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Uno A. Exploring the journey of supporters in bereavement support groups: Experiences, sense-making, and social connections. DEATH STUDIES 2024:1-12. [PMID: 39243309 DOI: 10.1080/07481187.2024.2400373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/09/2024]
Abstract
This study aimed to explore facilitators' experiences in bereavement support groups as they relate to their experiences of personal loss. Semi-structured interviews were conducted with nine facilitators who had experienced such grief, and data were analyzed qualitatively using a modified grounded theory approach (M-GTA). The analysis revealed two categories and nine subcategories: (i) 'Experiences in group activities,' encompassing positive and negative experiences during activities, and (ii) 'Structuring of Meaning,' the process of deciphering for oneself in relation to one's experience of loss and life. These two categories interacted with each other, and it was important for facilitators to find meaning in their activities, loss experiences, and lives for the stable continuation of bereavement support group activities. These findings underscore the importance of facilitators following and supporting the sense-making process.
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Affiliation(s)
- Akari Uno
- Smart Aging Research Center, Tohoku University, Sendai, Miyagi
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2
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Rupp L. Invited Perspective on "Caregiving experiences as mediators Between Caregiving Stressors and anticipatory Grief in Severe Dementia: Findings From Longitudinal Path Analysis". Am J Geriatr Psychiatry 2024:S1064-7481(24)00431-7. [PMID: 39294083 DOI: 10.1016/j.jagp.2024.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2024] [Accepted: 08/06/2024] [Indexed: 09/20/2024]
Affiliation(s)
- Lena Rupp
- Department of Psychology, School of Life Sciences, University of Siegen, Siegen, Germany.
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3
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Siebel A, Müller H, Augustin M, Zwingmann C. Disenfranchised Grief: Which Grieving Rules Do German Mid-adolescents Hold? OMEGA-JOURNAL OF DEATH AND DYING 2024:302228241266869. [PMID: 39045765 DOI: 10.1177/00302228241266869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
Every society adheres to grieving rules that govern how people experience loss and grief. These are rarely communicated explicitly, which can lead to insecurities in dealing with one's own grief and the grief of others. This is particularly true for adolescents. Based on Doka's concept of disenfranchised grief, this study explores the grieving rules of mid-adolescents. Cross-sectional data collection took place in November and December 2022 at six secondary schools in Germany. A total of 226 adolescents predominantly aged between 14 and 16 years completed the questionnaire. The analysis of the data shows that in some respects, mid-adolescents have similar grieving rules as adults. However, they are more inclusive when it comes to losses of ex-partners, pets and people with intellectual disabilities. Possible sources of (self-)disenfranchisement are parasocial relationships and the duration of grief. Open communication about grieving rules is suggested to prevent possible disenfranchisement.
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Affiliation(s)
- Angela Siebel
- Protestant University of Applied Sciences RWL, Bochum, Germany
| | - Heidi Müller
- Department of Internal Medicine, Palliative Care, University Hospital of Giessen and Marburg, Giessen Site, Germany
| | - Marc Augustin
- Protestant University of Applied Sciences RWL, Bochum, Germany
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Caci B, Giordano G. Direct Losses and Media Exposure to Death: The Long-Term Effect of Mourning during the COVID-19 Pandemic. J Clin Med 2024; 13:3911. [PMID: 38999478 PMCID: PMC11242252 DOI: 10.3390/jcm13133911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2024] [Revised: 07/01/2024] [Accepted: 07/02/2024] [Indexed: 07/14/2024] Open
Abstract
Background: The social distancing policies adopted during the COVID-19 pandemic forced many individuals to confront their mortality and worry about losing loved ones, making it impossible to say goodbye to them properly. Those not directly experiencing loss were inundated with information about COVID-19-related deaths throughout social media, leading to vicarious grief. This study delved into the long-term effects of direct and vicarious mourning on people's mental health during the COVID-19 pandemic. Method: A sample of 171 adults (65% female) aged 19-66 years (Mage = 25.8, SD = 8.57) voluntarily participated in an online survey assessing self-reported psychological measures of complicated grief, stress, depression, dispositional neuroticism, trait anxiety, and situational anxiety. Results: MANOVAs revealed that direct mourning experiences had an extremely severe impact on anxiety, stress, and fear of COVID-19, and a moderate effect on those without personal losses. Indeed, participants reporting high media exposure showed higher scores of depression and stress. Conclusions: Findings from the current study displayed that during the COVID-19 pandemic, people engaged more in proximal defenses than distal ones, taking health-protective measures, experiencing increased anxiety levels toward virus infection, and feeling distressed. Additionally, vicarious mourning was more strongly associated with depression due to emotional empathy with others.
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Affiliation(s)
- Barbara Caci
- Department of Psychology, Educational Science and Human Movements, University of Palermo, 90128 Palermo, Italy;
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5
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Ivynian SE, Maccallum F, Chang S, Breen LJ, Phillips JL, Agar M, Hosie A, Tieman J, DiGiacomo M, Luckett T, Philip J, Dadich A, Grossman C, Gilmore I, Harlum J, Kinchin I, Glasgow N, Lobb EA. Support needs of Australians bereaved during the COVID-19 pandemic: A cross-sectional survey study. PLoS One 2024; 19:e0304025. [PMID: 38843213 PMCID: PMC11156310 DOI: 10.1371/journal.pone.0304025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Accepted: 05/05/2024] [Indexed: 06/09/2024] Open
Abstract
BACKGROUND COVID-19 disrupted access to bereavement support. The objective of this study was to identify the bereavement supports used by Australians during the COVID-19 pandemic, perceived helpfulness of supports used, prevalence and areas of unmet support need, and characteristics of those with unmet support needs. METHODS A convenience sample of bereaved adults completed an online questionnaire (April 2021-April 2022) about their bereavement experiences including support use and perceived helpfulness, unmet support needs and mental health. Multiple logistic regression was conducted to determine sociodemographic correlates of unmet needs. Open-ended responses were examined using content analysis to determine key themes. RESULTS 1,878 bereaved Australians completed the questionnaire. Participants were mostly women (94.9%) living in major cities (68%) and reported the death of a parent (45%), with an average age of 55.1 years (SD = 12.2). The five most used supports were family and friends, self-help resources, general practitioners, psychologists, and internet/online community groups. Notably, each was nominated as most helpful and most unhelpful by participants. Two-thirds (66%) reported specific unmet support needs. Those with unmet needs scored lower on mental health measures. Correlates of unmet needs included being of younger age, being a spouse or parent to the deceased; reporting more impacts from public health measures, and not reporting family and friends as supports. The most frequent unmet need was for social support after the death and during lockdown. CONCLUSIONS This study demonstrates the complexity of bereavement support needs during a pandemic. Specialised grief therapy needs to be more readily available to the minority of grievers who would benefit from it. A clear recommendation for a bereavement support action plan is to bolster the ability of social networks to provide support in times of loss. The fostering of social support in the wake of bereavement is a major gap that needs to be addressed in practice, policy, and research.
