFF Research Database (Denmark)

    O'Connor, Maja

    2010-01-01

    This study aimed to investigate the PTSD-frequency in elderly bereaved people across the first 18 months of bereavement. Additionally, risk factors for the prediction of bereavement outcome in relation to four domains of the bereavement process were investigated. Data was collected via self......-report questionnaires measuring traumatic stress (HTQ), coping style (CSQ), crisis support (CSS), and personality (e.g. NEO-FFI). Elderly bereaved people (N=296, Mean=73 years) participated at two, 6, 13, and 18 months post bereavement. The control group consisted of married elderly people who had experienced at least......, remains so over the first 18 months post bereavement, and underline the importance of further investigation of PTSD in the elderly bereaved....

  2. Investigation of Bereavement Period Effects after Loss of Parents on Children and Adolescents Losing Their Parents

    Science.gov (United States)

    Karakartal, Demet

    2012-01-01

    Important loss (death) in individuals' life may cause various kinds of bereavement reactions. Most of the individuals cope with bereavement effects in various ways and they adapt themselves to the new situation. On the other hand, some individuals may have problems in coping with and analyzing bereavement period effects caused by loss. Parent loss…

  3. Alcohol use in the first three years of bereavement: a national representative survey

    Directory of Open Access Journals (Sweden)

    Pilling János

    2012-01-01

    Full Text Available Abstract Background Earlier results concerning alcohol consumption of bereaved persons are contradictory. The aim of the present study was to analyze the relationship between bereavement and alcohol consumption accounting for time and gender differences on a nationally representative sample from Hungary ("Hungarostudy Epidemiological Panel Survey", N = 4457 Methods Drinking characteristics of mourning persons (alcohol consumption, dependence symptoms, and harmful consequences of alcohol use in the first three years of grief were examined among persons between 18-75 years using the Alcohol Use Disorders Identification Test (AUDIT. Results Men bereaved for one year scored higher on two dimensions of AUDIT (dependence symptoms and harmful alcohol use, while men bereaved for two years scored higher on all three dimensions of AUDIT compared to the non-bereaved. The rate of men clinically at-risk concerning alcohol consumption among the non-bereaved is 12.9%, and among men bereaved for one year is 18.4% (a non-significant difference, while 29.8% (p Conclusion Among bereaved men, the risk of alcohol related problems tends to be higher, which can be shown both among men bereaved for one year as well as men bereaved for two years. Considering the higher morbidity and mortality rates of bereaved men, alcohol consumption might play a mediator role. These facts draw attention to the importance of prevention, early recognition, and effective therapy of hazardous drinking in bereaved men.

  4. On-Line Support and Resources for People Bereaved through Suicide: What Is Available?

    Science.gov (United States)

    Krysinska, Karolina; Andriessen, Karl

    2010-01-01

    The Internet is a potentially valuable source of information for the bereaved, but the current knowledge regarding the type and quality of online material on suicide bereavement is very limited. This study was designed to explore the types of online information and support available for people bereaved by suicide and the quality of such resources.…

  5. Belief in Afterlife as a Buffer in Suicidal and Other Bereavement.

    Science.gov (United States)

    Smith, Peggy C.; And Others

    1992-01-01

    Examined belief in afterlife and bereavement recovery following death by suicide, homicide, accident, or natural causes. Bereaved persons (n=121) completed scales measuring belief in afterlife, impact of event, perceived recovery, spiritual well-being, emotional pain, and social support. Feeling of recovery following bereavement appeared enhanced…

  6. Parents' and children's perspectives of a children's hospice bereavement program.

    Science.gov (United States)

    Davies, Betty; Collins, John; Steele, Rose; Cook, Karen; Distler, Vivian; Brenner, Amy

    2007-01-01

    The provision of some form of bereavement services is an integral part of any pediatric hospice program. The Canuck Place hospice program has offered bereavement services since it began in 1995. A mixed-method evaluation of the impact of the Canuck Place program on the families it served during its first two-and-a-half years of operation was conducted. The bereavement services reviewed included follow-up care for families, and bereavement support groups for children and their parents. Eight children were interviewed in the initial phase, and nine completed a survey questionnaire; 28 parents rated their level of satisfaction with various aspects of their experience with the parent support group. Findings indicated that the follow-up component of the program was well-received by family members. When assessing their group experiences, children and parents most appreciated the support and understanding they received, the freedom to express themselves, a diminished sense of isolation, and the normalization of their emotions. Practical considerations when offering bereavement support groups are discussed in this paper.

  7. Caring for bereaved family caregivers: analyzing the context of care.

    Science.gov (United States)

    Holtslander, Lorraine F

    2008-06-01

    Deaths from cancer will continue to rise with an increasing and aging population. Family caregivers of patients with cancer will face loss, grief, and bereavement as a result. As mandated by cancer and palliative care clinical practice guidelines, support for family caregivers continues through the processes of grief and bereavement to facilitate a positive transition through loss. To provide evidence-based nursing with this population, an analysis of their context of care was undertaken. Key health policies, characteristics of the healthcare delivery system, and the results of research with bereaved palliative caregivers are described. A model of effectiveness, efficiency, and equity is used to examine the situation of bereaved caregivers and to suggest research questions to fill the gaps in what is known about their needs and experience. Bereaved caregivers are at high risk for many distressing symptoms, including depression and sleeplessness, related to a range of complex variables, such as age, gender, social support, resources, and their experiences during caregiving. Current systems of support have not been adequate to meet the needs of this population and very little is known about the caregivers' quality of life, well-being, and health outcomes or how best to provide compassionate and effective nursing care.

  8. Do anticipatory grief and preparedness affect distress in bereaved caregivers?

    DEFF Research Database (Denmark)

    Nielsen, Mette Kjærgaard

    Objective Family caregivers of terminally ill patients are in a vulnerable position, and previous studies show that bereaved caregivers are at risk of psychological distress. Pre-loss grief symptoms seem to predict post-loss psychological distress, while preparedness for a looming loss tends...... to decrease distress. The aim of this nation-wide study was to investigate the association of both anticipatory grief symptoms and preparedness with psychological distress in bereaved family caregivers. Methods A list of all adult patients in Denmark receiving drug reimbursement for terminal illness...... was retrieved from the Danish Health and Medicines Authority on a weekly basis during 2012. All newly registered patients were requested by letter to pass on an enclosed baseline questionnaire to their closest relative. Responding caregivers bereaved within six months received a follow-up questionnaire six...

  9. Figures of grief: metaphors from a bereavement writing group.

    Science.gov (United States)

    Young, Elizabeth

    In a community-based bereavement writing group, patterns of metaphor emerged and helped the group members identify and deal with particularly challenging aspects of death and grief, including taboo subjects such as abuse and suicide. The metaphors show how a bereavement writing group functioned to address the needs of people coping with different kinds of grief effectively and efficiently. Analysis of the specific metaphors suggests why figurative language enabled the group to bond quickly and strongly, delve into the complex emotions death elicits, and integrate experiences of loss and grief safely and productively. The patterns of metaphors the group produced in their writing about death and grief are discussed in terms of bereavement processes, and the topics the group used to elicit the figures of speech are presented for further refinement and use.

  10. The future of bereavement care in British general practice.

    Science.gov (United States)

    Woof, W R

    1997-06-01

    This paper discusses the future of bereavement care in British general practice by providing an insight into existing practice and then speculating on influences that may shape developments. There have been calls for the specialty to build on this traditional role and expand its bereavement service. Specific suggestions for the content of such a service are summarised. This emphasis reflects the increasing awareness in bereavement by other health organisations. This image of an expanding service needs to be contextualised within a primary care system that is feeling more pressurised due to increasing workload. This will continue to inhibit extensive service development. In addition it is important for the profession to consider the appropriateness of this activity. This complex debate has received little attention and research is required to inform and provide the necessary direction. PMID:9233164

  11. The case for a sociology of dying, death, and bereavement.

    Science.gov (United States)

    Thompson, Neil; Allan, June; Carverhill, Philip A; Cox, Gerry R; Davies, Betty; Doka, Kenneth; Granek, Leeat; Harris, Darcy; Ho, Andy; Klass, Dennis; Small, Neil; Wittkowski, Joachim

    2016-01-01

    Dying, death, and bereavement do not occur in a social vacuum. How individuals and groups experience these phenomena will be largely influenced by the social context in which they occur. To develop an adequate understanding of dying, death, and bereavement we therefore need to incorporate a sociological perspective into our analysis. This article examines why a sociological perspective is necessary and explores various ways in which sociology can be of practical value in both intellectual and professional contexts. A case study comparing psychological and sociological perspectives is offered by way of illustration.

  12. Personal Fear of Death and Grief in Bereaved Mothers

    Science.gov (United States)

    Barr, Peter; Cacciatore, Joanne

    2008-01-01

    The study explored the relation of fear of death (Multidimensional Fear of Death Scale) to maternal grief (Perinatal Grief Scale-33) following miscarriage, stillbirth, neonatal death, or infant/child death. The 400 women participants were recruited from the website, e-mail lists, and parent groups of an organization that supports bereaved parents.…

  13. Solace and Immortality: Bereaved Parents' Continuing Bond with Their Children.

    Science.gov (United States)

    Klass, Dennis

    1993-01-01

    Considers death of child and bereaved parents. Examines nature of solace, reviews literature on inner representation of the dead, examines ways parents find solace connected with interaction with inner representation, explores shared inner representation as significant element in social support, discusses solace in terms of psychosocial meaning of…

  14. Rumination following bereavement : Assessment, working mechanisms and intervention

    NARCIS (Netherlands)

    Eisma, M.C.

    2015-01-01

    We aimed to gain better understanding of rumination, a risk factor for poor bereavement outcome, so it can be targeted more effectively in therapeutic interventions. We defined grief-related rumination as thinking repetitively and recurrently about the causes and consequences of a loss and loss-rela

  15. Television Reporting of the Bereaved: A General Semantics Approach.

    Science.gov (United States)

    Hebert, Patrick J.

    Knowledge and application of basic general semantics principles when interviewing the bereaved can heighten social sensitivity, reduce misinterpretations, and minimize misevaluations. General semantics is concerned with the need to make transformations between sensory input and language output more isomorphic. It is an attempt to produce the best…

  16. The Religious Life during Suicide Bereavement: A Description

    Science.gov (United States)

    Vandecreek, Larry; Mottram, Kenneth

    2009-01-01

    This exploratory study gathered narratives from 10 female suicide survivors, exploring 3 dimensions of their religious life during bereavement: (a) the function of the survivor's personal religion, (b) the function of religious support from family and friends, and (c) the function of established religious communities. Ten themes emerged from the…

  17. "DSM-5" and Bereavement: The Loss of Normal Grief?

    Science.gov (United States)

    Fox, Jesse; Jones, K. Dayle

    2013-01-01

    The mood disorder work group has proposed to eliminate the bereavement exclusion criterion from the diagnosis of major depression in the 5th edition of the American Psychiatric Association's (2012) "Diagnostic and Statistical Manual of Mental Disorders." The proposal would break tradition with the long-held distinction between…

  18. Developing and Implementing a Bereavement Support Program for College Students

    Science.gov (United States)

    Battle, Cynthia L.; Greer, Joseph A.; Ortiz-Hernandez, Samia; Todd, David M.

    2013-01-01

    The death of a loved one can be particularly difficult for college students, as significant losses are not anticipated during this time. Bereavement experiences are, however, not uncommon among college students, and campus environments can be isolating and nonconducive to recovery. To date, few interventions have been developed to meet bereaved…

  19. ATTEND: Toward a Mindfulness-Based Bereavement Care Model

    Science.gov (United States)

    Cacciatore, Joanne; Flint, Melissa

    2012-01-01

    Few, if any, mindfulness-based bereavement care models exist. The ATTEND (attunement, trust, touch, egalitarianism, nuance, and death education) model is an interdisciplinary paradigm for providers, including physicians, social workers, therapists, nursing staff, and others. Using a case example to enhance the breadth and depth of understanding,…

  20. Feasibility of a Multimedia Program for Parentally Bereaved Children

    Science.gov (United States)

    Ortiz, Claudio D.; Cozza, Stephen J.; Fullerton, Carol S.; Ursano, Robert J.

    2013-01-01

    Background: Self-directed multimedia resources that provide psycho-educational information to selected populations have been supported in child health related areas including parenting skills in adults and literacy in children. Comparable programs for use with bereaved children and families have not been adequately developed or empirically…

  1. Childhood Bereavement: Psychopathology in the 2 Years Postparental Death

    Science.gov (United States)

    Cerel, Julie; Fristad, Mary A.; Verducci, Joseph; Weller, Ronald A.; Weller, Elizabeth B.

    2006-01-01

    Objective: Although the death of a parent is one of the most significant stressors a child can experience, the psychiatric sequelae of parental death are not fully understood. Method: A total of 360 parent-bereaved children (ages 6-17) and their surviving parents were directly interviewed four times during the first 2 years following the death (at…

  2. Understanding Bereavement in a Christian University: A Qualitative Exploration

    Science.gov (United States)

    Walker, Andrea C.; Gewecke, Rachelle; Cupit, Illene N.; Fox, Jeffrey T.

    2014-01-01

    This phenomenological study, based on ecological systems theory, examined the college student bereavement experience in a Christian university. Undergraduate students (N = 127) from a small Christian university provided answers to open-ended questions about their experiences regarding college following a death loss. Results indicate that students…

  3. Continuing bonds in adaptation to bereavement : Toward theoretical integration

    NARCIS (Netherlands)

    Stroebe, Margaret; Schut, Henk; Boerner, Kathrin

    2010-01-01

    There is lack of clarity in the scientific literature concerning the adaptive functions of continuing versus relinquishing bonds to deceased persons. It remains unclear what type of bonds or underlying processes are related to (mal)adaptive bereavement outcomes. Furthermore, empirical research has r

  4. Sorrow and Solace: Neglected Areas in Bereavement Research

    Science.gov (United States)

    Klass, Dennis

    2013-01-01

    The author argues that in its focus on finding positive outcomes, bereavement research has neglected or denigrated central phenomena in intense and long-term grief: sorrow and solace. Sorrow has two elements: yearning for the dead person and grief's depression. Consolation comes into sorrow in human relationships and from inner resources. The…

  5. Hardiness and Grief in a Sample of Bereaved College Students

    Science.gov (United States)

    Mathews, Laura L.; Servaty-Seib, Heather L.

    2007-01-01

    The relationship between hardiness and both grief symptoms and personal growth were investigated in a sample of bereaved college students. Hardiness was inversely associated with grief symptoms and offered prediction of grief misery above and beyond that provided by more commonly investigated individual and death-related variables. Hardiness was…

  6. Psychological adjustment among bereaved parents: individual and interpersonal predictors

    NARCIS (Netherlands)

    Wijngaards-de Meij, L.D.N.V.

    2007-01-01

    Bereaved parents are a highly vulnerable group. Nevertheless, considerable individual differences exist between parents who have lost their child. The aim of this thesis was to identify factors that can predict which parents will be at particularly elevated risk for problematic adjustment after the

  7. Bereavement: Applying Erikson's Theory of Psychosocial Development to College Students.

    Science.gov (United States)

    Floerchinger, Debra S.

    One of the developmental challenges that a college student may have to face is the death of a significant other, friend, spouse, relative, child, or parent. This article reviews the literature on the potential effects of bereavement on a college student with respect to Erik Erikson's stage six of psychosocial development (intimacy versus…

  8. Posttraumatic stress disorder among bereaved relatives of cancer patients

    DEFF Research Database (Denmark)

    Elklit, A.; Reinholt, Nina; Nielsen, Louise Hjort;

    2010-01-01

    The aim of this study was to assess post-traumatic stress disorder (PTSD) and predictors of PTSD in individuals who experienced the loss of a close relative to cancer. A total of 251 bereaved relatives ages 14 to 76 (M = 41.3, SD = 16.8) were recruited at a counseling service for cancer patients...

  9. Music Therapy with Bereaved Youth: Expressing Grief and Feeling Better

    Science.gov (United States)

    McFerran, Katrina

    2011-01-01

    Music therapy is a promising intervention with bereaved youth. In comparison to other programs, it appears particularly effective for promoting the resolution of grief-related feelings; providing opportunities to express and release feelings through musical participation. Descriptions from music therapy participants are supported by research…

  10. Music Therapy with Bereaved Teenagers: A Mixed Methods Perspective

    Science.gov (United States)

    McFerran, Katrina; Roberts, Melina; O'Grady, Lucy

    2010-01-01

    Qualitative investigations have indicated that music therapy groups may be beneficial for bereaved teenagers. The existing relationship between young people and music serves as a platform for connectedness and emotional expression that is utilised within a therapeutic, support group format. This investigation confirms this suggestion through…

  11. The Grief Grapevine: Facebook Memorial Pages and Adolescent Bereavement

    Science.gov (United States)

    Frost, Mardi

    2014-01-01

    How adolescents use the social networking site Facebook to express grief is a growing area of research. In reviewing current literature, it is evident that many questions still remain unanswered. Additionally, this ever-evolving platform for grief, mourning and bereavement may hold many implications for educators, policy developers and school…

  12. Resilience in parentally bereaved children and adolescents seeking preventive services.

    Science.gov (United States)

    Lin, Kirk K; Sandler, Irwin N; Ayers, Tim S; Wolchik, Sharlene A; Luecken, Linda J

    2004-12-01

    This study examined environmental stress, family, and child variables that differentiate resilient children and adolescents from those with mental health problems following the death of a primary caregiver. The community-based sample included 179 bereaved children ages 8 to 16 years and their surviving caregivers who completed a test battery of measures before participating in a prevention program. Forty-four percent of bereaved children were classified as resilient and 56% as affected based on the absence of clinically significant mental health problems on at least 1 measure as reported by either the child, surviving caregiver, or teacher on standardized measures of mental health problems. Results of multivariate analyses indicated that bereaved resilient versus affected status was a function of both family and child variables. Higher levels of caregiver warmth and discipline and lower levels of caregiver mental health problems were family-level variables that significantly differentiated resilient children from affected children. Bereaved children's perceptions of less threat in response to negative events and greater personal efficacy in coping with stress were child-level variables that differentiated resilient from affected status. Family and child variables were entered into a discriminant function analysis that correctly classified 72% of the sample. The findings are consistent with a model of resilience in which multilevel variables account for children's positive adaptation following exposure to adversity. PMID:15498735

  13. Spiritual Distress in Bereavement: Evolution of a Research Program

    Directory of Open Access Journals (Sweden)

    Laurie A. Burke

    2014-11-01

    Full Text Available Many mourners turn to their spiritual beliefs and traditions when confronted by the death of a loved one. However, prior studies have either focused primarily on the benefits of faith following loss or studied spiritual struggle outside the context of bereavement. Moreover, scales to measure bereavement-related crises of faith and interventions specifically designed for spiritually inclined, distressed grievers are virtually non-existent. Our program of research, which to date has consisted of working with Christian grievers and is outlined below, elucidates complicated spiritual grief (CSG—a spiritual crisis following the loss of a loved one. For example, our longitudinal examination of 46 African American homicide survivors established the relation between positive religious coping, CSG, and complicated grief (CG, to clarify whether religious coping more strongly predicted bereavement distress or vice versa, with a follow-up study that determined the relation between religious coping and posttraumatic stress disorder (PTSD and depression. We replicated and expanded these findings with a diverse sample of 150 grievers to explore the complex relation between CSG, CG, and meaning making in a comparison study of mourners who had experienced traumatic-versus natural death losses. In a companion study, we qualitatively analyzed 84 grievers’ narratives and interviewed a 5-member focus group to capture and learn from their firsthand experiences of spiritual distress. To close the gap in terms of CSG assessment, we also developed and validated the Inventory of Complicated Spiritual Grief (ICSG. Currently, our ongoing CSG investigation extends in several directions: first, to a sample of family members anticipating the loss of their hospice-eligible loved one in palliative care; and, second, to the development and testing of a writing-intensive intervention for newly bereaved, spiritually inclined grievers.

  14. Adult attachment styles and the psychological response to infant bereavement

    OpenAIRE

    Shevlin, Mark; Boyda, David; Elklit, Ask; Murphy, Siobhan

    2014-01-01

    Background: Based on Bowlby’s attachment theory, Bartholomew proposed a four-category attachment typology by which individuals judged themselves and adult relationships. This explanatory model has since been used to help explain the risk of psychiatric comorbidity.Objective: The current study aimed to identify attachment typologies based on Bartholomew’s attachment styles in a sample of bereaved parents on dimensions of closeness/dependency and anxiety. In addition, it sought to assess the re...

  15. Combining regional expertise to form a bereavement support alliance.

    Science.gov (United States)

    Friedrichs, Judy B; Kobler, Kathie; Roose, Rosmarie E; Meyer, Charlotte; Schmitz, Nancy; Kavanaugh, Karen

    2014-01-01

    Providing compassionate bereavement care for families experiencing perinatal loss is a standard of care in most healthcare organizations. In this article, we describe the development of The Alliance of Perinatal Bereavement Support Facilitators, begun over 25 years ago in Chicago by staff who identified the need to reach out to colleagues at other area institutions for advice and support in this work. This collaboration created a regional support network that has resulted in a long-lasting, active, sustainable organization of excellence focused on enhancing practice, education, and perinatal bereavement care. Alliance activities center around four main areas: education, networking/support, policy, and recognizing outstanding service to families. By continuing to draw upon the collective talent, wisdom, and expertise of its members, The Alliance still serves grieving families and provides mentoring for future interdisciplinary team members engaged in this work. The path taken to build this organization can be used by professionals in other specialties who are looking to create their own alliance infrastructure based on mutual benefit and interest.

  16. Cultural influences on parental bereavement in Chinese families.

    Science.gov (United States)

    Ho, Sio-Wa; Brotherson, Sean E

    2007-01-01

    The purpose of this study was to explore the bereavement experiences of parents who had experienced the death of a child in Chinese families. In-depth interviews were conducted with 10 bereaved parents in Macau, China. Narrative accounts of Chinese parents' experience in the loss of a child were explored to understand how their connection to the deceased child and their worldview were influenced by cultural beliefs and values. Study themes related to parental connections with the deceased child included the use of object linking, memorializing acts, and avoidance of traditional funeral processes, with clear patterns of Chinese cultural influence. Additionally, themes related to impacts on parental worldview included use of the concept of fate as a rationale for child loss and influences on religious orientation. The influence of cultural beliefs and background on Chinese parents as they deal with the issue of a child's death was apparent. Further research is needed and will benefit our understanding of parental bereavement in Chinese families.

  17. Mediating processes in bereavement : the role of rumination, threatening grief interpretations, and deliberate grief avoidance

    NARCIS (Netherlands)

    van der Houwen, Karolijne; Stroebe, Margaret; Schut, Henk; Stroebe, Wolfgang; van den Bout, Jan

    2010-01-01

    Limited research so far has examined coping processes that mediate between risk factors and bereavement outcome. Knowledge of these pathways is important, since it helps establish why some bereaved persons are more vulnerable than others and suggests possibilities for intervention. In this internati

  18. The prediction of bereavement outcome : development of an integrative risk factor framework

    NARCIS (Netherlands)

    Stroebe, Margaret Susan; Folkman, Susan; Hansson, Robert O; Schut, Henk

    2006-01-01

    We propose an integrative risk factor framework to enhance understanding of individual differences in adjustment to bereavement and to encourage more systematic analysis of factors contributing to bereavement outcome (e.g., examination of interactions between variables and establishing pathways in t

  19. Recovery in Context: Bereavement, Culture, and the Transformation of the Therapeutic Self

    Science.gov (United States)

    Paletti, Robin

    2008-01-01

    The concept of recovery is integral to the work of bereavement professionals, though there remains considerable debate as to the precise definition and applicability of the term. A number of factors have contributed to the controversy; competing bereavement models, for instance, have given rise to fundamental differences in the way that recovery…

  20. The Role of Peer Relationships in Parental Bereavement during Childhood and Adolescence

    Science.gov (United States)

    Dopp, Alex Richard; Cain, Albert Clifford

    2012-01-01

    This article reviews current knowledge concerning the relationship between peer support and adjustment outcomes and experiences for parentally bereaved children. A brief overview of the effects of parental bereavement and factors influencing immediate and long-term adjustment is provided, followed by an overview of peer-provided social support and…

  1. The Role of Grief, Anxiety, and Depressive Symptoms in the Use of Bereavement Services

    Science.gov (United States)

    Bergman, Elizabeth J.; Haley, William E.; Small, Brent J.

    2010-01-01

    This study examined the role of psychological distress in the use of bereavement services at six months post-loss by 250 bereaved spouses in the Changing Lives of Older Couples study. Approximately 52% (129) used services, commonly provided by physicians and clergy. Hierarchical logistic regression analyses indicated that Black race, higher…

  2. The Emotional and Economic Costs of Bereavement in Health Care Settings

    Directory of Open Access Journals (Sweden)

    Janice L Genevro

    2010-09-01

    Full Text Available Research to date on grief and bereavement in health care providers has focused on those experiences from the perspective of the individual. We propose, however, that the emotional costs of bereavement in the health care setting are also health care systems issues. This paper focuses on the emotional costs of grief and bereavement in health care providers, and on the economic costs of bereavement and bereavement care in health care settings. Evidence regarding the costs and cost-effectiveness of bereavement interventions is limited. We summarise existing relevant research and offer an overview of the types of costs and cost information that would optimally be collected in research on bereavement in health care settings. We also propose an analytic framework that could be used to systematically consider the larger picture of bereavement in health care settings, how available evidence fits into this picture, and what evidence is needed to improve care. This approach is derived from health services research. It is hoped that the proposed framework will prove useful in stimulating new research questions, and in guiding research that not only advance

  3. Setting up and Running a Loss and Bereavement Support Group for Adults with Learning Disabilities

    Science.gov (United States)

    Boyden, Paul; Freeman, Adele; Offen, Liz

    2010-01-01

    Following evidence based literature, the Birmingham Clinical Psychology Service for People with Learning Disabilities ran a Loss and Bereavement Psychotherapy Group. The group consisted of five adults with mild learning disabilities, who met for 8 consecutive weeks. This paper reports the process of setting up a bereavement group for people with…

  4. The Essence of Peer Bereavement for American Youth of Color: A Phenomenological Exploration

    Science.gov (United States)

    Wheat, Laura S.

    2011-01-01

    At any given point in time, significant numbers of teenagers are impacted by the death of someone their age. Peer bereavement in middle adolescence coincides with a period when adolescents are primarily concerned with peer relationships and struggling to construct a stable identity for themselves. Peer bereavement interferes with these…

  5. Resilience Rather than Recovery: A Contextual Framework on Adaptation Following Bereavement

    Science.gov (United States)

    Sandler, Irwin N.; Wolchik, Sharlene A.; Ayers, Tim S.

    2008-01-01

    Using a contextual resilience framework, the authors examine the processes whereby bereaved persons change over time. Rather than the concept recovery, the authors propose that the concept adaptation best captures the process of change following bereavement and that the desired outcome of such adaptation is denoted by the term resilience.…

  6. Implications of Parental Suicide and Violent Death for Promotion of Resilience of Parentally-Bereaved Children

    Science.gov (United States)

    Brown, Ana C.; Sandler, Irwin N.; Tein, Jenn-Yun; Liu, Xianchen; Haine, Rachel A.

    2007-01-01

    This article considers the implications of suicide and violent deaths (including suicide, homicide, and accidents) for the development of interventions for parentally bereaved children. Analyses of data from the Family Bereavement Program find minimal differences in children's mental health problems, grief or risk and protective factors based on…

  7. The efficacy of a brief internet-based self-help intervention for the bereaved

    NARCIS (Netherlands)

    van der Houwen, Karolijne; Schut, Henk; van den Bout, Jan; Stroebe, Margaret; Stroebe, Wolfgang

    2010-01-01

    Research so far has shown little evidence that written disclosure facilitates recovery from bereavement. There are good reasons to assume that written disclosure may only benefit those bereaved who are at risk for developing problems or who are experiencing significant psychological problems as a re

  8. Posttraumatic Symptoms in Japanese Bereaved Family Members with Special Regard to Suicide and Homicide Cases

    Science.gov (United States)

    Ogata, Kohske; Ishikawa, Takaki; Michiue, Tomomi; Nishi, Yuko; Maeda, Hitoshi

    2011-01-01

    The authors investigated posttraumatic stress disorder (PTSD) symptoms in Japanese bereaved family members using a questionnaire. Participants were bereaved as a result of suicide and homicide (n = 51 and 49, respectively), with natural death (n = 56) as a control; and their relationships to the deceased were parent-child (n = 79), conjugal (n =…

  9. Initiation of psychotropic medication after partner bereavement: a matched cohort study.

    Directory of Open Access Journals (Sweden)

    Sunil M Shah

    Full Text Available BACKGROUND: Recent changes to diagnostic criteria for depression in DSM-5 remove the bereavement exclusion, allowing earlier diagnosis following bereavement. Evaluation of the potential effect of this change requires an understanding of existing psychotropic medication prescribing by non-specialists after bereavement. AIMS: To describe initiation of psychotropic medication in the first year after partner bereavement. METHODS: In a UK primary care database, we identified 21,122 individuals aged 60 and over with partner bereavement and no psychotropic drug use in the previous year. Prescribing (anxiolytic/hypnotic, antidepressant, antipsychotic after bereavement was compared to age, sex and practice matched controls. RESULTS: The risks of receiving a new psychotropic prescription within two and twelve months of bereavement were 9.5% (95% CI 9.1 to 9.9% and 17.9% (17.3 to 18.4% respectively; an excess risk of initiation in the first year of 12.4% compared to non-bereaved controls. Anxiolytic/hypnotic and antidepressant initiation rates were highest in the first two months. In this period, the hazard ratio for initiation of anxiolytics/hypnotics was 16.7 (95% CI 14.7 to 18.9 and for antidepressants was 5.6 (4.7 to 6.7 compared to non-bereaved controls. 13.3% of those started on anxiolytics/hypnotics within two months continued to receive this drug class at one year. The marked variation in background family practice prescribing of anxiolytics/hypnotics was the strongest determinant of their initiation in the first two months after bereavement. CONCLUSION: Almost one in five older people received a new psychotropic drug prescription in the year after bereavement. The early increase and trend in antidepressant use after bereavement suggests some clinicians did not adhere to the bereavement exclusion, with implications for its recent removal in DSM-5. Family practice variation in use of anxiolytics/hypnotics suggests uncertainty over their role in

  10. Bereavement, gender, and cyberspace: a content analysis of parents' memorials to their children.

    Science.gov (United States)

    Musambira, George W; Hastings, Sally O; Hoover, Judith D

    The study investigated how two distinct perspectives apply to the role of gender in parents' memorials on The Compassionate Friends (TCF) electronic bulletin board; cyberspace as merely a mirror of societal gendered patterns of bereavement, and cyberspace as a medium or context in which societal gendered patterns of bereavement are neutralized. Data were evaluated to determine to what extent gender differences exist concerning instrumental versus intuitive styles of bereavement. Analytic categories used in assessing gender differences in parental bereavement style included the following: invoking spirituality, directing messages to the deceased, artistic expressions, and special powers accorded to the deceased. With some exceptions, the findings supported the perspective emphasizing the gender neutralizing aspects of cyberspace parental bereavement for the population studied. PMID:18186423

  11. Bereavement Follow-Up After the Death of a Child as a Standard of Care in Pediatric Oncology.

    Science.gov (United States)

    Lichtenthal, Wendy G; Sweeney, Corinne R; Roberts, Kailey E; Corner, Geoffrey W; Donovan, Leigh A; Prigerson, Holly G; Wiener, Lori

    2015-12-01

    After a child's death to cancer, families commonly want continued connection with the healthcare team that cared for their child, yet bereavement follow-up is often sporadic. A comprehensive literature search found that many bereaved parents experience poor psychological outcomes during bereavement and that parents want follow-up and benefit from continued connection with their child's healthcare providers. Evidence suggests that the standard of care should consist of at least one meaningful contact between the healthcare team and bereaved parents to identify those at risk for negative psychosocial sequelae and to provide resources for bereavement support.

  12. Posttraumatic Stress Disorder After Bereavement: Early Psychological Sequelae of Losing a Close Relative Due to Terminal Cancer

    DEFF Research Database (Denmark)

    Kristensen, T. E.; Elklit, A.; Karstoft, K. I.

    2012-01-01

    Very few studies have investigated posttraumatic stress disorder (PTSD) as a consequence of bereavement from terminal illness. Therefore, knowledge on the traumatizing effects of bereavement and risk factors for traumatization from bereavement is rather sparse. This study investigated prevalence...... clinical PTSD and an additional 26.2% reached a subclinical PTSD level. Negative affectivity, social support, and locus of control in relation to the loss predicted 57% of the variance in PTSD severity. A focus on these risk factors in early assessment after bereavement will help identify subjects at risk...... for developing PTSD as a result of bereavement....

  13. Factors Related to Complicated Grief among Bereaved Individuals after the Wenchuan Earthquake in China

    Institute of Scientific and Technical Information of China (English)

    Xiao-Lin Hu; Xiao-Lin Li; Xin-Man Dou; Rong Li

    2015-01-01

    Background:The Wenchuan earthquake in China caused shock and grief worldwide.Sudden bereavement caused by the earthquake led to physical disorders as well as psychological disturbances in the bereaved individuals.The bereaved had a high risk for complicated grief (CG),which may have led to significant distress and impairment in their health.However,there was few available studies on CG among disaster-bereaved individuals in China after the disaster.The aim of this study was to identify factors (demographic characteristics and disaster-related variables) associated with symptoms of CG among the bereaved 18 months after the Wenchuan earthquake.Methods:This study was conducted with a cross-sectional design and a convenience sample of 27 1 bereaved individuals from three of the hardest hit areas.Data were collected by questionnaires and the instruments used in the study were:General questionnaire and Inventory ofCG (ICG).Multivariate linear regression analysis was used to identify factors associated with symptoms of CG.Results:The mean score on ICG was 52.77 (standard deviation:10.00).Being female and loss of a child were related to higher level of CG while having another child after the disaster and receiving psychological counseling experience were associated with lower level of CG.Forty-nine percent of the variance of CG was explained by these identified factors.Conclusions:Eighteen months after the Wenchuan earthquake,the symptoms of CG among the bereaved were higher than the previous studies with bereaved individuals.This study uncovers a vulnerable population of the bereaved at high risk for CG.Early assessments,targeted interventions,and policy support tailored for the disaster-bereaved individuals are necessary to identify and alleviate symptoms of CG and to improve their well-being.

  14. A missional perspective on funerals and bereavement counselling

    Directory of Open Access Journals (Sweden)

    Peter Kotze

    2015-03-01

    Full Text Available This article deals with the importance of a missional approach to the funeral and bereavement counselling process in congregational praxis in the midst of a context of secularisation. The creation of a missional perspective on the funeral and bereavement counselling could support the nature and praxis of a congregation in a secular society, especially if the congregation finds its relevance in the expression of the missio Dei. The basic theoretical research for missional ecclesiology, which is the systematic study directed toward greater knowledge of the fundamental aspects of missional ecclesiology (National Science Foundation 1953:38, is based on the premise that God is the source of all missions. The expression missio Dei means to join God in the mission he is already busy with in the world. As the one who sends, God the Father sends the Son, the Son sends the Holy Spirit, and the Holy Spirit sends the church. The church only participates in the mission God is already busy with. It is a mission that uses both words and deeds and brings hope in the midst of tragedy. It is the hope of the kingdom of God and the incarnation of Christ that can already be experienced and expressed in the present. It is also the hope of the transformation of everything to form a new heaven and earth. Hope and mission can therefore not be separated. The concretisation of the expression of the kingdom of Christ in the world is hope, and a strong emphasis is therefore placed on mission as action in hope. Hope must be present where tragedy reigns, and the funeral and bereavement counselling can be used as a vehicle for this hope. Hope can then become an instrument of healing. The church can thus participate in God’s mission in the midst of tragedy and make an impact on society by taking on a missional character of hope.

  15. The impact of dreams of the deceased on bereavement: a survey of hospice caregivers.

    Science.gov (United States)

    Wright, Scott T; Kerr, Christopher W; Doroszczuk, Nicole M; Kuszczak, Sarah M; Hang, Pei C; Luczkiewicz, Debra L

    2014-03-01

    Many recently bereaved persons experience vivid and deeply meaningful dreams featuring the presence of the deceased that may reflect and impact the process of mourning. The present study surveyed 278 bereaved persons regarding their own perspective of the relationship between dreams and the mourning process. Fifty eight percent of respondents reported dreams of their deceased loved ones, with varying levels of frequency. Most participants reported that their dreams were either pleasant or both pleasant and disturbing, and few reported purely disturbing dreams. Prevalent dream themes included pleasant past memories or experiences, the deceased free of illness, memories of the deceased's illness or time of death, the deceased in the afterlife appearing comfortable and at peace, and the deceased communicating a message. These themes overlap significantly with previous models of bereavement dream content. Sixty percent of participants felt that their dreams impacted their bereavement process. Specific effects of the dreams on bereavement processes included increased acceptance of the loved one's death, comfort, spirituality, sadness, and quality of life, among others. These results support the theory that dreams of the deceased are highly prevalent among and often deeply meaningful for the bereaved. While many counselors are uncomfortable working with dreams in psychotherapy, the present study demonstrates their therapeutic relevance to the bereaved population and emphasizes the importance for grief counselors to increase their awareness, knowledge, and skills with regards to working with dreams.

  16. A new model of Social Support in Bereavement (SSB): An empirical investigation with a Chinese sample.

    Science.gov (United States)

    Li, Jie; Chen, Sheying

    2016-01-01

    Bereavement can be an extremely stressful experience while the protective effect of social support is expected to facilitate the adjustment after loss. The ingredients or elements of social support as illustrated by a new model of Social Support in Bereavement (SSB), however, requires empirical evidence. Who might be the most effective providers of social support in bereavement has also been understudied, particularly within specific cultural contexts. The present study uses both qualitative and quantitative analyses to explore these two important issues among bereaved Chinese families and individuals. The results show that three major types of social support described by the SSB model were frequently acknowledged by the participants in this study. Aside from relevant books, family and friends were the primary sources of social support who in turn received support from their workplaces. Helping professionals turned out to be the least significant source of social support in the Chinese cultural context. Differences by gender, age, and bereavement time were also found. The findings render empirical evidence to the conceptual model of Social Support in Bereavement and also offer culturally relevant guidance for providing effective support to the bereaved. PMID:26678537

  17. A nationwide study on the risk of autism after prenatal stress exposure to maternal bereavement

    DEFF Research Database (Denmark)

    Li, Jiong; Vestergaard, Mogens; Obel, Carsten;

    2009-01-01

    OBJECTIVE: Prenatal stress has been linked to several adverse neurobehavioral outcomes, which may share a common pathophysiology with autism. We aimed to examine whether prenatal stress exposure after maternal bereavement is associated with an increased risk of autism later in life. METHODS: We...... compared with those in the unexposed group. RESULTS: Maternal bereavement during the prenatal period was not associated with an increased risk of autism in the offspring. The hazard ratios did not differ by the nature of the exposure (maternal relationship to the deceased or cause of death). The hazard...... in childhood. Our data do not support any strong association between prenatal stress after maternal bereavement and the risk of autism....

  18. The role of religious affiliation in Christian and unaffiliated bereaved emerging adults' use of religious coping.

    Science.gov (United States)

    Collison, Elizabeth A; Gramling, Sandra E; Lord, Benjamin D

    2016-01-01

    Though research on bereavement has grown, few studies have focused on emerging adults. To add to the literature, the authors administered the RCOPE to a sample of bereaved college students (analyzed sample N = 748) and explored the relationship between self-reported religious affiliation and religious coping strategies used and endorsed as "most helpful." Results highlight the rich topography of bereavement previously unexamined in understudied populations (i.e., emerging adults, religiously unaffiliated). Specifically, the Christians/affiliated used "negative" religious coping strategies most often, yet identified "positive" strategies as "most helpful," whereas the unaffiliated instead used "positive" strategies most often and identified "negative" strategies as "most helpful." PMID:26313501

  19. Depression in the Spousally Bereaved Elderly: Correlations with Subjective Sleep Measures

    Directory of Open Access Journals (Sweden)

    Timothy H. Monk

    2013-01-01

    Full Text Available Complaints of poor sleep and symptoms of depression are likely to coexist in the spousally bereaved elderly. This study was concerned with the correlation between depressive symptoms and various measures of subjectively reported sleep using questionnaire and diary instruments in 38 bereaved seniors (60y+. Correlations between the sleep measures and days since loss and grief intensity were also calculated. All sleep disruption measures correlated significantly with depression score, but only sleep duration correlated with grief intensity, and no sleep measure correlated with days since loss. Therapies which address both sleep and depression are likely to be of benefit to bereaved seniors.