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Affiliation(s)
- Serra E. Ivynian
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Fiona Maccallum
- Faculty of Health and Behavioural Sciences, School of Psychology, University of Queensland, St Lucia, QLD, Australia
| | - Sungwon Chang
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Lauren J. Breen
- Curtin School of Population Health and Curtin enAble Institute, Curtin University, Perth, Western Australia
| | - Jane L. Phillips
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
- Faculty of Health, School of Nursing, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - Meera Agar
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Annmarie Hosie
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
- School of Nursing & Midwifery, University of Notre Dame Australia, Darlinghurst, NSW, Australia
- St Vincent’s Health Network Sydney, Darlinghurst, NSW, Australia
| | - Jennifer Tieman
- Faculty of Health Sciences, RePaDD, Flinders University, Adelaide, SA, Australia
| | - Michelle DiGiacomo
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Tim Luckett
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Jennifer Philip
- Department of Medicine, St Vincent’s Hospital, University of Melbourne, Fitzroy, VIC, Australia
| | - Ann Dadich
- School of Business, Western Sydney University, Parramatta, NSW, Australia
| | | | - Imelda Gilmore
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
| | - Janeane Harlum
- District Palliative Care Service, Liverpool Hospital, Liverpool, NSW, Australia
| | - Irina Kinchin
- Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, the University of Dublin, Dublin 2, Ireland
| | - Nicholas Glasgow
- Medical School, Australian National University, Canberra, ACT, Australia
| | - Elizabeth A. Lobb
- Faculty of Health, IMPACCT, University of Technology Sydney, Ultimo, NSW, Australia
- Department of Palliative Care, Calvary Health Care Kogarah, Kogarah, NSW, Australia
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6
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Macdonald ME. Grief is a public health issue. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2024; 115:367-370. [PMID: 38727997 PMCID: PMC11151893 DOI: 10.17269/s41997-024-00898-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2024]
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7
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Sawyer JS. Grief and bereavement beliefs and their associations with death anxiety and complicated grief in a U.S. college student sample. DEATH STUDIES 2024:1-12. [PMID: 38713539 DOI: 10.1080/07481187.2024.2349933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2024]
Abstract
This study examined beliefs about grief and bereavement, and how the endorsement of myths is related to death anxiety and complicated grief. Results from a sample of college students in the United States (N = 391) suggested that myths about grief and bereavement are prevalent in this group. Additionally, the endorsement of certain myths significantly explained both death anxiety and complicated grief. Findings from this study provide additional support for death education in college and university settings to promote grief literacy. Implications for education, advocacy, research, and practice are discussed.
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Affiliation(s)
- Jacob S Sawyer
- Department of Psychology, Alma College, Alma, Michigan, USA
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8
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Hansen KL, Guldin MB, Fosgerau CF. Grief participation rights and the social support hierarchy: Exploring the communicative role of the bereaved in a social support interaction. DEATH STUDIES 2024; 48:465-477. [PMID: 37471460 DOI: 10.1080/07481187.2023.2235582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/22/2023]
Abstract
This article explores how bereaved individuals co-construct social support and social norms in the social interaction of 14 bereavement group meetings in Denmark. To study this, we used a discourse analytical approach focusing on how the participants position their social supporters. The results show that the participants designate, uphold, and presuppose two hierarchical positions to bereaved and non-bereaved supporters with different abilities to understand them. Based on this finding, the concepts of "grief participation rights" and "social support hierarchy" are proposed to supplement existing notions of "rights to grieve" and "grief hierarchy." These concepts suggest that non-bereaved supporters are not accorded the same participatory rights in social support conversations as bereaved individuals who have suffered a similar loss as the speaker. The concepts are discussed in relation to effective social support and in the context of research on social disconnection in grief.
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Affiliation(s)
- Kathrine Lund Hansen
- Department of Nordic Studies and Linguistics, Copenhagen University, Copenhagen, Denmark
| | - Mai-Britt Guldin
- Research Unit for General Practice, Aarhus University, Aarhus, Denmark
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9
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Lichtenthal WG, Roberts KE, Donovan LA, Breen LJ, Aoun SM, Connor SR, Rosa WE. Investing in bereavement care as a public health priority. Lancet Public Health 2024; 9:e270-e274. [PMID: 38492580 PMCID: PMC11110717 DOI: 10.1016/s2468-2667(24)00030-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 02/13/2024] [Accepted: 02/14/2024] [Indexed: 03/18/2024]
Abstract
Morbidity and mortality associated with bereavement is an important public health issue, yet economic and resource investments to effectively implement and sustain integrated bereavement services are sorely lacking at national and global levels. Although bereavement support is a component of palliative care provision, continuity of care for bereaved individuals is often not standard practice in palliative and end-of-life contexts. In addition to potentially provoking feelings of abandonment, failure to extend family-centred care after a patient's death can leave bereaved families without access to crucial psychosocial support and at risk for illnesses that exacerbate the already substantial public health toll of interpersonal loss. The effect of inadequate bereavement care disproportionately disadvantages vulnerable groups, including those living in resource-constrained settings. We build on available evidence and previous recommendations to propose a model for transitional care, firmly establishing bereavement care services within health-care institutions, while respecting their finite resources and the need to ultimately transition grieving families to supports within their communities. Key to the transitional bereavement care model is the bolstering of community-based supports through development of compassionate communities and upskilling of professional services for those with more substantial bereavement support needs. To achieve this goal, interprofessional health workers, institutions, and systems must shift bereavement care from an afterthought to a public health priority.
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Affiliation(s)
- Wendy G Lichtenthal
- Center for the Advancement of Bereavement Care, Sylvester Comprehensive Cancer Center, University of Miami Health System, Miami, FL, USA; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
| | - Kailey E Roberts
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA
| | - Leigh A Donovan
- School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, NSW, Australia
| | - Lauren J Breen
- Curtin School of Population Health and Curtin enAble Institute, Curtin University, Perth, WA, Australia
| | - Samar M Aoun
- Medical School, University of Western Australia, Perth, WA, Australia; Perron Institute for Neurological and Translational Science, Perth, WA, Australia; School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | | | - William E Rosa
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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10
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Ng YH, Jiao K, Suen MHP, Wang J, Chow AYM. The role of the social environment on dementia caregivers' pre-death grief: A mixed- methods systematic review. DEATH STUDIES 2024:1-20. [PMID: 38497324 DOI: 10.1080/07481187.2024.2329755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2024]
Abstract
This systematic review examined the role of social environment in pre-death grief experiences of dementia caregivers. Ninety-three Chinese and English articles were included from a comprehensive search of empirical studies using nine databases. Six social environment domains were generated: the person with dementia, dyadic relationship, family members and the wider community, health and social care services, place of care, and social-cultural contexts. A complex interplay between caregivers and their social environments that aggravate and attenuate pre-death grief experiences is evident. Research has focused mainly on the effects of people with dementia and dyadic relationships and has paid modest attention to the effects of family, relatives, and health and social care services. Caregivers' experiences with their friends, fellow caregivers, the wider community, and social-cultural norms are influential but understudied. Future research could adopt a systems thinking approach with sociological perspectives to generate a comprehensive and nuanced understanding of pre-death grief experiences.
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Affiliation(s)
- Yong Hao Ng
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Keyuan Jiao
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Margaret H P Suen
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Juan Wang
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Amy Y M Chow
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
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11
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Müller H, Zsak E, O'Connor M, Keegan O, Graven Østergaard T, Holm Larsen L. The European Grief Conference, Copenhagen 2022: An effort to unite the field of bereavement care in Europe. DEATH STUDIES 2024:1-9. [PMID: 38446417 DOI: 10.1080/07481187.2024.2324908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/07/2024]
Abstract
Bereavement care in Europe varies in quality and availability. Through greater collaboration across Europe, there could potentially be an opportunity to improve care. This article discusses the inaugural European Grief Conference held in Denmark in 2022: "Bereavement and Grief in Europe - Emerging Perspectives & Collaborations". The conference was structured around a 4-tiered public health model of bereavement care needs. It included practice, research, policy, and educational perspectives. A total of 250 people from 27 different countries participated. To determine if the conference had appealed to a broad European audience of grief professionals and to assess how the conference was received by participants, we examined registration/submission data, the results of a one-word real-time feedback exercise, and the answers to an online satisfaction survey. The results indicated wide interest in greater information sharing and collaboration across Europe among bereavement care, research, and education professionals.
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Affiliation(s)
- H Müller
- Department for Medical Oncology and Palliative Care, University Hospital of Giessen and Marburg, Giessen Site, Germany
| | - E Zsak
- Institute of Behavioral Sciences, Semmelweis University, Budapest, Hungary
| | - M O'Connor
- Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark
- Danish National Center for Grief, Copenhagen, Denmark
| | - O Keegan
- Irish Hospice Foundation, Dublin, Ireland
| | | | - L Holm Larsen
- Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark
- Danish National Center for Grief, Copenhagen, Denmark
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12
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Kawashima D, Kawamoto S, Shiraga K, Kheibari A, Cerel J, Kawano K. Suicide Attitudes Among Suicide Loss Survivors and Their Adaptation to Loss: A Cross-Cultural Study in Japan and the United States. OMEGA-JOURNAL OF DEATH AND DYING 2024; 88:1258-1274. [PMID: 35345933 DOI: 10.1177/00302228211051512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Survivors' adaptation to a suicide loss is likely influenced by their attitudes toward suicide and their respective sociocultural contexts. Our study aimed to compare suicide attitudes and their association with depressive symptoms and sense of community safety in Japanese and American suicide loss survivors. A total of 193 Japanese survivors and 232 American survivors completed online surveys. The results show that Japanese survivors tended not to consider suicide as an illness or to recognize that others understood their experience but were more likely than American survivors to consider suicide as justifiable. Regression analyses indicated that taking suicide as a right was associated with depressive symptoms. Further, their sense of being understood by others was positively correlated with perceived community safety in both samples, but justifying suicide and considering it to be an illness was positively related to perceived community safety only among Japanese survivors.
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Affiliation(s)
| | | | - Keisuke Shiraga
- School of Education, Joetsu University of Education, Joetsu, Japan
| | - Athena Kheibari
- School of Social Work, Wayne State University, Detroit, MI, USA
| | - Julie Cerel
- College of Social Work, University of Kentucky, Lexington, KY, USA
| | - Kenji Kawano
- College of Comprehensive Psychology, Ritsumeikan University, Ibaraki, Japan
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13
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Elizabeth N. Post-event support as a critical element of crisis preparedness: Reflections from the Mass Casualty Commission. Healthc Manage Forum 2024; 37:52-55. [PMID: 37991433 DOI: 10.1177/08404704231212577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2023]
Abstract
Including post-event support planning as part of crisis preparedness is necessary to meet the emotional and psychological needs of those most affected. This necessarily requires engagement with health and community organization leaders best positioned to provide immediate, short- and long-term post-event supports as part of the response planning for a crisis. Drawing on the findings of the Mass Casualty Commission, the public inquiry tasked with investigating Canada's worst mass shooting, the critical role of post-event supports is explored as a critical element of crisis preparedness.
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14
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Burm S, MacDonald S, Melro C, Kennedy E, Tran-Roop P, Kilbertus F, MacLeod A, Robinson S, Phinney J. The burden of grief: A scoping review of nurses' and physicians' experiences throughout the COVID-19 pandemic. DEATH STUDIES 2024:1-10. [PMID: 38280182 DOI: 10.1080/07481187.2024.2306461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2024]
Abstract
Coping with loss is an unfortunate reality faced by healthcare professionals, and the COVID-19 pandemic exacerbated this challenge for those who worked on the frontlines. Our scoping review aimed to comprehensively map the existing literature pertaining to the experiences of grief among nurses and physicians in the context of the pandemic. Six bibliographic databases were searched in 2022, and a targeted search of gray literature and citation chasing was also performed. After screening a total of 2920 records, we included 173 evidence sources in this review. Data was both analyzed descriptively (e.g., frequency counts and percentages) and using a qualitative content analysis approach. Our findings illuminate the myriad losses experienced by nurses and physicians throughout the pandemic. While the literature portrays the coping mechanisms healthcare professionals have developed personally, there is a pronounced need for increased institutional support to alleviate the burdens they carry.
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Affiliation(s)
- Sarah Burm
- Faculty of Medicine, Dalhousie University, Halifax, Canada
| | - Selena MacDonald
- School of Information Management, Dalhousie University, Halifax, Canada
| | - Carolyn Melro
- Faculty of Medicine, Dalhousie University, Halifax, Canada
| | - Erin Kennedy
- Arthur Labatt Family School of Nursing, Western University, London, Canada
| | | | - Frances Kilbertus
- Faculty of Medicine, Northern Ontario School of Medicine University, Thunder Bay, Canada
| | - Anna MacLeod
- Faculty of Medicine, Dalhousie University, Halifax, Canada
| | - Susan Robinson
- Faculty of Health Sciences, Canadore College, North Bay, Canada
| | - Jackie Phinney
- Dalhousie Libraries c/o Dalhousie Medicine New Brunswick, Dalhousie University, Halifax, Canada
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15
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Paul S, Del Carpio L, Rodríguez P, Herrán ADL. Death in the Scottish curriculum: Denying or confronting? DEATH STUDIES 2023; 48:820-835. [PMID: 38014912 DOI: 10.1080/07481187.2023.2283450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
The important role of schools in supporting children experiencing bereavement is established, yet less is known about how school curricula include death as part of life and this limits our understanding of the systemic structures that shape children's knowledge and experience of death. To address this gap, this paper discusses an analysis of the Scottish curriculum to explore the extent to which death features in compulsory education for children aged 3 to 15 years. The findings show that whilst death is present across the curricula, certain types of 'knowing' death are promoted, largely situated across religious teaching, which may limit children's engagement with the multiple and complex ways in which death features across individual, social, physical, and relational domains. By integrating the concepts of death systems and death ambivalence, the paper develops new knowledge on the interplay between curricula and sense making around death in children's lives that has practical utility.
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Affiliation(s)
- S Paul
- Department of Social Work and Social Policy, University of Strathclyde, Glasgow, Scotland
| | - L Del Carpio
- Department of Social Work and Social Policy, University of Strathclyde, Glasgow, Scotland
- Health Technology Assessment in Primary Care and Mental Health (PRISMA) Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain
| | - P Rodríguez
- Department of Pedagogy, Universidad Autónoma de Madrid, Madrid, Spain
| | - A de la Herrán
- Department of Pedagogy, Universidad Autónoma de Madrid, Madrid, Spain
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16
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Guldin MB, Leget C. The integrated process model of loss and grief - An interprofessional understanding. DEATH STUDIES 2023; 48:738-752. [PMID: 37883693 DOI: 10.1080/07481187.2023.2272960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
Despite the vast developments in research on loss and grief, dominant grief models fall short in reflecting the comprehensive issues grieving persons are facing. Three causes seem to be at play: grief is usually understood to be connected to death and other types of loss are under-researched; the majority of research is done from the field of psychology and on pathological forms of grief, hardly integrating research from other disciplines; and the existential suffering related to grief is not recognized or insufficiently integrated in the dominant models. In this paper, we propose an integrated process model (IPM) of loss and grief, distinguishing five dimensions of grief: physical, emotional, cognitive, social, and spiritual. The integrated process model integrates therapies, tools, and models within different scientific theories and paradigms to connect disciplines and professions. The comprehensive and existential understanding of loss and grief has relevance for research, clinical settings and community support.