  20. Bereavement: Contemporary Scientific Perspectives for Researchers and Practitioners

    Directory of Open Access Journals (Sweden)

    Emmanuelle Zech

    2010-09-01

    Full Text Available The death rate within the European Union is 9.6/1000, which is about the same as it is in North America (8.4 for 2009 in the Unites States of America, see CIA World Factbook, 2010. In concrete terms, this means that about 100,000 of the total population of 10 million Belgian people die each year (in fact, the death rate in Belgium is a bit higher, 10.5/1000. The 2001 the Belgian Health Interview Survey indicated that the relationship or social support network of Belgian citizens is composed of a mean number of 9 persons (Gisle, Buziarsist, Van der Heyden, Demarest, Miermans, Sartor et al., 2002. As a consequence, a rough estimation of the number of persons who become bereaved each year in Belgium is 945,000 (i.e., 9.5% of the Belgian population. In fact, the death of a loved one is an experience that occurs some time or other in nearly everyone’s life. Many of us will suffer multiple losses long before we reach old age, when such events occur with increasing frequency. We will lose our grandparents, parents, siblings, or close friends and romantic partners through death. Bereavement is a very frequent phenomenon, and as the contributions to this Special Issue will make amply clear, it is a personally impactful life event for most people.

  1. Preparedness for Death and Adjustment to Bereavement among Caregivers of Recently Placed Nursing Home Residents

    OpenAIRE

    Schulz, Richard; Boerner, Kathrin; KLINGER, JULIE; Rosen, Jules

    2015-01-01

    Background: Preparedness for death as a predictor of post-bereavement adjustment has not been studied prospectively. Little is known about pre-death factors associated with feeling prepared prior to the death of a loved one.

  2. Japanese Bereaved Family Members' Perspectives of Palliative Care Units and Palliative Care: J-HOPE Study Results.

    Science.gov (United States)

    Kinoshita, Satomi; Miyashita, Mitsunori; Morita, Tatsuya; Sato, Kazuki; Shoji, Ayaka; Chiba, Yurika; Miyazaki, Tamana; Tsuneto, Satoru; Shima, Yasuo

    2016-06-01

    The study purpose was to understand the perspectives of bereaved family members regarding palliative care unit (PCU) and palliative care and to compare perceptions of PCU before admission and after bereavement. A cross-sectional questionnaire survey was conducted, and the perceptions of 454 and 424 bereaved family members were obtained regarding PCU and palliative care, respectively. Family members were significantly more likely to have positive perceptions after bereavement (ranging from 73% to 80%) compared to before admission (ranging from 62% to 71%). Bereaved family members who were satisfied with medical care in the PCU had a positive perception of the PCU and palliative care after bereavement. Respondents younger than 65 years of age were significantly more likely to have negative perceptions of PCU and palliative care.

  3. Japanese Bereaved Family Members' Perspectives of Palliative Care Units and Palliative Care: J-HOPE Study Results.

    Science.gov (United States)

    Kinoshita, Satomi; Miyashita, Mitsunori; Morita, Tatsuya; Sato, Kazuki; Shoji, Ayaka; Chiba, Yurika; Miyazaki, Tamana; Tsuneto, Satoru; Shima, Yasuo

    2016-06-01

    The study purpose was to understand the perspectives of bereaved family members regarding palliative care unit (PCU) and palliative care and to compare perceptions of PCU before admission and after bereavement. A cross-sectional questionnaire survey was conducted, and the perceptions of 454 and 424 bereaved family members were obtained regarding PCU and palliative care, respectively. Family members were significantly more likely to have positive perceptions after bereavement (ranging from 73% to 80%) compared to before admission (ranging from 62% to 71%). Bereaved family members who were satisfied with medical care in the PCU had a positive perception of the PCU and palliative care after bereavement. Respondents younger than 65 years of age were significantly more likely to have negative perceptions of PCU and palliative care. PMID:25852202

  4. Peer Relationships of Bereaved Siblings and Comparison Classmates After a Child's Death from Cancer*

    OpenAIRE

    Gerhardt, Cynthia A.; Fairclough, Diane L.; Grossenbacher, Julie C.; Barrera, Maru; Jo Gilmer, Mary; Foster, Terrah L.; Compas, Bruce E.; Davies, Betty; Hogan, Nancy S.; Vannatta, Kathryn

    2011-01-01

    Objectives To compare peer relationships among bereaved siblings and matched classmates, and to examine gender, grade level, and time since death as moderators. Methods Families were recruited from cancer registries at four hospitals 3–12 months after a child's death. Measures of social behavior and peer acceptance were completed by children in the classrooms of 105 bereaved siblings (ages 8 –17 years). Teachers also reported on children's social behavior. Three classmates were matched for ge...

  5. Changes in Routine Health Behaviors Following Late-life Bereavement: A Systematic Review

    OpenAIRE

    Stahl, Sarah T.; Schulz, Richard

    2013-01-01

    This systematic review examines the relationship between late-life spousal bereavement and changes in routine health behaviors. We review six behavioral domains/modifiable risk factors that are important for maintaining health among elderly populations: physical activity, nutrition, sleep quality, alcohol consumption, tobacco use, and body weight status. Thirty-four articles were identified, derived from 32 studies. We found strong evidence for a relationship between bereavement and nutrition...

  6. The psychological aftermath of bereavement : Risk factors, mediating processes, and intervention

    OpenAIRE

    Van der Houwen, H.K.

    2009-01-01

    In this dissertation some of the major facets associated with the psychological effects of bereavement were the subject of investigation: risk factors, mediating processes and intervention. Previous research on risk factors is limited because of a number of methodological shortcomings: a focus on only one or a few factors (which increases the chances of reporting spurious results) and reliance on use of a single measure of bereavement outcome. We avoided these pitfalls by simultaneously exami...

  7. Insights into the processes of suicide contagion: Narratives from young people bereaved by suicide

    OpenAIRE

    Bell, Jo; Stanley, Nicky; Mallon, Sharon; Manthorpe, Jill

    2015-01-01

    Abstract: Death by suicide can have a profound and long lasting impact on the people left behind. Research has demonstrated that, in comparison to the general population, those bereaved by suicide, particularly young people, are at increased risk for suicide. However, the process of suicide contagion, as it has now become widely known, is poorly understood. This paper examines the phenomenon of suicide contagion amongst young people who have been bereaved by suicide with data from research...

  8. The influence of bereavement on body mass index: results from a national Swedish survey.

    Directory of Open Access Journals (Sweden)

    Aldair J Oliveira

    Full Text Available BACKGROUND: Previous findings suggest that the loss of a family member is associated with health and mortality. The purpose of this study was to investigate the association between bereavement experiences and BMI, and whether there are socio-demographic differences in this association. OBJECTIVE: To investigate the association between bereavement experiences and BMI, and whether there are socio-demographic differences in this association. METHODS: We used cross-sectional data with retrospective questions from the Swedish Level of Living Survey (LNU of 2000, including 5,142 individuals. The bereavement experiences examined in the study include the loss of a sibling, a parent or a spouse, and time since the death of a parent. BMI (kg/m2 was calculated using self-reported measurements of weight and height. The association between bereavement and BMI was evaluated through linear regressions. RESULTS: After controlling for possible confounders, most of the models detected an association between bereavement and BMI. The fully-adjusted model showed that loss of parents was associated with a 0.45 increase in BMI (SE = 0.20. The effect also seemed to be dependent on time since the loss and social class position. CONCLUSIONS: The present study is the first to examine associations between different types of familial losses and BMI. We find an association between the death of a family member and BMI, but it appears to be related to time since the death, type of bereavement experience and social class.

  9. Positive Outcomes Following Bereavement: Paths to Posttraumatic Growth

    Directory of Open Access Journals (Sweden)

    Lawrence G Calhoun

    2010-09-01

    Full Text Available Recent theory and research have drawn attention to the need to better understand the positive changes, termed posttraumatic growth, that often occur in bereaved individuals; even as negative emotions related to grief persist. We describe five dimensions of posttraumatic growth and present a model for understanding how the loss of a close other can eventually lead to a recognition of important positive personal changes. Loss, especially unexpected loss, disrupts an individual's beliefs about the world and initiates a process of rebuilding an understanding. During this process, many people come to realise their own strengths, appreciate the impact of their relationships, and have new spiritual insights. A strategy for facilitating growth during clinical work also is described.

  10. Transitions from Clinical Experiences to Clinical Questions and then Research: Songwriting with Bereaved Pre-adolescent Children

    Directory of Open Access Journals (Sweden)

    Melina Roberts

    2006-11-01

    Full Text Available The purpose of this article is to describe the author’s personal transition from her clinical experiences working with bereaved children and adolescents, to clinical questions that arose during this time, and then to her current phase whereby she has commenced research to examine songwriting with bereaved children. This article includes relevant literature that discusses bereavement in childhood, songwriting in music therapy, and music therapy support for bereaved children and adolescents. A description about the author’s current research, that integrates the three areas highlighted in the literature, is also discussed.

  11. Adult attachment styles and the psychological response to infant bereavement

    Directory of Open Access Journals (Sweden)

    Mark Shevlin

    2014-05-01

    Full Text Available Background: Based on Bowlby's attachment theory, Bartholomew proposed a four-category attachment typology by which individuals judged themselves and adult relationships. This explanatory model has since been used to help explain the risk of psychiatric comorbidity. Objective: The current study aimed to identify attachment typologies based on Bartholomew's attachment styles in a sample of bereaved parents on dimensions of closeness/dependency and anxiety. In addition, it sought to assess the relationship between the resultant attachment typology with a range of psychological trauma variables. Method: The current study was based on a sample of 445 bereaved parents who had experienced either peri- or post-natal death of an infant. Adult attachment was assessed using the Revised Adult Attachment Scale (RAAS while reaction to trauma was assessed using the Trauma Symptom Checklist (TSC. A latent profile analysis was conducted on scores from the RAAS closeness/dependency and anxiety subscales to ascertain if there were underlying homogeneous attachment classes. Emergent classes were used to determine if these were significantly different in terms of mean scores on TSC scales. Results: A four-class solution was considered the optimal based on fit statistics and interpretability of the results. Classes were labelled “Fearful,” “Preoccupied,” “Dismissing,” and “Secure.” Females were almost eight times more likely than males to be members of the fearful attachment class. This class evidenced the highest scores across all TSC scales while the secure class showed the lowest scores. Conclusions: The results are consistent with Bartholomew's four-category attachment styles with classes representing secure, fearful, preoccupied, and dismissing types. While the loss of an infant is a devastating experience for any parent, securely attached individuals showed the lowest levels of psychopathology compared to fearful, preoccupied, or dismissing

  12. Adult attachment styles and the psychological response to infant bereavement

    Science.gov (United States)

    Shevlin, Mark; Boyda, David; Elklit, Ask; Murphy, Siobhan

    2014-01-01

    Background Based on Bowlby's attachment theory, Bartholomew proposed a four-category attachment typology by which individuals judged themselves and adult relationships. This explanatory model has since been used to help explain the risk of psychiatric comorbidity. Objective The current study aimed to identify attachment typologies based on Bartholomew's attachment styles in a sample of bereaved parents on dimensions of closeness/dependency and anxiety. In addition, it sought to assess the relationship between the resultant attachment typology with a range of psychological trauma variables. Method The current study was based on a sample of 445 bereaved parents who had experienced either peri- or post-natal death of an infant. Adult attachment was assessed using the Revised Adult Attachment Scale (RAAS) while reaction to trauma was assessed using the Trauma Symptom Checklist (TSC). A latent profile analysis was conducted on scores from the RAAS closeness/dependency and anxiety subscales to ascertain if there were underlying homogeneous attachment classes. Emergent classes were used to determine if these were significantly different in terms of mean scores on TSC scales. Results A four-class solution was considered the optimal based on fit statistics and interpretability of the results. Classes were labelled “Fearful,” “Preoccupied,” “Dismissing,” and “Secure.” Females were almost eight times more likely than males to be members of the fearful attachment class. This class evidenced the highest scores across all TSC scales while the secure class showed the lowest scores. Conclusions The results are consistent with Bartholomew's four-category attachment styles with classes representing secure, fearful, preoccupied, and dismissing types. While the loss of an infant is a devastating experience for any parent, securely attached individuals showed the lowest levels of psychopathology compared to fearful, preoccupied, or dismissing attachment styles. This may

  13. Caregiver Perceptions of the Understanding of Death and Need for Bereavement Support in Adults with Intellectual Disabilities

    Science.gov (United States)

    MacHale, Rosemary; McEvoy, John; Tierney, Edel

    2009-01-01

    Background: Care staff are an important source of information and support for people with intellectual disabilities following bereavement. The purpose of this study was to explore staff perceptions of service users' conceptualizations of death, reactions to bereavement, required levels of support and staff confidence in providing post-bereavement…

  14. End-of-Life Communication and Adjustment: Pre-Loss Communication as a Predictor of Bereavement-Related Outcomes

    Science.gov (United States)

    Metzger, Patricia L.; Gray, Matt J.

    2008-01-01

    Although bereavement-related emotional distress usually remits on its own over time, approximately 20% of bereaved individuals experience chronic emotional difficulties following the loss (Prigerson & Jacobs, 2001). Although several factors have been shown to be associated with poor outcomes post-loss, few studies have examined the relationship…

  15. Comparing Cognitive, Relational and Stress Mechanisms Underlying Gender Differences in Recovery from Bereavement-Related Internalizing Problems

    Science.gov (United States)

    Little, Michelle; Sandler, Irwin N.; Wolchik, Sharlene A.; Tein, Jenn-Yun; Ayers, Tim S.

    2009-01-01

    Four putative mediators underlying gender differences in youths' recovery from bereavement-related internalizing problems were examined in a sample (N = 109; age range = 8-16 years at the initial assessment) of parentally bereaved youth: intrusive thoughts about grief, postdeath stressors, negative appraisals of postdeath stressors, and fear of…

  16. Emotion regulation in bereavement: searching for and finding emotional support in social network sites

    Science.gov (United States)

    Döveling, Katrin

    2015-04-01

    In an age of rising impact of online communication in social network sites (SNS), emotional interaction is neither limited nor restricted by time or space. Bereavement extends to the anonymity of cyberspace. What role does virtual interaction play in SNS in dealing with the basic human emotion of grief caused by the loss of a beloved person? The analysis laid out in this article provides answers in light of an interdisciplinary perspective on online bereavement. Relevant lines of research are scrutinized. After laying out the theoretical spectrum for the study, hypotheses based on a prior in-depth qualitative content analysis of 179 postings in three different German online bereavement platforms are proposed and scrutinized in a quantitative content analysis (2127 postings from 318 users). Emotion regulation patterns in SNS and similarities as well as differences in online bereavement of children, adolescents and adults are revealed. Large-scale quantitative findings into central motives, patterns, and restorative effects of online shared bereavement in regulating distress, fostering personal empowerment, and engendering meaning are presented. The article closes with implications for further analysis in memorialization practices.

  17. The prediction of bereavement outcome: development of an integrative risk factor framework.

    Science.gov (United States)

    Stroebe, Margaret Susan; Folkman, Susan; Hansson, Robert O; Schut, Henk

    2006-11-01

    We propose an integrative risk factor framework to enhance understanding of individual differences in adjustment to bereavement and to encourage more systematic analysis of factors contributing to bereavement outcome (e.g., examination of interactions between variables and establishing pathways in the adaptation process). The examination of individual differences in adaptation to bereavement is essential for practical (e.g. targeting high risk individuals for intervention) and theoretical (e.g. testing the validity of theoretical claims about sources of differences) purposes. And yet, existing theoretical approaches have not led to systematic empirical examination and empirical studies in the current literature are fraught with shortcomings. Derived from Cognitive Stress Theory [Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer] and the stressor-specific Dual Process Model of Coping with Bereavement [Stroebe, M. S., & Schut, H. A. W. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23, 197-224], the framework incorporates an analysis of stressors, intra/interpersonal risk/protective factors, and appraisal and coping processes that are postulated to impact on outcome. Advantages of using the approach are outlined. Challenges in undertaking such research are addressed.

  18. Trajectories of depression following spousal and child bereavement: A comparison of the heterogeneity in outcomes.

    Science.gov (United States)

    Maccallum, Fiona; Galatzer-Levy, Isaac R; Bonanno, George A

    2015-10-01

    Our understanding of how individuals react to the loss of a close loved one comes largely from studies of spousal bereavement. The extent to which findings are relevant to other bereavements is uncertain. A major methodological limitation of current studies has been a reliance on retrospective reporting of functioning and use of samples of individuals who have self-selected for participant in grief research. To address these limitations, in the current study we applied Latent Growth Mixture Modelling (LGMM) in a prospective population-based sample to identify trajectories of depression following spousal and child bereavement in later life. The sample consisted of 2512 individual bereaved adults who were assessed once before and three times after their loss. Four discrete trajectories were identified: Resilience (little or no depression; 68.2%), Chronic Grief (an onset of depression following loss; 13.2%), Depressed-Improved (high pre-loss depression that decreased following loss; 11.2%), and Pre-existing Chronic Depression (high depression at all assessments; 7.4%). These trajectories were present for both child and spousal loss. There was some evidence that child loss in later life was associated more strongly with the Chronic Grief trajectory and less strongly with the Resilience trajectory. However these differences disappeared when covariates were included in the model. Limitations of the analyses are discussed. These findings increase our understanding of the variety of outcomes following bereavement and underscore the importance of using prospective designs to map heterogeneity of response outcomes. PMID:26343597

  19. Bereavement photography for children: program development and health care professionals' response.

    Science.gov (United States)

    Michelson, Kelly Nicole; Blehart, Kathleen; Hochberg, Todd; James, Kristin

    2013-07-01

    Reports of in-hospital bereavement photography focus largely on stillborns and neonates. Empiric data regarding the implementation of bereavement photography in pediatrics beyond the neonatal period and the impact of such programs on healthcare professionals (HCPs) is lacking. The authors describe the implementation of a pediatric intensive care unit (PICU) bereavement photography program and use questionnaire data from HCPs to describe HCPs' reflections on the program and to identify program barriers. From July 2007 through April 2070, families of 59 (36%) of the 164 patients who died in the PICU participated in our bereavement photography program. Forty questionnaires from 29 HCPs caring for 39 participating patients/families indicated that families seemed grateful for the service (n = 34; 85%) and that the program helped HCPs feel better about their role (n = 30; 70%). Many HCPs disagreed that the program consumed too much of his/her time (n = 34; 85%) and that the photographer made his/her job difficult (n = 37; 92.5%). Qualitative analysis of responses to open-ended questions revealed 4 categories: the program's general value; positive aspects of the program; negative aspects of the program; and suggestions for improvements. Implementing bereavement photography in the PICU is feasible though some barriers exist. HCPs may benefit from such programs.

  20. DSM-V diagnostic criteria for bereavement-related disorders in children and adolescents: developmental considerations.

    Science.gov (United States)

    Kaplow, Julie B; Layne, Christopher M; Pynoos, Robert S; Cohen, Judith A; Lieberman, Alicia

    2012-01-01

    Two bereavement-related disorders are proposed for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V): Adjustment Disorder Related to Bereavement, to be located in the main body of the text as an official diagnostic entity; and Bereavement-Related Disorder, including a Traumatic Death Specifier, to be located in the Appendix as an invitation for further research. These diagnoses currently do not include developmentally informed criteria, despite the importance of developmental processes in the ways children and adolescents grieve. In this article, we draw upon a selective review of the empirical literature and expert clinical knowledge to recommend developmentally informed modifications and specifiers of the proposed criteria for both bereavement disorders and strategies to improve future research. This article is derived from an invited report submitted to the DSM-V Posttraumatic Stress Disorder, Trauma, and Dissociative Disorders Sub-Work Group, and suggested modifications have received preliminary approval to be incorporated into the DSM-V at the time of this writing. Adoption of these proposals will have far-reaching consequences, given that DSM-V criteria will influence both critical treatment choices for bereaved youth and the next generation of research studies.

  1. Bereavement and reactions to job loss: a comparative review.

    Science.gov (United States)

    Archer, J; Rhodes, V

    1987-09-01

    An assessment is made of the applicability of the grief framework for understanding reactions to job loss. Jahoda's 'deprivation view' of unemployment is introduced as a statement of what is lost, with the grief model describing the process of adjustment to loss. The main features of grief are described: it is an active process, changing over time, consisting of a number of episodic components combined with a background of chronic emotional disturbance. Parkes' concept of psychosocial transitions is then outlined; this provides a theoretical link between grieving and reactions to other forms of loss, including job loss. An assessment is made of how the grief process has been applied to job loss in existing research. Evidence for most of the components of the grief process is apparent in accounts of reactions to unemployment, but there is little evidence on their frequency, changes over time or their relationship to one another. Variables which are likely to affect the occurrence, extent and precise course of any grief-like process are examined by comparing reactions to bereavement and job loss. The family and social contexts of reactions to loss are then considered in relation to both grief and unemployment. Finally, the advantages and limitations of the grief model are briefly discussed. PMID:3307988

  2. Estimating nonparticipation bias in a longitudinal study of bereavement.

    Science.gov (United States)

    Boyle, F M; Najman, J M; Vance, J C; Thearle, M J

    1996-10-01

    Nonparticipants in epidemiological studies may differ in important respects from participants but the magnitude of this potential bias is rarely quantified. This study estimates the effect of nonparticipation on estimates of mental health problems following stillbirth, neonatal death or sudden infant death syndrome. Of 805 families approached, 512 (64 per cent) were recruited, of whom 77 per cent of mothers and 71 per cent of fathers completed four study interviews. Younger, unmarried, unemployed parents without private health insurance were less often recruited, and even if recruited, were less likely to complete the interview. By evaluating several possible scenarios, we estimated that had mothers lost to follow-up remained in the study, anxiety rates would have varied by no more than +/-4 per cent. Relative risks associated with bereaved-control comparisons would have differed little from the observed estimate of 2.33. Estimating the effects of initial nonresponse is more difficult but the adoption of a worst-case scenario produced a relative risk of 3.47. Despite systematic nonparticipation suggestive of social disadvantage, attrition-related bias may have had only a modest effect on anxiety and depression rate estimates. However, this may not be the case when sample loss is high, when associations between attrition and outcome are strong, and when attrition-related behaviour differs across comparison groups. PMID:8987217

  3. Changes in Routine Health Behaviors Following Late-life Bereavement: A Systematic Review

    Science.gov (United States)

    Stahl, Sarah T.; Schulz, Richard

    2014-01-01

    This systematic review examines the relationship between late-life spousal bereavement and changes in routine health behaviors. We review six behavioral domains/modifiable risk factors that are important for maintaining health among elderly populations: physical activity, nutrition, sleep quality, alcohol consumption, tobacco use, and body weight status. Thirty-four articles were identified, derived from 32 studies. We found strong evidence for a relationship between bereavement and nutritional risk and involuntary weight loss, and moderate evidence for impaired sleep quality and increased alcohol consumption. There was mixed evidence for a relationship between bereavement and physical activity. We identify several methodological shortcomings, and describe the clinical implications of this review for the development of preventive intervention strategies. PMID:23881308

  4. Maternal bereavement in the antenatal period and oral cleft in the offspring

    DEFF Research Database (Denmark)

    Ingstrup, K G; Liang, H; Olsen, Jørn;

    2013-01-01

    to the body of literature on stress and birth defects. Our study is in agreement with previously published results and can be generalized to similar populations like the native Danish population. Severe stress may be added to the list of potential causes for oral cleft.......STUDY QUESTION: Is maternal bereavement (emotional stress) due to loss of a close relative in the antenatal period associated with the risk of oral cleft in the offspring? SUMMARY ANSWER: Our study suggests prenatal maternal bereavement is associated with an increased risk of oral cleft...... in the offspring, especially when the bereavement was due to a sudden death or death of a child. WHAT IS KNOWN ALREADY: The aetiology of oral cleft is unknown but includes both genetic and environmental causes. STUDY DESIGN, SIZE AND DURATION: We performed a population-based cohort study based on several national...

  5. Prenatal stress exposure related to maternal bereavement and risk of childhood overweight

    DEFF Research Database (Denmark)

    Li, Jiong; Olsen, Jørn; Vestergaard, Mogens;

    2010-01-01

    It has been suggested that prenatal stress contributes to the risk of obesity later in life. In a population-based cohort study, we examined whether prenatal stress related to maternal bereavement during pregnancy was associated with the risk of overweight in offspring during school age.......It has been suggested that prenatal stress contributes to the risk of obesity later in life. In a population-based cohort study, we examined whether prenatal stress related to maternal bereavement during pregnancy was associated with the risk of overweight in offspring during school age....

  6. Does bereavement-related first episode depression differ from other kinds of first depressions?

    DEFF Research Database (Denmark)

    Kessing, Lars Vedel; Bukh, Jens Drachmann; Bock, Camilla;

    2009-01-01

    (4.7%) had experienced death of a first degree relative (parent, sibling, child) or a near friend, 163 patients (54.2%) had experienced other moderate to severe stressful life events and 112 patients had not experienced stressful life events in a 6 months period prior to the onset of depression....... Patients who had experienced bereavement did not differ from patients with other stressful life events or from patients without stressful life events in socio-demographic variables or in the phenomenology of the depression, psychiatric comorbidity, family history or response to antidepressant treatment....... CONCLUSION: Bereavement-related first episode depression does not differ from other kinds of first depression....

  7. Long-term effects of the Family Bereavement Program on spousally bereaved parents: Grief, mental health problems, alcohol problems, and coping efficacy.

    Science.gov (United States)

    Sandler, Irwin; Tein, Jenn-Yun; Cham, Heining; Wolchik, Sharlene; Ayers, Tim

    2016-08-01

    This study reports on the findings from a 6-year follow-up of a randomized trial of the Family Bereavement Program (FBP) on the outcomes for spousally bereaved parents. Spousally bereaved parents (N = 131) participated in the trial in which they were randomly assigned to receive the FBP (N = 72) or literature control (N = 59). Parents were assessed at four time points: pretest, posttest, and 11-month and 6-year follow-up. They reported on mental health problems, grief, and parenting at all four time periods. At the 6-year follow-up, parents reported on additional measures of persistent complex bereavement disorder, alcohol abuse problems, and coping efficacy. Bereaved parents in the FBP as compared to those in the literature control had lower levels of symptoms of depression, general psychiatric distress, prolonged grief, and alcohol problems, and higher coping efficacy (for mothers) at the 6-year follow-up. Multiple characteristics of the parent (e.g., gender, age, and baseline mental health problems) and of the spousal death (e.g., cause of death) were tested as moderators of program effects on each outcome, but only 3 of 45 tests of moderation were significant. Latent growth modeling found that the effects of the FBP on depression, psychiatric distress, and grief occurred immediately following program participation and were maintained over 6 years. Mediation analysis found that improvement in positive parenting partially mediated program effects to reduce depression and psychiatric distress, but had an indirect effect to higher levels of grief at the 6-year follow-up. Mediation analysis also found that improved parenting at the 6-year follow-up was partially mediated by program effects to reduce depression and that program effects to increase coping efficacy at the 6-year follow-up was partially mediated through reduced depression and grief and improved parenting. FBP reduced mental health problems, prolonged grief, and alcohol abuse, and increased coping

  8. Ghosts, Meaning, and Faith: After-Death Communications in Bereavement Narratives

    Science.gov (United States)

    Kwilecki, Susan

    2011-01-01

    After-death communications (ADCs) are reported encounters with a deceased loved one, a contemporary type of ghost experience heralded as therapeutic in coping with bereavement. Pertinent literature generally illustrates the healing power of ADCs with brief, self-contained episodes. The functions of ADCs over the course of grief need exploration.…

  9. An Investigation of the Relationship of Personality, Coping, and Grief Intensity among Bereaved Mothers

    Science.gov (United States)

    Robinson, Tristan; Marwit, Samuel J.

    2006-01-01

    A mediational model of grief intensity (Meuser & Marwit, 2000) was examined in a population at risk for complicated grief. Coping strategies (emotion-oriented, task-oriented, and avoidance-oriented coping) were hypothesized to mediate the influence of personality factors (neuroticism and extraversion) on grief. Bereaved mothers (N =138) completed…

  10. Long-Term Effects of Bereavement and Caregiver Intervention on Dementia Caregiver Depressive Symptoms

    Science.gov (United States)

    Haley, William E.; Bergman, Elizabeth J.; Roth, David L.; McVie, Theresa; Gaugler, Joseph E.; Mittelman, Mary S.

    2008-01-01

    Purpose: The purpose of this study was to examine the joint effects of bereavement and caregiver intervention on caregiver depressive symptoms. Design and Methods: Alzheimer's caregivers from a randomized trial of an enhanced caregiver support intervention versus usual care who had experienced the death of their spouse (n = 254) were repeatedly…

  11. Bereavement and Loss: Developing a Memory Box to Support a Young Woman with Profound Learning Disabilities

    Science.gov (United States)

    Young, Hannah; Garrard, Brenda

    2016-01-01

    Supporting bereaved people with profound learning disabilities still remains an under-researched area. Moreover, the barriers of communication and disenfranchised grief mean that they often do not receive the support they require, leading to emotional and behavioural difficulties. This article describes research using a case study design, which…

  12. A Review of the Emotional, Psychiatric and Behavioural Responses to Bereavement in People with Intellectual Disabilities

    Science.gov (United States)

    Dodd, P.; Dowling, S.; Hollins, S.

    2005-01-01

    Background:Our knowledge and understanding of grief and its consequences have grown rapidly in recent years. There is a growing understanding that bereavement and loss represent a very significant event in the lives of people with intellectual disabilities (IDs). To date, there is no systematic review of the literature on the emotional,…

  13. The Relationship between Explanatory Style and Posttraumatic Growth after Bereavement in a Non-Clinical Sample

    Science.gov (United States)

    Ho, Samuel M. Y.; Chu, Kwung Wing; Yiu, Jessie

    2008-01-01

    The relationship between explanatory style and self-perceived posttraumatic growth was examined among 105 undergraduates in Hong Kong who had experienced bereavement in the past 6 years. Individuals who tended to attribute positive events to internal, global, and stable factors reported more posttraumatic growth than individuals who tended to…

  14. Parental Bereavement and the Loss of a Child with Intellectual Disabilities: A Review of the Literature

    Science.gov (United States)

    Reilly, Deirdre E.; Hastings, Richard P.; Vaughan, Frances L.; Huws, Jaci C.

    2008-01-01

    Inequalities in health care and other risk factors mean that children with intellectual disabilities are more likely to predecease their parents. Research on the effects on family members when a child with intellectual disability dies is sparse. In the present review, the authors describe 5 studies of bereavement in intellectual disability and…

  15. Concept of Death and Perceptions of Bereavement in Adults with Intellectual Disabilities

    Science.gov (United States)

    McEvoy, J.; MacHale, R.; Tierney, E.

    2012-01-01

    Background: Bereavement is potentially a time of disruption and emotional distress. For individuals with an intellectual disability (ID), a limited understanding of the concept of death may exacerbate this distress. The aim of the present study was to investigate how individuals with ID understand and explain death and make sense of life without…

  16. Effectiveness of "Primary Bereavement Care" for Widows: A Cluster Randomized Controlled Trial Involving Family Physicians

    Science.gov (United States)

    García, Jesus A.; Landa, Victor; Grandes, Gonzalo; Pombo, Haizea; Mauriz, Amaia

    2013-01-01

    Thirty-one family physicians, from 19 primary care teams in Biscay (Spain), were randomly assigned to intervention or control group. The 15 intervention family physicians, after training in primary bereavement care, saw 43 widows for 7 sessions, from the 4th to 13th month after their loss. The 16 control family physicians, without primary…

  17. Commentary on the Inclusion of Persistent Complex Bereavement-Related Disorder in DSM-5

    Science.gov (United States)

    Boelen, Paul A.; Prigerson, Holly G.

    2012-01-01

    The DSM-5 Anxiety, Obsessive-Compulsive Spectrum, Posttraumatic, and Dissociative Disorders Work Group has proposed criteria for Persistent Complex Bereavement-Related Disorder (PCBRD) for inclusion in the appendix of DSM-5. The authors feel that it is important that dysfunctional grief will become a formal condition in DSM-5 because that would…

  18. Uncomplicated Depression, Suicide Attempt, and the DSM-5 Bereavement Exclusion Debate: An Empirical Evaluation

    Science.gov (United States)

    Wakefield, Jerome C.; Schmitz, Mark F.

    2014-01-01

    Purpose: To evaluate the claim, made repeatedly during "Diagnostic and Statistical Manual of Mental Disorders", Fifth Edition debates over eliminating the bereavement exclusion (BE), that ''uncomplicated'' depressive reactions have elevated suicidality like other major depressive disorder (MDD), so exclusions risk…

  19. A Delphi Study on Staff Bereavement Training in the Intellectual and Developmental Disabilities Field

    Science.gov (United States)

    Gray, Jennifer A.; Truesdale, Jesslyn

    2015-01-01

    The Delphi technique was used to obtain expert panel consensus to prioritize content areas and delivery methods for developing staff grief and bereavement curriculum training in the intellectual and developmental disabilities (IDD) field. The Delphi technique was conducted with a panel of 18 experts from formal and informal disability caregiving,…

  20. Effects of Directed Written Disclosure on Grief and Distress Symptoms among Bereaved Individuals

    Science.gov (United States)

    Lichtenthal, Wendy G.; Cruess, Dean G.

    2010-01-01

    Bereavement-specific written disclosure trials have generally demonstrated null effects, but these studies have not directed the focus of writing. This randomized controlled trial compared directed writing that focused on either sense-making or benefit-finding, both associated with adjustment to loss, to traditional, non-directed emotional…

  1. Navigating Bereavement with Spirituality-Based Interventions: Implications for Non-Faith-Based Counselors

    Science.gov (United States)

    Dyer, Jacqueline E. Thurston; Hagedorn, W. Bryce

    2013-01-01

    The relationship between spirituality and bereavement has been studied in a multitude of disciplines, yet there is a significant gap in the counseling literature on this topic. The authors explore how spirituality is often avoided in secular counseling settings, discuss adverse effects of unresolved grief on clients' functioning, and propose the…

  2. Examining the Needs of Bereaved Parents in the Pediatric Intensive Care Unit: A Qualitative Study

    Science.gov (United States)

    Meert, Kathleen L.; Briller, Sherylyn H.; Myers Schim, Stephanie; Thurston, Celia; Kabel, Allison

    2009-01-01

    The pediatric intensive care unit (PICU) is a high-tech setting aimed at restoring health to critically ill children. When childhood death occurs in the PICU, it constitutes a special context for parent bereavement. The purpose of this interdisciplinary qualitative research was to gain a deeper understanding of parents' needs around the time of…

  3. A Guide to Setting up a College Bereavement Group: Using Monologue, Soliloquy, and Dialogue

    Science.gov (United States)

    Prior, Alexandra

    2015-01-01

    Childhood grief disrupts and reshapes a developing child's primary attachments, emotional regulation system, and identity formation. Bereft college students have to build their grief identity simultaneously with their social, academic, vocational, and sexual identities. This article describes a bereavement group to help students work on these…

  4. Continuing Bonds in Bereaved Pakistani Muslims: Effects of Culture and Religion

    Science.gov (United States)

    Suhail, Kausar; Jamil, Naila; Oyebode, Jan; Ajmal, Mohammad Asir

    2011-01-01

    This study explores the bereavement process and continuing bond in Pakistani Muslims with the focus on how culture and religion influence these processes. Ten participants were interviewed and their transcribed interviews were analyzed using a grounded theory approach. Three main domains were identified from the narratives expressed by the…

  5. Do personal conditions and circumstances surrounding partner loss explain loneliness in newly bereaved older adults?

    NARCIS (Netherlands)

    van Baarsen, B.; Smit, J.H; Snijders, T.A.B.; Knipscheer, K.P.M.

    1999-01-01

    This longitudinal study aims to explain loneliness in newly bereaved older adults, taking into account personal and circumstantial conditions surrounding the partner's death. A distinction is made between emotional and social loneliness. Data were gathered both before and after partner loss. Results

  6. Visiting the Site of Death: Experiences of the Bereaved after the 2004 Southeast Asian Tsunami

    Science.gov (United States)

    Kristensen, Pal; Tonnessen, Arnfinn; Weisaeth, Lars; Heir, Trond

    2012-01-01

    The authors examined how many bereaved relatives of Norwegian tourists who perished in the 2004 Southeast Asian Tsunami had visited the site of death and the most important outcome from the visit. We conducted in-depth interviews (n = 110) and used self-report questionnaires (Impact of Event Scale--Revised, Inventory of Complicated Grief, and…

  7. Ruminative coping as avoidance : a reinterpretation of its function in adjustment to bereavement

    NARCIS (Netherlands)

    Stroebe, Margaret; Boelen, Paul A; van den Hout, Marcel; Stroebe, Wolfgang; Salemink, Elske; van den Bout, Jan

    2007-01-01

    The paper argues for a reconceptualization of ruminative coping with the death of a loved one as an avoidant rather than a confrontational strategy. Ruminative coping has been characterized within the bereavement field as persistent, repetitive and passive focus on negative emotions and symptoms. It

  8. The psychological aftermath of bereavement : Risk factors, mediating processes, and intervention

    NARCIS (Netherlands)

    Van der Houwen, H.K.

    2009-01-01

    In this dissertation some of the major facets associated with the psychological effects of bereavement were the subject of investigation: risk factors, mediating processes and intervention. Previous research on risk factors is limited because of a number of methodological shortcomings: a focus on on

  9. The Bereavement Exclusion for the Diagnosis of Major Depression: To be, or not to be

    OpenAIRE

    Lamb, Kristy; Pies, Ronald; Zisook, Sidney

    2010-01-01

    This paper reviews studies bearing on the validity of the bereavement exclusion for the diagnosis of major depression. It concludes that the exclusion is not supported by the best available data, and the authors propose revisions for Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition.

  10. Parents' Death and Adult Well-being: Gender, Age, and Adaptation to Filial Bereavement

    NARCIS (Netherlands)

    T. Leopold; C.M. Lechner

    2015-01-01

    The authors investigated how filial bereavement affects the subjective well-being of adult children. They used data from the German Socio-Economic Panel Study to examine temporal profiles of life satisfaction in 2,760 adult children ages 17-70 who moved through the stages of anticipation of, reactio

  11. Prevalence and Severity of College Student Bereavement Examined in a Randomly Selected Sample

    Science.gov (United States)

    Balk, David E.; Walker, Andrea C.; Baker, Ardith

    2010-01-01

    The authors used stratified random sampling to assess the prevalence and severity of bereavement in college undergraduates, providing an advance over findings that emerge from convenience sampling methods or from anecdotal observations. Prior research using convenience sampling indicated that 22% to 30% of college students are within 12 months of…

  12. Grief Experience of Bereaved Malay/Muslim Youths in Singapore: The Spiritual Dimension

    Science.gov (United States)

    Hassan, Murshidah; Mehta, Kalyani

    2010-01-01

    This article is based on a qualitative study conducted in Singapore which examined different coping mechanisms engaged by Malay/Muslim bereaved youths following parental death. The research applied the revised Transactional Model of Stress and Coping as well as the Adolescent Coping Scale as a theoretical framework for analysing findings. Of the…

  13. Concept of death and perceptions of bereavement in adults with intellectual disabilities.

    LENUS (Irish Health Repository)

    McEvoy, J

    2012-02-01

    Bereavement is potentially a time of disruption and emotional distress. For individuals with an intellectual disability (ID), a limited understanding of the concept of death may exacerbate this distress. The aim of the present study was to investigate how individuals with ID understand and explain death and make sense of life without the deceased.