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Affiliation(s)
- Mai-Britt Guldin
- Research Unit for General Practice, Institute for Public Health, Aarhus University, Denmark. Center for Grief and Existential Values, Aarhus, Denmark
| | - Carlo Leget
- University of Humanistic Studies, Utrecht, The Netherlands
- Center for Grief and Existential Values, Aarhus, Denmark
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17
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Klass D. Continuing Bonds in the Existential, Phenomenological, and Cultural Study of Grief: Prolegomena. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231205766. [PMID: 37879186 DOI: 10.1177/00302228231205766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
The essay makes the case that continuing bonds is a useful perspective for bereavement studies based in existential, phenomenological, and cultural philosophy. First, the idea of continuing bonds has explanatory power for many phenomena in individual and family grief and in the multiple interactions between individual/family grief and larger social/cultural dynamics. Second, in the study of continuing bonds we find concepts that are akin to those in phenomenology and existentialism. Using some of my own scholarship and the scholarship of many others, the essay is structured by themes Edith Marie Steffen and I found in our 2018 anthology on developments in the continuing bonds model in the two decades after it was introduced: Continuing bonds (1) are inter-subjective, (2) are central in constructing meaning, (3) raise questions about the ontological status of our interactions with the dead, and (4) are best understood within their cultural setting.
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Harrop E, Medeiros Mirra R, Goss S, Longo M, Byrne A, Farnell DJJ, Seddon K, Penny A, Machin L, Sivell S, Selman LE. Prolonged grief during and beyond the pandemic: factors associated with levels of grief in a four time-point longitudinal survey of people bereaved in the first year of the COVID-19 pandemic. Front Public Health 2023; 11:1215881. [PMID: 37794891 PMCID: PMC10546414 DOI: 10.3389/fpubh.2023.1215881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 08/16/2023] [Indexed: 10/06/2023] Open
Abstract
Background The COVID-19 pandemic has been a devastating and enduring mass-bereavement event, with uniquely difficult sets of circumstances experienced by people bereaved at this time. However, little is known about the long-term consequences of these experiences, including the prevalence of Prolonged Grief Disorder (PGD) and other conditions in pandemic-bereaved populations. Methods A longitudinal survey of people bereaved in the UK between 16 March 2020 and 2 January 2021, with data collected at baseline (n = 711), c. 8 (n = 383), 13 (n = 295), and 25 (n = 185) months post-bereavement. Using measures of Prolonged Grief Disorder (PGD) (Traumatic Grief Inventory), grief vulnerability (Adult Attitude to Grief Scale), and social support (Inventory of Social Support), this analysis examines how participant characteristics, characteristics of the deceased and pandemic-related circumstances (e.g., restricted visiting, social isolation, social support) are associated with grief outcomes, with a focus on symptoms of PGD. Results At baseline, 628 (88.6%) of participants were female, with a mean age of 49.5 (SD 12.9). 311 (43.8%) deaths were from confirmed/suspected COVID-19. Sample demographics were relatively stable across time points. 34.6% of participants met the cut-off for indicated PGD at c. 13 months bereaved and 28.6% at final follow-up. Social isolation and loneliness in early bereavement and lack of social support over time strongly contributed to higher levels of prolonged grief symptoms, while feeling well supported by healthcare professionals following the death was associated with reduced levels of prolonged grief symptoms. Characteristics of the deceased most strongly associated with lower levels of prolonged grief symptoms, were a more distant relationship (e.g., death of a grandparent), an expected death and death occurring in a care-home. Participant characteristics associated with higher levels of prolonged grief symptoms included low level of formal education and existence of medical conditions. Conclusion Results suggest higher than expected levels of PGD compared with pre-pandemic times, with important implications for bereavement policy, provision and practice now (e.g., strengthening of social and specialist support) and in preparedness for future pandemics and mass-bereavement events (e.g., guidance on infection control measures and rapid support responses).
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Affiliation(s)
- Emily Harrop
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | | | - Silvia Goss
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | - Mirella Longo
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | - Anthony Byrne
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | | | - Kathy Seddon
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | - Alison Penny
- National Bereavement Alliance, London, United Kingdom
| | - Linda Machin
- School of Medicine, Keele University, Keele, United Kingdom
| | - Stephanie Sivell
- Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, United Kingdom
| | - Lucy E. Selman
- Palliative and End of Life Care Research Group, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
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Poon E, Ang SHM, Ramazanu S. Community-based end-of-life care in Singapore and nursing care implications for older adults in the post-COVID-19 world. Curr Opin Support Palliat Care 2023; 17:219-223. [PMID: 37384431 DOI: 10.1097/spc.0000000000000662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2023]
Abstract
PURPOSE OF REVIEW To render holistic overview on community-based end-of-life care in the context of Singapore, with analysis of nursing care implications for older adults requiring end-of-life care services. RECENT FINDINGS Healthcare professionals caring for older adults with life-limiting conditions had to play an active role in the constantly evolving healthcare landscape during the coronavirus disease 2019 (COVID-19) pandemic. Usual meetings and community-based end-of-life care interventions were converted to online mode, utilizing digital technology. In order to provide value-based and culturally relevant care, further studies are warranted to evaluate healthcare professionals, patients and family caregivers' preferences whilst utilizing digital technology. As a result of COVID-19 pandemic restrictions to minimize infection transmissions, animal-assisted volunteering activities were conducted virtually. Regular healthcare professionals' engagement in wellness interventions is necessary to boost morale and prevent potential psychological distress. SUMMARY To strengthen the delivery of end-of-life community care services, the following recommendations are proposed: active youth engagement via inter-collaborations and connectedness of community organizations; improving support for vulnerable older adults in need of end-of-life care services; and enhancing healthcare professionals well-being through the implementation of timely support interventions.
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Affiliation(s)
| | | | - Sheena Ramazanu
- Leadership Institute for Global Health Transformation, Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
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20
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Hirsch J. Book Review: Living through Loss, 2nd Edition by Nancy R. Hooyman, Betty J. Kramer, and Sara Sanders. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2023; 66:839-842. [PMID: 37477282 DOI: 10.1080/01634372.2022.2155750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 12/01/2022] [Accepted: 12/01/2022] [Indexed: 07/22/2023]
Abstract
Hooyman, Kramer, and Sanders offer an updated and timely second edition of Living through loss: Interventions across the life span (italicized). The text thoroughly explores losses and interventions through the life course with care. In the wake of the COVID-19 pandemic, mass shootings, and more frequent natural disasters, the need for understanding grief and how to provide supportive counseling is needed for all social workers. The text would be well suited for use in undergraduate and graduate level courses. It includes definitions of basic terms, historical perspectives on grief, grief theories and models, and complicated grief with a focus on strength and resilience throughout.
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21
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Selman LE, Turner N, Dawson L, Chamberlain C, Mustan A, Rivett A, Fox F. Engaging and supporting the public on the topic of grief and bereavement: an evaluation of Good Grief Festival. Palliat Care Soc Pract 2023; 17:26323524231189523. [PMID: 37533733 PMCID: PMC10392217 DOI: 10.1177/26323524231189523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 07/05/2023] [Indexed: 08/04/2023] Open
Abstract
Background Good Grief Festival was originally planned as a face-to-face festival about grief and bereavement. Due to COVID-19, it was held online over 3 days in October 2020. Objective To evaluate the festival's reach and impact. Design Pre/post evaluation. Methods Pre-festival online surveys assessed reasons for attending and attitudes to bereavement across four items (fear of saying the wrong thing, avoiding talking to someone bereaved, knowing what to do if someone bereaved was struggling, knowing how to help). Post-festival online surveys evaluated audience experiences and the four attitude items. Free-text responses, analysed using thematic analysis, generated suggestions for improvement and general comments. Results Between 5003 and 6438 people attended, with most attending two to five events. Pre-festival survey participants (n = 3785) were mostly women (91%) and White (91%). About 9% were from Black or minoritised ethnic communities. About 14% were age ⩾65 years, 16% age ⩽34 years. Around 75% were members of the public, teachers, students or 'other'; 25% academics, clinicians or bereavement counsellors. A third had been bereaved in the last year; 6% had never been bereaved. People attended to learn about grief/bereavement (77%), be inspired (52%) and feel part of a community (49%). Post-festival participants (n = 685) reported feeling part of a community (68%), learning about grief/bereavement (68%) and being inspired (66%). 89% rated the festival as excellent/very good and 75% agreed that they felt more confident talking about grief after attending. Higher ratings and confidence were associated with attending more events. Post-festival attitudes were improved across all four items (p < 0.001). Attendees appreciated the festival, particularly valuing the online format, opportunities for connection during lockdown and the diversity and quality of speakers. Suggestions included improving registration, more interactive events and less content. Conclusion Good Grief Festival successfully reached a large public audience, with benefit in engagement, confidence and community-building. Evaluation was critical in shaping future events. Findings suggest festivals of this nature can play a central role in increasing death- and grief-literacy within a public health approach.
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Affiliation(s)
| | - Nicholas Turner
- Bristol Population Health Science Institute and Bristol Medical School, University of Bristol, Bristol, UK
| | - Lesel Dawson
- Department of English, School of Humanities, Faculty of Arts, University of Bristol, Bristol, UK
| | - Charlotte Chamberlain
- Palliative and End of Life Care Research Group, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | | | - Alison Rivett
- Public Engagement, University of Bristol, Bristol, UK
| | - Fiona Fox
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
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22
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Carter C, Giosa J, Rizzi K, Oikonen K, Stephenson B, Holyoke P. The Reflection Room ®: Moving from Death-Avoiding to Death-Discussing. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231192163. [PMID: 37515417 DOI: 10.1177/00302228231192163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/30/2023]
Abstract
We developed, implemented, and evaluated a participatory arts-based storytelling initiative called the Reflection Room project. Our aim was to investigate if visiting a Reflection Room, (1) creates opportunities for disclosing emotions and processing thoughts, (2) increases comfort discussing dying and death, and (3) supports advance care planning (ACP), conversations. In the pilot phase of the Reflection Room project, a Reflection Room was installed in 25 sites across Canada from 2016-2017. Data collection included reflection cards (n = 463), and surveys completed by visitors upon exiting a room (n = 271) and 3 months later (n = 50). Analysis involved theoretically driven coding, inductive content analysis, and descriptive statistics. We found reflections contained both emotional disclosures and reflective processing. Survey data indicated visiting a Reflection Room increased comfort in thinking and talking about dying and death as well as the likelihood of engaging in ACP. In the future, we will explore the extent to which the project fosters social connections and well-being.
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Affiliation(s)
| | - Justine Giosa
- SE Research Centre, Markham, ON, Canada
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada
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23
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Marinaci T, Venuleo C, Rollo S, Ferrante L, Semeraro CG, Infurna MR, Nogueira DCOA. Supporting bereaved people: a qualitative study on the experience of informal support providers, before and during the pandemic scenario. DEATH STUDIES 2023; 48:250-266. [PMID: 37226959 DOI: 10.1080/07481187.2023.2216172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The COVID-19 outbreak has further highlighted the need to strengthen support networks to sustain grieving people. However, we know very little about the experience of those who, because of their emotional connection with the bereaved person or of their social function, find themselves supporting people in grief. The current study aimed to analyze the experience of grievers' informal support providers (relatives and friends, teachers, religious leaders, funeral providers, pharmacists, volunteers, and social service workers). 162 in-depth interviews were collected (meanage = 42.3, SD = 14.9; women = 63.6%). Findings highlight two different ways of talking about one's experience and two different ways of offering support. Such dissimilarities do not relate to the period in which support was offered (before or during the pandemic). The results will be discussed in order to highlight emerging training needs to support bereaved people in their difficult transition.
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Affiliation(s)
- Tiziana Marinaci
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | - Claudia Venuleo
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | - Simone Rollo
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | - Lucrezia Ferrante
- Department of Human and Social Sciences, University of Salento, Lecce, Italy
| | | | - Maria Rita Infurna
- Department of Psychological, Educational, Physical Exercise and Training Sciences, University of Palermo, Palermo, Italy
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Breen LJ, Greene D, Rees CS, Black A, Cawthorne M, Egan SJ. A co-designed systematic review and meta-analysis of the efficacy of grief interventions for anxiety and depression in young people. J Affect Disord 2023; 335:289-297. [PMID: 37196936 DOI: 10.1016/j.jad.2023.05.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 05/07/2023] [Accepted: 05/11/2023] [Indexed: 05/19/2023]
Abstract
BACKGROUND Grief in young people is common and associated with symptoms of anxiety and depression, yet grief interventions for this age group are under-researched. METHOD We conducted a systematic review and meta-analysis to examine the efficacy of grief interventions in young people. The process was co-designed with young people and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PsycINFO, Medline, and Web of Science databases were searched in July 2021 (updated December 2022). RESULTS We extracted results from 28 studies of grief interventions with young people (14-24 years) that measured anxiety and/or depression (N = 2803 participants, 60 % girls/women). Cognitive behavior therapy (CBT) for grief demonstrated a large effect for anxiety and medium effect for depression. Meta-regression indicated that CBT for grief that included a higher degree of CBT strategies, was not trauma focused, had >10 sessions, offered on an individual basis, and did not involve parents, was associated with larger effect sizes for anxiety. Supportive therapy had a moderate effect for anxiety and a small-moderate effect for depression. Writing interventions were not effective for anxiety or depression. LIMITATIONS Studies are limited in number and there were few randomized controlled studies. CONCLUSIONS Findings indicate that CBT for grief is an effective intervention for reducing symptoms of anxiety and depression in young people experiencing grief. CBT for grief should be offered as the first line treatment for grieving young people experiencing anxiety and depression. PROTOCOL REGISTRATION PROSPERO (registration number CRD42021264856).
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Affiliation(s)
- Lauren J Breen
- enAble Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth 6845, Australia; Discipline of Psychology, Curtin School of Population Health, Curtin University, Australia.
| | - Danyelle Greene
- Discipline of Psychology, Curtin School of Population Health, Curtin University, Australia
| | - Clare S Rees
- Discipline of Psychology, Curtin School of Population Health, Curtin University, Australia
| | - Amy Black
- Discipline of Psychology, Curtin School of Population Health, Curtin University, Australia
| | | | - Sarah J Egan
- enAble Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth 6845, Australia; Discipline of Psychology, Curtin School of Population Health, Curtin University, Australia
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25
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González-Jaramillo V, Krikorian A, Tripodoro V, Jorge M, Zambrano SC, López F, Vélez MC, Noguera T, Orellana S, Montilla S, Christen-Cevallos Rosero A, Eychmüller S. Compassionate communities: How to assess their benefit? A protocol of a collaborative study between different countries. Palliat Care Soc Pract 2023; 17:26323524231170885. [PMID: 37187530 PMCID: PMC10176585 DOI: 10.1177/26323524231170885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 04/03/2023] [Indexed: 05/17/2023] Open
Abstract
Background Communities and local governments invest in compassionate communities (CCs) a great deal of time, money, effort, and work. However, it is not known whether the CCs are having the effect they are expected to have, so the value of continuing with these initiatives is unknown, and there is a need for a model for evaluating CCs to solve the question. Objectives To identify a set of core outcomes or benefits that should be measured to assess the impact of the CCs. Design Multiple-methods study involving three communities, each in a different country (Argentina, Colombia, and Switzerland). Methods and analysis To identifying the set of core outcomes, which is the first step in developing the CC evaluation model, five phases will follow: online meetings, literature review, fieldwork, Delphi survey, and social transfer. We will involve members of the local communities of Bern, Buenos Aires, and Medellin at three different levels: (1) citizens (e.g. patients, caregivers, and family members), (2) organizations and institutions involved in the program implementation (e.g. health care organizations, churches, non-governmental organizations, and schools), and (3) political and governmental sectors. Ethics The study will be conducted following existing international regulations and guidance such as the Declaration of Helsinki. The ethics committee of Pallium Latin America and the ethics committee of the canton of Bern considered our application exempt from the need for approval. Ethics approval in Bern and Buenos Aires is in the process of being obtained. The ethics committee of the Pontifical Bolivarian University approved this protocol. Discussion We expect that this project will help bridge the gap in knowledge regarding the measurable impact of the CCs and enhance more CC development.