  14. Bereavement and Coping of South Asian Families Post 9/11

    Science.gov (United States)

    Inman, Arpana G.; Yeh, Christine J.; Madan-Bahel, Anvita; Nath, Shivani

    2007-01-01

    Eleven first-generation South Asian family members who lost a relative in the World Trade Center attacks on September 11, 2001, were interviewed about their loss and their coping strategies. Data were analyzed using consensual qualitative research (CQR) methodology. Participant responses clearly delineated bereavement reactions and coping within a…

  15. Dreams of Deceased Children and Countertransference in the Group Psychotherapy of Bereaved Mothers: Clinical Illustration

    Science.gov (United States)

    Begovac, Branka; Begovac, Ivan

    2012-01-01

    This article presents, in the form of a clinical illustration, a therapeutic group of bereaved mothers with special reference to their dreams about their deceased children. The article presents descriptions of the emotions of these mothers and countertransference feelings, a topic that, to our knowledge, has not been frequently studied. The group…

  16. Maternal bereavement in the antenathal period and Neural tube defect in the offspring

    DEFF Research Database (Denmark)

    Ingstrup, Katja Glejsted; Olsen, Jørn; Bech, Bodil Hammer;

    2013-01-01

    is the best-known cause of the disease. Objective: To investigate if severe emotional stress exposure related to maternal bereavement due to loss of a close relative in the antenatal period is associated with neural tube defect in the offspring. Methods: A nationwide register-based follow-up study including...

  17. The push and pull of grief: Approach and avoidance in bereavement

    NARCIS (Netherlands)

    Maccallum, F.; Sawday, S.; Rinck, M.; Bryant, R.A.

    2015-01-01

    Background and objectives: Prolonged Grief (PG) is recognized as a post-bereavement syndrome that is associated with significant impairment. Although approach and avoidance tendencies have both been hypothesized to play key roles in maintaining PG symptoms, understanding of these relationships has b

  18. Prenatal exposure to bereavement and type-2 diabetes: a Danish longitudinal population based study.

    Directory of Open Access Journals (Sweden)

    Jasveer Virk

    Full Text Available BACKGROUND: The etiology of type-2 diabetes is only partly known, and a possible role of prenatal stress in programming offspring for insulin resistance has been suggested by animal models. Previously, we found an association between prenatal stress and type-1 diabetes. Here we examine the association between prenatal exposure to maternal bereavement during preconception and pregnancy and development of type-2 diabetes in the off-spring. METHODS: We utilized data from the Danish Civil Registration System to identify singleton births in Denmark born January 1(st 1979 through December 31(st 2008 (N = 1,878,246, and linked them to their parents, grandparents, and siblings. We categorized children as exposed to bereavement during prenatal life if their mothers lost an elder child, husband or parent during the period from one year before conception to the child's birth. We identified 45,302 children exposed to maternal bereavement; the remaining children were included in the unexposed cohort. The outcome of interest was diagnosis of type-2 diabetes. We estimated incidence rate ratios (IRRs from birth using log-linear poisson regression models and used person-years as the offset variable. All models were adjusted for maternal residence, income, education, marital status, sibling order, calendar year, sex, and parents' history of diabetes at the time of pregnancy. RESULTS: We found children exposed to bereavement during their prenatal life were more likely to have a type-2 diabetes diagnosis later in life (aIRR: 1.31, 1.01-1.69. These findings were most pronounced when bereavement was caused by death of an elder child (aIRR: 1.51, 0.94-2.44. Results also indicated the second trimester of pregnancy to be the most sensitive period of bereavement exposure (aIRR:2.08, 1.15-3.76. CONCLUSIONS: Our data suggests that fetal exposure to maternal bereavement during preconception and the prenatal period may increase the risk for developing type-2 diabetes in

  19. Viewing the body after bereavement due to suicide: a population-based survey in Sweden.

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    Pernilla Omerov

    Full Text Available BACKGROUND: Research on the assumed, positive and negative, psychological effects of viewing the body after a suicide loss is sparse. We hypothesized that suicide-bereaved parents that viewed their childs body in a formal setting seldom regretted the experience, and that viewing the body was associated with lower levels of psychological morbidity two to five years after the loss. METHODS AND FINDINGS: We identified 915 suicide-bereaved parents by linkage of nationwide population-based registries and collected data by a questionnaire. The outcome measures included the Patient Health Questionnaire (PHQ-9. In total, 666 (73% parents participated. Of the 460 parents (69% that viewed the body, 96% answered that they did not regret the experience. The viewing was associated with a higher risk of reliving the child's death through nightmares (RR 1.61, 95% CI 1.13 to 2.32 and intrusive memories (RR 1.20, 95% CI 1.04 to 1.38, but not with anxiety (RR 1.02, 95% CI 0.74 to 1.40 and depression (RR 1.25, 95% CI 0.85 to 1.83. One limitation of our study is that we lack data on the informants' personality and coping strategies. CONCLUSIONS: In this Swedish population-based survey of suicide-bereaved parents, we found that by and large everyone that had viewed their deceased child in a formal setting did not report regretting the viewing when asked two to five years after the loss. Our findings suggest that most bereaved parents are capable of deciding if they want to view the body or not. Officials may assist by giving careful information about the child's appearance and other details concerning the viewing, thus facilitating mental preparation for the bereaved person. This is the first large-scale study on the effects of viewing the body after a suicide and additional studies are needed before clinical recommendations can be made.

  20. Comparing Cognitive, Relational and Stress Mechanisms Underlying Gender Differences in Recovery from Bereavement-related Internalizing Problems

    OpenAIRE

    LITTLE, MICHELLE; Sandler, Irwin N.; Wolchik, Sharlene A.; Tein, Jenn-Yun; Ayers, Tim S.

    2009-01-01

    Four putative mediators underlying gender differences in youths’ recovery from bereavement-related internalizing problems were examined in a sample (N = 109; age range of 8 to 16 years at the initial assessment) of parentally-bereaved youth: intrusive thoughts about grief, post-death stressors, negative appraisals of post-death stressors and fear of abandonment. A three-wave parallel process longitudinal growth model design was employed. Changes in internalizing problems and mediators were me...

  1. Identifying bereaved subjects at risk of complicated grief: Predictive value of questionnaire items in a cohort study

    Directory of Open Access Journals (Sweden)

    Jensen Anders B

    2011-05-01

    Full Text Available Abstract Background Bereavement is a condition which most people experience several times during their lives. A small but noteworthy proportion of bereaved individuals experience a syndrome of prolonged psychological distress in relation to bereavement. The aim of the study was to develop a clinical tool to identify bereaved individuals who had a prognosis of complicated grief and to propose a model for a screening tool to identify those at risk of complicated grief applicable among bereaved patients in general practice and palliative care. Methods We examined the responses of 276 newly bereaved individuals to a variety of standardised and ad hoc questionnaire items eight weeks post loss. Inventory of Complicated Grief (ICG-R was used as a gold standard of distress at six months after bereavement. Receiver operating characteristic (ROC curves analysis was performed for all scales and items regarding ICG-R score. Sensitivity, specificity and area under curve (AUC were calculated for scales and items with the most promising ROC curve analyses. Results Beck's Depression Inventory (BDI was the scale with the highest AUC (0.83 and adding a single item question ('Even while my relative was dying, I felt a sense of purpose in my life' gave a sensitivity of 80% and specificity of 75%. The positive/negative predictive values for this combination of questions were 70% and 85%, respectively. With this screening tool bereaved people could be categorized into three groups where group 1 had 7%, group 2 had 23% and group 3 had 64% propensity of suffering from complicated grief six months post loss. Conclusions This study shows that the BDI in combination with a single item question eight weeks post loss may be used for clinical screening for risk of developing complicated grief after six months. The feasibility and clinical implications of the screening tool has to be tested in a clinical setting.

  2. 'They all look as if they're coping, but I'm not': the relational power/lessness of 'youth' in responding to experiences of bereavement

    OpenAIRE

    Ribbens McCarthy, Jane

    2007-01-01

    Experience of significant bereavement is reported by the majority of young people in contemporary western societies, but it receives little attention from mainstream services or academics, and this marginality is paralleled in young people's everyday bereavement experiences. Existing academic and professional work concerned with children and young people's experiences of bereavement largely centres on cognitive understandings of death, and individual intra-psychic processes and responses in t...

  3. Bereaved parents' experiences of music therapy with their terminally ill child.

    Science.gov (United States)

    Lindenfelser, Kathryn J; Grocke, Denise; McFerran, Katrina

    2008-01-01

    The purpose of this study was to investigate bereaved parents' experiences of music therapy with their terminally ill child. In-depth interviews were conducted with 7 bereaved parents who were recruited through a community-based palliative care program. The parent participants' experiences varied as their children who received music therapy ranged in ages from 5 months to 12 years old. The interview transcripts were analyzed using phenomenological strategies. Five global themes emerged from the analysis. These included (a) music therapy was valued as a means of altering the child's and family's perception of their situation in the midst of adversity, (b) music therapy was a significant component of remembrance, (c) music therapy was a multifaceted experience for the child and family, (d) music therapy enhanced communication and expression, and (e) parents shared perceptions of and recommendations for improving music therapy services. These emergent themes yield knowledge into the relevance of music therapy within pediatric palliative care. PMID:18959454

  4. Recruitment methods for intervention research in bereavement-related depression. Five years' experience.

    Science.gov (United States)

    Schlernitzauer, M; Bierhals, A J; Geary, M D; Prigerson, H G; Stack, J A; Miller, M D; Pasternak, R E; Reynolds, C F

    1998-01-01

    The authors compared various strategies for recruiting elderly subjects with bereavement-related depression into a randomized clinical trial. Over 5 years, they empaneled 65 patients from a total of 441 subjects screened (14.7%). Response to media advertisements was the single most effective strategy (54% of subjects). Another effective, but labor-intensive, strategy was using letters to bereaved spouses found through newspaper obituaries (14%); another 14% were referred by friends who had seen study advertisements. Information letters to healthcare providers yielded no study participants. Pathways to study participation did not differ as a function of race or gender and did not influence study retention or remission rates. Our experience suggests that successful intake depends on a personal mode of recruitment.

  5. In-utero exposure to bereavement and offspring IQ: a Danish national cohort study.

    Directory of Open Access Journals (Sweden)

    Jasveer Virk

    Full Text Available BACKGROUND: Intelligence is a life-long trait that has strong influences on lifestyle, adult morbidity and life expectancy. Hence, lower cognitive abilities are therefore of public health interest. Our primary aim was to examine if prenatal bereavement measured as exposure to death of a close family member is associated with the intelligence quotient (IQ scores at 18-years of age of adult Danish males completing a military cognitive screening examination. METHODS: We extracted records for the Danish military screening test and found kinship links with biological parents, siblings, and maternal grandparents using the Danish Civil Registration System (N = 167,900. The prenatal exposure period was defined as 12 months before conception until birth of the child. We categorized children as exposed in utero to severe stress (bereavement during prenatal life if their mothers lost an elder child, husband, parent or sibling during the prenatal period; the remaining children were included in the unexposed cohort. Mean score estimates were adjusted for maternal and paternal age at birth, residence, income, maternal education, gestational age at birth and birth weight. RESULTS: When exposure was due to death of a father the offsprings' mean IQ scores were lower among men completing the military recruitment exam compared to their unexposed counterparts, adjusted difference of 6.5 standard IQ points (p-value = 0.01. We did not observe a clinically significant association between exposure to prenatal maternal bereavement caused by death of a sibling, maternal uncle/aunt or maternal grandparent even after stratifying deaths only due to traumatic events. CONCLUSION: We found maternal bereavement to be adversely associated with IQ in male offspring, which could be related to prenatal stress exposure though more likely is due to changes in family conditions after death of the father. This finding supports other literature on maternal adversity during fetal

  6. In-Utero Exposure to Bereavement and Offspring IQ: A Danish National Cohort Study

    OpenAIRE

    Jasveer Virk; Carsten Obel; Jiong Li; Jørn Olsen

    2014-01-01

    BACKGROUND: Intelligence is a life-long trait that has strong influences on lifestyle, adult morbidity and life expectancy. Hence, lower cognitive abilities are therefore of public health interest. Our primary aim was to examine if prenatal bereavement measured as exposure to death of a close family member is associated with the intelligence quotient (IQ) scores at 18-years of age of adult Danish males completing a military cognitive screening examination. METHODS: We extracted records for th...

  7. Systematic Review of Psychosocial Morbidities among Bereaved Parents of Children with Cancer

    OpenAIRE

    Rosenberg, Abby R.; Baker, K. Scott; Syrjala, Karen; Wolfe, Joanne

    2011-01-01

    The objective of this review was to comprehensively summarize existing studies utilizing validated instruments to measure psychosocial outcomes among bereaved parents of children with cancer. This population has increased risks of anxiety, depression, prolonged grief, and poor quality of life. Parental morbidity is associated with psychiatric co-morbidities, prior loss, economic hardship, duration and intensity of child’s cancer-therapy, perceptions of medical care, child’s quality of life, p...

  8. Is rumination after bereavement linked with loss avoidance? Evidence from eye-tracking.

    Directory of Open Access Journals (Sweden)

    Maarten C Eisma

    Full Text Available Rumination is a risk factor in adjustment to bereavement. It is associated with and predicts psychopathology after loss. Yet, the function of rumination in bereavement remains unclear. In the past, researchers often assumed rumination to be a maladaptive confrontation process. However, based on cognitive avoidance theories of worry in generalised anxiety disorder (GAD and rumination after post-traumatic stress disorder (PTSD, others have suggested that rumination may serve to avoid painful aspects of the loss, thereby contributing to complicated grief. To examine if rumination is linked with loss avoidance, an eye-tracking study was conducted with 54 bereaved individuals (27 high and 27 low ruminators. On 24 trials, participants looked for 10 seconds at a picture of the deceased and a picture of a stranger, randomly combined with negative, neutral or loss-related words. High ruminators were expected to show initial vigilance followed by subsequent disengagement for loss stimuli (i.e., picture deceased with a loss word in the first 1500 ms. Additionally, we expected high ruminators to avoid these loss stimuli and to show attentional preference for non-loss-related negative stimuli (i.e., picture stranger with a negative word on longer exposure durations (1500-10000 ms. Contrary to expectations, we found no evidence for an effect of rumination on vigilance and disengagement of loss stimuli in the first 1500 ms. However, in the 1500-10000 ms interval, high ruminators showed shorter gaze times for loss stimuli and longer gaze times for negative (and neutral non-loss-related stimuli, even when controlling for depression and complicated grief symptom levels. Effects of rumination on average fixation times mirrored these findings. This suggests that rumination and loss avoidance are closely associated. A potential clinical implication is that rumination and grief complications after bereavement may be reduced through the use of exposure and acceptance

  9. Bereaved Parents’ and Siblings’ Reports of Legacies Created by Children With Cancer

    OpenAIRE

    Foster, Terrah L.; Gilmer, Mary Jo; Davies, Betty; Barrera, Maru; Fairclough, Diane; Vannatta, Kathryn; Gerhardt, Cynthia A.

    2009-01-01

    This qualitative study explored bereaved parents’ and siblings’ reports of legacies created by children with advanced cancer. Participants included 40 families of children who died from cancer, with 36 mothers, 27 fathers, and 40 siblings (ages 8–18 years). Individual interviews were completed at home approximately 10.68 months (SD = 3.48) after the child’s death. Content analysis of interviews indicated that many children living with cancer did specific things to be remembered, such as makin...

  10. Terminal care: evaluation of effects on surviving family of care before and after bereavement.

    OpenAIRE

    Cameron, J; Parkes, C. M.

    1983-01-01

    To evaluate the effects on the family of a comprehensive programme of terminal cancer care, 20 close relatives of patients who had died in a Palliative Care Unit (PCU) were compared with a matched group of 20 relatives of patients who had died of cancer in other wards of the same teaching hospital. Interviewed by telephone 1 year and 2 weeks after bereavement, relatives of PCU patients report significantly fewer psychological symptoms and less lasting grief and anger than relatives of patient...

  11. Examining Cognitive Impairments in Bereaved Adults With and Without Complicated Grief

    OpenAIRE

    Robinaugh, Donald John

    2015-01-01

    Grief is a syndrome of cognitions, emotions, and behaviors that commonly arise together following the death of a loved one. It includes intense pangs of emotional pain, yearning for the deceased, emotional numbness, subjective difficulty imagining the future without the deceased, and preoccupation with thoughts related to the death and the deceased. In the initial months following loss, the majority of bereaved adults will experience some or even many elements of this syndrome. For most, the ...

  12. Request for organ donation without donor registration: a qualitative study of the perspectives of bereaved relatives

    OpenAIRE

    De Groot, Jack; van Hoek, Maria; Hoedemaekers, Cornelia; Hoitsma, Andries; Schilderman, Hans; Smeets, Wim; Vernooij-Dassen, Myrra; van Leeuwen, Evert

    2016-01-01

    Background In the Netherlands, consent from relatives is obligatory for post mortal donation. This study explored the perspectives of relatives regarding the request for consent for donation in cases without donor registration. Methods A content analysis of narratives of 24 bereaved relatives (14 in-depth interviews and one letter) of unregistered, eligible, brain-dead donors was performed. Results Relatives of unregistered, brain-dead patients usually refuse consent for donation, even if the...

  13. Entrepreneurial and Sustainable Business Strategies in Bereavement Industry : Kuala Lumpur, Malaysia (Business Practices and Consumers Views)

    OpenAIRE

    Grgas, Jasminka

    2014-01-01

    This study aims to investigate dimensions of Strategic Entrepreneurship (SE) business practices in bereavement industry (BI) in Kuala Lumpur and how these practices, with focus on sustainability issues, relate to consumers views. The study will evaluate business practices in BI based on Ireland’s (2003) model of SE with particular focus on sustainable entrepreneurial practices as they relate to constraint of availability of interment space in funeral homes in Kuala Lumpur. Information from re...

  14. Caregiver Responsiveness to the Family Bereavement Program: What predicts responsiveness? What does responsiveness predict?

    OpenAIRE

    Schoenfelder, Erin N.; Sandler, Irwin N.; Millsap, Roger E.; Wolchik, Sharlene A.; Berkel, Cady; Ayers, Timothy S.

    2013-01-01

    The study developed a multi-dimensional measure to assess participant responsiveness to a preventive intervention, and applied this measure to study how participant baseline characteristics predict responsiveness and how responsiveness predicts program outcomes. The study was conducted with caregivers who participated in the parenting-focused component of the Family Bereavement Program (FBP), a prevention program for families that have experienced parental death. The sample consisted of 89 ca...

  15. Parental divorce and parental death - An integrative systematic review of children’s double bereavement

    DEFF Research Database (Denmark)

    Bruun, Poul; Marcussen, Jette; Hounsgaard, Lise;

    2015-01-01

    The aim of this review was to identify research on children and adolescents who experience double bereavement, i.e. the experience of loss through parental divorce followed by either parental death or critical illness with imminent death. This knowledge may identify evidence to underpin knowledge......; challenges in both custodial and non-custodial parental death; risk of mental health problems, and the need of support and interventions....

  16. Crosscultural narratives on death and bereavement among medical students: implications for undergraduate curricula

    Directory of Open Access Journals (Sweden)

    Arokiamary Bharathy

    2013-04-01

    Full Text Available Objectives: The aims of this study were to explore how Asian medical students from different cultural backgrounds engaged with issues of death and bereavement in an interactive group setting and to report their subjective experience of participation in the group. Methods: A convenience sample of thirteen, fourth year students at Penang Medical College participated in an audio-recorded focus group. Thematic analysis was performed on their personal narratives on death and bereavement. Results: The dominant themes that emerged were openness with regard to students' narratives, strong identification with traditional beliefs and rituals, the influence of professional identity and recognition of commonality of bereavement experience. There was some discomfort arising from the group process but this was mitigated by the level of support within the group. Conclusions: The implications of our findings for undergraduate medical curricula are that interactive, small group teaching of this important but culturally sensitive topic would be well tolerated and acceptable in an Asian medical school setting. However, the group process must be carefully structured and facilitated.

  17. Family functioning and its predictors among disaster bereaved individuals in China: eighteen months after the Wenchuan Earthquake.

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    Xiaoyi Cao

    Full Text Available BACKGROUND: The 2008 Wenchuan earthquake in China resulted in great loss of life and property, and previous studies have focused on psychopathological symptoms in survivors after disasters. This study examined perceived family functioning and its predictors in disaster bereaved individuals eighteen months after the 2008 Wenchuan earthquake. METHODOLOGY/FINDINGS: This was a cross-sectional study of a convenience sample of 264 bereaved individuals. The instruments used in the study included Family APGAR Index, Family Adaptability and Cohesion Evaluation ScaleãÀ, Emotional and Social Loneliness Scale, and a range of items eliciting demographic characteristics and disaster-related variables. The results indicated that the rates of moderate family dysfunction and severe family dysfunction in bereaved individuals were 37.1% and 12.9%, respectively. Less financial loss during the earthquake was a significant predictor for positive family function. Better self-rated health status after the earthquake was significantly related to positive family function, cohesion, and adaptability. Scores on family cohesion and adaptability in bereaved individuals from extended or nuclear families were significantly higher than those from single-parent families. The ability to give birth to another baby of bereaved parents was a significant predictor for positive family function and cohesion. Poorer family function, cohesion and adaptability were significantly related to greater loneliness. CONCLUSIONS/SIGNIFICANCE: This study found a high prevalence of family dysfunction in bereaved individuals eighteen months after the 2008 Wenchuan earthquake. Strategies can be designed to facilitate post-disaster recovery, particularly for the bereaved at high risk for family dysfunction. The study provides useful information for post-disaster rebuilding and relief work.

  18. "They All Look as if They're Coping, but I'm Not:" The Relational Power/lessness of "Youth" in Responding to Experiences of Bereavement

    Science.gov (United States)

    McCarthy, Jane Ribbens

    2007-01-01

    Experience of significant bereavement is reported by the majority of young people in contemporary western societies, but it receives little attention from mainstream services or academics, and this marginality is paralleled in young people's everyday bereavement experiences. Existing academic and professional work concerned with children and young…

  19. A Comparative Study of the Child Bereavement and Loss Responses and Needs of Schools in Hull, Yorkshire and Derry/Londonderry, Northern Ireland

    Science.gov (United States)

    Tracey, Anne; Holland, John

    2008-01-01

    This paper reports the findings from a study of schools' responses to child bereavement in Hull, Yorkshire and Derry/Londonderry, Northern Ireland. In order to gain an insight and compare how schools in both geographical areas respond to and manage bereavement, the questionnaire "Loss in schools" was selected as an appropriate tool. It has been…

  20. Do circumstances of the death matter? Identifying socioenvironmental risks for grief-related psychopathology in bereaved youth.

    Science.gov (United States)

    Kaplow, Julie B; Howell, Kathryn H; Layne, Christopher M

    2014-02-01

    We examined bereaved children's and surviving caregivers' psychological responses following the death of the other caregiver as a function of the stated cause of death. Participants included 63 parentally bereaved children and 38 surviving caregivers who were assessed using self-report instruments and in-person interviews. Surviving caregivers reported the causes of death as resulting from sudden natural death (34.9%), illness (33.3%), accident (17.5%), and suicide (14.3%). Results revealed differences between caregiver-reported versus child-reported cause of death, particularly in cases of suicide. Children who lost a caregiver due to a prolonged illness exhibited higher levels of both maladaptive grief (d = 3.13) and posttraumatic stress symptoms (PTSS; d = 3.33) when compared to children who lost a caregiver due to sudden natural death (e.g., heart attack). In contrast, surviving caregivers did not differ in their levels of maladaptive grief and PTSS as a function of the cause of death; however, caregivers bereaved by sudden natural death reported higher levels of depression than those bereaved by prolonged illness (d = 1.36). Limited sample size prevented analysis of outcomes among those bereaved by suicide or accident. These findings suggest that anticipated deaths may contain etiologic risk factors for maladaptive grief and PTSS in children.

  1. The Effects of Mindfulness-Based Cognitive Therapy on Depressive Symptoms in Elderly Bereaved People with Loss-Related Distress: a Controlled Pilot Study

    DEFF Research Database (Denmark)

    O Connor, Maja; Piet, Jacob; Hougaard, Esben

    2014-01-01

    We examined the effects of mindfulness-based cognitive therapy (MBCT) on symptom severity of depression, complicated grief, posttraumatic stress, and working memory in elderly bereaved people with long-term bereavement-related distress. A non-randomized, controlled pilot design was used in a sample...... intervention, but 0 % had elevated symptoms at follow-up. MBCT appears to reduce depressive symptoms in this sample of elderly bereaved people, but further studies of the effects of MBCT in this population are needed for firm conclusions....... of elderly bereaved people (mean age=77 years) with long-term bereavement-related distress. Results were compared between MBCT intervention group completers (n=12), intervention group intention to treat (n=18), and wait list controls (n=18) at pre- and postintervention and at a 5-month follow-up. Compared...

  2. Palliative care for cancer patients in a primary health care setting:Bereaved relatives' experience, a qualitative group interview study

    DEFF Research Database (Denmark)

    Neergaard, Mette Asbjørn; Olesen, Frede; Jensen, Anders Bonde;

    2008-01-01

    Background: Knowledge about the quality and organisation of care to terminally ill cancer patients with a relatives' view in a primary health care setting is limited. The aim of the study is to analyse experiences and preferences of bereaved relatives to terminally ill cancer patients in a primary...... care setting to explore barriers and facilitators for delivery of good palliative home care. Methods: Three focus group interviews with fourteen bereaved relatives in Aarhus County, Denmark. Results: Three main categories of experience were identified: 1) The health professionals' management, where...... improvement and attention should be drawn to the "professionalization" of the relatives and the need to strike a balance between their needs, wishes and resources in end-of-life care and bereavement....

  3. Bereavement healing ministry amongst Abaluyia: Towards a ‘circle for pastoral concern’ as a healing model

    Directory of Open Access Journals (Sweden)

    Benjamin Shikwati

    2013-10-01

    Full Text Available This article formulates a new integrated pastoral care approach to bereavement healing ministry in Africa, termed a circle for pastoral concern. In pursuit of this, the article highlights the pastoral challenge brought about by the occurrence of death and bereavement within the cultural and Christian intermix. Using the example of the Abaluyia of western Kenya, traditional cultural bereavement healing approaches are assessed against the backdrop of Christian influence on the understanding and response to death and bereavement healing and the resultant tension. The article juxtaposes the Abaluyia cultural concept of okhukura[to encircle with loving care] with the biblical koinōnia[fellowship, communion] as springboard for building culturally sensitive and biblically sound Christian caring communities. It is hoped that the juxtaposition helps to establish and promote meaningful engagement between therapeutic traditional beliefs and practices, and the gospel. The gospel-culture engagement within a local church setting provides the context in which bereavement healing and individual growth after the death of a significant other takes place. The juxtaposition is necessitated by the rampant practice in African pluralistic societies where Christians consciously, or otherwise, lurch back to cultural approaches in their effort to provide or find healing when faced with death and bereavement. The ‘circle for pastoral concern’ model encourages inclusiveness by enlisting the means and talents of the community of believers, both ordained and lay. The principle of inclusion ensures that the load of pastoral care is shared and assumes a deeper response due to diversity of gifts and talents within the caring community.

  4. From loss to loneliness: The relationship between bereavement and depressive symptoms.

    Science.gov (United States)

    Fried, Eiko I; Bockting, Claudi; Arjadi, Retha; Borsboom, Denny; Amshoff, Maximilian; Cramer, Angélique O J; Epskamp, Sacha; Tuerlinckx, Francis; Carr, Deborah; Stroebe, Margaret

    2015-05-01

    Spousal bereavement can cause a rise in depressive symptoms. This study empirically evaluates 2 competing explanations concerning how this causal effect is brought about: (a) a traditional latent variable explanation, in which loss triggers depression which then leads to symptoms; and (b) a novel network explanation, in which bereavement directly affects particular depression symptoms which then activate other symptoms. We used data from the Changing Lives of Older Couples (CLOC) study and compared depressive symptomatology, assessed via the 11-item Center for Epidemiologic Studies Depression Scale (CES-D), among those who lost their partner (N = 241) with a still-married control group (N = 274). We modeled the effect of partner loss on depressive symptoms either as an indirect effect through a latent variable, or as a direct effect in a network constructed through a causal search algorithm. Compared to the control group, widow(er)s' scores were significantly higher for symptoms of loneliness, sadness, depressed mood, and appetite loss, and significantly lower for happiness and enjoyed life. The effect of partner loss on these symptoms was not mediated by a latent variable. The network model indicated that bereavement mainly affected loneliness, which in turn activated other depressive symptoms. The direct effects of spousal loss on particular symptoms are inconsistent with the predictions of latent variable models, but can be explained from a network perspective. The findings support a growing body of literature showing that specific adverse life events differentially affect depressive symptomatology, and suggest that future studies should examine interventions that directly target such symptoms. PMID:25730514

  5. Death and bereavement in the First World War: the Australian experience.

    Science.gov (United States)

    Jalland, Pat

    2014-06-01

    The First World War was a turning point in the cultural history of death and bereavement in Australia. The mass deaths of some 60,000 soldiers overseas led to communal rituals of mourning for the war dead and minimal public expressions of private grief. The mass slaughter of so many young men and the interminable grief of so many families devalued the deaths of civilians at home and helped to create a new cultural model of suppressed and privatised grieving which deeply constrained the next two generations. Emotional and expressive grieving became less common, mourning ritual was minimised and sorrow became a private matter.

  6. The Role of Rumination in the Coexistence of Distress and Posttraumatic Growth among Bereaved Japanese University Students

    Science.gov (United States)

    Taku, Kanako; Calhoun, Lawrence G.; Cann, Arnie; Tedeschi, Richard G.

    2008-01-01

    This study examined the relationships between rumination, distress and posttraumatic growth (PTG). Seventy-one bereaved Japanese university students completed the PTG Inventory, the Impact of Event Scale-Revised, and a rumination scale. Three models, with variables including intrusive rumination, deliberate rumination, distress, and PTG, were…

  7. Getting Unstuck: The Roles of Hope, Finding Meaning, and Rumination in the Adjustment to Bereavement among College Students

    Science.gov (United States)

    Michael, Scott T.; Snyder, C. R.

    2005-01-01

    The relationships between hope, bereavement-related rumination, and finding meaning (making sense and benefit finding) were examined in 158 college students who experienced the death of a loved one within the latter half of their lives. Greater rumination was related significantly to lessened psychological well-being, and it mediated the…

  8. Supporting Adults with an Intellectual Disability during Experiences of Loss and Bereavement: Staff Views, Experiences and Suggestions for Training

    Science.gov (United States)

    McEvoy, John; Guerin, Suzanne; Dodd, Philip; Hillery, John

    2010-01-01

    Background: Care staff are a major source of information and support for people with intellectual disabilities (ID) following a bereavement. How staff perceive the loss experience has implications for the quality and level of support provided to individuals with ID at times of personal loss. Method: Twenty-four staff members participated in the…

  9. Along the Cancer Continuum: Integrating Therapeutic Support and Bereavement Groups for Children and Teens of Terminally Ill Cancer Patients

    Science.gov (United States)

    Werner-Lin, Allison; Biank, Nancee M.

    2009-01-01

    Family life is altered irrevocably when a young parent is diagnosed with or dies from cancer. This article tracks the genesis and transformation of a comprehensive psychoeducational support and bereavement program for children, adolescents, and parents affected by cancer. From the inception of the program, families with parents in active treatment…

  10. Bereavement Experiences of Mothers and Fathers over Time after the Death of a Child due to Cancer

    Science.gov (United States)

    Alam, Rifat; Barrera, Maru; D'Agostino, Norma; Nicholas, David B.; Schneiderman, Gerald

    2012-01-01

    The authors investigated longitudinally bereavement in mothers and fathers whose children died of cancer. Thirty-one parents were interviewed 6 and 18 months post-death. Analyses revealed parental differences and changes over time: (a) employment--fathers were more work-focused; (b) grief reactions--mothers expressed more intense grief reactions…

  11. Bridging the Gap between Research and Practice in Bereavement: Report from the Center for the Advancement of Health

    Science.gov (United States)

    Sandler, Irwin; Balk, David; Jordan, John; Kennedy, Cara; Nadeau, Janice; Shapiro, Ester

    2005-01-01

    This article discusses issues in bridging the gap between research and practice in the field of bereavement. A conceptual framework is developed that emphasizes that the gulf reflects the lack of exchange and mutual influence between researchers and practitioners. Studies are presented using qualitative and quantitative methods to gain a better…

  12. Public hazards or private tragedies? An exploratory study of the effect of coroners' procedures on those bereaved by suicide.

    Science.gov (United States)

    Biddle, Lucy

    2003-03-01

    This study in the UK examined how the suicide inquest can affect bereaved relatives and impact upon their grief. In-depth qualitative interviews were conducted with a sample of 16 individuals bereaved by suicide in order to explore their experiences of the inquest. Thematic analysis was used to identify recurrent problems and their effects. Several interviewees had been significantly traumatised by the inquest process. They were particularly disturbed by the judicial atmosphere, media activity, the invasion of privacy, and giving evidence. Exposure to graphic evidence, delayed inquests, confiscated suicide notes and the inquest's failure to provide explanation and deal with blame also presented problems. Difficulties were compounded by a widespread lack of preparation and communication prior to the event. The inquest adversely affected resolution of grief in two main ways: by exacerbating common grief reactions associated with bereavement by suicide, such as, shame, guilt and anger; and, by interfering with necessary grief work, most notably, the task of arriving at a meaningful and acceptable account of the death. Other interviewees described more positive experiences, one of whom regarded the inquest as helpful to their resolution of grief. Whereas these results may not typify all inquest experiences, the findings do suggest that a number of reforms are necessary to avoid the possibility of the inquest distressing this vulnerable group. Ideally, there should be a clear protocol for dealing with bereaved relatives. This is currently lacking in the coroners' system. PMID:12593876

  13. The Experience of Carers in Supporting People with Intellectual Disabilities through the Process of Bereavement: An Interpretative Phenomenological Analysis

    Science.gov (United States)

    Handley, Emily; Hutchinson, Nick

    2013-01-01

    Background: This study explored the personal experiences of family carers and residential care staff in supporting adults with intellectual disabilities through the process of bereavement. Method: A semi-structured interview was used to interview 11 carers on their experience of supporting adults with intellectual disabilities through the process…

  14. Sound Continuing Bonds with the Deceased: The Relevance of Music, Including Preloss Music Therapy, for Eight Bereaved Caregivers

    Science.gov (United States)

    O'Callaghan, Clare C.; McDermott, Fiona; Hudson, Peter; Zalcberg, John R.

    2013-01-01

    This study examines music's relevance, including preloss music therapy, for 8 informal caregivers of people who died from cancer. The design was informed by constructivist grounded theory and included semistructured interviews. Bereaved caregivers were supported or occasionally challenged as their musical lives enabled a connection with the…

  15. Teaching a Combined Course on Grief and Bereavement for BSW and MSW Students: Strategies, Content, and Evaluation

    Science.gov (United States)

    Bethel, Joyous C.

    2005-01-01

    This paper will address the development and offering of two combined (BSW and MSW) courses in Grief and Bereavement. This is a description of the purposes, educational units, and assignments for both courses. In addition, there is discussion of the learning environment to include educational strategies to promote both didactic and experiential…

  16. Meaning-Making through Psychological Autopsy Interviews: The Value of Participating in Qualitative Research for Those Bereaved by Suicide

    Science.gov (United States)

    Dyregrov, Kari Madeleine; Dieserud, Gudrun; Hjelmeland, Heidi Marie; Straiton, Melanie; Rasmussen, Mette Lyberg; Knizek, Birthe Loa; Leenaars, Antoon Adrian

    2011-01-01

    Too often ethical boards delay or stop research projects with vulnerable populations, influenced by presumed rather than empirically documented vulnerability. The article investigates how participation is experienced by those bereaved by suicide. Experiences are divided into 3 groups: (a) overall positive (62%), (b) unproblematic (10%), and (c)…

  17. Prolonged grief disorder, depression, and posttraumatic stress disorder among bereaved Kosovar civilian war survivors: a preliminary investigation

    NARCIS (Netherlands)

    N. Morina; V. Rudari; G. Bleichhardt; H. Prigerson

    2010-01-01

    Background: This study aimed at examining diagnostic concordance between Prolonged Grief Disorder (PGD), Major Depressive Disorder (MDD), and Posttraumatic Stress Disorder (PTSD) among bereaved war survivors who had lost relatives due to war-related violence. Method: We investigated the rates of PGD

  18. The effects of a support group on selected psychosocial outcomes of bereaved parents whose child died from cancer.

    Science.gov (United States)

    Heiney, S P; Ruffin, J; Goon-Johnson, K

    1995-04-01

    Group support for bereaved parents whose child died from cancer has been suggested as a means of helping parents express emotions about their loss and improve their coping. Using a quasi-experimental design, we sought to determine the selected psychosocial effects of participation in a support group for bereaved parents whose child died from cancer. Five bereaved parents completed the Emotions Profile Index, the Family Adaptability and Cohesion Evaluation Scales, and the Social Adjustment Scale Self-Report before and after the seven group sessions. No statistically significant differences were found. Descriptive data were analyzed from the co-therapists' process log and the participants' evaluation forms. The group process log revealed intense pain and grief over the loss of the child and the parents' conscious struggle to adapt to the present and prepare for the future. The discussions poignantly indicated the great extent to which the child's death had changed their lives. Using the group evaluation form parents reported high satisfaction with the group sessions. Tentative conclusions support the value of such a group in providing a forum for some bereaved parents to ventilate feelings and thoughts and validate the normalcy of their reactions. PMID:7612198

  19. Prenatal maternal bereavement and mortality in the first decades of life

    DEFF Research Database (Denmark)

    Yu, Yongfu; Cnattingius, Sven; Olsen, Jørn;

    2016-01-01

    the association between prenatal maternal bereavement and mortality in a cohort of 5.3 million children followed until up to 37 years of age. METHOD: The population-based cohort study included 5 253 508 live singleton births in Denmark (1973-2004) and Sweden (1973-2006). Children born to mothers who lost a child......, spouse, sibling, or parent during or 1 year before pregnancy were categorized as exposed. RESULTS: Prenatal maternal bereavement was associated with a 10% increased all-cause mortality risk in offspring [mortality rate ratio (MRR) 1.10, 95% confidence interval (CI) 1.03-1.18]. The association.......07-3.23), endocrine/nutritional/metabolic diseases (MRR 3.23, 95% CI 2.02-5.17), diseases of nervous system (MRR 3.36, 95% CI 2.47-4.58), and congenital malformations (MRR 1.39, 95% CI 1.08-1.80). No excess mortality risk in offspring was observed for unnatural causes of death. CONCLUSION: Prenatal maternal...

  20. Guilt in bereavement: the role of self-blame and regret in coping with loss.

    Directory of Open Access Journals (Sweden)

    Margaret Stroebe

    Full Text Available Despite the apparent centrality of guilt in complicating reactions following bereavement, scientific investigation has been limited. Establishing the impact of specific components associated with guilt could enhance understanding. The aim of this study was to examine the relationships between two guilt-related manifestations, namely self-blame and regret, with grief and depression. A longitudinal investigation was conducted 4-7 months, 14 months and 2 years post-loss. Participants were bereaved spouses (30 widows; 30 widowers; their mean age was 53.05 years. Results showed that self-blame was associated with grief at the initial time-point and with its decline over time. Such associations were not found for depression. Initial levels of regret were neither associated with initial levels of grief and depression, nor were they related to the decline over time in either outcome variable. These results demonstrate the importance of examining guilt-related manifestations independently, over time, and with respect to both generic and grief-specific outcome variables. A main conclusion is that self-blame (but not regret is a powerful determinant of grief-specific difficulties following the loss of a loved one. Implications for intervention are considered.