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Affiliation(s)
- Valentina González-Jaramillo
- University Center for Palliative Care,
Inselspital – University Hospital Bern, University of Bern, 3010 Bern,
Switzerland
| | | | - Vilma Tripodoro
- Institute Pallium Latinoamerica, Buenos Aires,
Argentina
- Department of Palliative Care, Institute of
Medical Research A. Lanari, University of Buenos Aires, Buenos Aires,
Argentina
| | | | - Sofia C. Zambrano
- Institute of Social and Preventive Medicine
(ISPM), University of Bern, Bern, Switzerland
| | - Francy López
- Universidad Pontificia Bolivariana, Medellin,
Colombia
| | | | | | | | | | | | - Steffen Eychmüller
- University Center for Palliative Care,
Inselspital – University Hospital Bern, University of Bern,
Switzerland
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26
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Levesque DA, Lunardini MM, Payne EL, Callison-Burch V. Grief Coach, a Text-Based Grief Support Intervention: Acceptability Among Hospice Family Members. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231159450. [PMID: 36867525 DOI: 10.1177/00302228231159450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
U.S. Medicare-certified hospices must provide bereavement care to family members for 13 months following a patient's death. This manuscript describes Grief Coach, a text message program that delivers expert grief support and can assist hospices in meeting the bereavement care mandate. It also describes the first 350 Grief Coach subscribers from hospice and the results of a survey of active subscribers (n = 154) to learn whether and how they found the program helpful. The 13-month program retention rate was 86%. Among survey respondents (n = 100, response rate = 65%), 73% rated the program as very helpful, and 74% rated it as contributing to their sense of being supported in their grief. Grievers aged 65+ and males gave the highest ratings. Respondents' comments identify key intervention content that they found helpful. These findings suggest that Grief Coach may be a promising component of hospice grief support programming to meet the needs of grieving family members.
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27
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Levesque DA, Lunardini MM, Payne EL, Callison-Burch V. Grief in the Workplace: Challenges and Solutions. Am J Health Promot 2023; 37:426-429. [PMID: 36794311 DOI: 10.1177/08901171221145217d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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28
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Johnson SS. Opening Commentary: We Have to Talk About the "D" Word. Am J Health Promot 2023; 37:420-430. [PMID: 36794312 DOI: 10.1177/08901171221145217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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29
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Wright-Berryman JL, Huber MJ. Are funeral homes in the United States safe spaces for sexual and gender minorities? A website content analysis. DEATH STUDIES 2022; 47:962-968. [PMID: 36344086 DOI: 10.1080/07481187.2022.2143937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
LGBTQIA+ people, particularly those aging into end-of-life care decisions, need safety cues to identify safe spaces to access equitable death care. We conducted a website content analysis of 90 randomly selected funeral homes across the United States to evaluate the presence of LGBTQIA+ safety cues, such as inclusive language, symbols, imagery, and LGBTQIA+-friendly collaborations. Results showed that none of the selected funeral homes displayed any kind of safety cues. A significant change in funeral home marketing strategies is warranted so sexual and gender minorities can easily locate inclusive and affirming death care services.
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30
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Sussman T, Tétrault B. "People are more afraid of a dementia diagnosis than of death": The challenges of supporting advance care planning for persons with dementia in community settings. FRONTIERS IN DEMENTIA 2022; 1:1043661. [PMID: 39081479 PMCID: PMC11285647 DOI: 10.3389/frdem.2022.1043661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 10/05/2022] [Indexed: 08/02/2024]
Abstract
Improving early uptake of advance care planning (ACP) for persons with dementia and their families requires that staff in community-based settings feel armed and equipped to encourage and support this process. Yet few studies have explored whether staff within non-medical environments feel prepared to support early ACP engagement for persons with early-stage dementia and their families. Our qualitative interpretivist study aimed to fill this gap by facilitating, transcribing and thematically analyzing deliberations from three focus groups with 17 community-based staff. Our findings revealed four key barriers to ACP activation in community settings: (1) the stigma associated with the condition; (2) lack of knowledge about end-of-life concerns for persons with dementia; (3) uncertainties about managing complex family dynamics and (4) worries that opening up conversations about future care may lead to the expression of wishes that could not be actualized (e.g., dying at home). Our findings further revealed that ACP engagement was facilitated when staff expressed confidence in their capacities to gauge readiness, viewed themselves as guides rather than experts and had access to resources to supplement their knowledge. Reflexive training opportunities and access to materials and resources around end-of-life care for persons with dementia, could equip staff in these non-medical settings with the skills to engage in ongoing dialogue about future care issues with persons living with dementia and their families.
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Affiliation(s)
- Tamara Sussman
- School of Social Work, McGill University, Montreal, QC, Canada
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31
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Harrop E, Goss S, Longo M, Seddon K, Torrens-Burton A, Sutton E, Farnell DJ, Penny A, Nelson A, Byrne A, Selman LE. Parental perspectives on the grief and support needs of children and young people bereaved during the COVID-19 pandemic: qualitative findings from a national survey. BMC Palliat Care 2022; 21:177. [PMID: 36210432 PMCID: PMC9548427 DOI: 10.1186/s12904-022-01066-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 08/30/2022] [Accepted: 09/28/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND During the COVID-19 pandemic, many children and young people have experienced the death of close family members, whilst also facing unprecedented disruption to their lives. This study aimed to investigate the experiences and support needs of bereaved children and young people from the perspective of their parents and guardians. METHODS We analysed cross-sectional qualitative free-text data from a survey of adults bereaved in the UK during the pandemic. Participants were recruited via media, social media, national associations and community/charitable organisations. Thematic analysis was conducted on free text data collected from parent/guardian participants in response to a survey question on the bereavement experiences and support needs of their children. RESULTS Free-text data from 104 parent/guardian participants was included. Three main themes were identified: the pandemic-related challenges and struggles experienced by children and young people; family support and coping; and support from schools and services. Pandemic-challenges include the impacts of being separated from the relative prior to their death, isolation from peers and other family members, and disruption to daily routines and wider support networks. Examples were given of effective family coping and communication, but also of difficulties relating to parental grief and children's existing mental health problems. Schools and bereavement organisations' provision of specialist support was valued, but there was evidence of unmet need, with some participants reporting a lack of access to specialist grief or mental health support. CONCLUSION Children and young people have faced additional strains and challenges associated with pandemic bereavement. We recommend resources and initiatives that facilitate supportive communication within family and school settings, adequate resourcing of school and community-based specialist bereavement/mental health services, and increased information and signposting to the support that is available.
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Affiliation(s)
- Emily Harrop
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK.
| | - Silvia Goss
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK
| | - Mirella Longo
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK
| | - Kathy Seddon
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK
| | - Anna Torrens-Burton
- PRIME Centre, Division of Population Medicine, Cardiff University, Cardiff, UK
| | - Eileen Sutton
- Palliative and End of Life Care Research Group, Population Health Sciences, University of Bristol, Bristol Medical School, Bristol, UK
| | | | - Alison Penny
- National Bereavement Alliance/Childhood Bereavement Network, London, UK
| | - Annmarie Nelson
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK
| | - Anthony Byrne
- Marie Curie Research Centre, Division of Population Medicine, Cardiff University, 8th Floor Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK
| | - Lucy E Selman
- Palliative and End of Life Care Research Group, Population Health Sciences, University of Bristol, Bristol Medical School, Bristol, UK
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32
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Laranjeira C, Dixe MA, Querido A, Stritch JM. Death cafés as a strategy to foster compassionate communities: Contributions for death and grief literacy. Front Psychol 2022; 13:986031. [PMID: 35983204 PMCID: PMC9379088 DOI: 10.3389/fpsyg.2022.986031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 07/18/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Carlos Laranjeira
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Leiria, Portugal
- Research in Education and Community Intervention (RECI), Piaget Institute, Viseu, Portugal
- *Correspondence: Carlos Laranjeira
| | - Maria Anjos Dixe
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Leiria, Portugal
| | - Ana Querido
- School of Health Sciences of Polytechnic of Leiria, Leiria, Portugal
- Centre for Innovative Care and Health Technology (ciTechCare), Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, Porto, Portugal
| | - Jennifer Moran Stritch
- Department of Applied Social Sciences, Social Sciences ConneXions Research Institute, Technological University of the Shannon, Limerick, Ireland
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Tomoi K. Death Attitudes Among Middle-Aged and Older Adults in Japan: A Qualitative Study Based on Erikson's Theory of Generativity. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221108296. [PMID: 35694979 DOI: 10.1177/00302228221108296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There are few opportunities for ordinary people not familiar with death to think about it, whereas basic research on death attitudes is insufficient. This study thus examined the attitudes toward death among ordinary people through a qualitative analysis using Erikson's theory of generativity. Semi-structured interviews were conducted with 13 middle-aged and older Japanese individuals. The results showed that death attitudes were individualized and consisted of seven components, mainly those related to agency and communion. The change in death attitudes manifested as a change in weight from agency to communion, a change in meaning and perspective, and an orientation toward well-being. In conclusion, the change in death attitudes is to become more generative by balancing agency and communion through the function of narration. This change might be termed "the maturity of death attitudes" because it is oriented toward eudaimonic well-being.
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Affiliation(s)
- Kazumi Tomoi
- Graduate School of Humanities and Sustainable System Science, Osaka Prefecture University, Sakai, Osaka, Japan
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Ummel D, Vachon M, Guité-Verret A. Acknowledging bereavement, strengthening communities: Introducing an online compassionate community initiative for the recognition of pandemic grief. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 69:369-379. [PMID: 34935144 DOI: 10.1002/ajcp.12576] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 11/29/2021] [Accepted: 11/29/2021] [Indexed: 06/14/2023]
Abstract
Despite public health measures and collective efforts, millions of individuals have unfortunately died from COVID-19 complications worldwide, leaving several million family members at risk of developing bereavement complications. In the Canadian province of Quebec, where substantial deaths were associated with COVID-19, we established an online support community for bereaved caregivers who lost a loved one during the pandemic. We explain how we created a community that recognized pandemic grief and advocated for its wider acknowledgment. We discuss "compassionate communities," the theoretical underpinning of our initiative, as a means to foster solidarity, normalize finitude, create and maintain a safe social space through group sharing, and challenging capitalist principles. We then describe the eight areas of activities inspired by the Charter of Pallium Canada: education and training, hospices and nursing homes, media and social media, commemoration, celebrations, artistic practices and storytelling, marginalized populations, and review and evaluate. We propose that online communities constitute a powerful space for community members to gather and advocate for greater awareness of the inequities found in end-of-life care and bereavement services, to denounce abusive situations experienced by many individuals who died from COVID-19 complications, and to fight against the lack of recognition experienced by numerous caregivers.
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Affiliation(s)
- Deborah Ummel
- Département de psychoéducation, Université de Sherbrooke, Longueuil, Quebec, Canada
- Réseau québécois de recherche en soins palliatifs et de fin de vie (RQSPAL), Canada
- Centre for Research and Intervention on Suicide, Ethical Issues and End-of-life Practices (CRISE), Canada
| | - Mélanie Vachon
- Réseau québécois de recherche en soins palliatifs et de fin de vie (RQSPAL), Canada
- Centre for Research and Intervention on Suicide, Ethical Issues and End-of-life Practices (CRISE), Canada
- Département de psychologie, Université du Québec à Montréal, Montréal, Quebec, Canada
| | - Alexandra Guité-Verret
- Réseau québécois de recherche en soins palliatifs et de fin de vie (RQSPAL), Canada
- Centre for Research and Intervention on Suicide, Ethical Issues and End-of-life Practices (CRISE), Canada
- Département de psychologie, Université du Québec à Montréal, Montréal, Quebec, Canada
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Slam Bam, Thank you, Ma’am: The Challenges of Advance Care Planning Engagement in Long-Term Care. Can J Aging 2022; 41:443-450. [DOI: 10.1017/s0714980821000738] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Abstract
This interpretative, qualitative study explored residents’ and families’ perspectives on advance care planning (ACP) in long-term care (LTC). Perspectives on when, how, and with whom ACP discussions should be introduced and barriers and solutions to improving ACP engagement were examined. Fifty-one residents and families participated in seven focus groups. The findings revealed that residents and families prioritized caring connections over professional rank when reflecting on staff involvement in ACP. The findings further revealed that the caring and compassionate environment considered to be a critical pre-condition for ACP engagement was more typically enacted at end of life when ACP was no longer an option. Our findings suggest that work practices and organizational structures within LTC play an important role in inhibiting ACP engagement.
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Rawlings D, Miller-Lewis L, Tieman J. ‘It’s like a wedding planner’: Dying2Learn Massive Open Online Course participants views of the Death Doula role. PROGRESS IN PALLIATIVE CARE 2022. [DOI: 10.1080/09699260.2021.2021371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Deb Rawlings
- Palliative Care, College of Nursing and Health Sciences Flinders University, Adelaide, South Australia, Australia
| | - Lauren Miller-Lewis
- College of Psychology, School of Health, Medical and Applied Sciences, CQU, Adelaide, South Australia, Australia
| | - Jennifer Tieman
- Palliative Care, College of Nursing and Health Sciences Flinders University, Adelaide, South Australia, Australia
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Misouridou E, Mangoulia P, Pavlou V, Kasidi K, Stefanou E, Mavridoglou E, Kelesi M, Fradelos E. Reliability and Validity of the Greek Version of the Professional Quality of Life Scale (ProQOL-V). Mater Sociomed 2021; 33:179-183. [PMID: 34759774 PMCID: PMC8563027 DOI: 10.5455/msm.2021.33.179-183] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 09/24/2021] [Indexed: 12/31/2022] Open
Abstract
Background Compassion constitutes a central element of all health and social care professions. The Professional Quality of Life Questionnaire is the most widely used instrument to measure compassion fatigue worldwide. Objective The aim of this study was to provide evidence for the reliability and the validity of ProQOL-V for Greece. Methods A total of 261 nurses selected by convenience sampling and required to complete the ProQOL and Secondary Traumatic Stress Scale (STSS). The reliability and validity of the scale was evaluated by correlation analysis, t-test, and confirmatory factor analysis. Results The overall Cronbach's a for Compassion Satisfaction was 0.87 ranging from 0.86 to 0.87 with individual items deleted, for Burn-out was 0.73 ranging from 0.71 to 0.79 with individual items deleted and for Secondary Traumatic Stress was 0.83 ranging from 0.81 to 0.84 with individual items deleted. Additionally, the Pearson correlation r for Compassion Satisfaction, Burn-out and Secondary Traumatic Stress showed strong correlations between test-retest measurements (p<0.001). Secondary Traumatic Stress and Burn-out were positively correlated to STSS as expected (r=0.69 for Secondary Traumatic Stress and r=0.57 for Burn-out) implying sufficient convergent validity. In contrast, Compassion Satisfaction was negatively correlated to STSS as expected (r=-0.25) implying sufficient divergent validity. Goodness-of-fit indices included TLI=0.856, CFI=0.895, and RMSEA=0.063 supporting the construct validity of the three-dimensional instrument. Conclusion ProQOL-V has good reliability and validity among nurses in Greece. The implications of relevant future research are important in relation to the health care management and the support and continuous education of front-line health and social care workers.