  1. The development of a sustainable, community-supported children's bereavement camp.

    Science.gov (United States)

    Bachman, Betty

    2013-01-01

    This article describes the creation and development of a sustainable, community-supported children's bereavement camp. Numerous grief camps were examined prior to the project development. The project development was guided by the S.M.A.R.T. (S--Strategic/specific; M--Measurable; A--Achievable/attainable; R--Realistic; and T--Time-framed) stratagem to direct steps toward the development of the bereavement camp. Outcome measures included program participation, as well as evaluations completed by campers, family members, and volunteers. Camp attendance continues to grow, with 48 children the first year and an average of 65 the following 3 years. According to post-evaluation surveys, campers were able to integrate back into school with a decrease in stress and an increase in their ability to verbalize their grief, share feelings and begin to trust others. One child "got her sparkle back" according to her grandmother. Several campers commented that camp allowed them to see themselves as normal children. The goal of Camp Healing Hearts was that campers would laugh again, and they are. PMID:23977776

  2. The development of a sustainable, community-supported children's bereavement camp.

    Science.gov (United States)

    Bachman, Betty

    2013-01-01

    This article describes the creation and development of a sustainable, community-supported children's bereavement camp. Numerous grief camps were examined prior to the project development. The project development was guided by the S.M.A.R.T. (S--Strategic/specific; M--Measurable; A--Achievable/attainable; R--Realistic; and T--Time-framed) stratagem to direct steps toward the development of the bereavement camp. Outcome measures included program participation, as well as evaluations completed by campers, family members, and volunteers. Camp attendance continues to grow, with 48 children the first year and an average of 65 the following 3 years. According to post-evaluation surveys, campers were able to integrate back into school with a decrease in stress and an increase in their ability to verbalize their grief, share feelings and begin to trust others. One child "got her sparkle back" according to her grandmother. Several campers commented that camp allowed them to see themselves as normal children. The goal of Camp Healing Hearts was that campers would laugh again, and they are.

  3. A community for grieving: affordances of social media for support of bereaved parents

    Science.gov (United States)

    Segerstad, Ylva Hård Af; Kasperowski, Dick

    2015-04-01

    The purpose of this paper was to study bereaved parents' use of a closed peer grief support community on Facebook and the features of the community that are important to them. The death of a child is an uncomfortable subject in most contemporary societies. This limits the exploration of experiences and possibilities for coping with grief. However, with the introduction of social media, this has changed. Theoretical perspectives on parental grief recognizing the importance of continued relational bonds with the lost child are used, together with the ontological assumption that social media enhance the dissolving of private/public and time/space. This study is based on questionnaire, interviews, and content from the closed peer grief support community, to which the research team has insider access. The community encompasses a diverse range of experiences and stages of grief, independent of the time elapsed since the loss of a child. Bereavement of children of all ages and from all conceivable causes of death is distributed among the members. The results show how the affordances of social media become vital resources for coping with grief in ways not available previously, comprising aspects of the closed nature of the group, shared experiences, time, and accessibility.

  4. Social Constraints are Associated with Negative Psychological and Physical Adjustment in Bereavement.

    Science.gov (United States)

    Juth, Vanessa; Smyth, Joshua M; Carey, Michael P; Lepore, Stephen J

    2015-07-01

    Losing a loved one is a normative life event, yet there is great variability in subsequent interpersonal experiences and adjustment. The Social-Cognitive Processing (SCP) model suggests that social constraints (i.e. limited opportunities to disclose thoughts and feelings in a supportive context) impede emotional and cognitive processing of stressful life events, which may lead to maladjustment. This study investigates personal and loss-related correlates of social constraints during bereavement, the links between social constraints and post-loss adjustment, and whether social constraints moderate the relations between loss-related intrusive thoughts and adjustment. A community sample of bereaved individuals (n = 238) provided demographic and loss-related information and reported on their social constraints, loss-related intrusions, and psychological and physical adjustment. Women, younger people, and those with greater financial concerns reported more social constraints. Social constraints were significantly associated with more depressive symptoms, perceived stress, somatic symptoms, and worse global health. Individuals with high social constraints and high loss-related intrusions had the highest depressive symptoms and perceived life stress. Consistent with the SCP model, loss-related social constraints are associated with poorer adjustment, especially psychological adjustment. In particular, experiencing social constraints in conjunction with loss-related intrusions may heighten the risk for poor psychological health. PMID:25708231

  5. Cancer bereavement grief reactions of children%癌症丧亲儿童哀伤反应研究

    Institute of Scientific and Technical Information of China (English)

    向峰儀

    2013-01-01

    目的:了解儿童在丧亲前后生理、情绪、行为等方面发生的变化,从而得出丧亲儿童哀伤反应资料。方法:2012.5-2013.4宁养居家服务过程中对9名年龄分别为2岁以下、3至5岁、5至9岁、大于9岁的癌症丧亲儿童本人及其主要照顾者进行深度访谈。结果:9名丧亲儿童出现多种哀伤反应。结论:丧亲儿童哀伤反应的表现复杂多样,其主要照顾者应及时发现并正确引导儿童度过哀伤反应期。%Objective:Understanding of children's physical, emotional, behavioral changes before and after the bereavement, to arrive at some grief reactions of bereaved children. Methods:Hospice home care, in-depth interviews of five cancer bereaved children themselves and their primary caregivers.Results:Five bereaved children there are a variety of grief reactions. Conclusion:Performance of bereaved children's grief reactions are complex and diverse, and their primary caregivers should be to detect and correct guide children through the grief reactions of.

  6. Course of bereavement over 8-10 years in first degree relatives and spouses of people who committed suicide : longitudinal community based cohort study

    NARCIS (Netherlands)

    de Groot, Marieke; Kollen, Boudewijn J.

    2013-01-01

    Objective To identify factors predicting the long term course of complicated grief, depression, and suicide ideation in a community based sample of relatives bereaved through suicide. Design Longitudinal cohort study. Included in the multilevel regression models were sociodemographic and personality

  7. Severe stress following bereavement during pregnancy and risk of pregnancy loss

    DEFF Research Database (Denmark)

    Plana-Ripoll, Oleguer; Parner, Erik; Olsen, Jørn;

    2016-01-01

    between 1995 and 2008. We categorised women as exposed to severe stress if they lost a child, sibling or parent during pregnancy. Cox Proportional Hazards models were used to study the association between exposure and rate of fetal death, starting with the follow-up on the day of completion of week 4 of......BACKGROUND: Previous findings on the association between stress during pregnancy and pregnancy loss are inconsistent. We aimed to estimate this association using a large prospective cohort. METHODS: This population-based study included all 1 303 660 clinically recognised pregnancies in Denmark...... significant associations (aHR=1.83, 95% CI 1.49 to 2.25). All the analyses indicated a stronger effect of bereavement when the mother lost a child or when the death was unexpected. CONCLUSIONS: Our main results suggested no strong association between severe stress during pregnancy and risk of pregnancy loss...

  8. Prenatal stress exposure related to maternal bereavement and risk of childhood overweight.

    Directory of Open Access Journals (Sweden)

    Jiong Li

    Full Text Available BACKGROUND: It has been suggested that prenatal stress contributes to the risk of obesity later in life. In a population-based cohort study, we examined whether prenatal stress related to maternal bereavement during pregnancy was associated with the risk of overweight in offspring during school age. METHODOLOGY/PRINCIPAL FINDINGS: We followed 65,212 children born in Denmark from 1970-1989 who underwent health examinations from 7 to 13 years of age in public or private schools in Copenhagen. We identified 459 children as exposed to prenatal stress, defined by being born to mothers who were bereaved by death of a close family member from one year before pregnancy until birth of the child. We compared the prevalence of overweight between the exposed and the unexposed. Body mass index (BMI values and prevalence of overweight were higher in the exposed children, but not significantly so until from 10 years of age and onwards, as compared with the unexposed children. For example, the adjusted odds ratio (OR for overweight was 1.68 (95% confidence interval [CI] 1.08-2.61 at 12 years of age and 1.63 (95% CI 1.00-2.61 at 13 years of age. The highest ORs were observed when the death occurred in the period from 6 to 0 month before pregnancy (OR 3.31, 95% CI 1.71-6.42 at age 12, and OR 2.31, 95% CI 1.08-4.97 at age 13. CONCLUSIONS/SIGNIFICANCE: Our results suggest that severe pre-pregnancy stress is associated with an increased risk of overweight in the offspring in later childhood.

  9. Bereaved parents’ experience of stillbirth in UK hospitals: a qualitative interview study

    Science.gov (United States)

    Downe, Soo; Schmidt, Ellie; Kingdon, Carol; Heazell, Alexander E P

    2013-01-01

    Objective To obtain the views of bereaved parents about their interactions with healthcare staff when their baby died just before or during labour. Design Qualitative in-depth interview study, following an earlier national survey. All interviews took place during 2011, either face-to-face or on the telephone. Data analysis was informed by the constant comparative technique from grounded theory. Setting Every National Health Service (NHS) region in the UK was represented. Participants Bereaved parents who had completed an e-questionnaire, via the website of Sands (Stillbirth and Neonatal Death Society). Of the 304 survey respondents who gave provisional consent, 29 families were approached to take part, based on maximum variation sampling and data saturation. Results 22 families (n=25) participated. Births took place between 2002 and 2010. Specific practices were identified that were particularly helpful to the parents. Respondents talked about their interactions with hospital staff as having profound effects on their capacity to cope, both during labour and in the longer term. The data generated three key themes: ‘enduring and multiple loss’: ‘making irretrievable moments precious’; and the ‘best care possible to the worst imaginable’. The overall synthesis of findings is encapsulated in the meta-theme ‘One chance to get it right.’ This pertains to the parents and family themselves, clinical and support staff who care for them directly, and the NHS organisations that indirectly provide the resources and governance procedures that may (or may not) foster a caring ethos. Conclusions Positive memories and outcomes following stillbirth depend as much on genuinely caring staff attitudes and behaviours as on high-quality clinical procedures. All staff who encounter parents in this situation need to see each meeting as their one chance to get it right. PMID:23418300

  10. Retraction statement: Investigating factors associated with nurses' attitudes towards perinatal bereavement care: a study in Shandong and Hong Kong.

    Science.gov (United States)

    2015-09-01

    The above article from Journal of Clinical Nursing, 'Investigating factors associated with nurses' attitudes towards perinatal bereavement care: a study in Shandong and Hong Kong' by Chan, M. F., Lou, F.-l., Cao, F.-l., Li, P., Liu, L. and Wu, L. H. published online on 6 July 2009 in Wiley Online Library (wileyonlinelibrary.com) and in Volume 18, pp. 2344-2354, has been retracted by agreement between the authors, the journal Editor in Chief and John Wiley & Sons Ltd. The retraction has been agreed following an investigation carried out by the National University of Singapore due to major overlap with a previously published article: Chan MF, Lou F-l, Arthur DG, Cao F-l, Wu LH, Li P, Sagara-Rosemeyer M, Chung LYF & Lui L (2008) Investigating factors associate to nurses' attitudes towards perinatal bereavement care. Journal of Clinical Nursing 17: 509-518. doi: 10.1111/j.1365-2702.2007.02007.x.

  11. Sound continuing bonds with the deceased: the relevance of music, including preloss music therapy, for eight bereaved caregivers.

    Science.gov (United States)

    O'Callaghan, Clare C; McDermott, Fiona; Hudson, Peter; Zalcberg, John R

    2013-02-01

    This study examines music's relevance, including preloss music therapy, for 8 informal caregivers of people who died from cancer. The design was informed by constructivist grounded theory and included semistructured interviews. Bereaved caregivers were supported or occasionally challenged as their musical lives enabled a connection with the deceased. Music was often still used to improve mood and sometimes used to confront grief. Specific music, however, was sometimes avoided to minimize sadness. Continuing bonds theory's focus on connecting with the deceased through memory and imagery engagement may expand to encompass musical memories, reworking the meaning of familiar music, and discovering new music related to the deceased. Preloss music involvement, including music therapy, between dying patients and families can help in bereavement. PMID:24520844

  12. Facing bereavement

    DEFF Research Database (Denmark)

    Nielsen, Mette Kjærgaard

    2016-01-01

    Hvilke faktorer har sammenhæng med psykiske komplikationer hos pårørende til alvorligt syge patienter under et sygdomsforløb og i tiden efter patientens dødsfald? Det har Mette Kjærgaard Nielsen undersøgt i en ny sundhedsvidenskabelig ph.d.-afhandling. Resultaterne viser, at mange pårørende oplev...

  13. A survey of Dutch GPs’ attitudes towards help seeking and follow-up care for relatives bereaved by suicide

    OpenAIRE

    Groot, Marieke; Van der Meer, Klaas; Burger, Huibert

    2009-01-01

    Background. Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives’ possible psychiatric vulnerabilities. The availability of evidence-based services for relatives of suicide victims is limited. Successful implementation of services needs analysis of key factors considered critical in the achievement of changes. W...

  14. Bereavement help-seeking following an 'expected' death: a cross-sectional randomised face-to-face population survey

    Directory of Open Access Journals (Sweden)

    Aoun Samar

    2008-12-01

    Full Text Available Abstract Background This study examines the prevalence and nature of bereavement help-seeking among the population who experienced an "expected" death in the five years before their survey response. Such whole population data are not limited by identification through previous access to specific services nor practitioners. Methods In a randomised, cross-sectional, state-wide population-based survey, 6034 people over two years completed face-to-face interviews in South Australia by trained interviewers using piloted questions (74.2% participation rate. Respondent demographics, type of grief help sought, and circumstantial characteristics were collected. Uni- and multi-variate logistic regression models were created. Results One in three people (1965/6034 had experienced an 'expected' death of someone close to them in the last five years. Thirteen per cent sought help for their grief from one or more: friend/family members (10.7%; grief counselors (2.2%; spiritual advisers (1.9%; nurses/doctors (1.5%. Twenty five respondents (1.3% had not sought, but would have valued help with their grief. In multi-variate regression modeling, those who sought professional help (3.4% of the bereaved had provided more intense care (OR 5.39; CI 1.94 to14.98; p 2 = 0.33. Conclusion These data provide a whole-of-population baseline of bereavement help-seeking. The uniquely identified group who wished they had sought help is one where potentially significant health gains could be made as we seek to understand better any improved health outcomes as a result of involving bereavement services.

  15. The temporal relationship between change in symptoms of prolonged grief and posttraumatic stress following old age spousal bereavement

    DEFF Research Database (Denmark)

    O Connor, Maja; Nickerson, Angela; Aderka, Idan M.;

    2015-01-01

    following the death of a loved one. The purpose of this study was to examine the temporal relationship between change in high levels of PGS and PTSS during the first four years following old age spousal loss. Methods: Participants were 237 Danes (40% male; mean age = 73 years, SD = 4.4; range 65-81) who...... interventions at an early point in the long term perspective following old age spousal bereavement....

  16. Normal grief and complicated bereavement among traumatized Cambodian refugees: cultural context and the central role of dreams of the dead.

    Science.gov (United States)

    Hinton, Devon E; Peou, Sonith; Joshi, Siddharth; Nickerson, Angela; Simon, Naomi M

    2013-09-01

    This article profiles bereavement among traumatized Cambodian refugees and explores the validity of a model of how grief and post-traumatic stress disorder (PTSD) interact in this group to form a unique bereavement ontology, a model in which dreams of the dead play a crucial role. Several studies were conducted at a psychiatric clinic treating Cambodian refugees who survived the Pol Pot genocide. Key findings included that Pol Pot deaths were made even more deeply disturbing owing to cultural ideas about "bad death" and the consequences of not performing mortuary rites; that pained recall of the dead in the last month was common (76 % of patients) and usually caused great emotional and somatic distress; that severity of pained recall of the dead was strongly associated with PTSD severity (r = .62); that pained recall was very often triggered by dreaming about the dead, usually of someone who died in the Pol Pot period; and that Cambodians have a complex system of interpretation of dreams of the deceased that frequently causes those dreams to give rise to great distress. Cases are provided that further illustrate the centrality of dreams of the dead in the Cambodian experiencing of grief and PTSD. The article shows that not assessing dreams and concerns about the spiritual status of the deceased in the evaluation of bereavement results in "category truncation," i.e., a lack of content validity, a form of category fallacy.

  17. Normal grief and complicated bereavement among traumatized Cambodian refugees: cultural context and the central role of dreams of the dead.

    Science.gov (United States)

    Hinton, Devon E; Peou, Sonith; Joshi, Siddharth; Nickerson, Angela; Simon, Naomi M

    2013-09-01

    This article profiles bereavement among traumatized Cambodian refugees and explores the validity of a model of how grief and post-traumatic stress disorder (PTSD) interact in this group to form a unique bereavement ontology, a model in which dreams of the dead play a crucial role. Several studies were conducted at a psychiatric clinic treating Cambodian refugees who survived the Pol Pot genocide. Key findings included that Pol Pot deaths were made even more deeply disturbing owing to cultural ideas about "bad death" and the consequences of not performing mortuary rites; that pained recall of the dead in the last month was common (76 % of patients) and usually caused great emotional and somatic distress; that severity of pained recall of the dead was strongly associated with PTSD severity (r = .62); that pained recall was very often triggered by dreaming about the dead, usually of someone who died in the Pol Pot period; and that Cambodians have a complex system of interpretation of dreams of the deceased that frequently causes those dreams to give rise to great distress. Cases are provided that further illustrate the centrality of dreams of the dead in the Cambodian experiencing of grief and PTSD. The article shows that not assessing dreams and concerns about the spiritual status of the deceased in the evaluation of bereavement results in "category truncation," i.e., a lack of content validity, a form of category fallacy. PMID:23868080

  18. Palliative care for cancer patients in a primary health care setting: Bereaved relatives' experience, a qualitative group interview study

    Directory of Open Access Journals (Sweden)

    Jensen Anders

    2008-01-01

    Full Text Available Abstract Background Knowledge about the quality and organisation of care to terminally ill cancer patients with a relatives' view in a primary health care setting is limited. The aim of the study is to analyse experiences and preferences of bereaved relatives to terminally ill cancer patients in a primary care setting to explore barriers and facilitators for delivery of good palliative home care. Methods Three focus group interviews with fourteen bereaved relatives in Aarhus County, Denmark. Results Three main categories of experience were identified: 1 The health professionals' management, where a need to optimize was found. 2 Shared care, which was lacking. 3 The relatives' role, which needs an extra focus. Conclusion Relatives experience insufficient palliative care mainly due to organizational and cultural problems among professionals. Palliative care in primary care in general needs improvement and attention should be drawn to the "professionalization" of the relatives and the need to strike a balance between their needs, wishes and resources in end-of-life care and bereavement.

  19. Features of Prolonged Grief Symptoms in Chinese and Swiss Bereaved Parents.

    Science.gov (United States)

    Xiu, Daiming; Maercker, Andreas; Woynar, Stefanie; Geirhofer, Bettina; Yang, Yuting; Jia, Xiaoming

    2016-09-01

    This study investigates clinical expressions of prolonged grief in samples of 32 Chinese and 33 Swiss bereaved parents, according to the proposed International Classification of Diseases, 11th Revision model of prolonged grief disorder (PGD). Sex differences and predictors (cultural attitudes, sense of coherence, and posttraumatic growth) of PGD were analyzed. In result, after controlling for sociodemographic and loss-related sample differences, both samples showed similar PGD symptom profiles, with Swiss parents exhibiting more severe grief-related preoccupation and Chinese parents exhibiting some accessory symptoms and functional impairment to a greater extent. Multivariate analyses revealed for the Chinese sample primary predictions of PGD by life satisfaction, general health and one's world view (social cynicism) and for the Swiss sample by female sex, sense of coherence, and life satisfaction. The findings substantiate the basic appropriateness of the International Classification of Diseases, 11th Revision PGD in distinct cultural groups and may contribute to a better understanding of grief expression and its potential predictors across different cultures. PMID:27253073

  20. Continuing social presence of the dead: exploring suicide bereavement through online memorialisation

    Science.gov (United States)

    Bailey, Louis; Bell, Jo; Kennedy, David

    2015-04-01

    The last 10 years have seen a rise in Internet sites commemorating those lost to suicide. These sites describe the life of the deceased and the afterlife of relatives, parents, friends or siblings who have been termed the "forgotten bereaved". It is clear that such sites have implications for continuing bonds and for what many commentators refer to as the continuing social presence of the dead. This paper presents interim findings from ongoing research which focuses on two aspects of suicide memorial websites. First, we explore the extent to which such sites help us understand how the Internet is enabling new ways of grieving and is, in effect, making new cultural scripts. Second, although there is a large body of writing on the management of trauma there is little evidence-based research. The paper draws on face-to-face interviews with owners of suicide memorial sites (family members and friends) and explores how the establishment and maintenance of such a site is an important part of the therapeutic process and how, for grieving relatives, making or contributing to such sites provides ways of managing trauma in the aftermath of a death by suicide.

  1. Parental understanding and self-blame following sudden infant death: a mixed-methods study of bereaved parents' and professionals' experiences

    Science.gov (United States)

    Griffiths, Frances; Sidebotham, Peter

    2016-01-01

    Objectives Improvements in our understanding of the role of modifiable risk factors for sudden infant death syndrome (SIDS) mean that previous reassurance to parents that these deaths were unpreventable may no longer be appropriate. This study aimed to learn of bereaved parents' and healthcare professionals' experiences of understanding causes of death following detailed sudden unexpected death in infancy (SUDI) investigations. The research questions were: How do bereaved parents understand the cause of death and risk factors identified during detailed investigation following a sudden unexpected infant death? What is the association between bereaved parents' mental health and this understanding? What are healthcare professionals' experiences of sharing such information with families? Design This was a mixed-methods study using a Framework Approach. Setting Specialist paediatric services. Participants Bereaved parents were recruited following detailed multiagency SUDI investigations; 21/113 eligible families and 27 professionals participated giving theoretical saturation of data. Data collection We analysed case records from all agencies, interviewed professionals and invited parents to complete the Hospital Anxiety and Depression Scale (HADS) and questionnaires or in-depth interviews. Results Nearly all bereaved parents were able to understand the cause of death and several SIDS parents had a good understanding of the relevant modifiable risk factors even when these related directly to their actions. Paediatricians worried that discussing risk factors with parents would result in parental self-blame and some deliberately avoided these discussions. Over half the families did not mention blame or blamed no one. The cause of death of the infants of these families varied. 3/21 mothers expressed overwhelming feelings of self-blame and had clinically significant scores on HADS. Conclusions Bereaved parents want detailed information about their child's death. Our study

  2. The bereavement experiences of lesbian, gay, bisexual and/or trans* people who have lost a partner: A systematic review, thematic synthesis and modelling of the literature

    Science.gov (United States)

    Bristowe, Katherine; Marshall, Steve; Harding, Richard

    2016-01-01

    Background: Socially excluded populations have poorer access to care; however, little attention has been paid to lesbian, gay, bisexual and/or trans* people. Lesbian, gay, bisexual and/or trans* people are at increased risk of certain life-limiting illnesses and may not receive the care and support they need at the end of life and into bereavement. Aim: To identify and appraise the evidence of the bereavement experiences of lesbian, gay, bisexual and/or trans* people who have lost a partner and develop an explanatory model of lesbian, gay, bisexual and/or trans* partner bereavement. Design: Systematic review (in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines) and thematic synthesis with assessment of reporting and rigour. Quantitative or qualitative articles reporting bereavement experiences of lesbian, gay, bisexual and/or trans* partners were included, excluding articles reporting multiple losses in the context of HIV or AIDS. Data sources: PsycINFO, MEDLINE, Web of Science, Scopus, Cochrane Library. Inclusion dates: database inception – 30 April 2015. Results: A total of 23 articles reporting on 13 studies were identified. Studies described universal experiences of the pain of losing a partner; however, additional barriers and stressors were reported for lesbian, gay, bisexual and/or trans* people, including homophobia, failure to acknowledge the relationship, additional legal and financial issues and the ‘shadow’ of HIV or AIDS. A novel model was developed to explain how the experience for lesbian, gay, bisexual and/or trans* people is shaped by whether the relationship was disclosed and acknowledged in life and into bereavement and how this impacts upon needs and access to care. Conclusion: There is a need for healthcare providers to avoid hetero-normative assumptions; be mindful of additional stressors in bereavement for lesbian, gay, bisexual and/or trans* people; and consider additional sources of

  3. Prevalence and Associated Factors of Anxiety and Depressive Symptoms Among Bereaved Family Members of Cancer Patients in Korea: A Nation-Wide Cross-Sectional Study.

    Science.gov (United States)

    Jho, Hyun Jung; Choi, Jin Young; Kwak, Kiu Sang; Chang, Yoon Jung; Ahn, Eun Mi; Park, Eun Jung; Paek, Soo Jin; Kim, Kyoung Mee; Kim, Soo Hyun

    2016-05-01

    Bereaved family members of cancer patient are at risk of having psychological problems such as anxiety and depression. However, prevalence and associated factors of anxiety and depressive symptoms among this population have not been explored in Korea.We conducted a nation-wide cross-sectional questionnaire survey of 3522 bereaved family members of cancer patients who died at 44 hospice palliative care unit (HPCU) in Korea in 2012. The questionnaire comprised the Hospital Anxiety and Depression Scale (HADS) and Good Death Inventory (GDI). Deceased patient's age, sex, primary site of cancer, duration of stay at HPCU, awareness of terminal status, bereaved family member's age, sex, and relation to the deceased were collected from Korean Terminal Cancer Patients Information System.1121 returned questionnaires were analyzed (response rate, 31.8%). Using a cut-off value of 8 for HADS subscale, the prevalence of anxiety and depressive symptoms was 48.0% and 57.6%, respectively. Mean scores for HADS-A and HADS-D were 7.88 ± 4.87 and 8.91 ± 4.82, respectively. Among the bereaved, older age, being a spouse to the deceased, family members of younger patient, and negative score for a few GDI items were significantly associated with an increased risk of having anxiety or depressive symptoms in the multivariate logistic analysis.In conclusion, we noted the high prevalence of anxiety and depressive symptoms among the bereaved of cancer patients and identified associated factors for these psychological morbidities. Systematic efforts are needed to improve the mental health of the bereaved family members of cancer patients. PMID:27258497

  4. Testing the anniversary reaction: causal effects of bereavement in a nationwide follow-up study from Sweden.

    Science.gov (United States)

    Rostila, Mikael; Saarela, Jan; Kawachi, Ichiro; Hjern, Anders

    2015-03-01

    Lingering grief associated with the death of a loved one has been hypothesized to precipitate acute health events among survivors on anniversary dates. We sought to study excess mortality risk in parents around the death date and birth date of a deceased child as an indication of a "bereavement effect". We conducted a population based follow-up study using Swedish registries including links between children and parents. All biological and Swedish-born parents who experienced the death of a minor child born were observed during the period 1973-2008 (n = 48,666). An increased mortality risk was found during the week of a child's death among mothers who lost a child aged 0-17 years (SMRR = 1.46, 95% CI 0.98-2.17). The association was stronger among mothers who lost a child aged 1-17 years (SMRR = 1.89, 95% CI 0.97-3.67) as compared to those who lost an infant (SMRR = 1.29, 95% CI 0.78-2.12). Cardiovascular diseases and suicides were overrepresented as causes of death in mothers who died around the anniversary. We found no significant increase in the mortality risk around the date of child's birth, nor any suggestion of excess mortality risk among fathers, but rather a depression of paternal death (SMRR = 0.60, 95% CI 0.34-1.03). Our study indicates an anniversary reaction among mothers who lost a young child. These results suggest that bereavement per se could have an effect on health and mortality which should be acknowledged by public health professionals working with bereaved people. PMID:25595319

  5. Attitudes towards those bereaved by a suicide: a population-based, cross-sectional study in rural Japan

    Directory of Open Access Journals (Sweden)

    Yamaji Masako

    2008-09-01

    Full Text Available Abstract Background Family or friends bereaved by suicide are at risk of experiencing complications because of attitudes regarding suicide. It is important that individuals close to those grieving after a death by suicide demonstrate adequate knowledge and compassionate attitudes. To this end, we examined the factors that contribute to attitudes toward persons bereaved by the suicide of a family member or friend, and perceptions of suicide prevention and the promotion of mental health. Methods A total of 5154 residents of a rural town in northern Japan aged 30–69 years completed a cross-sectional questionnaire. The questionnaire gathered data about demographic variables, depressive symptoms, and issues related to suicide including personal experience of an acquaintance's suicide, attitudes towards those bereaved by suicide, and perceptions regarding suicide prevention. Factors related to these attitudes and perceptions were analysed using logistic regression models. Results Overall, 67.5% of respondents demonstrated appropriate attitudes towards those bereaved by suicide; 30.4% of responses were undetermined, and 2.1% were inappropriate. Undetermined attitudes were associated with male gender (adjusted OR 1.42, 95%CI = 1.26–1.61, younger age (2.64, 2.12–3.29, lower education level (1.32, 1.07–1.62, greater severity of depression (3.81, 2.80–5.20, and lack of personal experience of an acquaintance's suicide (1.39, 1.22–1.57. Inappropriate attitudes were associated with male gender (adjusted OR 1.98, 95%CI = 1.33–2.94, lower education level (2.55 1.34–4.83, and greater severity of depression (6.93, 3.52–13.67. Overall, 16.0% demonstrated passive thoughts regarding suicide prevention and the promotion of mental health in the community, and were associated with male gender (1.22, 1.04–1.42, younger age (2.72, 2.03–3.65, lower education level (1.32, 1.02–1.71, and greater severity of depression (4.94, 3.58–6.82. Conclusion

  6. The Japan HOspice and Palliative Care Evaluation Study (J-HOPE Study): views about legalization of death with dignity and euthanasia among the bereaved whose family member died at palliative care units.

    Science.gov (United States)

    Okishiro, Nao; Miyashita, Mitsunori; Tsuneto, Satoru; Sato, Kazuki; Shima, Yasuo

    2009-01-01

    There has been a debate in appropriateness of legalization of death with dignity and euthanasia in Japan. To clarify views about these issues, we conducted a large nationwide study of the bereaved whose family member died at palliative care units. The percentages of 429 bereaved family members (response rate 65%) who affirmed legal authorization were 52 for death with dignity and 45 for euthanasia and who affirmed assignment at the discretion of the physician involved were 37 for death with dignity and 38 for euthanasia. In conclusion, views about legalization of death with dignity and euthanasia among the bereaved are inconsistent. No consensus is reached as to legislation of these issues.

  7. Parentally Bereaved Children's Grief: Self-System Beliefs as Mediators of the Relations between Grief and Stressors and Caregiver-Child Relationship Quality

    Science.gov (United States)

    Wolchik, Sharlene A.; Ma, Yue; Tein, Jenn-Yun; Sandler, Irwin N.; Ayers, Tim S.

    2008-01-01

    We investigated whether 3 self-system beliefs--fear of abandonment, coping efficacy, and self-esteem--mediated the relations between stressors and caregiver-child relationship quality and parentally bereaved youths' general grief and intrusive grief thoughts. Cross-sectional (n = 340 youth) and longitudinal (n = 100 youth) models were tested. In…

  8. Grief Processing and Deliberate Grief Avoidance: A Prospective Comparison of Bereaved Spouses and Parents in the United States and the People's Republic of China

    Science.gov (United States)

    Bonanno, George A.; Papa, Anthony; Lalande, Kathleen; Zhang, Nanping; Noll, Jennie G.

    2005-01-01

    In this study, the authors measured grief processing and deliberate grief avoidance and examined their relationship to adjustment at 4 and 18 months of bereavement for 2 types of losses (spouse, child) in 2 cultures (People's Republic of China, United States). Three hypotheses were compared: the traditional grief work assumption, a conditional…

  9. The Impact of Staff Training on the Knowledge of Support Staff in Relation to Bereavement and People with an Intellectual Disability

    Science.gov (United States)

    Watters, Laura; McKenzie, Karen; Wright, Rachel

    2012-01-01

    This study aimed to investigate whether a 1-day training course improved support staff knowledge about bereavement and grief in people with a learning disability. A questionnaire based, mixed design was used. Forty-eight participants were randomly assigned to one of two equal groups. A staggered design allowed for group 2 to act both as a control…

  10. A Comparative Examination of Schools' Responses to Bereavement and the Associated Needs of the School Community in Galway, West of Ireland and Derry, Northern Ireland

    Science.gov (United States)

    McGovern, Marguerita; Tracey, Anne

    2010-01-01

    The aim and objective of this study is to examine and compare how schools in Galway, Republic of Ireland and Derry in the North of Ireland (cities located within two independent jurisdictions in Ireland) manage and respond to bereavement. To carry out a survey of schools, the "Loss in Schools" questionnaire is considered the most suitable tool.…

  11. Grief and Bereavement Issues and the Loss of a Companion Animal: People Living with a Companion Animal, Owners of Livestock, and Animal Support Workers

    Science.gov (United States)

    Chur-Hansen, Anna

    2010-01-01

    Companion animals play various roles in people's lives and these roles can impact on loss, grief, bereavement and mourning when the animal has been lost, whether that is through death, when missing, or when relinquished. This paper considers not only companion animal owners, but also those who own farm animals and those who work in animal service…

  12. Can Individuals Who Are Specialists in Death, Dying, and Bereavement Contribute to the Prevention and/or Mitigation of Armed Conflicts and Cycles of Violence?

    Science.gov (United States)

    Death Studies, 2011

    2011-01-01

    Specialists in death, dying, and bereavement and their consequences for individuals, families, and communities have experience and research findings that are relevant to an understanding of the reactions of individuals faced by deadly violence. At such times, powerful emotions and ingrained patterns of thought and behavior can given rise to…

  13. Stability and change: the role of keepsakes and family homes in the lives of parentally bereaved young adults in the Netherlands

    NARCIS (Netherlands)

    R.C. Visser; F.R. Parrott

    2014-01-01

    This paper examines the loss of a parent in young adulthood, showing how this emergent and distinctive life stage shapes Dutch young people’s experience of bereavement. Youth material cultures have commonly been analysed in terms of the construction and expression of youth identities, for example, t

  14. A qualitative research about adolescent's bereavement process%丧亲青少年哀伤过程的定性研究

    Institute of Scientific and Technical Information of China (English)

    徐洁; 陈顺森; 张日昇; 张雯

    2011-01-01

    Objective: To explore adolescent's bereavement process in order to pivide basis for the grief consulting of bereaved adolescence. Methods: According to the idea of theoretical sampling, 18 persons who lost their father or mather during 9-18 year-old were interviewed in-depth. Theme analysis and Atlas, ti 5.0 software were used for data processing. Results: Bereaved adolescence's bereavement process had 4 common themes, namely facing life's big changes (strong reactions; denying and avoiding; life order's sudden changes; involvement in the reorganization of the family system), experience of suffering and loss (bearing the pain of farewell, regretting for unfinished business, strong yearning and missing, bearing the death's truth), continuing to live in grief (the needs to bereave lonely, reflection with grief, finding the coping strategies, the repeated bereavement), re-interpretation of death ( rationalization of death, establishing links with the deceased, establishing the meaning of death, bereavement's transformation and transcendence). Conclusion: Bereaved adolescents will experience 4-phrase grief processes before rehabilitation from grief, which has adolescent's special age characteristic. In grief counseling for adolescence, it is important to guide the adolescence to accept their bereavement process, respect the uniqueness ofadolescence'bereavement process, and cope with family grief at the same time.%目的:探讨丧亲青少年的哀伤过程,为青少年的哀伤咨询提供依据.方法:据理论抽样原则选取18名在青少年时期丧亲(父或母去世)的被访者进行深度访谈.采用主题分析方法分析数据,运用编码分析软件Atlas.ti 5.0对访谈资料进行分析.结果:丧亲青少年的哀伤过程有4个共同主题,即面对生活的巨变、体验丧亲的痛苦与失落、在哀伤中继续生活、重新诠释死亡.共同主题还分别有4个次级主题,即强烈的反应、否认与逃避、生活秩序的骤变、

  15. 丧亲人群哀伤辅导的研究构思%A Conception of Grief Counseling for the Bereaved

    Institute of Scientific and Technical Information of China (English)

    李梅; 李洁; 时勘; 曾晓颖; 曹燕; 钟岭; 王彩琴; 林红; 闫立新

    2016-01-01

    There is a lack of attention for the health situation of the bereaved especially because of disasters. The Dual Process Model proposed by Stroebe (1999) integrated the attachment theory, trauma theory, and cognitive coping theory, which pointed that the experiences of the bereaved included two aspects:loss-oriented and restoration-oriented. The bereaved oscillated between the two sides to cope with challenges from two aspects. Basis of DPM, we proposed a conception model of grief counseling, which includes three systems, a manual and interventions. The aim is to assist the bereaved to get through grief, accept death, adjust self-identity, reconstruct meaning system, get personal growth, adapt to bereavement, and keep a good level of physical, psychological and social adjustment.%丧亲者的哀伤过程可以分为丧失导向(loss-oriented)和恢复导向(restored-oriented)。丧亲者往往在这两者之间主动来回摆动,以此应对双方面的挑战。基于“依恋与哀伤双过程模型”,提出了建立丧亲人群哀伤辅导系统的构想。该支持系统由三大系统、一个手册、一套干预所构成。丧亲人群哀伤辅导系统的目的在于帮助丧亲人群完成“悲伤功课”,接受丧亲事实、面对哀伤、调整自我认同、重构人生意义、达成个人成长,适应丧亲后的日常生活,保持良好的生理、心理与社会功能适应水平。

  16. Sexuality of widows: a study of the sexual practices of widows during the first fourteen months of bereavement.

    Science.gov (United States)

    Kansky, J

    1986-01-01

    The sexual adjustment of 31 Caucasian women, ages 30-62, widowed less than 14 months was assessed using a structural interview. The relationship between the frequencies of autostimulation, coitus, sexual desire and other selected variables was analyzed. Results showed that the sexual identity and experience of each individual widow; circumstances surrounding the death of the husband, particularly whether the death was sudden or delayed; the widow's age; overall sexual satisfaction and intimacy within the marriage, as opposed to ambivalence toward the relationship; and the degree and kind of attachment to the deceased spouse; seem to be significantly associated with the sexual desires and activities of widows during the first 14 months of bereavement.

  17. Trabalho em grupo com enlutados Trabajo en grupo con enlutados Work group with bereaved

    Directory of Open Access Journals (Sweden)

    Melissa Pascoal

    2012-12-01

    positivos e inspiradores y su divulgación es importante para ampliar horizontes y crear nuevas posibilidades.Every day we have more families experiencing mourning generated by homicides, accidents and violence, and this has caused some psychological problems for people in this situation. This study is a report of the professional experience at Hospital Mauá with a self-help group for bereaved patients, aiming to share the experience and disseminate this work. Through fifteen meetings pre-structured according to the demand of the group was possible to work various topics related to the loss, which have influenced the participants and at the same time provided comfort and a possibility of identification and exchange, and hence the resurgence of self-confidence in the participants. By means of the link theory with practice, it is evident that the group care for people in grief is a viable alternative that has brought positive and inspiring results, and its dissemination is important to broaden horizons and create new possibilities.

  18. Severe maternal stress exposure due to bereavement before, during and after pregnancy and risk of overweight and obesity in young adult men: a Danish National Cohort Study.

    Directory of Open Access Journals (Sweden)

    Lena Hohwü

    Full Text Available BACKGROUND: Perinatal stress may programme overweight and obesity. We examined whether maternal pre- and post-natal bereavement was associated with overweight and obesity in young men. METHODS: A cohort study was conducted including 119,908 men born from 1976 to 1993 and examined for military service between 2006 and 2011. Among them, 4,813 conscripts were born to mothers bereaved by death of a close relative from 12 months preconception to birth of the child (exposed group. Median body mass index (BMI and prevalence of overweight and obesity were estimated. Odds ratio of overweight (BMI≥25 kg/m2 and obesity (BMI≥30 kg/m2 were estimated by logistic regression analysis adjusted for maternal educational level. RESULTS: Median BMI was similar in the exposed and the unexposed group but the prevalence of overweight (33.3% versus 30.4%, p = 0.02 and obesity (9.8% versus 8.5%, p = 0.06 was higher in the exposed group. Conscripts exposed 6 to 0 months before conception and during pregnancy had a higher risk of overweight (odds ratio 1.15, 95% confidence interval (CI: 1.03; 1.27 and odds ratio 1.13, 95% CI: 1.03; 1.25, respectively. Conscripts born to mothers who experienced death of the child's biological father before child birth had a two-fold risk of obesity (odds ratio 2.00, 95% CI: 0.93; 4.31. There was no elevated risk in those who experienced maternal bereavement postnatally. CONCLUSION: Maternal bereavement during the prenatal period was associated with increased risk of overweight or obesity in a group of young male conscripts, and this may possibly be reflected to severe stress exposure early in life. However, not all associations were clear, and further studies are warranted.

  19. Parentally Bereaved Children’s Grief: Self-system Beliefs as Mediators of the Relations between Grief and Stressors and Caregiver-child Relationship Quality

    OpenAIRE

    Wolchik, Sharlene A.; Ma, Yue; Tein, Jenn-Yun; Sandler, Irwin N.; Ayers, Tim S.

    2008-01-01

    We investigated whether three self-system beliefs -- fear of abandonment, coping efficacy, and self-esteem -- mediated the relations between stressors and caregiver-child relationship quality and parentally bereaved youths’ general grief and intrusive grief thoughts. Cross-sectional (n=340 youth) and longitudinal (n=100 youth) models were tested. In the cross-sectional model, fear of abandonment mediated the effects of stressors and relationship quality on both measures of grief and coping ef...

  20. 哀伤研究:新的视角与理论整合%Bereavement Research: New Perspectives and Integration

    Institute of Scientific and Technical Information of China (English)

    刘建鸿; 李晓文

    2007-01-01

    哀伤(bereavement)研究长期以来都依循"悲伤过程假设(grief work hypothesis)",但20世纪80年代后其强调"与逝者分离"的基本假设受到挑战,界定的模糊也使得实证研究工作难以进行.当代研究者从依恋理论、创伤研究、认知应对研究、情感的社会功能等视角多方面对哀伤领域进行深入探索并出现了一些整合性的理论模型,文中对有代表性的"依恋与哀伤双程模型"作了介绍,并对"悲伤过程假设"进行了重新检视.

  1. Development and pilot testing of a questionnaire to determine the ability and willingness of health personnel accompanying perinatal bereavement

    Directory of Open Access Journals (Sweden)

    Mª José Domínguez Santarén

    2013-01-01

    Full Text Available Introduction. The care that parents receive around the time of a loss has a huge impact on their perception of what happened and on their ability to cope. Good care cannot remove the pain and devastation that the loss of a pregnancy or the death of a baby can bring, but can promote healing.Methodology: Creation and pilot study for a questionnaire to determinate the capacity and willingness of perinatal bereavement support from staff in hospitalization and delivery room services in Zaragoza and Jaca who care for couples with a perinatal death.Statistical analysis. Qualitative analysis is made of the difficulties and limitations of this support staff is performing. Psychometric tests were conducted to determine the reliability and validity of the questionnaire by calculating Cronbach´s alpha and the intraclass correlation coefficient. For the analysis of construct validity, we performed the principal components factorial analysis (PCFA through the Varimax rotation system.Results. The qualitative analysis of open-ended responses indicates a lack of knowledge about this type of mourning and social and communication tools that often precludes effective accompaniment. We obtained a Cronbach alpha value of 0.835 overall questionnaire, which indicates high internal consistency or coherence among the items and relatively high CCI indicates good stability over time with significance p<,001. Making appropriate modifications could assess the ability and willingness of workers.

  2. Comparison of the PTSD symptoms, depression and anxiety between bereaved and non-bereaved survivors after Wenchuan earthquake%汶川地震丧亲与非丧亲者创伤后应激障碍焦虑和抑郁情绪的对比研究

    Institute of Scientific and Technical Information of China (English)

    袁茵; 陈丽云; 何江军; 毛文君; 杨德华; 冉茂盛; 孔娣; 张涛; 楼玮群; 王筱璐; 何孝恩

    2009-01-01

    目的 探讨在地震灾害发生半年后丧亲者与非丧亲者创伤后应激障碍、焦虑和抑郁的关系及对比情况.方法 采用一般情况凋查表、创伤后应激障碍(PTSD)检查表、贝克抑郁量表(BDI)、汉密尔顿焦虑量表(HAMA)在地震半年后对都汀堰灾区安置点的人群560人进行调查.结果 10.9%的被调查者在地震中丧失亲人.丧亲组符合PTSD症状诊断的比例(44.4%)显著高于非丧亲组(15.1%)(t=4.737,P<0.05).丧亲组中重度抑郁、焦虑和自杀观念的发生率分别为55.5%、44.4%和44.5%显著高于非丧亲组17.4%、16.7%和14.2%(χ~2=46.522,P<0.01).丧亲组符合PTSD症状诊断者中合并中重度抑郁的占79.2%,合并焦虑或明显焦虑的占75%;中重度抑郁中合并焦虑或明显焦虑的占83.4%.抑郁总分、焦虑总分、既往焦虑、噩梦、丧亲后感到寂寞为丧亲者创伤后应激障碍症状的预测因素.结论 地震灾区丧亲者的抑郁、焦虑、自杀观念及符合PTSD症状诊断的均较非丧亲者高.丧亲人群的抑郁、焦虑及PTSD症状三者共病率高.丧亲者PTSD症状的预测因素足多方面的.%Objective To compare the differences of PTSD symptoms, depression and anxiety between bereaved and non-bereaved survivors, and to explore the risk factors of PTSD among victims of the Sichuan earthquake 2008. Methods To investigate the mental health status among 560 survivors of disaster six-month after the earthquake using post-traumatic stress disorder Checklist, Beck Depression Inventory (BDI), and Hamilton Anxiety Scale (HAMA). Results There were 10.9% of victims who lost their relatives in the earthquake. The rates of PTSD symptoms among bereaved survivors (44.4% ) were significantly higher than non-bereaved group (15.1% ) (P<0.05). The rates of depression, anxiety, and suicidal ideation among bereaved survivors (55.5% , 44.4%, and 44.5% ) were significantly higher than that of the non-bereaved group respectively ( 17.4%, 16

  3. Systematic Early Intervention for Bereaved: Study Protocol of a Pilot Randomized Controlled Trial With Families Who Suddenly Lose a Partner and a Parent

    Science.gov (United States)

    Dyregrov, Kari; Hauken, May Aa; Senneseth, Mette; Dyregrov, Atle

    2016-01-01

    Background Grief has been associated with several long-term negative outcomes for both surviving parents and bereaved children, especially when it is preceded by unnatural and violent deaths. Nevertheless, it has been an underestimated public health problem with few, if any, empirically documented early preventive intervention programs. The best time to start them is also a major question that requires further evidence. Objective The overall aim of this study is to assess the feasibility of a future larger trial, informing sample size calculation, recruitment/randomization procedures, retention rates, data collection forms, and outcomes. This study will also explore: (1) the early effects of Systematic Early Intervention for Bereaved (SEIB) compared with the early effects of care as usual, and (2) the effects of the immediate SEIB version compared with the effects of the delayed SEIB version. Methods In a pilot randomized controlled trial (RCT) with a delayed intervention design, suddenly bereaved families will be assigned to: the immediate-SEIB intervention group, or the delayed-SEIB intervention group. Participants will fill in a set of self-report measures at baseline, and after 3, 6, and 9 months follow-up. Quantitative data on traumatic stress symptoms, complicated grief, psychological wellbeing, daily functioning, social support, parental capacity, parenting practices, and family functioning will be collected to inform power calculations and explore SEIB’s preliminary effects. Data on the flow of participants throughout the trial will be analyzed in order to estimate recruitment and retention rates. Two brief questionnaires were developed to assess recruitment procedures, randomization, and data collection materials. Results Recruitment for this project started in August 2015, and follow-up data collection will be completed in June 2017. Conclusions This study prepares the ground work for the design and implementation of a main trial and may add preliminary

  4. Assessing Posttraumatic Stress Disorder's Latent Structure in Elderly Bereaved European Trauma Victims: Evidence for a Five Factor Dysphoric and Anxious Arousal Model

    DEFF Research Database (Denmark)

    Armour, Cherie; O'Connor, Maja; Elklit, Ask;

    2013-01-01

    to provide superior fit over the existing four-factor models. The present study investigated the fit of the five-factor model against the existing four-factor models and assessed the resultant factors association with depression in a bereaved European trauma sample (N=325). Participants were assessed...... for PTSD via the Harvard Trauma Questionnaire and depression via the Beck Depression Inventory. The five-factor model provided superior fit to the data compared to the existing four-factor models. In the Dysphoric Arousal model depression was equally related to both Dysphoric Arousal and Emotional Numbing...... whereas depression was more related to Dysphoric Arousal than to Anxious Arousal....

  5. Predictors of Mental Health Resilience in Children who Have Been Parentally Bereaved by AIDS in Urban South Africa.

    Science.gov (United States)

    Collishaw, Stephan; Gardner, Frances; Lawrence Aber, J; Cluver, Lucie

    2016-05-01

    Children parentally bereaved by AIDS experience high rates of mental health problems. However, there is considerable variability in outcomes, and some show no mental health problems even when followed over time. Primary aims were to identify predictors of resilient adaptation at child, family and community levels within a group of AIDS-orphaned children, and to consider their cumulative influence. A secondary aim was to test whether predictors were of particular influence among children orphaned by AIDS relative to non-orphaned and other-orphaned children. AIDS-orphaned (n = 290), other-orphaned (n = 163) and non-orphaned (n = 202) adolescents living in informal settlements in Cape Town, South Africa were assessed on two occasions 4 years apart (mean age 13.5 years at Time 1, range = 10-19 years). Self-report mental health screens were used to operationalise resilience in AIDS-orphaned children as the absence of clinical-range symptoms of PTSD, anxiety, depression, conduct problems, and suicidality. A quarter of AIDS-orphaned children (24 %) showed no evidence of mental health problems at either wave. Child physical health, better caregiving quality, food security, better peer relationship quality, and lower exposure to community violence, bullying or stigma at baseline predicted sustained resilience. There were cumulative influences across predictors. Associations with mental health showed little variation by child age or gender, or between orphaned and non-orphaned children. Mental health resilience is associated with multiple processes across child, family and community levels of influence. Caution is needed in making causal inferences. PMID:26329481

  6. Severe Maternal Stress Exposure Due to Bereavement before, during and after Pregnancy and Risk of Overweight and Obesity in Young Adult Men

    DEFF Research Database (Denmark)

    Hohwü, Lena; Li, Jiong; Olsen, Jørn;

    2014-01-01

    BACKGROUND: Perinatal stress may programme overweight and obesity. We examined whether maternal pre- and post-natal bereavement was associated with overweight and obesity in young men. METHODS: A cohort study was conducted including 119,908 men born from 1976 to 1993 and examined for military...... service between 2006 and 2011. Among them, 4,813 conscripts were born to mothers bereaved by death of a close relative from 12 months preconception to birth of the child (exposed group). Median body mass index (BMI) and prevalence of overweight and obesity were estimated. Odds ratio of overweight (BMI≥25...... kg/m2) and obesity (BMI≥30 kg/m2) were estimated by logistic regression analysis adjusted for maternal educational level. RESULTS: Median BMI was similar in the exposed and the unexposed group but the prevalence of overweight (33.3% versus 30.4%, p = 0.02) and obesity (9.8% versus 8.5%, p = 0...

  7. Imagining the absent dead: rituals of bereavement and the place of the war dead in German women's art during the First World War.

    Science.gov (United States)

    Siebrecht, Claudia

    2011-01-01

    Drawing on women's visual responses to the First World War, this article examines female mourning in wartime Germany. The unprecedented death toll on the battlefronts, military burial practices and the physical distance from the remains of the war dead disrupted traditional rituals of bereavement, hindered closure and compounded women's grief on the home front. In response to these novel circumstances, a number of female artists used their images to reimagine funerary customs, overcome the separation from the fallen and express acute emotional distress. This article analyses three images produced during the conflict by the artists Katharina Heise, Martha Schrag and Sella Hasse, and places their work within the civilian experience of bereavement in war. By depicting the pain of loss, female artists contested the historical tradition of proud female mourning in German society and countered wartime codes of conduct that prohibited the public display of emotional pain in response to soldiers’ deaths. As a largely overlooked body of sources, women's art adds to our understanding of the tensions in wartime cultures of mourning that emerged between 1914 and 1918.

  8. Impact of a Bereavement and Donation Service incorporating mandatory 'required referral' on organ donation rates: a model for the implementation of the Organ Donation Taskforce's recommendations.

    Science.gov (United States)

    Murphy, F; Cochran, D; Thornton, S

    2009-08-01

    In 2008 the Organ Donation Taskforce published its recommendations for increasing organ donation in the UK by 50% over 5 years. Bolton NHS Trust has addressed the problem of low rates of organ donation by amalgamating Bereavement and Donation Services and introducing a trigger to refer automatically all potential organ donors to the regional transplant donor co-ordinators. We audited the ability of the new service to deliver the aims and recommendations of the Organ Donation Taskforce. Following the changes in service provision the number of tissue donors rose from six in 2002 to 246 in 2007. In the same period solid organ donation rates remained unchanged. The introduction of an automatic trigger for referral of potential donors in 2007 resulted in 31 referrals and 11 successful multi-organ donors. The current service exceeds the aims of the Taskforce and offers the potential to meet UK organ donation targets without resorting to an 'opt out' system of presumed consent. PMID:19604184

  9. The concept of shalōm as a constructive bereavement healing framework within a pluralist health seeking context of Africa

    Directory of Open Access Journals (Sweden)

    Vhumani Magezi

    2013-03-01

    Full Text Available Absence of health, that is, sickness in Africa is viewed in personalistic terms. A disease is explained as effected by ‘the active purposeful intervention of an agent, who may be human’, non-human (a ghost, an ancestor, an ‘evil spirit, or supernatural (a deity or other very powerful being’ (Foster. Illness is thus attributed to breaking of taboos, offending God and/ or ancestral spirits; witchcraft, sorcery, the evil eye, passion by an evil spirit and a curse from parents or from an offended neighbour. In view of these personalistic theories of ill health, treatment is through ritual purification, exorcism or sacrifices. For an appropriate diagnosis and intervention, it is imperative to determine ‘who’ caused the illness and then ‘why’ it was caused, to which answers are offered through divination by a healer. This interpretive framework, is applicable to all types of sickness, facilitates co-existence of African traditional healing and biomedical treatment, that is, plurality of health seeking practices. The approach fails to offer a constructive approach and contradicts the biblical healing framework whereby one may not have explanatory causes to a situation of ill health. This article engaged the biblical concept of shalōm as a relevant constructive framework. The Hebrew concept of shalōm, though distinctly salvific, is inclusive of holistic and personalistic healing aspects. The concept encompasses constructive aspects of completeness, wholeness, health, peace, welfare, safety, soundness, tranquillity, prosperity, perfectness, fullness, rest, harmony and the absence of agitation or discord, which provides a useful holistic healing theological framework. It therefore provides a health and well-being framework that is relational, sensitive and applicable to healing patterns in Africa. Using the case study of the Abaluyia people of East Africa, this article discussed bereavement as a state that requires healing and how the

  10. [Facing perinatal bereavement].

    Science.gov (United States)

    de Launière, M G; Boudreault, A

    1995-02-01

    Pregnancy and childbirth are, for most women, wonderful and memorable experiences. Yet, without warning, they can have a heartbreaking outcome. Regardless of the stage of pregnancy at which a baby is lost, the family grieves the death. The authors of this article suggest how nurses can best support the couple, siblings, grandparents and significant others through their time of sorrow. The article highlights key points from the 1992 the Hôpital de Chicoutimi (Québec) reference guide entitled "Guide d'accompagnement des familles devant un deuil périnatal." The guide includes the types of grief and the six phases of grief resolution. It outlines specific nursing interventions and recommends various strategies for the nurse to help these families grieve their loss. Some strategies include the holding and cuddling of the baby by the parents, post-partum follow-up by nursing personnel and family therapy sessions. The authors suggest that nurses who are knowledgeable about the grief experiences of these parents will be better equipped to help other parents cope with similar grief. The increased knowledge will also assist nurses to sort out and deal with their own feelings on this subject. Nurses who are able to effectively care for these grieving families can often enhance their personal and professional self-esteem.

  11. Bereavement Support for Children

    Science.gov (United States)

    Auman, Mary Jo

    2007-01-01

    The death of a parent is one of the most significant and stressful events children can encounter. Surviving children may experience psychiatric problems and social dysfunction during their childhood and possibly throughout their adult lives. Children surviving a sibling's death may develop behavioral problems, because no one can fill the emptiness…

  12. Family function among the bereaved in hard-hit areas 1 year after Wenchuan earthquake%汶川地震1年后重灾区丧亲者家庭功能的现状研究

    Institute of Scientific and Technical Information of China (English)

    胡晓林; 李小麟; 李蓉; 豆欣蔓

    2013-01-01

    Objective: To investigate the family function among the bereaved in hard-hit areas 1 year after Wenchuan earthquake and to provide basic information for family reconstruction. Methods: A cross-sectional study was used to survey 264 bereaved who were selected according to the criteria in hard-hit areas after Wenchuan earthquake. Results: The scores of family care function of the bereaved in hard-hit areas after Wenchuan earthquake were 6.S2+2.65. Fifty percent of the participants' family kept in good state. The scores of the bereaved family cohesion ranged from 28 to 83 (64.22+9.18), and the scores of family adaptability ranged from 21 to 62 (41.84±6.62). There was no significant difference in the score of family cohesion between the bereaved family and the non-bereaved family (P>0.05). But the score of the family adaptability of the bereaved family was significantly lower than that of the non-bereaved family (P<0.05). The bereaved family types were as follows: 22.0% balanced type, 53.8% middle type and 24.2% extreme type. In the 16 family types, the "intimate-rigid" (24.6%), "intimate-regular" (19.7%) and "disengaged-rigid" (19.3%) type ranked the top three. Conclusion: The family care function of the bereaved in hard-hit areas after Wenchuan earthquake is damaged to different degrees. The main type of family is the middle type. The loss of relatives reduces the participant family adaptability. In the late intervention, we should help the bereaved improve and enhance family function, and promote family reconstruction of the bereaved.%目的:了解汶川地震1年后重灾区丧亲者家庭功能的现状,为丧亲家庭重建提供依据.方法:采用横断面调查法于汶川地震1年后对重灾区的264名丧亲者进行调查.结果:丧亲者家庭关怀功能总分为6.52±2.65,50%的丧亲者家庭关怀功能良好.丧亲者家庭亲密度28~83(64.22±9.18)分,适应性21~62(41.84±6.62)分.丧亲者家庭亲密度与非丧亲家庭相

  13. Relationship between loneliness and family function among 264 bereaved cases in Wenchuan earthquake%264例汶川地震丧亲者孤独感与其家庭功能的相关关系研究

    Institute of Scientific and Technical Information of China (English)

    李蓉; 许卢万珍; 王世平; 李小麟; 豆欣蔓; 朱世超

    2011-01-01

    Objective To determine the relationship between loneliness and family function among the bereaved people. Methods Totally 264 bereaved cases in Wenchuan earthquake were investigated with Family APGAR Index and UCLA Loneliness Scale. Results The average score of loneliness was 42.06±9.96, and over 50% of the bereaved showed moderate level of loneliness. The scores of loneliness varied with age,economic condition,marital status and family structure (P0.05). There was a negative correlation between the score of loneliness and family function(P<0.01). Conclusion Loneliness is a general psychological problem in the bereaved and they have moderate level of loneliness. Family function affects loneliness of the bereaved from different aspects,and good family function may be helpful to relieve loneliness.%目的 探讨丧亲者孤独感与家庭功能相关关系.方法 采用便利抽样,使用家庭关怀度问卷(APGAR)和UCLA孤独量表,对264名汶川地震丧亲者的孤独感和家庭功能进行问卷调查.结果丧亲者孤独感均分( 42.06±9.96)分,50%以上丧亲者体验到中等水平的孤独感;孤独感在性别方面差异无统计学意义(P>0.05),在年龄、经济状况、婚姻状态和家庭结构方面差异有统计学意义(P<0.01);丧亲者孤独感与家庭功能呈负相关(P<0.01).结论孤独感是丧亲者普遍存在的心理问题且处于中等水平;丧亲者的家庭功能从不同侧面对其孤独感产生影响,良好的家庭功能有助于减轻孤独感.

  14. Qualitative Research of Grief Reactions of Chinese Rural Bereaved Persons%农村丧亲个体哀伤反应的质性研究

    Institute of Scientific and Technical Information of China (English)

    唐信峰; 贾晓明

    2013-01-01

    Objective:To explore the grief reactions of Chinese rural bereaved persons.Methods:Nine rural citizens in the southern region of Jiangxi Province who experienced the death of a loved one participated in the study.Data was collected by semi-structured interviews and analyzed by thematic analysis.Results:Findings were divided into four main aspects:①Emotional reactions:including sadness,missing/yearning,attachment,pain,anger,helplessness,loneliness,guilt,regret,sense of loss,and calmness.②Cognitive reactions:including disbelief,unfairness,injustice,envy,counterfactual thinking,intrusive thoughts,sense of presence of the dead,changes in attitude towards life and material things.③Behavioral reactions:including social withdrawed,avoidance of familiar stimulus and relationships with others.④Physical reactions:including fatigue,memory disturbance,appetite disturbance,sleeping disturbance.Conclusion:The grief reactions of rural bereaved persons have universality and show unique characteristics.%目的:研究中国农村丧亲个体的哀伤反应.方法:选取9名江西东北部某农村丧亲个体进行半结构化的访谈,采用主题分析法对资料进行分析.结果:丧亲者的哀伤反应主要为四个方面,情感反应有伤心、想念、舍不得、痛苦、愤怒、无助感、孤独感、内疚、后悔、失落感和平静,认知反应有不相信、不公平、羡慕、反事实思维、闯入性思想、感觉逝者存在和对生命和物质的态度的转变,行为反应有退缩、人际冲突增加或减少以及回避提醒物,生理反应有疲倦、记忆力减退、食欲不振和失眠.结论:农村丧亲者的哀伤反应有其普遍性和独特性.

  15. 童年丧亲对抑郁症患者个性及临床特征的影响%A comparative study of personalities and clinical features between depressive patients with and without childhood bereavement

    Institute of Scientific and Technical Information of China (English)

    姚洪秀

    2001-01-01

    目的:了解童年丧亲的抑郁症患者个性和临床方面特征。方法:采用艾森克个性问卷测评52例童年丧亲的抑郁症患者(A组)及144例早年父母双全的抑郁症患者(B组)进行对照研究。结果:A组E分显著较低、N分显著较高,焦虑和自杀行为显著较多、临床显效率显著较低。病程迁延者显著多于B组。结论:童年丧亲患者个性更为内向且情绪更趋向不稳定,更易出现焦虑和自杀行为,临床疗效较差,预后不良。%Objective:To compare the personalities and clinical features between depressive patients with and without childhood bereavement. Method:Fifty-two depressive patients with childhood bereavement (group A) and 144 counterparts without it (group B) were assessed with Eysenck personality questionnaire (EPQ) and a self-made questionnaire. Results:Scores in E dimension were lower,while scores in N were higher in group A than in group B.Significant differences were also found between two groups in clinical data about anxiety,suicide,the improvement rate and disease course. Conclusion:Depressive patients with childhood bereavement have more introversive personalities,more unstable temperaments and are easier to have symptoms of anxiety and suicide.It seems less satisfying for these patients in the clinical efficacy.

  16. Application of Traditional Chinese Psychotherapy Ideas in Bereavement Counseling%我国传统心理治疗思想在哀伤辅导中的应用

    Institute of Scientific and Technical Information of China (English)

    李秀; 杜文东

    2014-01-01

    我国传统心理治疗思想有自己独具的文化特色,它以“中和”为核心,即通过对事物协调,使之达到和谐有序,具有形神合一、天人合一的特点。我国传统心理治疗主张利用和谐的人际关系。提出集修心、修体、修德与修行于一体进行心理调适的方案,即以养神促进调养整个形体;心理治疗与德行修养相统一。这些思想与理念是对当前哀伤辅导工作的有益补充,对建构本土化的哀伤辅导理论和实践具有重大的指导意义。%Traditional Chinese psychotherapy ideas have their own unique cultural characteristics ,of which the Zhonghe as the core .That is to realize harmony and order through coordination ,and it embodies such features as integration of body and mind and integration of human and nature .It advocates the use of harmonious interpersonal relationship .It puts forward the psychological adjustment plan of uniting the training of mind and body ,and the cultivating of morality and good deeds .That is to nurse the whole body through Yangshen and realize the unity of psychotherapy and the cultivating of morality and good deeds .These ideas serve as necessary complements to today’s bereavement counseling ,and they are of vital importance to construct localized bereavement counseling theories and practice .

  17. Bereaved Employee: Returning to Work

    Science.gov (United States)

    ... very real; setting up an appointment with your company’s EAP (Employee Assistance Professional), contacting your local hospice, ... step in the journey. Share this: Twitter Facebook Google Search for: Choosing a Hospice: 16 Questions to ...

  18. Bereavement care in general practice

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt; Vedsted, Peter; Jensen, Anders Bonde;

    2013-01-01

    I dette studie testes effekten af en klinisk intervention over for håndtering af sorg i almen praksis. Interventionen handlede om, at tidlig identifikation af komplicerede sorgreaktioner via praktiserende læge kan være med til at sikre behandling til behandlingskrævende sorgreaktioner, der volder...

  19. 粤港两地部分急诊科医护人员对哀伤关顾认识的调查分析%A survey of bereavement care of medical staff in emergency department in Hong Kong and Guangdong

    Institute of Scientific and Technical Information of China (English)

    杨俏兰; 骆丽君

    2012-01-01

    目的 调查粤港两地部分急诊科医护人员对哀伤关顾的认识情况,为国内开展哀伤关顾护理提供理论依据.方法 自行设计对哀伤关顾的认识调查问卷,对香港各大联网医院的急诊科医护人员、本省各地区赴港学习的急诊科专科护士和本院急诊科医护人员进行调查,了解他们对哀伤关顾的认识情况.结果 香港急诊科医护人员对哀伤关顾的认识(100.0%)、参加过哀伤关顾培训(100.0%)、实施过哀伤关顾(100.0%)以及具备的哀伤关顾技能(100.0%)都比较好,并认为有必要开展哀伤关顾(98.8%)和愿意加入哀伤关顾小组(86.3%);而赴港学习的本省急诊科专科护士和本院急诊科医护人员对哀伤关顾的认识、参加过哀伤关顾培训、实施哀伤关顾以及所具备的哀伤关顾技能基本处于较少或无的状态,对于是否有必要开展哀伤关顾和愿意加入哀伤关顾小组,赴港学习的本省急诊科专科护士有92.6%认为有必要,85.2%愿意加入;而本院急诊科医护人员84.1%认为有必要,63.2%愿意加入.结论 国内医护人员对哀伤关顾的认识以及对病人实施哀伤关顾较少,学习并引进香港以及国外关于哀伤关顾的知识,结合本国国情发展和完善本土哀伤关顾文化非常重要.%Objective To investigate recognition of bereavement care of medical staff in emergency department in Hong Kong and Guangdong,and to provide theoretic basis for performing bereavement care domestically.Methods A self-designed questionnaire was used to investigate the recognitions of bereavement care among the medical staff from the emergency department in Hong Kong and Guangzhou as well as among the professional nurses exchanged to the hospitals in Hong Kong.Results The emergency medical personnel in Hong Kong systematically received the training on the knowledge of bereavement care and the skills.They were willing to participate in the care

  20. Luto pela morte de um filho: utilização de um protocolo de terapia cognitivo-comportamental Bereavement for a child: a cognitive-behavioral treatment protocol

    Directory of Open Access Journals (Sweden)

    Adriana Cardoso de Oliveira e Silva

    2010-01-01

    Full Text Available OBJETIVO: Apresentar um caso de tratamento de luto, decorrente da perda de um filho, com protocolo cognitivista comportamental. DESCRIÇÃO DO CASO: Paciente do sexo feminino, 28 anos, casada, que perdeu seu filho mais velho em um acidente 6 semanas antes do primeiro atendimento. A terapia, composta por 12 sessões, envolveu o trabalho das alterações emocionais e cognitivas, a aprendizagem de novas habilidades, o desenvolvimento de estratégias para lidar com as principais queixas somáticas e o treinamento para manejo dos problemas comportamentais. Os resultados foram avaliados utilizando-se os seguintes instrumentos: Beck Depression Inventory (BDI, Beck Anxiety Inventory (BAI, Beck Hopelessness Scale (BHS, os testes de atenção concentrada (AC e sustentada (AS e o Questionário de Saúde Geral de Goldberg (QSG. COMENTÁRIOS: paciente apresentou redução do quadro de depressão, ansiedade e desesperança. Todos os fatores do QSG apresentaram decréscimo, e houve aumento nas medidas de atenção concentrada e sustentada. O tratamento se mostrou efetivo em relação aos fatores apresentados.OBJECTIVE: To describe the case of a patient treated for grief and bereavement for a child using a cognitive-behavioral treatment protocol. CASE DESCRIPTION: Female patient, 28 years old, married, who had lost her older son in an accident 6 weeks prior to the first treatment session. The protocol comprised 12 sessions and involved treatment of cognitive and emotional symptoms, the learning of new abilities, development of strategies to deal with the main somatic complaints and training aimed at the handling of behavioral problems. Results were evaluated using the following instruments: Beck Depression Inventory (BDI, Beck Anxiety Inventory (BAI, Beck Hopelessness Scale (BHS, concentrated and sustained attention tests, and Goldberg's General Health Questionnaire (GGHQ. COMMENTS: The patient presented an improvement of depression, anxiety and hopelessness

  1. Infant death and interpretive violence in Northeast Brazil: taking bereaved Cearense mothers' narratives to heart Mortes infantis e violência interpretativa no Nordeste brasileiro: levando em conta as narrativas de mães cearenses enlutadas

    Directory of Open Access Journals (Sweden)

    Marilyn K. Nations

    2008-10-01

    Full Text Available This study investigates bereaved mothers' ethnoetiologies of avoidable infant deaths in Northeast Brazil. It critically examines the anthropological debate concerning "selective maternal negligence" as a relevant explanation for high infant mortality, based on an analysis of preexisting data. From 2003 to 2006, 316 ethnographic interviews collected by the author from 1979 to 1989 in six communities in Ceará State were retrieved. Forty-five narratives of fatal illness and death of 56 children Investiga a etnoetiologia de óbitos infantis evitáveis na óptica da mãe em luto no Nordeste brasileiro. Refina o debate antropológico sobre a "negligência materna seletiva" como relevante explicação de alta mortalidade infantil. Trata-se de uma análise crítica de dados preexistentes. Entre 2003-2006, foram resgatadas 316 entrevistas etnográficas coletadas pela autora durante 1979-1989, em seis comunidades no Ceará, Brasil. Identificaram-se 45 narrativas de mães sobre a doença fatal e morte de 56 filhos < 5 anos para aprofundamento. Apesar da baixa renda e escolaridade, as mães construíram explicações próprias para a morte precoce. Causas maiores são doenças infecto-contagiosas (37,9% e cuidados desumanizados do profissional de saúde (24,1%. Nenhuma mãe acusa o descuido, desapego ou negligência materna. Nesse contexto de pobreza, argumenta-se que se existe "desprezo" é do sistema econômico-político e social injusto e da prática da saúde pública desumana que violentam os direitos da mulher-cidadã. Caracterizar essa mãe em luto como "negligente", ou, pior, cúmplice na morte do filho, é uma violência interpretativa que injustamente culpabiliza e desmoraliza a mãe-cuidadosa nordestina.

  2. Formation and Governance of Self-organization among Families Bereaved of Their Only-Child---A Case Study Based on Field Survey in Jiangsu and Shanghai%失独群体自组织的形成及其社会治理功能--基于江苏、上海的实地调查

    Institute of Scientific and Technical Information of China (English)

    陈恩

    2016-01-01

    Due to the special psychological characteristics and the lack of effective external intervention , families bereaved of their only-child will bypass the institutional barriers through weak organization system to build their group identity , acquire leadership , recruit group members and overcome the restriction of re-sources.They will form a self-organization based on similar fate for mutual aid and more self-organizations will come into being .These self-organizations play an extremely important role in spiritual comfort and social integration of parents bereaved of their only-child, and can effectively alleviate the problems of social govern-ance caused by the absence of government .But they also have the defects of psychological polarization , overdependence on group leaders , lack of participation in social governance , secondary harm and intensif-ying the problem of bereavement of their only-child.It is suggested that government should correctly recog-nize the function of these self-organizations , support and guide their development .%由于失独者的特殊心理特征及缺少有效外部干预,在特定机会—结构条件下,失独群体以弱组织形式绕过体制屏障、建构群体认同、获得领导精英、招募同命人、克服资源制约,从而建立起基于“命缘”的联谊互助自组织,并不断分化出更多自组织。失独群体自组织在失独者的精神慰藉和社会融入中发挥着极其重要的作用,有效地缓解了政府缺位所造成的失独群体社会治理难题。但失独群体自组织存在诸如心理极化现象、过分依赖领导精英、缺乏参与社会治理的机会、二次伤害及增强“失独”问题化等缺陷,建议政府正确认识失独群体自组织的功能,扶持和引导失独群体自组织的发展。

  3. Absent Presence:Family Spatial and Temporal Analysis on the Living Conditions of the Bereaved Parents Who Lost Their Only Child and the Relationship Transformation%缺席的在场:失独者生活境况的家庭时空分析与关系性变革

    Institute of Scientific and Technical Information of China (English)

    郭牧琦; 姜楠

    2014-01-01

    The only child who had died plays a role of absent presence for their parents. It means that the death child have continuous influences on their parents, though he or she has already been absent of their parents spatially and temporally. Based on 10 cases, we have put forward a family spatial and temporal analysis. In the double dimensions of space and time, we have analyzed bereaved parents’time arrangement and actions. In addition, bereaved parents’relationship upheaval also has been talked about. Based on the above analysis, we have put up with some strategies and suggestions.%去世的独生子女对于其父母,是一种“缺席的在场”,虽然已脱离了其父母、家庭的时间进化过程和生活生产空间,但仍然会以一种特殊的在场方式,影响其父母的行为与行动。基于10户失独者的深度访谈资料,通过构建家庭时空分析的视角,在时间与空间的双维,分析失独者的时间安排与空间生产策略。并于家庭时空之中探讨独子死亡后的家庭链条关系性变革,在此基础上提出对策建议。

  4. Attachment and continuing bonds in bereavement

    Directory of Open Access Journals (Sweden)

    Anja Simonič

    2006-03-01

    Full Text Available The subject of this paper is the attachment in a relationship being one of the factors which co-form the grieving process after conjugal loss. In this integrative study about the grieving process after the loss of a partner due to sudden or expected death one or two years after the loss, the author determined that the relationship between partners represents an important indicator of the grieving process. Due to the sensitive nature of the process, the method used was a case study (seven participants were interviewed and a circular research process. The functioning of grieving persons in different areas of life was assessed with a semi-structured interview, specifically designed for this research, and with an adapted version of the Attachment Test, a part of Picture Test of Separation and Individuation (Žvelc and Žvelc, 2000. It was ascertained that particular contents in the grieving process are specifically connected with the type of relationship prior to death (ambivalent and closely connected/dependent relationship and the experiencing of the present position in relation to the deceased partner. Due to the fact that knowledge about possible maintenance/continuance of the bond between the partners has only recently become the locus of empirical research, the present study could not yet fully evaluate what kind of experience of current relationship position towards the partner contributes to healthy separation and individuation processes, i.e. grieving. Although the findings are limited to the specific context of each individual participant, the case study ascertained certain patterns in the relation between the grieving process and the attachment between partners, which indicates that there is a possibility of these in the wider population.

  5. 地震重灾区丧失子女者的创伤后应激症状2年随访%Post-traumatic stress symptoms among bereaved parents in severely damaged earthquake area: A 2-year follow-up study

    Institute of Scientific and Technical Information of China (English)

    柳武妹; 范方; 周翠玲; 梅雯

    2012-01-01

    目的:了解地震重灾区丧失子女者创伤后应激症状( PTSS)变化情况及相关因素.方法:汶川地震后1.5年和2年时,对极重灾区155名丧失子女者(研究组)和35名未丧失子女者(对照组),采用心理创伤后应激障碍自评量表( PTSD-SS)和一般人口学资料调查表进行评估与调查.结果:震后1.5年时,研究组的PTSS检出率和PTSD-SS总分高于对照组(均P<0.001).震后2年时,研究组的PTSS检出率和PTSD-SS总分仍高于对照组(均P<0.001),研究组的PTSD-SS总分低于震后1.5年(P<0.05).研究组中,尚未再孕者的PTSS检出率和PTSD-SS总分均仅在震后2年时高于已孕或已育者(均P<0.05);受教育程度低者的PTSD-SS总分仅在震后2年时高于受教育程度高者(P<0.01);与震后1.5年时相比,震后2年时男性的PTSD-SS总分上升,女性总分下降(P<0.01).结论:本研究显示,与震后1.5年时相比,丧失子女者的PTSS检出率在震后2年时下降,且症状减轻;但丧失子女者中尚未再孕再育者、受教育程度低者以及男性的症状呈加重趋势.%Objective: To understand changes and related factors of posttraumatic stress symptoms (PTSS) in bereaved parents in the severely damaged earthquake area. Methods: Totally 155 parents whose child died in the earthquake (study group) and 35 non-bereaved parents (control group) were visited and interviewed with the Postt-raumtic Stress Disorder-Self Rating Scale (PTSD-SS) and general demographic data questionnaire 1.5 years after the earthquake, and they were re-visited 2 years after the earthquake. Results: In the two investigations, the rates of PTSS(67.7% vs. 17.1%, 56. 8% vs. 14.3%) and total scores of PTSD-SS [(56.1 ± 15.1) vs. (42.6 ± 10.7), (53. 8 ± 14.0) vs. (40.0 ±11.1)] were both higher in the study group than in the control group (Ps <0.05). The scores of PTSD-SS in study group decreased two years after the quake comparing to 1.5 years after the quake (P < 0

  6. The Grief Account: Dimensions of a Contemporary Bereavement Genre

    Science.gov (United States)

    Dennis, Michael Robert

    2008-01-01

    The genre of the grief account is identified to include published narratives of surviving grief. Thematic analysis of Andrew Holleran's (2006) "Grief: A Novel," Lolly Winston's (2004) "Good Grief: A Novel," Joan Didion's (2005) "The Year of Magical Thinking," and J. Canfield and M. V. Hansen's (2003) "Chicken Soup for the Grieving Soul: Stories…

  7. Prenatal Exposure to Maternal Bereavement and Childbirths in the Offspring

    DEFF Research Database (Denmark)

    Plana-Ripoll, Oleguer; Olsen, Jørn; Andersen, Per Kragh;

    2014-01-01

    INTRODUCTION: The decline in birth rates is a concern in public health. Fertility is partly determined before birth by the intrauterine environment and prenatal exposure to maternal stress could, through hormonal disturbance, play a role. There has been such evidence from animal studies...

  8. Homicide Bereavement: Reflections on the Therapeutic Relationship in Trauma Research

    Science.gov (United States)

    Campesino, Maureen

    2007-01-01

    This critical narrative ethnography focused on the aftermath of gang-related homicide of two Latino teenage boys, as articulated from the perspectives of their mothers. Grounded in critical race theory, this study situates the phenomenon of Latino youth violence within contexts of local oppressive political and historical conditions. This article…

  9. Experiences of bereaved former carers: issues from the literature

    OpenAIRE

    Cavaye, Joyce; Watts, Jacqueline H.

    2016-01-01

    Although unpaid carers provide the majority of care for older, ill and disabled people in the UK, they are members of a marginalised population (Hash and Cramer, 2003: 50). Whilst caregiving is a dynamic process that changes over time, it has some key components as outlined by Stetz and Brown’s (1997) overarching term taking care and defined by them as the guiding, giving and doing for the ill person to meet his or her needs. This encompasses a very wide range of tasks and processes including...

  10. Death and Bereavement on the Internet in Sweden and Norway

    Directory of Open Access Journals (Sweden)

    Anders Gustavsson

    2013-04-01

    Full Text Available Memorial websites on the Internet constitute a new form for expressing grief and for remembering deceased relatives and friends. In my sample of memorial websites, I have studied those that are open to the public. Such memorial sites have had an explosive development during the 2000s. The messages become a virtual, social meeting place by giving mourners an opportunity to express themselves and avoid remaining alone with their grief. In this study the all-inclusive issue has been how mourners express their emotions and concepts of belief regarding the deceased person. The question focused upon is the belief in something posthumously supernatural. Memorial sites on the Internet are also set up for dead pets. The boundary between humans and animals as spiritual beings is discussed in the study. In Norway the vision is primarily directed backwards, relating to traditions, and in Sweden forwards, in the direction of changes. In Sweden there is a greater tendency to adopt innovations and to leave the long-standing. This study can, in addition, play a part in the contemporary discussion about greater outspokenness concerning death, compared to the prevalent silence and taboos of the 1900s.

  11. Positive effects of Religious and Spiritual Coping on Bereavement

    Directory of Open Access Journals (Sweden)

    Laura Yoffe

    2015-09-01

    Full Text Available Antonovsky (1987 coined the term “salutogenesis” in opposition to “pathogenesis”, with the intention to point out to cientific researchers ways and mechanisms that could promote health, well -being and life satisfaction. The area of the Psychology of Religion and Spirituality began both in Europe and in the United States at the beginning of the twenth century. The research done in this field -since the last two decades- has focused on the relationships between religion, spirituality and health; and on the ways in which religious people cope with negative life events. We could think this area as a complementary one to the Positive Psychology; as both share certain common points of view about health, coping and well-being. In the field of the Psychology of Religion and Spirituality, Pargament and Koenig (1997 used the term “coping” -coined by Lazarus and Folkman (1986- referring to different styles of “religious coping” as “ways and mechanism by which religious people apply their religious beliefs and behaviours to prevent and /or moderate negative consequences of stressful life events, in order to solve their problems as well”. Each religion promotes ways to overcome negative life events, such as the death of loved ones. By using faith, prayers, meditations, religious rituals and beliefs about life, death and afterlife, religious persons try to cope with their grief and enhance positive feelings of emotional ,mental and spiritual well-being. Clergy of different religions are trained in religious practices, knowledge and skills to provide social support to those ones who face pain and loss. Religious groups can provide different types of emotional, practical, intelectual and spiritual support that can help diminish feelings of loneliness and grief. Being and feeling part of a religious community can promote ways to reconect to life and positive feelings that can help to overcome the grief of the death of loved ones and make new projects into the future.

  12. The risk of multiple sclerosis in bereaved parents

    DEFF Research Database (Denmark)

    Li, J; Johansen, C; Brønnum-Hansen, Henrik;

    2004-01-01

    Previous studies have suggested that psychological stress may play a role in the risk of multiple sclerosis (MS), but the evidence is very limited.......Previous studies have suggested that psychological stress may play a role in the risk of multiple sclerosis (MS), but the evidence is very limited....

  13. Prenatal exposure to maternal stress following bereavement and cardiovascular disease

    DEFF Research Database (Denmark)

    Plana-Ripoll, Oleguer; Liu, Xiaoqin; Momen, Natalie C;

    2016-01-01

    AIMS: Cardiovascular disease (CVD) is among the leading determinants of mortality and morbidity, and causation may begin in the early intrauterine environment. Prenatal exposures to glucocorticoids or stress are potential risk factors of CVD later in life, but empirical evidence from large......% confidence interval) of having a CVD was 1.13 (1.06-1.20); the estimate was 1.24 (1.11-1.38) for heart disease and 1.27 (1.01-1.60) for hypertension. Additional sibling-matched analyses showed an overall attenuated association (1.08 (0.94-1.24)). CONCLUSION: Our results suggested a modest association between...

  14. Culture as an Influencing Factor in Adolescent Grief and Bereavement

    Science.gov (United States)

    Lopez, Sandra A.

    2011-01-01

    Culture is a complex and important consideration in the process of helping others. In clinical practice, we must view the individual within the context of their culture in order for assessment or treatment to be effective. Further, to overlook or negate culture, a practitioner may possibly operate from faulty cultural assumptions or…

  15. Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements

    Directory of Open Access Journals (Sweden)

    Anna Oksuzyan

    2011-01-01

    Methods. All individuals alive and aged at least 60 years in 1996 and who became widowed in the period from 1996 to 2003 were selected from the 5% sample of the total Danish population and all Danish twins. The healthcare use was assessed as the average daily all-cause and major system-specific medication use and the average annual number of visits to general physicians (GPs. Results. The average daily use of all-cause and major system-specific medications, as well as the number of GP visits increased over the period from 1 year before and up to 5 years after a spouse's death, but there were no sex-specific patterns in the trajectories of medication use and number of GP visits after conjugal loss. Conclusion. We found little support for the hypothesis that reduced healthcare use contributes to the explanation of more adverse health outcomes after conjugal loss in men compared with women in Denmark.

  16. Sex Differences in Medication and Primary Healthcare Use before and after Spousal Bereavement at Older Ages in Denmark: Nationwide Register Study of over 6000 Bereavements

    DEFF Research Database (Denmark)

    Oksuzyan, Anna; Jacobsen, Rune; Glaser, Karen;

    2011-01-01

    Background. The study aimed to examine sex differences in healthcare use before and after widowhood to investigate whether reduced healthcare use among widowers compared with widows may partially explain excess mortality and more adverse health outcomes among men than women after spousal loss. Me...

  17. Maternal bereavement: the heightened mortality of mothers after the death of a child.

    Science.gov (United States)

    Espinosa, Javier; Evans, William N

    2013-07-01

    Using a 9-year follow-up of 69,224 mothers aged 20-50 from the National Longitudinal Mortality Survey, we investigate whether there is heightened mortality of mothers after the death of a child. Results from Cox proportional hazard models indicate that the death of a child produces a statistically significant hazard ratio of 2.3. There is suggestive evidence that the heightened mortality is concentrated in the first two years after the death of a child. We find no difference in results based on mother's education or marital status, family size, the child's cause of death or the gender of the child.

  18. Caregiver Grief in Terminal Illness and Bereavement: A Mixed-Methods Study

    Science.gov (United States)

    Waldrop, Deborah P.

    2007-01-01

    Caregivers experience multiple losses during the downhill trajectory of a loved one's terminal illness. Using mixed methods, this two-stage study explored caregiver grief during a terminal illness and after the care recipient's death. Caregiver grief was a state of heightened responsiveness during end-stage care: anxiety, hostility, depression,…

  19. Addressing the dead - the role of digital/social media in times of bereavement

    DEFF Research Database (Denmark)

    Gotved, Stine

    2015-01-01

    This presentation explores the connections between new communication media for emotional sharing and co-created memorials, and the somehow connected and slowly changing national culture around the death of a human being. The key research will take place from 2016 and consists of several case stud...

  20. Bereaved spring and autumn tower in Qitai%奇台痛失春秋楼

    Institute of Scientific and Technical Information of China (English)

    姚天才

    2008-01-01

    @@ 多少年来,每当我目不转睛地观赏着奇台春秋楼遗照,凝神端祥照片中雄壮而华美的线条轮廓,便浮想联翩起许多缥缈朦胧如播放电视似的变幻图景,活灵活现着春秋楼几经沧桑的傲然风骨,缅古怀昔的肃然之情就久久萦绕在心.

  1. Using Action Research to Design Bereavement Software: Engaging People with Intellectual Disabilities for Effective Development

    Science.gov (United States)

    Read, Sue; Nte, Sol; Corcoran, Patsy; Stephens, Richard

    2013-01-01

    Background: Loss is a universal experience and death is perceived as the ultimate loss. The overarching aim of this research is to produce a qualitative, flexible, interactive, computerised tool to support the facilitation of emotional expressions around loss for people with intellectual disabilities. This paper explores the process of using…

  2. Parents bereaved by infant death: Sex differences and moderation in PTSD, attachment, coping, and social support

    DEFF Research Database (Denmark)

    Christiansen, Dorte M.; Olff, Miranda; Elklit, Ask

    2014-01-01

    extent than fathers, but not much is known about other sex differences following infant death. Method: The present cross-sectional study examined sex differences in PTSD and sex differences in the relationship between PTSD severity and related variables. Subjects were 361 mothers and 273 fathers who had...... were examined together, there were no longer any significant moderation effects of sex. Conclusions: Persistent posttraumatic symptomatology exists in both mothers and fathers long after the loss. There are several sex differences in severity and correlates of PTSD, and a few moderation effects were...

  3. A Death in the Family: Parental Bereavement in the First Year.

    Science.gov (United States)

    Cook, Judith A.

    1983-01-01

    Examined 145 parents' experiences after a child's death from cancer or a blood disorder. Data revealed men and women differed significantly in the extent to which they encountered distance and lack of comfort in spousal relationships and difficulty during first-year postdeath holidays. (JAC)

  4. Cognitive Development Considerations to Support Bereaved Students: Practical Applications for School Psychologists

    Science.gov (United States)

    Brown, Jacqueline A.; Jimerson, Shane R.; Comerchero, Victoria A.

    2015-01-01

    Despite the number of deaths that occur worldwide each year and their negative effects on school-aged children and teenagers, teachers and school psychologists report not being properly prepared to assist grieving students (Adamson and Peacock, "Psychology in the Schools," 44, 749-764, 2007; Pratt et al. "Education," 107,…

  5. Investigation of a Developmental Model of Risk for Depression and Suicidality Following Spousal Bereavement

    Science.gov (United States)

    Johnson, Jeffrey G.; Zhang, Baohui; Prigerson, Holly G.

    2008-01-01

    Data from a community-based multi-wave investigation were used to examine a developmental model of risk for depression and suicidality following the death of a spouse. Measures of perceived parental affection and control during childhood were administered to 218 widowed adults 11 months after the death of the spouse. Self-esteem, spousal…

  6. Death, Dying and Bereavement in Norway and Sweden in Recent Times

    Directory of Open Access Journals (Sweden)

    Anders Gustavsson

    2015-06-01

    Full Text Available One of my research projects examines pictorial symbols and epitaphs on gravestones in Norway and Sweden. The focus has been on the 1990s and the 2000s. The choice of this period is motivated by the fact that new national burial laws were adopted in both countries in the early 1990s. These laws provided the next of kin with the possibility of choosing memorial symbols and inscriptions more freely than had previously been the case. To judge from the data under study, individual symbols have gained popularity, especially in Sweden, while Norway has been more faithful to earlier traditions of a collective character; moreover, secular motifs are more manifest on the gravestones in Sweden than in Norway. Another research project analyses memorial websites on the Internet related to persons who have died in recent years. The all-inclusive issue in these studies concerns mourners’ expressions of their emotions and beliefs regarding the deceased person’s afterlife, that is, beliefs in after-death existence. Belief in the deceased being somewhere in heaven is common. Belief in angels is also a popular concept in memorial websites. Moreover, in Sweden, this includes deceased pets as well. The previously strictly observed distinction between humans and pets has become indiscernible in Sweden. Norwegian practice, however, remains critical towards this type of “humanlike characterization”. In Norway, memorial websites for the deceased are generally associated with more traditional Christian concepts than are similar sites in Sweden. By contrast, in Sweden, one observes a kind of diffuse religiosity reminiscent of New Age ways of thinking, according to which the individual plays the central role, and glorification of afterlife existence prevails. Secularization, that is, a decline in the influence of traditional forms of religious experience, is conspicuously more prominent in Sweden. Within the project on memorial websites, I have performed a special study of memorials of persons who have committed suicide. In Norway, differences between suicide and deaths by other causes are conceived in an entirely different manner than on memorial websites in Sweden. There, the contrast between suicide and other forms of death has been increasingly wiped out. Norway has preserved earlier mortuary traditions to a greater extent, and no notions of a bright afterlife, or of angels, are to be found in connection with suicides.

  7. Play Therapy for Bereaved Children: Adapting Strategies to Community, School, and Home Settings

    Science.gov (United States)

    Webb, Nancy Boyd

    2011-01-01

    Play therapy is a highly adaptable treatment method that can be modified according to children's ages, circumstances, and settings in which counseling occurs. Play therapy may be used in schools, community settings, and homes to help children following the death of a significant other. After reviewing basic developmental factors that affect…

  8. Evidence-Based Practices for Parentally Bereaved Children and Their Families

    OpenAIRE

    Haine, Rachel A.; Ayers, Tim S.; Sandler, Irwin N.; Wolchik, Sharlene A.

    2008-01-01

    Parental death is one of the most traumatic events that can occur in childhood, and several reviews of the literature have found that the death of a parent places children at risk for a number of negative outcomes. This article describes the knowledge base regarding both empirically-supported, malleable factors that have been shown to contribute to or protect children from mental health problems following the death of a parent and evidence-based practices to change these factors. In addition,...

  9. Bereaved parents' online grief communities: de-tabooing practices or grief-ghettos?

    DEFF Research Database (Denmark)

    Sandvik, Kjetil; Christensen, Dorthe Refslund; Hård af Segerstad, Ylva;

    , children are not supposed to die before their parents, old people are supposed to die. Losing a child cuts to the core of human existence. A 100 years ago, the most common death was a child. Today, it is an old person. So the percentage of parents who have suffered the death of a child is comparably small...... compared with people who have lost an old relative. Moreover, the traditional view for socially accepted grief and mourning (at least in protestant Nordic countries) is often that you should not to grieve for too long, not too intensely or not to publicly. A taboo can be said to be a rule against something...... forums for parents who have lost a child (Open forum (Babyornot.dk) • subgroups in discussion forums for expecting parents (Open forum on commercial site for expecting parents (minmave.dk) In a Swedish setting we have a Closed group on Facebook which is maintained by a Swedish peer grief support...

  10. [Risc factors for assisted suicide for cancer patients - mental burden of bereaved].

    Science.gov (United States)

    Gärtner, Caroline; Müller-Busch, H Christof

    2015-12-01

    Chronic and progressive disease represents a significant risk factor for suicidal behavior. Cancer patients have almost twice the rate of suicides compared to the general population. Based on a case report, the suicidal risk factors for cancer patients are presented. It is further investigated to what extent professional support by a mobile palliative care team can affect the wish for assisted suicide or the suicidal behavior generally among patients receiving palliative care. In addition, the mental impact on individuals, who were witnesses of assisted suicide of relatives or close friends are presented. The occurrence of posttraumatic stress disorder (PTSD), depressions, anxiety disorders and complicated grief (CG) in close family members is shown. However, further research will be necessary to develop adequate support for patients (and their relatives), who plan an assisted suicide.

  11. Six-Year Longitudinal Predictors of Posttraumatic Growth in Parentally Bereaved Adolescents and Young Adults

    OpenAIRE

    Wolchik, Sharlene A.; Coxe, Stefany; Tein, Jenn-Yun; Sandler, Irwin N.; Ayers, Tim S.

    2008-01-01

    Using the Posttraumatic Growth Inventory, we examined posttraumatic growth in a sample of 50 adolescents and young adults who had experienced parental death in childhood or adolescence. Prospective longitudinal relations over a six year period were examined between measures of demographics, youth’s intrusive grief-related thoughts, appraisals, intrapersonal coping processes, interpersonal coping processes, mental health problems and social adaptation outcomes, and the growth subscales (i.e., ...

  12. The Experiences of Bereaved Relatives with Palliative Sedation and other End-of-life Care Practices

    NARCIS (Netherlands)

    S.M. Bruinsma (Sophie)

    2015-01-01

    markdownabstract__Abstract__ During the past century, the circumstances in which people die have changed substantially. Acute deaths due to infectious diseases have been gradually replaced by more prolonged dying trajectories (1). One third of all deaths in The Netherlands occur suddenly and unexpe

  13. Hugh MacDiarmid’s Poetics of Commitment: the Modern Stigmata of Bereavement

    OpenAIRE

    Duchateau, Béatrice

    2016-01-01

    In the 1930s, the lingering absence of God and of a stable reality engulfed the work of the poet Hugh MacDiarmid, leader of the Scottish Renaissance Movement. To counter this void, like many others at the time, MacDiarmid found refuge in communism and nationalism and started to write political and idealist poetry. In his poems, his political idealism comes into being in the association of reality and ideal, symbolised first by Jean and Sophia, the characters of A Drunk Man Looks at the Thistl...

  14. Complicated grief – a challenge in bereavement support in palliative care: an update of the field

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt

    2014-01-01

    udgave af den amerikanske diagnose-manual (DSM-V) er sorg ikke blevet anerkendt som diagnostisk kategori. I stedet diagnosticeres sorgen som depression, men dette giver nogle kliniske problemstillinger i forhold til intervention. Denne artikel ser nærmere på kompliceret sorg som en tabsrelateret lidelse...

  15. Violent Deaths and Traumatic Bereavement: The Importance of Appropriate Death Notification

    Directory of Open Access Journals (Sweden)

    Diego de Leo

    2015-10-01

    Full Text Available The communication of a death due to unexpected and traumatic causes is considered a very sensitive issue that can deeply affect both operators responsible for reporting the incident and the mourning process of family members, relatives, and other survivors. By focusing particularly on cases of traumatic death, this article tries to explain how inadequate communication of death may adversely affect the course of mourning. The article also illustrates the basic principles of correct notification of death. In this way, we hope to contribute to the ongoing dialogue on this topic and the promotion of new studies aimed at setting best practices for those professionally involved in the challenging task of communicating that a life has ended. This would be important in order to safeguard the emotional integrity of notifiers whilst effectively helping the survivors to cope with the early stages of their difficult mourning process.

  16. Assessing a Buddhist treatment for bereavement and loss: the mustard seed project.

    Science.gov (United States)

    Neimeyer, Robert A; Young-Eisendrath, Polly

    2015-01-01

    From a Buddhist perspective, grief becomes complicated because mourners have trouble accommodating the reality of impermanence in the face of deep and unwelcome change, as they struggle to make sense of the "event story" of their loss and to revise their life story and identity accordingly. Joining this perspective with a constructivist emphasis on grieving as meaning reconstruction, we developed a distinctive group intervention to help people reflect on the natural conditions of impermanence and limitation in a compassionate environment in which they were encouraged to cultivate a new self-narrative in the wake of loss. Integrating meditative interludes, dyadic sharing, dharma lessons, and informal didactics on the human quest for meaning, we used expressive arts exercises to engage the existential dilemmas of loss from a self-distancing perspective. Evidence from an open trial on 41 participants in 2 groups documents that the intervention is both feasible and acceptable to clients, and that they display significant decreases in grief related suffering, and corresponding increases in meaning making and personal growth, across the brief course of the workshop experience. PMID:25365540

  17. Deconstructing Death – Changing Cultures of Death, Dying, Bereavement and Care in the Nordic Countries

    DEFF Research Database (Denmark)

    engagement with the phenomenon of death. Among the themes touched specifically upon in the book are: organ transplantation, death education, communication with the dead, changes in commemorative rituals, mourning practices on the internet, parental responses to children’s suicide, death control, practice...... and ethics of end-of-life care, and the lonely death. Deconstructing Death contains contributions written by researchers and practitioners from Denmark, Sweden, Norway and Finland with professional and academic backgrounds within areas such as sociology, anthropology, religious studies and palliative care...

  18. Coping Mediates Outcome Following a Randomized Group Intervention for HIV-Positive Bereaved Individuals

    OpenAIRE

    Smith, Nathan Grant; Tarakeshwar, Nalini; Hansen, Nathan B.; Kochman, Arlene; Sikkema, Kathleen J.

    2009-01-01

    The purpose of this study was to examine the mechanisms responsible for the beneficial psychological effects of a coping-focused group intervention for HIV-positive individuals who had lost loved ones to AIDS. Data from 235 HIV-positive men and women enrolled in a randomized controlled clinical trial testing a coping-focused group intervention were analyzed using a multiple-indicator-multiple-cause (MIMIC) structural equation model. Results revealed that the effects of the intervention on dec...

  19. Intervention for the bereaved : gender differences in the efficacy of two counselling programmes

    NARCIS (Netherlands)

    Schut, H A; Stroebe, M S; van den Bout, J; de Keijser, J

    1997-01-01

    This article describes an investigation of emotion-focused versus problem-focused intervention for widowers (N = 23) and widowers (N = 23) who were suffering elevated levels of distress 11 months after their loss. They were randomly assigned to an intervention condition and improvement (on the Gener

  20. Bereaved relatives' perspectives of the patient's oral intake towards the end of life: a qualitative study.

    NARCIS (Netherlands)

    Raijmakers, N.J.H.; Clark, J.B.; Zuylen, L. van; Allan, S.G.; Heide, A. van der

    2013-01-01

    Background: Patients approaching death often have a decreasing oral intake, which can be distressing for relatives. Little is known about the relatives' experiences with and perceptions of oral intake at the end of life. Aim:This study aims to contribute to a more thorough understanding of relatives

  1. The predictive role of bereaved related factors in cancer bereaved grief reaction%丧失的相关因素对因癌症丧亲者的哀伤反应的预测作用

    Institute of Scientific and Technical Information of China (English)

    王海英

    2014-01-01

    目的 了解丧失的相关因素对癌症丧亲者哀伤反应的预测作用.方法 问卷调查因癌症死亡而丧失亲属的研究对象135人,并采用t检验、方差分析和多重线性回归等统计方法进行分析.结果 一级亲属、亲属离世时间短、亲属逝世年龄小及亲属治疗费用少的丧亲者的PG-13得分显著高于二级亲属、亲属离世时间长、亲属逝世年龄大及亲属治疗费用多者(均P<0.05).结论 亲属级别、被试与逝者的关系、逝者离世时间、逝者离世年龄以及治疗所花费用可以预测个体哀伤反应.

  2. World Health organization guidelines for management of acute stress, PTSD, and bereavement: key challenges on the road ahead.

    Directory of Open Access Journals (Sweden)

    Wietse A Tol

    2014-12-01

    Full Text Available Wietse Tol and colleagues discuss some of the key challenges for implementation of new WHO guidelines for stress-related mental health disorders in low- and middle-income countries. Please see later in the article for the Editors' Summary.

  3. 谈谈高校危机干预中的哀伤辅导%Bereavement Counseling in Crisis Intervention

    Institute of Scientific and Technical Information of China (English)

    韩劢

    2012-01-01

    危机干预是高校学生工作者面临的一项重点与难点问题.对于大学生自杀或意外死亡的危机干预的对象主要是其所在班级同学,干预的一项重要内容就是哀伤辅导.分析了哀伤的概念、反应与过程,并详细阐述了哀伤辅导的原则与程序.

  4. On System Values of Bereavement Damages%论死亡赔偿金的制度价值

    Institute of Scientific and Technical Information of China (English)

    赵敏; 眭鸿明

    2011-01-01

    2009年12月26日通过的《侵权责任法》明确规定在同一事故中可不考虑个人差异,以同一数额确定死亡赔偿金.该条“同命同价”条款引起社会各界的广泛关注.死亡赔偿并不是对死者生命价值的赔偿,而是对死者近亲属受损利益的救济.死亡赔偿从“扶养丧失说”改采“继承丧失说”,赔偿标准采定型化赔偿和客观计算,体现了立法没有为了逻辑自治而漠视社会现实,但对城乡居民采用了两分法的计算标准,显然违背了死亡赔偿金设立的初衷.今后死亡赔偿金制度的完善必然取决于对有关利弊的实证分析而非抽象的逻辑推理.

  5. Healthcare utilization of bereaved relatives of patients who died from cancer. A national population-based study

    DEFF Research Database (Denmark)

    Guldin, Mai-Britt; Jensen, Anders Bonde; Zachariae, Robert;

    2013-01-01

    Tidligere studier har påpeget, at tabet af en nærtstående kan medføre øget forbrug af sundheds-ydelser i perioden med sorg. Der vides imidlertid ikke meget om sammenhængen mellem sorg og forbrug af sundhedsydelser. Denne viden ville eventuelt ville kunne bistå i planlægningen af sundhedsydelser e...

  6. On Bereavement of Glamour in Chinese Teaching%论语文教学魅力的失落

    Institute of Scientific and Technical Information of China (English)

    梁驰华

    2001-01-01

    当今语文教学魅力失落的事实,应引起语文界同仁的重视.作者认为,语文教学魅力的失落是由以下原因造成的:操作的刻板;训练的泛滥;情感的冷却;标准的束缚;人文的淡薄;诵背的忽略.

  7. 试论光武帝吊臣%A Discussion on Emperor Guangwu's Offering Condolences to Bereaved Officials

    Institute of Scientific and Technical Information of China (English)

    王立; 焦小刚

    2007-01-01

    在"君吊臣"历史上,光武帝可谓是一位独具特色的封建帝王.他在臣子死后,不仅有赐棺具或冢地之举,而且对一些国家重臣还亲临其丧以表哀悼.他不仅在吊臣数量上超过以往封建帝王,还开创帝王亲自为臣子送葬的先例,其所吊臣子以文臣为主,往往赐棺椁或亲吊,较少赏赐钱帛,这与西汉诸帝有很大不同.这种现象的产生不仅与光武帝开国帝王身份有关,与他个人儒者气质有关,也与当时经济发展程度有关,但维护封建统治的需要则是其终极原因.

  8. Parental bereavement and the loss of purpose in life as a function of interdependent self-construal

    Directory of Open Access Journals (Sweden)

    Jinhyung eKim

    2015-07-01

    Full Text Available Children are often inextricably linked to their parents’ hopes and dreams. As such, the loss of a child often represents one of the most traumatic experiences possible. The current research explores how this specific loss relates to one’s sense of purpose in life. We further explore whether the loss of a child is particularly detrimental to one’s sense of purpose for highly interdependent parents. Analyses of parents from the Midlife in the United States (MIDUS data set revealed, as expected, that the loss of child negatively predicts one’s sense of purpose in life, and that this effect is most pronounced for parents high in interdependent self-construal. Potential mechanisms and implications of the present findings are discussed.

  9. Nurses' Attitudes Towards Perinatal Bereavement Care%护士对丧婴护理的态度研究

    Institute of Scientific and Technical Information of China (English)

    刘丽; 臧渝梨; 曹枫林; 厉萍; 封丹珺; 陈满辉; 娄凤兰

    2008-01-01

    目的 探讨产科护士及助产士对丧婴护理的态度,旨在为临床丧婴护理和护理教学的发展提供依据.方法 采用结构式问卷对323名产科护士及助产士的丧婴护理态度进行调查.结果 护士对丧婴护理的态度、对丧婴护理政策的态度,对丧婴护理培训的态度评分较高,分别为4.26±3.14、4.29±1.98、4.21±3.79,三者间呈显著正相关(均P<0.01),职位显著影响护士对丧婴护理的态度(P<0.05),而护理丧耍父母的经历显著影响护士对丧耍护理政策和对丧婴护理培训的态度(P<0.05,P<0.01).结论 产科护士及助产士对丧婴护理、丧婴护理政策以及培训的态度是积极的、正向的,但影响护士对丧婴护理态度的因素较多,仍需对其加强丧婴护理培训和情感支持.

  10. Images of heaven and the spiritual afterlife: Qualitative analysis of children's storybooks about death, dying, grief, and bereavement.

    Science.gov (United States)

    Malcom, Nancy L

    Many parents turn to picture books and storybooks to help explain issues surrounding death and dying to their young children. In addition to dealing with topics such as death, funerals, memories, and grief, a number of the books also mention the concept of heaven and what our loved ones might experience after they die. This article uses qualitative research methods to analyze 49 children's storybooks that touch on the existence of heaven or a spiritual afterlife. Results show that heaven is portrayed in a simplistic fashion, as a place high in the sky with bright lights, angels, and clouds. Even as heaven is presented in a relatively simple way, there are also patterned differences in depictions of the spiritual afterlife depending upon whether the decedent in the book was a family pet, a child, a parent, or a grandparent. The article concludes with a discussion of how these depictions of heaven and the afterlife might help young children cope with death-related grief.

  11. The role of sensorial processes in Q'eqchi' Maya healing: A case study of depression and bereavement.

    Science.gov (United States)

    Hatala, Andrew R; Waldram, James B

    2016-02-01

    Theory and research on the healing practices of Indigenous communities around the globe have often been influenced by models of "symbolic healing" that privilege the way patients consciously interpret or derive meaning from a healing encounter. In our work with a group of Q'eqchi' Maya healers in southern Belize, these aspects of "symbolic healing" are not always present. Such empirical observations force us to reach beyond models of symbolic healing to understand how healing might prove effective. Through the extended analysis of a single case study of rahil ch'ool or "depression," we propose to advance understanding of forms of healing which are not dependent on a shared "mythic" or "assumptive world" between patient and healer or where therapeutic efficacy does not rely on the patient's ability to "believe" in or consciously "know" what is occurring during treatment. In this we demonstrate how the body, as a site of experience, transformation, and communication, becomes the therapeutic locus in healing encounters of this kind and argue that embodied mediums of sensorial experience be considered central in attempts to understand healing efficacy.

  12. Giving Birth to Life--Again!: Bereaved Parents' Experiences with Children Born Following the Death of an Adult Son

    Science.gov (United States)

    Hamama-Raz, Yaira; Rosenfeld, Sarah; Buchbinder, Eli

    2010-01-01

    This article is based on a qualitative study examining the experiences of parents that lost a son during military service in Israel and consequently choose to give birth to another child. Seven couples and 3 mothers were interviewed for the study, and their interviews were analyzed using a phenomenological-hermeneutic approach. Three main themes…

  13. Trauma and bereavement : symptomatology, aetiology and interventions : a case of young survivors of the 1994 genocide in Rwanda

    OpenAIRE

    Sezibera, Vincent

    2008-01-01

    Exposure to traumatic events has deleterious effect resulting in considerable psychological (cognitive and affective/emotional), physical and social impairments. In contrast to natural disasters, victims of man-made disasters have been reported to be vulnerable to severe psychological and psychiatric disorders affecting a large number of abilities and lasting for many years. Among the most common psychiatric diagnosis associated with violence exposure is the Posttraumatic Stress Disorder (PTS...

  14. It is the “starting over” part that is so hard

    OpenAIRE

    Wittenberg-Lyles, Elaine; Washington, Karla; Oliver, Debra Parker; Shaunfield, Sara; Gage, L. Ashley; Mooney, Megan; Lewis, Alexandria

    2014-01-01

    Although hospices are required to provide caregivers with formal bereavement support when their loved one passes, most bereavement interventions lack standardization and remain untested. The Dual Processing Model of Bereavement was used as a theoretical framework for assessing the potential of a Secret Facebook Group for bereaved hospice caregivers. Online communication was analyzed and reported outcome measures were compared pre and post intervention. Bereaved caregivers shared abrupt and an...

  15. Tradução portuguesa, adaptação e validação da Perinatal Bereavement Grief Scale (PBGS em mulheres com perda de gravidez Traducción portuguesa, adaptación y validación de la Perinatal Bereavement Grief Scale (PBGS en mujeres con pérdida gestacional Portuguese translation, adaptation and validation of the Perinatal Bereavement Grief Scale (PBGS in women with pregnancy loss

    Directory of Open Access Journals (Sweden)

    Cândida Koch

    2012-03-01

    Full Text Available A perda precoce de uma gravidez, para muitas mulheres, pode constituir um significativo stressor psicossocial. Fazer o luto deste tipo de perda pode ser complexo e uma avaliação precoce pode permitir intervenções mais eficazes. São poucos os instrumentos existentes para esta avaliação. Assim, neste estudo pretendeu-se traduzir, adaptar, validar e avaliar a aplicabilidade da PBGS em mulheres em situação de perda involuntária da gravidez, analisando as suas capacidades de mensuração. A amostra constituiu-se por 100 mulheres entre as quatro e as seis semanas pós-perda. A análise de componentes principais permitiu confirmar a estrutura dimensional única da escala, proposta pelo autor. O nível de confiabilidade da escala evidenciado no nosso estudo (coeficiente Alpha de Cronbach 0,81, embora um pouco inferior ao apresentado originalmente, é igualmente bom. Apresenta uma boa estabilidade temporal (r = 0,98, p La pérdida precoz del embarazo para muchas mujeres, puede ser un factor estresante psicosocial significativo. Hacer el duelo de este tipo de pérdida puede ser complejo y una evaluación temprana puede permitir intervenciones más eficaces. Existen pocos instrumentos para esta evaluación. Asimismo, en este estudio se ha pretendido traducir, adaptar, validar y evaluar la aplicabilidad de la PBGS en mujeres en situación de pérdida involuntaria del embarazo, analizando sus capacidades de mensuración. La muestra está constituida por 100 mujeres entre las cuatro a seis semanas tras la pérdida. El análisis de componentes principales permitió confirmar la estructura dimensional única de la escala, propuesta por el autor. El nivel de fiabilidad de la escala evidenciado en nuestro estudio (coeficiente Alpha de Cronbach 0,81, aunque un poco inferior al presentado originalmente, es igualmente bueno. Presenta una buena estabilidad temporal (r = 0,98, p The early loss of pregnancy for many women may be a significant psychosocial stressor. To mourn a loss of this type can be complex and early evaluation can allow more effective interventions. Few instruments exist for this assessment. Therefore in this study we sought to translate, adapt, and evaluate the applicability of the PBGS to women in situations of involuntary pregnancy loss, examining its measurement capabilities. The sample consisted of 100 women between four and six weeks after their respective losses. The analysis of the scale’s primary components confirmed its unique dimensional structure as proposed by the author. Although slightly lower than originally presented, the scale’s level of reliability, as evidenced in our study (Cronbach’s Alpha coefficient 0.81, is also satisfactory. The scale shows good temporal stability (r = 0.98, p <0.01. The scale, applied in this study, was found to be both reliable and valid, and may constitute an important tool to be used by nurses in evaluating women at risk of developing complications while adapting to pregnancy loss.

  16. Gestational Diabetes

    Medline Plus

    Full Text Available ... health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms ... health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms ...

  17. 42 CFR 418.204 - Special coverage requirements.

    Science.gov (United States)

    2010-10-01

    ... individual only when necessary to relieve the family members or other persons caring for the individual. (2... consecutive days at a time. (c) Bereavement counseling. Bereavement counseling is a required hospice...

  18. Postpartum Blues

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  19. Time to Eat! What Will You Feed Your Baby?

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  20. Gestational Diabetes

    Medline Plus

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  1. Labor and Delivery: At the Hospital

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  2. At Least 39 Weeks

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  3. Cesarean Section: Recovering After Surgery

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    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  4. Folic Acid

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  5. Gestational Hypertension and Preeclampsia

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  6. Healthy Choices: What to Eat during Pregnancy

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  7. Alcohol and Pregnancy

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    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  8. Cesarean Section: The Operation

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    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  9. Exercise during Pregnancy

    Medline Plus

    Full Text Available ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media News Videos ... Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog Stories & Media News & Media ...

  10. Sharing experiences to improve bereavement support and clinical care after stillbirth : report of the 7th annual meeting of the international stillbirth alliance

    NARCIS (Netherlands)

    Heazell, Alexander E. P.; Leisher, Susannah; Cregan, Mairie; Flenady, Vicki; Froen, J. Frederik; Gravensteen, Ida K.; De Groot-Noordenbos, Mariette; De Groot, Paul; Hale, Sue; Jennings, Belinda; Mcnamara, Karen; Millard, Caron; Erwich, Jan Jaap H. M.

    2013-01-01

    Stillbirth remains a global health challenge which is greatly affected by social and economic inequality, particularly the availability and quality of maternity care. The International Stillbirth Alliance (ISA) exists to raise awareness of stillbirth and to promote global collaboration in the preven

  11. 晋朝因丧禁乐废戏考论%On Prohibition of Music and Dramas due to Bereavement in the Jin Dynasty

    Institute of Scientific and Technical Information of China (English)

    石超

    2014-01-01

    因丧禁乐废戏是晋朝推行孝道的工具,在其由礼到法的过程中,工具理性被无限放大,使丧服礼仪中的禁乐废戏被推崇到畸形状态,产生了“情”和“礼”的悖论,并未达到禁废者渴求的肃清思想、维护统治的效果.

  12. With and With"out": The Bereavement Experiences of Gay Men Who Have Lost a Partner to Non-AIDS-Related Causes

    Science.gov (United States)

    Hornjatkevyc, Nina L.; Alderson, Kevin G.

    2011-01-01

    This study gives voice to the experiences of gay men who have lost a partner to non-AIDS-related causes, a subject that has received little attention in the psychological literature. Interviews were conducted with 8 gay men. An analysis informed by hermeneutic phenomenology generated themes and contextualized meanings regarding the participants'…

  13. 1例居丧期病人的心理护理%Psychological nursing care of 1 case in bereavement period

    Institute of Scientific and Technical Information of China (English)

    刘桂舫; 霍艳蕊; 刘桂华

    2011-01-01

    @@ 悲伤是居丧者的一种自然情感反应,是经历亲人或朋友死亡的情感和行为反应的一项重要特征.没有预料或突然发生的死亡,则会带给丧亲者更长期的、更深远的影响[1].居丧期护理是医院心理护理的重要内容,接受亲人死亡事实,有效应对失去,顺利度过悲伤期,最大限度地降低由于恶性悲伤反应所带来的负性生理和心理反应,改善病人生活质量和提高生存质量,预防可能发生的健康问题具有重要意义.

  14. Grief Nursing of Bereaved Parents after the Death of Child%儿童死亡后居丧父母悲伤护理研究现状

    Institute of Scientific and Technical Information of China (English)

    刘霞; 陈京立

    2006-01-01

    儿童死亡是父母生活中遇到的严重负性生活事件.相对于成人死亡而言,父母悲伤反应强烈,不仅影响到其身心健康和彼此之间的关系,还会进一步影响到整个家庭乃至社会.该文从儿童死亡对家庭产生的应激和影响,父母悲伤反应的影响因素及相应的干预措施三方面进行了综述.

  15. Necessity and Implementation of Providing Bereavement Care Services in Hospital Settings%医院开展居丧护理服务概述

    Institute of Scientific and Technical Information of China (English)

    傅静; 李雨昕; 张彧

    2007-01-01

    较多发生在医院的死亡患者是因突发严重疾病、创伤或事故.突然发生、无法预料的死亡会使丧亲者产生更为强烈的悲伤反应,如不能有效应对则影响丧亲者身心健康,产生身心并发症.居丧护理干预措施可帮助丧亲者有效应对悲伤和失去,最大限度地降低由于恶性悲伤反应所带来的负性生理和心理反应.本文阐述了医院提供居丧护理服务的重要性和必要性以及医院居丧护理服务的内容及采取的相应措施.

  16. 301名丧亲者哀伤反应及其影响因素%Grief Reactions and Correlates among 301 Bereaved Individuals

    Institute of Scientific and Technical Information of China (English)

    何丽; 王建平; 尉玮; 谢秋媛; 唐苏勤

    2013-01-01

    目的:调查丧亲者的哀伤反应及其影响因素,探讨延长哀伤障碍(prolonged grief disorder,PGD)在中国大陆地区的发生情况.方法:采用延长哀伤问卷(PG-13)、创伤后应激障碍症状清单(PCL-C)、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)对招募而来的301名丧亲者进行测查.结果:①丧亲者当中女性占多数(70.8%),已故者死因中身体疾病占多数(75.7%);②丧亲者在PG-13上的总分是19.04±9.00;③PTSD、抑郁症状、焦虑症状的检出率分别为8.6%、36.6%、21%;符合PGD诊断的有13人(5.01%),其中,84.6%的人同时检出PTSD、抑郁和焦虑症状;④哀伤反应的得分在婚姻状况及丧亲对象上都存在显著性差异.回归分析结果表明已故者的享年、与已故者的亲密程度能够显著预测哀伤反应的得分(F(2,290)=62.947,R2=0.303,P<0.001).结论:丧亲者普遍存在一些失功能的哀伤反应,其严重程度受婚姻状况、丧亲对象、已故者的年龄以及与已故者的亲密程度等因素的影响;丧亲者中有一定的比例可能发展成延长哀伤障碍.

  17. Midlife suicide risk, partner's psychiatric illness, spouse and child bereavement by suicide or other modes of death: a gender specific study

    DEFF Research Database (Denmark)

    Agerbo, Esben

    2005-01-01

    STUDY OBJECTIVE: To describe gender specific suicide rates associated with partner's psychiatric disorder, loss of a spouse, or child by suicide or other causes, being a parent, and marital status. DESIGN: Nested case-control study. Information on causes of death, psychiatric admission, marital...... a parent was protective in women. Except for widows (1.6, 1.2 to 2.0) and widowers (3.0, 2.3 to 3.9) the suicide risk associated with being separated (2.0, 1.8 to 2.3), divorced (1.8, 1.7 to 2.0), never married (1.4, 1.3 to 1.6), cohabitant (1.2, 1.1 to 1.3) was virtually the same in the two sexes...

  18. Actitudes psicológicas ante la muerte y el duelo: Una revisión conceptual Psychological attitudes toward death and bereavement: One conceptual review

    Directory of Open Access Journals (Sweden)

    F.J. Gala León

    2002-10-01

    Full Text Available Introducción: la muerte siempre ha sido objeto de profundas reflexiones filosóficas, religiosas y, actualmente, científicas; sin embargo en las sociedades postindustriales es difícil aceptar su mera idea, de modo que las actitudes hacia ella han sufrido una evolución desadaptativa, retrocediendo de la mano del "progreso" de las actitudes saludables del afrontamiento y la aceptación, a las prefóbicas del sinvivir por su temor y a las fóbicas de su negación. Cambios socioculturales: podemos diferenciar en Occidente dos momentos en la vivencia de la muerte: uno previo a su Institucionalización Hospitalaria, en el que es aceptada como parte natural de la existencia y otro, desde que el Hospital pasa a ser la Institución reservada para morir, traduciéndose en un cambio radical en la consciencia e información sobre la propia muerte. Actitudes del Personal Sanitario: estos cambios también han alcanzado al PS. generándole muchas veces actitudes distorsionadas tales como no querer nombrar a la muerte o a las patologías "que las atraen", no mirar cara a cara al enfermo terminal, incongruencias y disonancias entre la Comunicación Verbal y la No Verbal y aumento de la atención tecnológica en detrimento de la empático-afectiva, con el riesgo del encarnizamiento terapéutico, empeorándose las condiciones de la muerte. Conclusión: el Marco Sanitario precisa de componendas éticas y estéticas para afrontar integralmente el proceso de morir, dotándose de medios, conocimientos y actitudes adecuadas para atender las necesidades biopsicosociales del moribundo con el objetivo de morir con dignidad.Introduction: Death has always been the object of deep philosophical, religious, and currently scientific reflections; however in post-industrial societies it is difficult to accept the very idea of it, so that attitudes to death have undergone maladaptive evolution, drawing back in the name of "progress" from the healthy attitudes of confrontation and acceptance, to the pre-phobic attitude of living in constant worry for fear of death, and the phobic attitude of its denial. Socio-cultural changes: In the West we can differentiate two periods in the experience of dying: one prior to institutionalization in hospital where it is accepted as a natural part of existence and the other, from when the hospital becomes the institution reserved for dying, bringing about a radical change in the consciousness of and information on ones own death. Attitudes of medical personnel: These changes have also reached medical personnel, frequently generating distorted attitudes such as not wanting to name death or the pathologies leading to it, not dealing face-to-face with the terminal patient, incongruities and discord between verbal and non-verbal communication and an increase in technological attention in detriment of affective empathy , with the risk of therapeutic cruelty, worsening the conditions of death. Conclusion: The medical framework needs ethical and aesthetic arrangements to integrally face the process of dying, endowing it with adequate means, knowledge and attitudes to attend the biopsychosocial needs of the dying, with the object of dying with dignity.

  19. Does time heal all wounds? A longitudinal study of the development of posttraumatic stress symptoms in parents of survivors of childhood cancer and bereaved parents

    OpenAIRE

    Ljungman, Lisa; Hovén, Emma; Ljungman, Gustaf; Cernvall, Martin; von Essen, Louise

    2015-01-01

    Background: A lack of longitudinal studies has hampered the understanding of the development of posttraumatic stress symptoms (PTSS) in parents of children diagnosed with cancer. This study examines level of PTSS and prevalence of posttraumatic stress disorder (PTSD) from shortly after diagnosis up to 5 years after end of treatment or child’s death, in mothers and fathers. Methods: A design with seven assessments (T1–T7) was used. T1–T3 were administered during treatment and T4–T7 after end o...

  20. The concept of shalōm as a constructive bereavement healing framework within a pluralist health seeking context of Africa

    OpenAIRE

    Vhumani Magezi; Keya, Benjamin S.

    2013-01-01

    Absence of health, that is, sickness in Africa is viewed in personalistic terms. A disease is explained as effected by ‘the active purposeful intervention of an agent, who may be human’, non-human (a ghost, an ancestor, an ‘evil spirit), or supernatural (a deity or other very powerful being)’ (Foster). Illness is thus attributed to breaking of taboos, offending God and/ or ancestral spirits; witchcraft, sorcery, the evil eye, passion by an evil spirit and a curse from parents or from an of...

  1. The concept of shalōm as a constructive bereavement healing framework within a pluralist health seeking context of Africa

    OpenAIRE

    Vhumani Magezi; Keya, Benjamin S.

    2013-01-01

    Absence of health, that is, sickness in Africa is viewed in personalistic terms. A disease is explained as effected by ‘the active purposeful intervention of an agent, who may be human’, non-human (a ghost, an ancestor, an ‘evil spirit), or supernatural (a deity or other very powerful being)’ (Foster). Illness is thus attributed to breaking of taboos, offending God and/ or ancestral spirits; witchcraft, sorcery, the evil eye, passion by an evil spirit and a curse from parents or from an offen...

  2. The grieving adult and the general practitioner: a literature review in two parts (Part 2).

    Science.gov (United States)

    Woof, W R; Carter, Y H

    1997-08-01

    In part 1 of this review, published last month, literature exploring the psychological bereavement theories and the health consequences of bereavement are summarized. The second part builds on this to outline the debate surrounding the characteristics of abnormal bereavement, while also focusing on risk factors for this morbidity. This leads on to a summary of the literature on bereavement care, particularly from a general practice point of view. Finally, areas for further research are highlighted. PMID:9302794

  3. The grieving adult and the general practitioner: a literature review in two parts (Part 1).

    Science.gov (United States)

    Woof, W R; Carter, Y H

    1997-07-01

    This article is the first of a two-part literature review on bereavement. In part 1, those psychological theories that have improved the understanding of the bereavement process are summarized. In addition, the research examining the mortality and morbidity following a bereavement is critically analysed. PMID:9281874

  4. 大学生の対人関係喪失における対処方略と悲嘆反応の関連 <研究論文>

    OpenAIRE

    中嶋, 直美; 兒玉, 憲一

    2013-01-01

    The purposes of this study are to clarify the characteristics of college students' bereavement and separation and the relationship between coping strategies and grief reactions in bereavement and separation. 212 college students completed questionnaires. The results indicated that the majority of the respondents have experienced some bereavement or separation, in particular, separation from the lover. Multiple regression analyses showed that coping strategies such as "avoidance", "abandonment...

  5. The denial of death: A three-decade long case of absent grief

    Directory of Open Access Journals (Sweden)

    Susan Solomon

    2014-01-01

    Full Text Available Bereavement reactions are associated with numerous physical and mental complications. Atypical bereavement reactions have been described but their place in the classificatory system has not been established. We present the case of an eighty-year-old woman who came with the belief that her deceased son was alive. We discuss the diagnostic dilemma she posed and conclude that it may be difficult to differentiate atypical bereavement from other psychiatric illnesses.

  6. 42 CFR 418.112 - Condition of participation: Hospices that provide hospice care to residents of a SNF/NF or ICF/MR.

    Science.gov (United States)

    2010-10-01

    ...; counseling (including spiritual, dietary and bereavement); social work; provision of medical supplies... each patient; (ii) Hospice election form and any advance directives specific to each patient;...

  7. The role of continuing bonds in coping with grief: overview and future directions.

    Science.gov (United States)

    Root, Briana L; Exline, Julie Juola

    2014-01-01

    The existing empirical literature depicts a complex picture of the role that continuing bonds play in coping with bereavement, with contradictory findings emerging across studies. This article presents an overview of continuing bonds research and highlights several areas ripe for exploration. First, definitional issues are identified. Second, three paths for clarification are presented: the bereaved's perception of the bond as positive or negative, the quality of the predeath relationship, and the bereaved's afterlife beliefs. Through refining the definition and exploring these potential avenues of research, we hope to clarify the roles that continuing bonds may play in coping with bereavement.

  8. Little People of America

    Science.gov (United States)

    ... Past National Conferences Medical Support Medical Advisory Board Medical Resource Center ELL Position Statement Genetic Biotechnology Research Position Statement Bereavement Medical Articles Regional Skeletal ...

  9. 心理咨询对失独者抑郁症状和孤独感的疗效观察%Effect of Counseling on Depression Symptoms and Loneliness of Bereaved Parents

    Institute of Scientific and Technical Information of China (English)

    杭荣华; 陶金花; 吴明飞; 张雪娇; 董亚歌

    2015-01-01

    目的:考查心理咨询对失独者抑郁和孤独感的疗效及不同咨询方式的疗效差异.方法:采用抑郁自评量表(SDS)评定207名失独者,按自愿原则选取48名中度抑郁者(SDS标准分=63-72)为研究对象,随机分配到网络咨询组(网询组)、面对面咨询组(面询组)和对照组,每组16名.网询组和面询组接受心理咨询,每周1次,共10周.各组在干预前后接受SDS和孤独量表(UCLA)评定.结果:①网询组和面询组SDS(45.23±9.10和47.58±9.32)和UCLA(37.56±6.86和31.93±5.82)后测分显著低于对照组(61.45±6.15和50.38±7.86),而且后测分显著低于前测分(P<0.001);②面询组UCLA减分值(19.27±8.39)和减分率(36.56±12.91)显著大于网询组(11.25±6.99和22.61±13.61),SDS减分值和减分率组间差异无显著性(P>0.1).结论:心理咨询能有效改善失独者的抑郁症状和孤独感,面对面咨询改善孤独感的效果优于网路咨询.

  10. 农村失独家庭生存现状及差异化扶助机制设计%The Status Quo of Bereaved Parents Family Life in Rural Areas and Design of Differential Support Mechanism

    Institute of Scientific and Technical Information of China (English)

    刘芷含; 车闰平

    2016-01-01

    失去唯一的子女往往给独生子女家庭的生活带来毁灭性的打击,而中国的城乡二元结构使城市居民的养老保障、经济补贴待遇要远远优于农村居民,因此,农村失独家庭的生存及保障问题显得愈加突出和严重。本文在社会调研的基础上,从经济、政治、文化、社会层面探讨了农村失独家庭在现行帮扶政策下的生存状态及其特殊弱势地位的原因,并基于其特殊性,从经济扶助、精神扶助、社交扶助、诉求表达扶助方面入手,进行了立体的差异化扶助机制设计。%Lose the only children often bring a devastating blow to the one-child family. China's urban-rural dual structure enable urban residents of old-age security, economic subsidy treatment is far better than rural residents. Therefore, the rural survival and security problem of single family is increasingly prominent and severe. The paper based on the social investigation, from the aspects of economic, political, cultural and social discussed rural single family lost in the current aid policy of the survival of the state and its special weak position. Based on its particularity, makes differentiated supporting mechanism design from the three-dimensional of economic support, spiritual assistance, social assistance, appeal expression assistance.

  11. 失独者应对状况的探索性潜在类别分析%An exploratory latent class analysis of coping condition of bereaved parents with an only child

    Institute of Scientific and Technical Information of China (English)

    罗媛慧; 王安妮; 姚抒予; 张雯; 张静平; 黎志华

    2016-01-01

    目的:了解失独者应对状况的分类特点,并探讨各类别在年龄、性别、养老保险等人口学变量上的分布差异.方法:采用分层整群抽样177例失独者,其中男66例,女111例,包含43对夫妻,年龄在(49~ 83)岁之间,用简易应对方式问卷评估应对状况,进一步进行潜在类别分析并对不同类别在性别、年龄、养老保险等人口学变量上的分布差异进行检验.结果:失独者的应对状况可以分为“寻求支持型应对”(52.9%)、“自我调节型应对”(6.2%)、“缺乏应对”(40.9%)三个潜在类别.不同类别的失独者在性别、年龄、婚姻状况、受教育程度上的分布差异无统计学意义(P>0.05).与缺乏应对组相比,良好应对组(“寻求支持型应对”和“自我调节型应对”)中有养老保险者所占比例较高(79.2%vs.63.4%,P<0.05);更多的失独者主要收入来源于自己劳动或退休金(90.6% vs.76.1%,P<0.01);医保为新农合者所占比例较低(6.6% vs.22.5%,P<0.01).结论:失独者的应对状况可以分为寻求支持型应对,自我调节型应对,缺乏应对三类;不同类别的失独者在部分人口学变量的分布上存在差异,应当根据影响应对的相关因素制定针对性干预措施以提高失独者的应对状况.

  12. Empty Nest Bereavement and Living Dilemma:The Vulnerability of Living Welfare of Only Child Lost Families%空巢余悲与生活困境:失独家庭生活福利弱势性研究

    Institute of Scientific and Technical Information of China (English)

    韦艳; 姜全保

    2014-01-01

    中国目前独生子女数量超过1.5亿,每年由于独生子女死亡新增7.6万失独家庭.独生子女的去世使得独生子女家庭结构断裂而成为特殊的空巢家庭,失独父母的生活福利受到了严重影响.利用2013年陕西省专项调查数据,分析了失独家庭在生理福利、心理福利、经济福利、社会支持和养老状况等方面的弱势性和差异性.失独家庭生活福利的各个方面都显著脆弱于一般家庭;失独家庭虽然由于丧子具有一定的共性,但其群体内部由于失独父母特征和去世子女特征差异而显示出部分生活福利的差异性.应改进和细化现有的失独家庭扶助政策,充分考虑政策目标群体差异性,有针对性地进行扶助.

  13. 剥夺政治权利的独立适用问题探讨%Probe into the Issue of the Deprivation Bereave the Independent and Suitable Discussion of the Political Rights

    Institute of Scientific and Technical Information of China (English)

    吴平

    2005-01-01

    我国1979年的刑法与1997年的刑法中关于剥夺政治权利的独立适用问题有不同的规定;剥夺政治权利独立适用的合理性应当予以追问;可以独立适用剥夺政治权利的罪名的范围及其确定标准问题有待进一步明确.

  14. The Prolonged Grief Disorder Symptoms and Their Predictive Factors among Bereaved Individuals%重大疾病丧亲者的延长哀伤症状及预测因素

    Institute of Scientific and Technical Information of China (English)

    徐慰; 何丽; 符仲芳; 王建平

    2015-01-01

    目的:考察重大疾病丧亲者的延长哀伤症状及其预测因素.方法:通过寻访和网络招募的方式对256名重大疾病丧亲者进行问卷测查.结果:所有丧亲者中没有完全符合延长哀伤障碍诊断的个体,但有4名丧亲者达到了临界标准.逝者离世时长、逝者离世时的年龄、与逝者的亲密程度与延长哀伤症状具有显著的相关性.丧亲者的延长哀伤症状得分在亲属级数、与逝者关系、教育程度和婚姻状况上存在显著差异.将所有因素纳入回归方程后发现:最能预测重大疾病丧亲者延长哀伤症状的因素包括:小学及以下的教育程度、逝者离世时长、逝者离世时的年龄.结论:相比于其他丧亲类型,重大疾病丧亲者的延长哀伤障碍的患病率较低,其延长哀伤症状受到部分人口学特征和丧失相关特征的影响.

  15. 从弱势到强势:遗族会与战后日本政治经济%From Weakness to Strength: the Bereaved Association and the Post-War Japanese Politics and Economy

    Institute of Scientific and Technical Information of China (English)

    权彤

    2010-01-01

    遗族会是二战结束后,日本的死亡军人家属为了保护自己的利益自发形成的民间组织.随着日本经济发展和政治需要,日本遗族会经历了从民间组织到财团法人,从弱势群体到左右日本政坛的强劲势力等多重转变.以往国内对遗族会问题的研究较少,散见于各类报刊中,全面系统的论述更是凤毛麟角.然而,作为日本右翼势力左右日本政界、煽动政要参拜靖国神社的一股强大的政治势力,日本遗族会对日本军国主义复兴的作用不容小觑.因此,深入分析日本遗族会产生发展和壮大的过程及原因,对认清其真实面目和提防日本军国主义势力抬头能够有所助益.

  16. 负性认知对丧亲者情绪问题的预测作用%Predictive Value of Negative Cognitive Variables on Emotional Problems after Bereavement

    Institute of Scientific and Technical Information of China (English)

    何丽; 尉玮; 胡泊; 徐慰; 闫煜蕾; 王建平

    2014-01-01

    目的:在丧亲者中考察认知因素对丧亲后延长哀伤、抑郁及焦虑情绪的影响.方法:通过横断研究,采用延长哀伤问卷(PG-13)、哀伤认知问卷(GCQ)、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)对488名丧亲者进行测查.结果:分层回归分析的结果表明,当控制了影响负性情绪的人口学背景及丧亲相关变量之后,对自我的负面信念、自责、对生活及未来的负面信念能够预测延长哀伤反应;对未来的负面信念、对哀伤的威胁性解释、对世界的负面信念能够预测抑郁情绪,而对哀伤的威胁性解释、对未来的负面信念能够预测焦虑情绪.结论:结果在一定程度上支持了延长哀伤障碍的认知行为概念化模型,并为延长哀伤障碍的认知行为干预提供了实证依据.

  17. A CASE STUDY OF SANDPLAY THERAPY FOR A BEREAVED GIRL WITH COMPLICATED GRIEF%复杂哀伤丧亲女孩的箱庭疗法个案研究

    Institute of Scientific and Technical Information of China (English)

    徐洁; 张日昇; 陈顺森; 张雯

    2011-01-01

    通过19次个体箱庭和2次家庭箱庭治疗,对一名12岁复杂哀伤的丧亲女孩W进行了个案研究.发现:(1)箱庭治疗能提高丧亲青少年的个体和家庭功能,促进青少年个体和家庭哀伤任务的完成;(2)W的个体箱庭经历了在混乱重复中寻找秩序、重建自我、转化与整合、自我治愈力展现四个阶段;(3)W的哀伤经验经历了在治疗者促进下分享—象征性表达—主动地象征性表达—直接而主动地表达哀伤经验最终获得哀伤任务完成的变化过程.

  18. Analysis on effect of bereavement counseling for maternal accepting stillbirth induction of labor%对死胎引产产妇哀伤辅导的效果分析

    Institute of Scientific and Technical Information of China (English)

    任素英; 周丽; 李建莉; 黄彦科

    2012-01-01

    [目的]分析产妇由于死胎而产生的过度哀伤的临床干预效果.[方法]随机选择由于死胎引产而住院的32例产妇,进行有针对性的哀伤辅导,利用抑郁自评量表(SDS)、焦虑自评量表(SAS)对这些产妇进行心理测评,比较临床干预的效果.[结果]实施哀伤辅导临床干预后,产妇哀伤程度明显改善,差异有统计学意义(P<0.05).[结论]产妇受死胎打击程度比较大,哀伤辅导临床干预能显著降低产妇的哀伤程度.

  19. 1927-1949年国民政府军人抚恤观念之流变%The Evolution of Servicemen's Sense of Comforting and Compensating a Bereaved Family during the Period of the National Government(1927-1949)

    Institute of Scientific and Technical Information of China (English)

    李翔; 陈宏明

    2008-01-01

    军人抚-陋是古今中外各国政府都必须面对的难题.经过长期的历史沿革,西方出现义务型抚恤观念,中国形成传统的恩赏型抚恤观念.南京国民政府建立后,军人抚恤观念在吸收西方现代抚恤因素的基础上,在受到多次冲击的前提下,也经历着鲜明的变迁过程,即由传统的恩赏型抚·陋观念向现代义务型抚恤观念转变.

  20. 技术化生存与透明化生存--关于隐私丧失的哲学思考%Technical Existence and Transparent Existence: Philosophical Thinking about Bereavement of Privacy

    Institute of Scientific and Technical Information of China (English)

    李锐锋; 杨娜新

    2003-01-01

    隐私权既是人类尊严的基础,又是人权的基础.然而现代技术成果的运用却对人的隐私权构成了可怕的威胁,使技术化生存变成了透明化生存,不仅损害了人的尊严,也会危及社会的稳定与发展.因此,技术成果的运用必须以尊重和维护人的尊严为前提,以促进人的全面而自由的发展为根本目的.

  1. 穴位刺激调控法在地震灾后居丧反应干预中的应用%Application of acupuncture point stimulation in intervention of bereavement reactions after earthquake disaster

    Institute of Scientific and Technical Information of China (English)

    谢建平; 张滢; 冯斌; 徐方忠

    2010-01-01

    目的 探讨地震灾后开展晤谈和穴位刺激调控对居丧者居丧反应的心理干预效果.方法 在地震发生后6~18d内通过晤谈和穴位刺激调控法对居丧者进行心理干预,并随机分为晤谈加穴位调控组46例(运用晤谈加穴位刺激调控法干预)、晤谈组44例(单以晤谈法干预).在干预前及干预后1d用自编的他评量表(分灾难的再次经验、逃避反应、高度的警觉性、其他等四类共38项因子)进行严重程度及效果评定.结果 两组被干预者在干预后的量表分值较干预前均有明显增加,显示两种干预措施都有良好效果.干预后晤谈加穴位调控组的量表分值增加幅度较晤谈组高,差异有统计学意义(P<0.01),显示晤谈加穴位调控法对被干预者的效果要优于单纯晤谈法.结论 对地震灾后居丧者的心理危机干预中,穴位刺激调控法简单易行.依从性高,效果较好.建议在灾后对民众(特别是居丧者)的心理干预中推广穴位刺激调控法.

  2. 康雍乾三朝八旗官兵赏恤制度%The System on Largess and Comfort and Compensate a Bereaved Family toEight Banners Officers and Soldiers of Kongxi,Yongzheng and Qianlong Periods

    Institute of Scientific and Technical Information of China (English)

    郭春芳

    2006-01-01

    康雍乾是清代最盛世时期,经济各方面发展稳定,规章制度逐渐确立完善.本文依据馆藏档案记载,对这一时期八旗官兵赏恤制度的确立完善及发展情形作一简述.

  3. The Construction of Social Network in Spiritual Support of the Aged Bereaved Parents%失独老人精神赡养的社会支持网络建构

    Institute of Scientific and Technical Information of China (English)

    陈莹

    2015-01-01

    孤苦无依的失独老人需要心灵上的安抚和精神上的慰藉,需要得到社会广泛的关心和爱,针对他们的精神赡养显得尤为重要.失独老人精神赡养的三个需求维度分别为情感的慰藉、人格的尊重和生命潜能的激发.失独老人减轻孤独感,感悟主观幸福感,重建幸福生活,需要更多的社会支持,社会支持是失独老人精神赡养得以实现的坚实保障.因此,应在失独老人现有的社会支持网络的基础上建构满足失独老人三个维度精神赡养需求的社会支持网络系统——情感性的支持网络、社会性的支持网络和成长性的支持网络,以最终达到整合、优化、强化失独老人的三大支持网络,形成交叉式、互动式、合作式的综合性的精神赡养支持体系,并进一步增强失独老人自身使用网络资源的知识、技巧和能力,强化他们获取支持和合理运用网络资源的信心和能力的目的.

  4. "长角苗"族丧亲应对方式与SCL-90之间的关系%The Relationship between the Bereavement Coping Style and the SCL-90 of the "Long Horns Miao" Nationality

    Institute of Scientific and Technical Information of China (English)

    万春

    2009-01-01

    丧亲事件对个体造成的心理创伤和冲击是巨大的,而不同的丧亲应对方式对恢复个体心理平衡的影响是不同的.本研究通过调查具有独特应对方式的梭戛"长角苗"族的丧亲应对方式与SCL-90之间的关系,试图找出其丧亲应对方式中是否影响其心理健康,以对其他居丧人群今后的心理危机干预提供借鉴扣指导.

  5. 空难概括死亡赔偿金性质及相关问题%The Nature of the General Bereavement Damages for Aircrush and Issues Concerned

    Institute of Scientific and Technical Information of China (English)

    张新宝; 明俊

    2005-01-01

    空难事故中的概括性死亡赔偿金包括了被扶养人生活费、精神损害赔偿与单纯的(狭义的)死亡赔偿等内容,应主要和优先用于被扶养人生活费之满足.在有剩余时依次作为精神损害赔偿金与单纯死亡赔偿金,后者可作为遗产继承.

  6. 韩中女性的死别研究--许兰雪轩与丁宁的比较%The Study on Bereavement Korean and Chinese Poetesses-- Contrast between Heo Nanseolheon and Ding Ning

    Institute of Scientific and Technical Information of China (English)

    金鲜

    2016-01-01

    Both Heo Nanseolheon and ding Ning ever lost their own kids, however, just one year after the death of her daughter, Heo Nanseolheon lost her only son as well, which made her devastated and fear to lose another child in her womb. Similarly, Ding Ning was unable to accept the strike of her four-year-old daughter’s death so as to wish eagerly to have a reunion with her daughter in her dream. Heo Nanseolheon was dissatisfied with the Joseon Period where she lived and the fact that she was born as a female and married Kim Seongrip. After losing her daughter, Ding Ning gave her vent to her husband and asked for divorce for more and more misunderstandings and conflictions. She ended up divorcing her husband after a three-year trial. The decline of her own family did greatly harm to her and the death of XU feng, her little brother, who is the only one recognised and encoursed her in the world made her caught into the slough of despond. Heo died young at the age of 27. Ding Ning divorced her husband, but swore not to remarry for she has to support her step mother all her life.%许兰雪轩和丁宁都失去了自己的子女,但是许兰雪轩在失去女儿仅仅一年之后,连唯一的儿子也失去了,伤心过度的她非常害怕自己还会失去腹中的第三个孩子。丁宁则无法接受四岁的女儿死亡的打击,以梦境为媒介,迫切希望能与女儿重逢。许兰雪轩对自己生活的朝鲜时代,自己是女性的事实,以及自己是金诚立妻子的事实怀有强烈的不满。丁宁则在失去了女儿之后,将愤怒发泄到了丈夫身上,向与自己隔阂越来越深的丈夫提出离婚,两人的关系就此破裂,经过三年的判决,结束了这场婚姻。娘家的没落给许兰雪轩造成了巨大的伤害,在这个世界上唯一认可并激励自己的小兄许的死,更使许兰雪轩陷入了无法承受的绝望的深渊,最终在27岁时结束了自己短暂的一生。丁宁则虽与丈夫离婚,但为终生赡养继母,所以发誓不会再婚。

  7. 童年丧亲对抑郁症患者个性及临床特征的影响%A comparative study of personalities and clinical features between depressive patients with and without childhood bereavement

    Institute of Scientific and Technical Information of China (English)

    姚洪秀

    2004-01-01

    目的了解童年丧亲对抑郁症患者个性和临床方面特征.方法采用艾森克个性问卷测评56例童年丧亲抑郁症患者(A组)及150例童年父母双全的抑郁症患者(B组)进行对照研究.结果A组E分(13.89±2.83)显著较低、N分(14.87±4.70)显著较高、焦虑(51例)和自杀行为(42例)显著较多、临床显效率显著较低(62.5%)、病程迁延者显著多于B组.结论童年丧亲患者个性更为内向且情绪更趋向不稳定,更易出现焦虑和自杀行为,临床疗效较差,预后不良.

  8. To understand On Cooperative by Lenin--In Commemoration of the Eightieth Anniversary of Lenin's Bereavement%读懂列宁的《论合作社》--纪念列宁逝世八十周年

    Institute of Scientific and Technical Information of China (English)

    张绍俊

    2004-01-01

    列宁因历史原因,长期被人们误解为是一部论述农业集体化的论著.文章分析了斯大林如何以自己的集体化思想混淆了列宁的合作化理论,并区分了合作制与合作社的内涵;从而突出了的主题思想、希望人们发挥合作社的建设作用.

  9. 《孔雀东南飞》:一曲纲常伦理的挽歌%A Bereaved Peacock Flying Southeast:An Elegy For the Disruption Of the Confucian Moral Standards

    Institute of Scientific and Technical Information of China (English)

    方雪松

    2004-01-01

    在焦、刘爱情悲剧的客观叙述中,再现了家庭伦理常则的混乱与矛盾,以及社会婚姻观念开放的社会现实,反映了东汉末年纲常伦理的"礼崩乐坏",它是一曲纲常伦理的挽歌.

  10. 哀伤认知问卷在中国丧亲者样本中的修订%Psychometric Validation of Grief Cognitions Questionnaire(GCQ) in Chinese Bereaved Sample

    Institute of Scientific and Technical Information of China (English)

    尉玮; 王建平; 何丽; 谢秋媛; 唐苏勤

    2014-01-01

    目的:将哀伤认知问卷(GCQ)引人中国,检验其在中国丧亲者样本中的信效度.方法:严格按照双盲方法对GCQ进行翻译;招募450名自愿参与的丧亲者接受测查;选用延长哀伤问卷、创伤后应激障碍症状清单、抑郁自评量表、焦虑自评量表作为效度量表.结果:丧亲者样本的验证性因素分析支持GCQ的九因素模型(因素间相关).总量表内部一致性信度为0.97,重测信度为0.76,聚合效度较好(0.45-0.73),区分效度可接受(0.28-0.53).在控制基本信息后,哀伤组的GCQ得分显著高于对照组[FO,435)=129.40,P=0.000].结论:中文版GCQ在中国丧亲者样本中表现出了良好的信效度和稳定的因素结构,可以在中国文化下使用.

  11. 心理剧疗法在震后丧恸者心灵重建中的应用%Psychodrama and Its Application in Post-earthquake Psychological Rehabilitation of the Bereaved

    Institute of Scientific and Technical Information of China (English)

    江琴; 林大熙

    2009-01-01

    通过对"5·12"汶川地震后的心理援助实践,得出心理剧疗法是对震后丧恸者缓解忧伤、恐惧、愤怒、自责等不良情绪,以及帮助他们重塑生活的信心、重构生活的意义有良好的效果.主要治疗步骤包括建立安全信任感、引导情绪宣泄、举行告别仪式、与新生活联结.

  12. Does "grief work" work?

    NARCIS (Netherlands)

    Stroebe, M; Stroebe, W

    1991-01-01

    This article challenges the long-standing belief in the necessity of "grief work" for adjustment to bereavement. Evidence is offered from a prospective study of 30 widows and 30 widowers that indicates that grief work is not always as essential for adjustment to bereavement as theorists and clinicia

  13. The role of loneliness and social support in adjustment to loss : a test of attachment versus stress theory

    NARCIS (Netherlands)

    Stroebe, W; Stroebe, M; Abakoumkin, G; Schut, H

    1996-01-01

    A longitudinal study of a matched sample of 60 recently widowed and 60 married men and women tested predictions from stress and attachment theory regarding the role of social support in adjustment to bereavement. Stress theory predicts a buffering effect, attributing the impact of bereavement on wel

  14. Beyond depression : yearning for the loss of a loved one

    NARCIS (Netherlands)

    Stroebe, Wolfgang; Abakoumkin, Georgios; Stroebe, Margaret

    2010-01-01

    Studies assessing the impact of relationship quality and social support on marital bereavement have typically focussed on depressive symptoms as the major (and often only) bereavement outcome. Although sadness and depression are important symptoms of grieving, they are neither the only nor necessari

  15. Phyllis R. Silverman: An Omega Interview.

    Science.gov (United States)

    Kastenbaum, Robert

    1994-01-01

    Presents interview with Phyllis Silverman, who developed concept of Widow-to-Widow Program and directed research project that first demonstrated its effectiveness. Silverman discusses her views on grief, the Widow-to-Widow program, peer support, gender differences in peer support for bereavement, and the Child Bereavement Study. (NB)

  16. Mental health of adolescents before and after the death of a parent or sibling

    NARCIS (Netherlands)

    Stikkelbroek, Yvonne; Bodden, Denise H M; Reitz, Ellen; Vollebergh, Wilma A M; van Baar, Anneloes L

    2016-01-01

    The death of a parent or sibling (family bereavement) is associated with mental health problems in approximately, 25 % of the affected children. However, it is still unknown whether mental health problems of family-bereaved adolescents are predicted by pre-existing mental health problems, pre-loss f

  17. Learning about Grief from Normal Families: SIDS, Stillbirth, and Miscarriage.

    Science.gov (United States)

    DeFrain, John

    1991-01-01

    Discusses 10 common questions, gleaned from qualitative analysis of data from nearly 850 bereaved family members who participated in 9 distinct studies, asked by people whose lives are directly affected by the death of a baby. Offers guidelines for family therapists serving families bereaved by an infant death. (Author/NB)

  18. The Effects of Preparedness for Suicide Following the Death of a Young Adult Child

    Science.gov (United States)

    Maple, Myfanwy; Plummer, David; Edwards, Helen; Minichiello, Victor

    2007-01-01

    Suicide deaths are often viewed as sudden and unexpected. Research examining bereavement responses to suicide are generally set within this conceptual framework. Twenty-two parents were interviewed about their bereavement experience following the suicide death of a young adult son or daughter. Data analyzed using narrative methods revealed the…

  19. What parents of children who have received emergency care think about deferring consent in randomised trials of emergency treatments: postal survey.

    Directory of Open Access Journals (Sweden)

    Carrol Gamble

    Full Text Available OBJECTIVE: To investigate parents' views about deferred consent to inform management of trial disclosure after a child's death. METHODS: A postal questionnaire survey was sent to members of the Meningitis Research Foundation UK charity, whose child had suffered from bacterial meningitis or meningococcal septicaemia within the previous 5 years. Main outcome measures were acceptability of deferred consent; timing of requesting consent; and the management of disclosure of the trial after a child's death. RESULTS: 220 families were sent questionnaires of whom 63 (29% were bereaved. 68 families responded (31%, of whom 19 (28% were bereaved. The majority (67% was willing for their child to be involved in the trial without the trial being explained to them beforehand; 70% wanted to be informed about the trial as soon as their child's condition had stabilised. In the event of a child's death before the trial could be discussed the majority of bereaved parents (66% 12/18 anticipated wanting to be told about the trial at some time. This compared with 37% (18/49 of non-bereaved families (p = 0.06. Parents' free text responses indicated that the word 'trial' held strongly negative connotations. A few parents regarded gaps in the evidence base about emergency treatments as indicating staff lacked expertise to care for a critically ill child. Bereaved parents' free text responses indicated the importance of individualised management of disclosure about a trial following a child's death. DISCUSSION: Deferred consent is acceptable to the majority of respondents. Parents whose children had recovered differed in their views compared to bereaved parents. Most bereaved parents would want to be informed about the trial in the aftermath of a child's death, although a minority strongly opposed such disclosure. Distinction should be drawn between the views of bereaved and non-bereaved parents when considering the acceptability of different consent processes.

  20. Prediction of individual differences in adjustment to loss: Acceptance and valued-living as critical appraisal and coping strengths.

    Science.gov (United States)

    Davis, Esther L; Deane, Frank P; Lyons, Geoffrey C B

    2016-01-01

    Our strengths-based model of coping with death and dying proposes acceptance and valued-living as key coping and appraisal strengths for the bereaved. These are core components of Acceptance and Commitment Therapy (ACT). The aim of this study was to provide an initial exploration of the theorized relationships via a survey of 97 bereaved university students. Using hierarchical regression analysis it was found that acceptance and valued-living were significant predictors of grief, while controlling for other model variables and loss characteristics. Results have implications for ACT-based approaches in supporting those bereaved who are struggling with their grief. PMID:26681151

  1. Teenagers losing a parent to cancer : experiences, modifiable risk-factors and long-term outcome

    OpenAIRE

    Bylund Grenklo, Tove

    2013-01-01

    Background: We investigated the experiences of cancer-bereaved teenagers. The goal was to identify potentially modifiable risk-factors for long-term psychological consequences and thus be able to guide health-care providers in ways to support bereaved-to-be teenagers. Subjects and Methods: A study-specific questionnaire was made based on semi-structured interviews with cancer-bereaved youths and tested for face-to-face validity. Through population-based registers, we identified cancer-bere...

  2. Loss of a child - resources

    Science.gov (United States)

    Child death - resources; Resources - loss of a child ... The following organizations are good resources for information on the loss of a child: The Compassionate Friends -- www.compassionatefriends.org Bereaved Parents of the USA -- www.bereavedparentsusa. ...

  3. Fisher Center for Alzheimer's Research Foundation

    Science.gov (United States)

    ... Activities Tips for the Caregivers from Doctors Diet, Exercise & Health Caregivers in Training Home Modification Continuing Care Bereavement and Grief Legal & Financial Planning Ask The Experts Article Finder News Videos Research About Our Research Our Research Team Progress Reports ...

  4. Dealing with Your Grief

    Science.gov (United States)

    ... grief > Dealing with your grief Dealing with your grief E-mail to a friend Please fill in ... can do to help you feel better. Order bereavement materials Order our resources for grieving families , including ...

  5. Improving the understanding and treatment of complex grief: an important issue for psychotraumatology

    Directory of Open Access Journals (Sweden)

    Paul A. Boelen

    2016-09-01

    Full Text Available In the Netherlands, every year 500,000 people are confronted with the death of a close relative. Many of these people experience little emotional distress. In some, bereavement precipitates severe grief, distress, and dysphoria. A small yet significant minority of bereaved individuals develops persistent and debilitating symptoms of persistent complex bereavement disorder (PCBD (also termed prolonged grief disorder, posttraumatic stress disorder, and depression. Knowledge about early identification of, and preventive care for complex grief has increased. Moreover, in recent years there has been an increase in treatment options for people for whom loss leads to persistent psychological problems. That said, preventive and curative treatments are effective for some, but not all bereaved individuals experiencing distress and dysfunction following loss. This necessitates further research on the development, course, and treatment of various stages of complex grief, including PCBD. Highlights of the article:

  6. Improving the understanding and treatment of complex grief: an important issue for psychotraumatology.

    Science.gov (United States)

    Boelen, Paul A

    2016-01-01

    In the Netherlands, every year 500,000 people are confronted with the death of a close relative. Many of these people experience little emotional distress. In some, bereavement precipitates severe grief, distress, and dysphoria. A small yet significant minority of bereaved individuals develops persistent and debilitating symptoms of persistent complex bereavement disorder (PCBD) (also termed prolonged grief disorder), posttraumatic stress disorder, and depression. Knowledge about early identification of, and preventive care for complex grief has increased. Moreover, in recent years there has been an increase in treatment options for people for whom loss leads to persistent psychological problems. That said, preventive and curative treatments are effective for some, but not all bereaved individuals experiencing distress and dysfunction following loss. This necessitates further research on the development, course, and treatment of various stages of complex grief, including PCBD. PMID:27667723

  7. Adjustment disorder

    Science.gov (United States)

    American Psychiatric Association. Diagnostic and statistical manual of mental disorders . 5th ed. Arlington, VA: American Psychiatric Publishing. 2013. Powell AD. Grief, bereavement, and adjustment disorders. In: Stern TA, Fava ...

  8. Cesarean Section: Recovering After Surgery

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  9. Healthy Choices: What to Eat during Pregnancy

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  10. Time to Eat! What Will You Feed Your Baby?

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  11. Gestational Hypertension and Preeclampsia

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    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  12. Labor and Delivery: At the Hospital

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    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  13. Postpartum Blues

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    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  14. Exercise during Pregnancy

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  15. Folic Acid

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  16. Gestational Diabetes

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  17. Alcohol and Pregnancy

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  18. At Least 39 Weeks

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  19. Cesarean Section: The Operation

    Medline Plus

    Full Text Available ... Collaboratives Launch Prematurity research centers What is team science? More than 75 years of solving problems March ... questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement ...

  20. James Blunt matuselaulude edetabeli tipus

    Index Scriptorium Estoniae

    2006-01-01

    Bereavement Registeri andmetel Suurbritannias matustel tellitavate laulude edetabelis: James Blunt "Goodbye My Lover", Robbie Williams "Angels", Jennifer Warnes ja Bill Medley "I've Had the Time Of My Life", Elton John "Candle in the Wind", Righteous Brothers "Unchained Melody"

  1. Parental mortality rates in a western country after the death of a child

    DEFF Research Database (Denmark)

    Werthmann, Jessica; Smits, Luc J.M.; Li, Jiong

    2010-01-01

    identified as the bereaved (exposed) group. Mortality rates of parents within the same-sex parent-child dyad were compared with mortality rates of parents within the opposite-sex parent-child dyad. Separate analyses were performed for bereaved fathers and for bereaved mothers, and additional analyses were...... conducted to examine the sole effect of the child's sex, irrespective of parental gender. A Cox proportional hazards regression model was used to estimate the hazard ratios (HRs) with 95% CIs. Results: The study population consisted of 21,062 parents (mean age at entry, 32 years; 11,221 mothers, 9841...... was not greater for fathers than for mothers. Conclusions: The results of this study revealed no significant effect of sex of the deceased child on mortality in these bereaved parents. The results might differ if this study was replicated in a population with a different grief culture and, more importantly...

  2. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Science.gov (United States)

    2010-10-01

    ...) Nursing services. (ii) Medical social services. (iii) Physician services. (iv) Counseling services, including spiritual counseling, dietary counseling, and bereavement counseling. (v) Hospice aide, volunteer... specific job duties. (3) A hospice must assess the skills and competence of all individuals furnishing...

  3. Gestational Hypertension and Preeclampsia

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  4. Cesarean Section: Recovering After Surgery

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  5. Labor and Delivery: At the Hospital

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  6. Exercise during Pregnancy

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  7. At Least 39 Weeks

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  8. Cesarean Section: The Operation

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  9. Healthy Choices: What to Eat during Pregnancy

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  10. Gestational Diabetes

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  11. Folic Acid

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  12. Alcohol and Pregnancy

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  13. Organ donation in the accident and emergency department: a study of relatives' views.

    OpenAIRE

    Wellesley, A.; Glucksman, E.; Crouch, R

    1997-01-01

    OBJECTIVE: To determine whether recently bereaved people would object to being asked about organ donation immediately after the death of their relative. METHODS: A telephone interview of 78 recently bereaved relatives of people who had died in an inner city accident and emergency (A&E) department; 68 (87%) agreed to participate in the study and were sent a questionnaire. Outcome measures were views on being asked about organ donation in the A&E department immediately after the death of a rela...

  14. Prenatal stress and risk of febrile seizures in children: a nationwide longitudinal study in Denmark

    DEFF Research Database (Denmark)

    Li, Jiong; Olsen, Jørn; Obel, Carsten;

    2009-01-01

    We aimed to examine whether exposure to prenatal stress following maternal bereavement is associated with an increased risk of febrile seizures. In a longitudinal population-based cohort study, we followed 1,431,175 children born in Denmark. A total of 34,777 children were born to women who lost a...... timing of bereavement. Our data do not suggest any causal link between exposure to prenatal stress and febrile seizures in childhood....

  15. Health transitions in recently widowed older women: a mixed methods study

    OpenAIRE

    DiGiacomo, Michelle; Lewis, Joanne; Nolan, Marie T.; Phillips, Jane; Davidson, Patricia M

    2013-01-01

    Background Older recently widowed women are faced with increased health risks and chronic conditions associated not only with bereavement, but also, older age. Loss and grief, adjusting to living alone, decreased income, and managing multiple chronic conditions can impact on older women’s ability to transition following recent spousal bereavement. Providing appropriate, timely, and effective services to foster this life transition is of critical importance, yet few services directed towards t...

  16. Factors associated with grief and depression following the loss of a child: a multivariate analysis.

    Science.gov (United States)

    Harper, Mairi; O'Connor, Rory C; O'Carroll, Ronan E

    2014-01-01

    The present study aims to explore the factors which are associated with grief and depression outcomes in a group of bereaved parents in the first few years following the loss of a child. Sixty-four participants were recruited from bereavement support organisations, between two and 59 months post loss, mean 30 months (SD = 15). They completed a questionnaire packet which comprised standard instruments measuring grief, depression, coping styles, continuing bonds and optimism/pessimism, as well as a number of specific bereavement-related questions. Univariate analyses were conducted to establish which factors were associated with grief and depression. Those which were statistically significant were then entered into multivariate analyses to establish their relative importance. High levels of avoidance and depression and lower levels of cognitive restructuring (benefit finding) were associated with higher grief symptoms, whereas higher levels of avoidance and alcohol/substance use were associated with higher depression symptoms. The present study highlights the relative importance of different coping strategies adopted by this group of bereaved parents, compared to the relative unimportance of circumstances around the loss, e.g. sudden or violent death. The use of alcohol and other substances by bereaved parents requires urgent attention as a potentially life-threatening maladaptive coping strategy. The call for further research into risk factors for bereaved parents is emphasised. PMID:23802736

  17. On the Causes of Bereaving Development Opportunity in China's Modernization Process in 1950s and 1960s%论20世纪五六十年代中国现代化发展机遇丧失的原因

    Institute of Scientific and Technical Information of China (English)

    詹于虹

    2005-01-01

    20世纪五六十年代是近代以来中国现代化发展的第二次机遇,可我们却再次与机遇失之交臂.本文从全球视角和现代化理论视野来探讨20世纪五六十年代中国丧失现代化发展机遇的原因,认为新中国强有力的权威政府走向非理性,以致后发优势转为后发劣势,这是丧失现代化发展机遇的重要原因;意识形态的过度强化又阻隔了中国现代化与世界现代化的内在联系,而政治化代替现代化,终使中国现代化发展的机遇再次丧失.

  18. La mort du prince Henri (†1612 : éthique et rhétorique du deuil dans un cycle de sermons funèbres anglais The prince Henry’s death (†1612 : ethics and rhetoric of bereavement in a cycle of English funeral sermons

    Directory of Open Access Journals (Sweden)

    Paula Barros

    2009-04-01

    Full Text Available Cet article examine les spécificités thématiques et rhétoriques d’un cycle de sermons de deuil de Daniel Price, prononcés en 1612 à l’occasion de la mort du prince Henri, le fils aîné du roi d’Angleterre, Jacques Ier. Le premier volet expose les caractéristiques du sermon funèbre anglais, un genre de discours fortement codifié, dont les conventions se fixèrent dans la seconde moitié du XVIe siècle, alors même que le clergé s’efforçait de démontrer la légitimité de la prédication funèbre dans un contexte protestant. À l’aube du XVIIe siècle, les sermons funèbres imprimés se conforment en majorité à un modèle rhétorique bien défini et poursuivent un objectif pastoral double : la commémoration des morts et l’édification des vivants. Vis-à-vis de cette norme, les sermons de Daniel Price présentent des écarts considérables. En effet, ils se consacrent pour l’essentiel à la prise en charge du deuil des fidèles, un choix thématique qui implique une stratégie rhétorique spécifique. Se focalisant sur l’examen de ces caractéristiques, le deuxième volet de l’article montrera que ces textes, s’ils sont peu représentatifs de la pratique homilétique du clergé anglais au moment des funérailles, sont symptomatiques d’un changement culturel qui se dessine en Angleterre à l’aube du XVIIe siècle, et qui se traduit par la valorisation du deuil humain à des fins dévotionnellesThis article examines the thematic and rhetorical specificities of a cycle of funeral sermons preached in 1612 by Daniel Price on the occasion of the death of prince Henry, the eldest son of James I. It begins by describing the conventions of the English funeral sermon, which took shape in the second half of the sixteenth century, at a time when the clergy aimed at legitimizing the act of preaching over the dead in a Protestant context. It will be shown that at the beginning of the seventeenth century, the majority of printed funeral sermons conformed to a well-defined rhetorical pattern and pursued a two-fold pastoral aim : the commemoration of the dead and the edification of the living. Focusing on the grief of the audience, the sermons of Daniel Price significantly differ from this pattern, both rhetorically and thematically. The second part of the article will focus on the analysis of these idiosyncrasies, which will be shown to be symptomatic of a wider cultural change occurring in England at the beginning of the seventeenth century : the valuing of human grief in a devotional context.

  19. Discussion on Lin Daiyu's not Observing Mourning of Mother for Three Years after Her Bereaving Mother——Discussion According to Futao's Theory of Observing Mourning of Mother%林黛玉丧母后未守制三年辩——兼与伏涛等守制说商榷

    Institute of Scientific and Technical Information of China (English)

    王志尧

    2007-01-01

    红学界对林黛玉进贾府的年龄问题有两种说法,一是6岁,一是9岁以后,其症结在于林黛玉丧母后是否守制3年.伏涛持守制说.认真考释文本,从贾雨村的言行、林如海的安排,贾府的接迎统观此事,守制是个并未实施的伪命题.此乃林如海丧妻后的最初打算.与之相应的所谓贾雨村当过林黛玉4年老师的断言同样当废.

  20. 清代士人非常时期的日常生活——以窦克勤丁忧时期为例%Scholars' Daily Lives in a Special Stage of Qing Dynasty——The Case of Dou Keqin's in His Bereavement Period

    Institute of Scientific and Technical Information of China (English)

    张博

    2015-01-01

    丁忧时期是士人生命中的特殊阶段.清代士人窦克勤丁忧前期沉浸在丧亲的痛苦中,中后期逐渐有空闲专注于自身志趣所向,并寄情山水之间,心情转向愉悦.丁忧制度对士人日常生活的影响巨大.一方面朝廷为了加强统治而提倡的孝道,在这一制度上强调并得到落实.另一方面,窦克勤科考成功并在朝廷拥有身份之后返乡长期居住,增强了个人对地方事务的影响力和参与度.丁忧期间,他实现了创办书院的夙愿,并有大量闲散时间进行诗文创作、交游、收授生徒等活动,还在有意无意之间经营自己的关系网络.

  1. Elementos para uma intervenção em aconselhamento psicológico com pais enlutados = Elements for an intervention in counseling psychology with bereaved parents = Elementos para una intervención en consejería psicológica con los padres en duelo

    Directory of Open Access Journals (Sweden)

    Morelli, Ana Bárbara

    2014-01-01

    Full Text Available Este estudo teve por objetivo delinear os principais elementos que devem compor um programa de intervenção em aconselhamento psicológico com pais enlutados, a partir das necessidades de casais que perderam seus filhos. Trata-se de um estudo de caso coletivo desenvolvido com cinco casais, que foram entrevistados individualmente e, em seguida, em díades, totalizando 15 entrevistas. Os resultados permitiram a construção de três categorias, que constituem os elementos centrais a serem considerados na proposição de um programa de aconselhamento psicológico: (1 necessidade de acolhimento emergencial do sofrimento, (2 conjugalidade e (3 espiritualidade/religiosidade. Com base na experiência dos pais investigados, recomenda-se disponibilizar intervenções individuais, na estratégia de atendimento breve, ou de casal, com foco no acolhimento e potencialização de recursos adaptativos advindos da conjugalidade e da prática espiritual/religiosa

  2. Efficacy of Eye Movement Desensitization and Reprocessing and Cognitive Behavioral Therapy on Posttraumatic Stress Disorder due to Bereavement:A Control Study%丧亲创伤后应激障碍患者眼动脱敏和再加工治疗与认知行为治疗的对照研究

    Institute of Scientific and Technical Information of China (English)

    陈玲; 张桂青; 胡敏; 时若欢

    2015-01-01

    目的:探讨眼动脱敏和再加工治疗( EMDR)与认知行为治疗( CBT)对丧亲所致创伤后应激障碍( PTSD)疗效的优劣性。方法将2013年1—12月在石河子大学医学院第一附属医院诊断为PTSD的丧亲者随机分为EMDR组与CBT组,分别于治疗前后评价两组患者PTSD症状及焦虑、抑郁情况。结果共纳入34例患者,两组各17例。治疗前两组创伤后应激障碍量表平民版( PCL-C)总分及3个症状群得分、汉密顿焦虑量表( HAMA)和汉密顿抑郁量表(HAMD)得分间差异均无统计学意义(P>0.05);而治疗后EMDR组PCL-C总分及再体验症状群、易激惹症状群得分和 HAMA 得分均低于 CBT 组,差异有统计学意义( P 0. 05)in the total score of PCL-C, the scores of three syndromes,and scores of HAMA and HAMD. After treatment,EMDR group Was loWer(P<0. 05)than CBT group in the total score of PCL-C,the scores of flashback and hyperarousal and the score of HAMA. Conclusion EMDR and CBT are all effective in the treatment of PTSD,While EMDR is more effective in alleviating PTSD symptoms and anxiety.

  3. The relation among variables of mental health and cognition in widowed elders / A relação entre variáveis de saúde mental e cognição em idosos viúvos

    Directory of Open Access Journals (Sweden)

    Clarissa Marceli Trentini

    2009-01-01

    Full Text Available To assess the cognitive abilities of widowed elders, a total sample of 34 elders (who have lost their spouses in the last 12 months was identified among elders in Veranópolis-RS and 30 of them accepted to participate in the study. The control group was composed by 30 married subjects paired according to gender, age and level of education. The instruments used were: Measure Questionnaire of Memory Loss Complaints; Verbal Fluency - animal category; Mini-Mental State Examination (MMSE; Free and Cued Selective Reminding Test; Digit subtest; Geriatric Depression Scales and Bereavement Phenomenology Questionnaire. Widowed elders had significantly more depressive symptoms and more points on the bereavement scale. However, there was no significant difference between the means of cognitive performance of widowed or married elders. In the census, the choice of widowhood as a selection criterion instead of bereavement (self reported might have influenced the lack of association between widowhood and cognitive dysfunction, among other aspects.

  4. Healing the social self: how parents whose children were killed in terror attacks construct the experience of help.

    Science.gov (United States)

    Possick, Chaya; Shamai, Michal; Sadeh, Ruth Ann

    2014-05-01

    This study focuses on expressed needs and structures of assistance received by Israeli parents whose children were killed in terror attacks. The loss takes place within a multi-systemic network that can be a healing force and/or a distorting factor in the grief process. The qualitative research paradigm employed privileges the knowledge of the parents themselves. In-depth interviews were conducted with 16 parents. (1) The primary criterion that determines the parents' attribution of helpfulness is perceived inclusiveness. (2) The subsystem of "family of the bereaved" is salient in the healing process. (3) There is a clear preference for the services provided by NGO's as opposed to governmental agencies. (4) The bereaved parents engage the symbolic level of the macro-system-the heritage of the Jewish people. The article concludes with the practical implications of the findings for the development and delivery of psychosocial services to parents bereaved in terror attacks.

  5. Ældre efterladte

    DEFF Research Database (Denmark)

    O'Connor, Maja

    is a significant increase in mortality rate, use of alcohol and medicine, visits to the local physician, hospitalization, physical and mental problems etc.. Social support and preventive work with the widowed is generally considered to reduce the psychological effect of stress and traumatization. This thesis...... includes an introduction to and a discussion of the subject "Elderly bereaved" and focusses on traumatization, social support and preventive work in this group. Following this a psychological survey of elderly bereaved in Denmark has been done.Method. A questionnaire syrvey of  54 bereaved Danes over...... the age of 65 years from five geographically different countys. Results. 1 month after the loss 27% of the subjects had PTSD. 6 months after the loss this was reduced to 24%. Social support measured on two of the variables within CSS was significantly related to level of psychological symptoms measured...

  6. The influence of unreconciled grief in the family on the functioning and development of a child [Wpływ nieprzeżytej żałoby w rodzinie na funkcjonowanie i rozwój dziecka

    Directory of Open Access Journals (Sweden)

    Janusz, Bernadetta

    2013-10-01

    Full Text Available The aim of the work is to present the influence of unreconciled grief in a family for functioning and growth of a child. The paper is based on some examples of clinical work from the field of family therapy, where developmental problems of children followed their carer’sinability to cope with death and bereavement. Presented cases from family therapy serve as examples of possible therapeutic interventions in such situations. They show examples of developmental disturbances and psychopathology of the child who stays in relationship with deeply bereaved intimates.

  7. Sudden cardiac death in adults: causes, incidence and interventions.

    Science.gov (United States)

    Walker, Wendy Marina

    Many nurses will be familiar with the unexpected death of an adult patient following a sudden, life-threatening cardiac event. It is a situation that demands sensitive nursing care and skilled interventions to provide a foundation for recovery and promote healthy bereavement. This article examines the causes and incidence of sudden cardiac death in adults. Possible reactions of those who are suddenly bereaved are described and immediate care interventions aimed at dealing with the grief process are discussed. The article concludes by identifying ways in which the incidence of sudden cardiac death may be reduced.

  8. Death-Related versus Fond Memories of a Deceased Attachment Figure: Examining Emotional Arousal

    Science.gov (United States)

    Rochman, Daniel

    2013-01-01

    Grieving is infused by memories and emotions. In this study, bereaved participants recalled either death-related or fond memories of their loved ones. Their emotional arousal was examined via physiologic and voice analytic measures. Both death-related and fond memories generated an acoustic profile indicative of sadness (reflected by voice quality…

  9. Covert Suicidal Impulses in Maternally Deprived Children.

    Science.gov (United States)

    Kliman, Gilbert; Lubin, Harriet

    This paper discusses the development of suicidal impulses in children who have lost their mothers due to abandonment or death. The paper is based on two psychoanalytic case studies, in which the children were in therapy when the first suicidal impulses emerged. A pattern is described in which bereaved children's intense wishes to have their…

  10. Entwicklung und Evaluation eines Trainings zur Optimierung der Überbringung von Todesnachrichten durch Polizeibeamte

    NARCIS (Netherlands)

    M. Przyrembel; K.J. Jonas; A. Beelmann

    2008-01-01

    This article consists of a presentation of the development and evaluation of a training program for police officers designed to optimise the delivery of notices about death. A previously run analysis showed that both the bereaved as well as the messengers are gravely emotionally affected. Therefore,

  11. Exposure Therapy for Fear of Spiders in an Adult with Learning Disabilities: A Case Report

    Science.gov (United States)

    Cowdrey, Felicity A.; Walz, Linda

    2015-01-01

    The evidence-base for exposure therapy in people with learning disabilities experiencing specific phobias is sparse. This case study describes the assessment, formulation and treatment of spider phobia in a woman with learning disabilities using an exposure-based intervention augmented with mindfulness practice and bereavement work. To evaluate…

  12. "Good Night, Sweet Prince": Saying Goodbye to the Dead in Shakespeare's Plays.

    Science.gov (United States)

    Schuman, Samuel

    1996-01-01

    Themes of death and loss have often been treated with greater eloquence in literature than in psychology and the helping professions. This article explores the treatment of bereavement and mortality in some of Shakespeare's tragedies and comedies, illustrating his deep understanding of the place of loss in human life. (Author)

  13. Experiencing Loss

    DEFF Research Database (Denmark)

    Kristiansen, Maria; Younis, Tarek; Hassani, Amani;

    2015-01-01

    In this article, we explore how Islam, minority status and refugee experiencesintersect in shaping meaning-making processes following bereavement. We do this througha phenomenological analysis of a biographical account of personal loss told by Aisha, a Muslim Palestinian refugee living in Denmark...

  14. The effect of losing the twin and losing the partner on mortality

    DEFF Research Database (Denmark)

    Tomassini, Cecilia; Rosina, Alessandro; Billari, Francesco C;

    2002-01-01

    is similar for men and women, and it is higher for monozygotic twins. The latter confirms the influence of genetic factors on survival, while the mortality trajectory with a peak in the second year after the death of the co-twin is consistent with the existence of a twin bereavement effect....

  15. Continuing relationships with the deceased : disentangling bonds and grief

    NARCIS (Netherlands)

    Schut, Henk A W; Stroebe, Margaret S; Boelen, Paul A; Zijerveld, Annemieke M

    2006-01-01

    Some studies of the relationship between continuing bonds and grief intensity have claimed that continuing bonds lead to poor adaptation to bereavement. However, operationalizations of continuing bonds and grief intensity appear to overlap conceptually. Thus, it is still unclear what character the c

  16. Distinguishing Symptoms of Grief and Depression in a Cohort of Advanced Cancer Patients

    Science.gov (United States)

    Jacobsen, Juliet C.; Zhang, Baohui; Block, Susan D.; Maciejewski, Paul K.; Prigerson, Holly G.

    2010-01-01

    Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. This study is an attempt to replicate this finding among advanced cancer patients and examine clinical correlates of patient grief and depression. Analyses were conducted on data from interviews with 123 advanced cancer…

  17. The Effectiveness of Family-Based Cognitive-Behavior Grief Therapy to Prevent Complicated Grief in Relatives of Suicide Victims: The Mediating Role of Suicide Ideation

    Science.gov (United States)

    de Groot, Marieke; Neeleman, Jan; van der Meer, Klaas; Burger, Huibert

    2010-01-01

    Grief interventions are more effective for high risk individuals. The presence of suicide ideation following suicide bereavement was examined to determine whether it indicates a high risk status. Using data from a randomized controlled trial (n = 122) on the effectiveness of cognitive-behavior therapy, the effect of suicide ideation on the…

  18. Suicide Survivors' Mental Health and Grief Reactions: A Systematic Review of Controlled Studies

    Science.gov (United States)

    Sveen, Carl-Aksel; Walby, Fredrik A.

    2008-01-01

    There has been a debate over several decades whether suicide survivors experience more severe mental health consequences and grief reactions than those who have been bereaved through other causes of death. This is the first systematic review of suicide survivors' reactions compared with survivors after other modes of death. Studies were identified…

  19. Parental Grief Responses and Personal Growth Following the Death of a Child

    Science.gov (United States)

    Riley, Linda P.; LaMontagne, Lynda L.; Hepworth, Joseph T.; Murphy, Barbara A.

    2007-01-01

    Conceptualizing parental grief as a psychosocial transition, this cross-sectional study of bereaved mothers (N = 35) examined the relationship of dispositional factors, grief reactions, and personal growth. More optimistic mothers reported less intense grief reactions and less distress indicative of complicated grief. Additionally, mothers who…

  20. Innovative Moments in Grief Therapy: Reconstructing Meaning Following Perinatal Death

    Science.gov (United States)

    Alves, Daniela; Mendes, Ines; Goncalves, Miguel M.; Neimeyer, Robert A.

    2012-01-01

    This article presents an intensive analysis of a good outcome case of constructivist grief therapy with a bereaved mother, using the Innovative Moments Coding System (IMCS). Inspired by M. White and D. Epston's narrative therapy, the IMCS conceptualizes therapeutic change as resulting from the elaboration and expansion of unique outcomes (or as we…

  1. Continuing Relationships with the Deceased: Disentangling Bonds and Grief

    Science.gov (United States)

    Schut, Henk A. W.; Stroebe, Margaret S.; Boelen, Paul A.; Zijerveld, Annemieke M.

    2006-01-01

    Some studies of the relationship between continuing bonds and grief intensity have claimed that continuing bonds lead to poor adaptation to bereavement. However, operationalizations of continuing bonds and grief intensity appear to overlap conceptually. Thus, it is still unclear what character the connection between continuing bonds and grief…

  2. Predictors of Complicated Grief after a Natural Disaster: A Population Study Two Years after the 2004 South-East Asian Tsunami

    Science.gov (United States)

    Kristensen, Pal; Weisaeth, Lars; Heir, Trond

    2010-01-01

    The authors examined predictors of complicated grief (CG) in Norwegians 2 years after bereavement in the 2004 South-East Asian tsunami. A cross-sectional postal survey retrospectively covering disaster experiences and assessing CG according to the Inventory of Complicated Grief yielded 130 respondents (35 directly disaster-exposed and 95 not…

  3. A Study of Complicated Grief Symptoms in People with Intellectual Disabilities

    Science.gov (United States)

    Dodd, P.; Guerin, S.; McEvoy, J.; Buckley, S.; Tyrrell, J.; Hillery, J.

    2008-01-01

    Introduction: Previous studies have shown a significant association between familial bereavement and the onset of challenging behaviours and psychopathology in people with intellectual disabilities (ID). However, little work has been done to accurately describe the specific symptoms of grief, in particular symptoms of complicated grief in this…

  4. Do Grief Self-Help Books Convey Contemporary Perspectives on Grieving?

    Science.gov (United States)

    Dennis, Michael Robert

    2012-01-01

    Grief therapy and psychology literatures of the modern Western world conceptualized bereavement and grief as processes to be "worked through" so that other relationships could be pursued. In the last decade or so, however, grief theorists have endorsed the value of attaining new meaning(s) and continuing bonds with our lost loved ones instead of…

  5. Metaphor-Visual Aid in Grief Work.

    Science.gov (United States)

    Schwartz-Borden, Gwen

    1992-01-01

    Sees use of metaphor as providing powerful and useful framework for lowering resistance to pain of bereavement for parental grief. Contends that metaphor offers graphic, nonjudgmental symbolic representation through which mourner may freely express sorrow, loss, anger, and guilt needed to accomplish tasks of grieving. Notes that neutral symbol can…

  6. Continuing bonds and grief : a prospective analysis

    NARCIS (Netherlands)

    Boelen, Paul A; Stroebe, Margaret S; Schut, Henk A W; Zijerveld, Annemieke M

    2006-01-01

    Using data of 56 bereaved individuals, this study examined associations of various manifestations of continuing bonds, assessed at 7-12 months post-loss, with concurrent and prospective (9 months later) symptoms of grief and depression. Among other things it was found that, independent of initial sy

  7. Complicated spiritual grief II: a deductive inquiry following the loss of a loved one.

    Science.gov (United States)

    Burke, Laurie A; Neimeyer, Robert A; Young, Amanda J; Bonin, Elizabeth Piazza; Davis, Natalie L

    2014-01-01

    Recent studies have revealed an association between complicated grief-a severe, prolonged response to the loss of a loved one-and complicated spiritual grief-a spiritual crisis following loss. Furthermore, bereavement research has benefitted from a number of studies using qualitative inquiry as a means of examining the experiences of individuals grieving a variety of types of losses. However, a gap in the literature remains in terms of the qualitative investigation of spiritual struggle following loss. Thus, using participants' written responses to open-ended questions along with systematic exploration of this topic with a five-member focus group, we designed this qualitative study to better understand the firsthand experiences of bereaved individuals who have suffered a crisis of faith after the death of a loved one. Specifically, our directed content analysis of bereaved focus group members' responses revealed 17 different common and salient themes subsumed in an overarching narrative of resentment and doubt toward God, dissatisfaction with the spiritual support received, and substantial changes in the bereaved person's spiritual beliefs and behaviors. Thus, our study clarified the construct of complicated spiritual grief, and laid the groundwork for development of more specific assessment and treatment of this condition. PMID:24524590

  8. Immunity and skin cancer

    Energy Technology Data Exchange (ETDEWEB)

    Smith, E.B.; Brysk, M.M.

    1981-01-01

    Observations in humans and animal studies support the theory that immunologic surveillance plays an important role in limiting the development of skin malignancies. These immune responses undergo progressive diminution with age. In addition, other factors, such as bereavement, poor nutrition, and acute and chronic exposure to ultraviolet light, can further diminish immune mechanisms.

  9. Folie a trois : Atypical presentation as shared transient psychotic episode

    Directory of Open Access Journals (Sweden)

    V K Aravind

    2014-01-01

    Full Text Available Shared psychotic disorder or induced delusional disorder can occur in different clinical settings and profile and is not uncommon. A case of Folie a trois with atypical clinical presentation as shared acute transient episode in a bereavement setting is reported. Suggestibility, close association and intimacy of the affected persons and major stress as psychological trigger act as psychopathological factors.

  10. Measuring Experiential Avoidance: Reliability and Validity of the Dutch 9-item Acceptance and Action Questionnaire (AAQ)

    NARCIS (Netherlands)

    Boelen, P.A.; Reijntjes, A.H.A.

    2008-01-01

    Three studies evaluated psychometric properties of the Dutch version of the 9-item Acceptance and Action Questionnaire (AAQ)—a self-report measure designed to assess experiential avoidance as conceptualized inAcceptance and Commitment Therapy (ACT). Study 1, among bereaved adults, showed that a one-

  11. Dream Content in Complicated Grief: A Window into Loss-Related Cognitive Schemas

    Science.gov (United States)

    Germain, Anne; Shear, Katherine M.; Walsh, Colleen; Buysse, Daniel J.; Monk, Timothy H.; Reynolds, Charles F., III; Frank, Ellen; Silowash, Russell

    2013-01-01

    Bereavement and its accompanying psychological response (grief) constitute potent experiences that necessitate the reorganization of cognitive-affective representations of lost significant attachment figures during both wakefulness and dreaming. The goals of this preliminary study were to explore whether the dream content of 77 adults with…

  12. A Teenager Revisits Her Father's Death during Childhood: A Study in Resilience and Healthy Mourning

    Science.gov (United States)

    Hurd, Russell C.

    2004-01-01

    "Debbie," 14, was 8 when her father died. During 4 interviews over 3 months, Debbie described the impact of his death as she progressed from childhood to adolescence. Themes drawn from her experience were related to theories of development, bereavement, and resilience. Triangulating interviews with her mother and brother established validity.…

  13. Development of a Scale to Assess Knowledge about Suicide Postvention Using Item Response Theory

    Science.gov (United States)

    Nader, Ingo W.; Niederkrotenthaler, Thomas; Schild, Anne H. E.; Koller, Ingrid; Tran, Ulrich S.; Kapusta, Nestor D.; Sonneck, Gernot; Voracek, Martin

    2013-01-01

    Knowledge about suicide postvention (KSPV) is an important distal outcome in the evaluation of suicide prevention programs that focus on the bereaved. However, most scales are specifically tailored to the evaluation study in question and psychometric properties are often unsatisfactory. Therefore, we developed the KSPV scale. Scale properties were…

  14. Observing a Client's Grieving Process: Bringing Logical Positivism into Qualitative Grief Counselling Research

    Science.gov (United States)

    Wilson, John; Gabriel, Lynne; James, Hazel

    2014-01-01

    This positional paper originates from our need as researcher/practitioners to establish a meaningful epistemological framework for research into bereaved people's journey through loss and grief over time. We describe how the field of grief research has a long and established biological basis, in keeping with a positivist epistemology.…

  15. Associations between Prolonged Grief Disorder, Depression, Posttraumatic Stress Disorder, and Anxiety in Rwandan Genocide Survivors

    Science.gov (United States)

    Schaal, Susanne; Dusingizemungu, Jean-Pierre; Jacob, Nadja; Neuner, Frank; Elbert, Thomas

    2012-01-01

    A number of studies have demonstrated that symptoms of prolonged grief disorder (PGD) represent a symptom cluster distinct from bereavement-related depression, anxiety, and posttraumatic stress disorder (PTSD). The aim of the present study was to confirm and extend these findings using the most recent criteria defining PGD. The authors interviewed…

  16. The (Re)Construction of Self after the Death of a Partner to HIV/AIDS

    Science.gov (United States)

    Cadell, Susan; Marshall, Sheila

    2007-01-01

    The aim of this study was to explore individuals' self-construals after the loss of a partner from HIV/AIDS for whom they were a caregiver. Seven gay or transsexual bereaved caregivers were interviewed after the death of their partners. The data revealed patterns suggestive of A. Aron and E. N. Aron's (1986) "inclusion of others in the self" (IOS)…

  17. Stillbirth and the Couple: A Gender-Based Exploration

    Science.gov (United States)

    Cacciatore, Joanne; DeFrain, John; Jones, Kara L. C.; Jones, Hawk

    2008-01-01

    The stillbirth of a baby occurs in about 1 in 110 families yearly. Yet, little is understood about the ways in which grieving mothers and fathers experience the baby's death. This study is intended to explore the ways in which bereaved parents perceive and cope with the death of their baby and how the baby's death affects them both individually…

  18. Tweeting Prayers and Communicating Grief over Michael Jackson Online

    Science.gov (United States)

    Sanderson, Jimmy; Cheong, Pauline Hope

    2010-01-01

    Death and bereavement are human experiences that new media helps facilitate alongside creating new social grief practices that occur online. This study investigated how people's postings and tweets facilitated the communication of grief after pop music icon Michael Jackson died. Drawing on past grief research, religion, and new media studies, a…

  19. Addressing Peer Death by Suicide: The School's Role in the Aftermath of Student Suicide

    Science.gov (United States)

    Paxson, Sarah A.

    2008-01-01

    Adolescent suicide devastates family, friends, and the larger community of the deceased. This dissertation seeks to explore the impact of peer death by suicide on students in the school system, and the policies that schools have put in place to address these effects. This work will critically evaluate current suicide bereavement interventions, and…

  20. The Costs of Suicide and Sudden Death within an Organization

    Science.gov (United States)

    Kinder, Andrew; Cooper, Cary L.

    2009-01-01

    The effect of any death spreads out to many people. Deaths that occur in the workplace need to be handled with particular care given that the bereaved family as well as work colleagues will have been affected. Death by suicide or situations when an employee becomes suicidal can challenge even the most experienced manager. This article aims to…

  1. Effects of Parental Suicide on the Adolescent Survivors' Lives When They Are Adults

    Science.gov (United States)

    Saatci, Yesim

    2013-01-01

    This qualitative inquiry, phenomenology, purported to provide insight into the role of parental suicide on the adolescent survivors' adult lives between 18 and 40. This study described the survivors' coping strategies, self-esteem, and effects of their grief and bereavement as a result of parental suicide on their emotional wellness or…

  2. Associations between stress and quality of life: differences between owners keeping a living dog or losing a dog by euthanasia.

    Directory of Open Access Journals (Sweden)

    Lilian Tzivian

    Full Text Available The loss of a pet may be stressful to the owner. The main objectives of this study were to compare the levels of stress and to explore the correlates of QOL of healthy adults who currently own or who have just lost their dog.The study sample contained 110 current, and 103 bereaved dog owners, all females, who lost their dogs due to euthanasia. QOL was assessed with the WHOQOL-BREF questionnaire and divided into four major domains-Physical, Psychological, Relationship, and Environmental. Demographic variables, stress, health behaviors, and social support from family, friends, and significant other were included in multivariate analysis.Stress levels were significantly higher in bereaved owners. QOL in three of the four domains (Physical, Psychological, and Relationship of current owners were significantly better than among bereaved owners. Stress was significantly associated with these three domains of QOL. Quality of life was found to be positively associated with social support. Age was related directly only to current owners' QOL.The results suggest that a loss of a dog is associated with stress for the bereaved owner and reduced physical, psychological, and relationship QOL. Lack of social support in the case of death of a companion animal has a strong effect on owners' grief reactions.

  3. Risk and Resilience in Orphaned Adolescents Living in a Community Affected by AIDS

    Science.gov (United States)

    Wild, Lauren G.; Flisher, Alan J.; Robertson, Brian A.

    2013-01-01

    The AIDS pandemic has resulted in a dramatic rise in the number of orphans in South Africa. This study was designed to investigate the associations between family, peer, and community factors and resilience in orphaned adolescents. Self-report questionnaires were administered verbally to 159 parentally bereaved adolescents (aged 10-19) in an…

  4. Virtual Mourning and Memory Construction on Facebook: Here Are the Terms of Use

    Science.gov (United States)

    McEwen, Rhonda N.; Scheaffer, Kathleen

    2013-01-01

    This article investigates the online information practices of persons grieving and mourning via Facebook. It examines how, or whether, these practices and Facebook's terms of use policies have implications for the bereaved and/or the memory of the deceased. To explore these questions, we compared traditional publicly recorded asynchronous…

  5. Exploring Responses to Transformative Group Therapy for Orphaned Children in the Context of Mass Orphaning in Botswana

    Science.gov (United States)

    Thamuku, Masego; Daniel, Marguerite

    2013-01-01

    In the context of AIDS, the Botswana Government has adopted a group therapy program to help large numbers of orphaned children cope with bereavement. This study explores the effectiveness of the therapy and examines how it interacts with cultural attitudes and practices concerning death. Ten orphaned children were involved in five rounds of data…

  6. How Schools Can Support Children Who Experience Loss and Death

    Science.gov (United States)

    Holland, John

    2008-01-01

    Scenes of public grieving such as followed the death of Princess Diana bear little resemblance to the "taboo" status of death and bereavement at an individual level. For schools and the support services with whom they work, responding to pupils' experiences of loss and death, especially of parents, is challenging. This paper draws on research and…

  7. "When Your Child Dies You Don't Belong in that World Any More"--Experiences of Mothers Whose Child with an Intellectual Disability Has Died

    Science.gov (United States)

    Reilly, Deirdre E.; Huws, Jaci C.; Hastings, Richard P.; Vaughan, Frances L.

    2008-01-01

    Background: Individuals with intellectual disability are at higher risk of premature death compared with individuals without intellectual disability, and therefore parents of people with intellectual disability are more likely to outlive their children. However, there has been relatively little research investigating the bereavement experiences of…

  8. Impact of Elderly Mother's Death on Middle Age Daughters.

    Science.gov (United States)

    Moss, Miriam S.; And Others

    1993-01-01

    Examined middle aged daughters' (n=107) responses to death of their mother. In first six months of bereavement, many daughters experienced themes of holding on and letting go. Depression, grief, somatic reactions, impact on sense of self, acceptance of death, and ways in which ties with mother endure were differentially associated with…

  9. Sexuality Following the Loss of a Child

    Science.gov (United States)

    Dyregrov, Atle; Gjestad, Rolf

    2011-01-01

    The aim of study was to increase our understanding of sexuality and intimacy following the loss of a child. A questionnaire on intimacy and sexuality was sent to 1,027 members of the 2 major bereavement support organizations for parents who have lost children in Norway. A total of 321 (33%) were returned. In addition, 10 couples were interviewed…

  10. When Father Kills Mother: Guiding Children through Trauma and Grief. Second Edition.

    Science.gov (United States)

    Harris-Hendriks, Jean; Black, Dora; Kaplan, Tony

    Children bereaved by the death of one parent at the hands of the other, almost always the father, in effect lose both parents, and are often forgotten in the midst of such dramatic situations. Reflecting the increased interest in child protection and child law systems, this book brings to public knowledge information about the effects of…

  11. Time to Eat! What Will You Feed Your Baby?

    Medline Plus

    Full Text Available ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media ...

  12. Exercise during Pregnancy

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    Full Text Available ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media ...

  13. Postpartum Blues

    Medline Plus

    Full Text Available ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media ...

  14. Folic Acid

    Medline Plus

    Full Text Available ... premature birth The newborn intensive care unit (NICU) Birth defects & other health conditions Loss & grief Tools & Resources Frequently asked health questions Ask our health experts Calculating your due date Ovulation calendar 39 weeks is best Order bereavement materials News Moms Need Blog News & Media ...

  15. Men in the Triangle: Grief, Inhibition, and Defense

    Science.gov (United States)

    Clayton, Robert E.

    2015-01-01

    Inhibition of emotional experience is a widely acknowledged characteristic of many Western-raised men. While this affective inhibition may impact men chronically in many ways, it becomes particularly salient when men are bereaved or otherwise grieving and are unable fully to experience normative emotional responses to loss. This article briefly…

  16. Parenthood, Stress, and Mental Health in Late Midlife and Early Old Age

    Science.gov (United States)

    Pudrovska, Tetyana

    2009-01-01

    Using 2 waves of the Wisconsin Longitudinal Study, I examine psychological consequences of potentially stressful, non-normative, or "off-time" aspects of the parental role in late midlife and early old age, including coresidence with adult children, stepparenthood, and parental bereavement. Additionally, I analyze gender differences in…

  17. Complicated Grief in the Aftermath of Homicide: Spiritual Crisis and Distress in an African American Sample

    Directory of Open Access Journals (Sweden)

    Laurie A. Burke

    2011-06-01

    Full Text Available Both grieving the loss of a loved one and using spirituality or religion as an aid in doing so are common behaviors in the wake of death. This longitudinal examination of 46 African American homicide survivors follows up on our earlier study that established the relation between positive and negative religious coping on the one hand and complicated grief (CG on the other. In the current report, we broadened this focus to determine the relation between religious coping and other bereavement outcomes, including posttraumatic stress disorder (PTSD and depression, to establish whether religious coping more strongly predicted bereavement distress or vice versa. We also sought to determine if the predictive power of CG in terms of religious coping over time exceeded that of PTSD and depression. Our results suggested a link between negative religious coping (NRC and all forms of bereavement distress, whereas no such link was found between positive religious coping (PRC and bereavement outcomes in our final analyses. Significantly, only CG prospectively predicted high levels of spiritual struggle six months later. Clinical implications regarding spiritually sensitive interventions are noted.

  18. Death Competence: An Ethical Imperative

    Science.gov (United States)

    Gamino, Louis A.; Ritter, R. Hal, Jr.

    2012-01-01

    The authors argued that death competence, defined as specialized skill in tolerating and managing clients' problems related to dying, death, and bereavement, is a necessary prerequisite for ethical practice in grief counseling. A selected review of the literature tracing the underpinnings of this concept reveals how a robust construct of death…

  19. The Effectiveness of Family-Based Cognitive-Behavior Grief Therapy to Prevent Complicated Grief in Relatives of Suicide Victims : The Mediating Role of Suicide Ideation

    NARCIS (Netherlands)

    de Groot, M.; Neeleman, J.; van der Meer, K.; Burger, H.

    2010-01-01

    Grief interventions are more effective for high risk individuals. The presence of suicide ideation following suicide bereavement was examined to determine whether it indicates a high risk status. Using data from a randomized controlled trial (n =122) on the effectiveness of cognitive-behavior therap

  20. Grief Experiences and Expectance of Suicide

    Science.gov (United States)

    Wojtkowiak, Joanna; Wild, Verena; Egger, Jos

    2012-01-01

    Suicide is generally viewed as an unexpected cause of death. However, some suicides might be expected to a certain extent, which needs to be further studied. The relationships between expecting suicide, feeling understanding for the suicide, and later grief experiences were explored. In total, 142 bereaved participants completed the Grief…