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Affiliation(s)
| | | | | | | | | | | | - Martha Kelesi
- Nursing Department, University of West Attica, Athens, Greece
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Aoun SM, Noonan K, Thomas G, Rumbold B. Traumatised, angry, abandoned but some empowered: a national survey of experiences of family caregivers bereaved by motor neurone disease. Palliat Care Soc Pract 2021; 15:26323524211038584. [PMID: 34485910 PMCID: PMC8411645 DOI: 10.1177/26323524211038584] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 07/22/2021] [Indexed: 11/15/2022] Open
Abstract
Background There are few illnesses as disruptive as motor neurone disease, a fatal neurodegenerative condition, where diagnosis introduces a clinical narrative of inevitable decline through progressive immobilisation into death. Recent evidence suggests that bereaved motor neurone disease family caregivers are more likely to be at moderate or high risk of complicated grief. Methods Qualitative data from an anonymous national survey of bereaved motor neurone disease caregivers (n = 393) was examined through thematic analysis to explore the experiences of people who are at low, moderate, and high risk of complicated grief. Up to 40% responded to three open-ended questions: How caregivers viewed their coping strategies; the advice they had for others and what had been positive about their experience. Results Ten themes informed the narratives of illness and loss. All three groups shared similar experiences but differed in their capacity to address them. The low-risk group seemed to recognise the uncertainty of life and that meaning needed to be created by them. For the moderate-risk group, while motor neurone disease was a major disruption, they could with support, regroup and plan in different ways. The high-risk group did not have many resources, external or internal. They felt let down when professionals did not have answers and could not see or did not know how to change their ways of responding to this unwanted situation. Conclusion The differences in these three profiles and their narratives of loss should alert health and community service providers to identify and address the caregivers' support needs early and throughout the caregiving journey. Motor Neurone Disease Associations are involved throughout the illness journey and need to invest in a continuum of care incorporating end-of-life care and bereavement support. Community grief literacy and enhancement of social networks are keys to improved support from families and friends that can enable the focus to be on feelings of empowerment rather than abandonment.
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Affiliation(s)
- Samar M Aoun
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Bundoora Campus Kingsbury Drive, Melbourne, VIC 3086, Australia
| | - Kerrie Noonan
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Bundoora Campus Kingsbury Drive, Melbourne, VIC 3086, Australia
| | - Geoff Thomas
- Consumer advocate and Thomas MND Research Group, Adelaide, SA, Australia
| | - Bruce Rumbold
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Bundoora Campus Kingsbury Drive, Melbourne, VIC 3086, Australia
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Sawyer JS, Wilner LL, Ertl MM. Grief and bereavement beliefs among U. S. mental health professionals and the general public. DEATH STUDIES 2021; 46:2346-2353. [PMID: 34232851 DOI: 10.1080/07481187.2021.1944399] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The present study examined beliefs about grief and bereavement in a sample of mental health professionals and the general public in the United States. In part 1 of this study, we developed a 12-item questionnaire based on extant thanatology literature and expert review. In part 2, 210 participants rated their beliefs about grief and bereavement using this questionnaire. Participants rated most items accurately, and mental health professionals were more likely to answer items accurately compared to the general public. These findings provide support for increasing grief literacy in professional and public domains.
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Affiliation(s)
- Jacob S Sawyer
- Psychology Department, Pennsylvania State University, Mont Alto, Mont Alto, Pennsylvania, USA
| | | | - Melissa M Ertl
- Department of Educational and Counseling Psychology, University at Albany, State University of New York, Albany, New York, USA
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Aoun SM, Cafarella PA, Hogden A, Thomas G, Jiang L, Edis R. Why and how the work of Motor Neurone Disease Associations matters before and during bereavement: a consumer perspective. Palliat Care Soc Pract 2021; 15:26323524211009537. [PMID: 34104885 PMCID: PMC8072839 DOI: 10.1177/26323524211009537] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 03/24/2021] [Indexed: 12/14/2022] Open
Abstract
Background: Studies on the experiences of consumers with Motor Neurone Disease Associations at end of life and bereavement are lacking, and their role and capability within the broader sectors of health and disability are unknown. Objectives: To ascertain the experiences and views of bereaved motor neurone disease caregivers with Motor Neurone Disease Associations about service gaps and needed improvements before and during bereavement and to propose a model of care that fits with consumer preferences and where Motor Neurone Disease Associations are effective enablers of care. Methods: A national bereavement survey was facilitated in 2019 by all Motor Neurone Disease Associations in Australia. A total of 363 respondents completed the section on support provided by Motor Neurone Disease Associations. A mixed-method design was used. Results: Respondents were generally positive about support received before bereavement (73-76%), except for emotional support (55%). Positive experiences related to the following: information, equipment advice/provision, advocacy/linking to services, showing empathy/understanding, personal contact and peer social support. Negative experiences included lack of continuity in case management and contact, perceived lack of competence or training, lack of emotional support and a lack of access to motor neurone disease services in rural areas. Suggested improvements were as follows: more contact and compassion at end of life and postdeath; better preparation for end of life; option of discussing euthanasia; providing referrals and links for counseling; access to caregiver support groups and peer interaction; provision of a genuine continuum of care rather than postdeath abandonment; guidance regarding postdeath practicalities; and more access to bereavement support in rural areas. Conclusion: This study provides consumer perspectives on driving new or improved initiatives by Motor Neurone Disease Associations and the need for a national standardised approach to training and service delivery, based on research evidence. A public health approach to motor neurone disease end-of-life care, of international applicability, is proposed to address the needs and preferences of motor neurone disease consumers, while supporting the capability of Motor Neurone Disease Associations within a multidisciplinary workforce to deliver that care.
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Affiliation(s)
- Samar M Aoun
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Melbourne, VIC 3086, Australia
| | - Paul A Cafarella
- Department of Respiratory Medicine, Flinders Medical Centre, Bedford Park, SA, Australia; School of Psychology, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia; College of Nursing and Health Sciences, Flinders University, Bedford Park, SA, Australia
| | - Anne Hogden
- Australian Institute of Health Service Management, College of Business and Economics, University of Tasmania, Sydney, NSW, Australia
| | - Geoff Thomas
- Thomas MND Research Group, Adelaide, SA, Australia; Consumer Advocate and Chair; MND Association in South Australia, Mile End, SA, Australia
| | - Leanne Jiang
- Perron Institute for Neurological and Translational Science, Perth, WA, Australia; Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Robert Edis
- Department of Neurology, Sir Charles Gairdner Hospital, Perth, WA, Australia
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Schuelke T, Crawford C, Kentor R, Eppelheimer H, Chipriano C, Springmeyer K, Shukraft A, Hill M. Current Grief Support in Pediatric Palliative Care. CHILDREN (BASEL, SWITZERLAND) 2021; 8:278. [PMID: 33916583 PMCID: PMC8066285 DOI: 10.3390/children8040278] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 03/27/2021] [Accepted: 04/01/2021] [Indexed: 02/06/2023]
Abstract
Grief support changes as more is learned from current grief theory and research. The authors provide a comprehensive overview of current grief support as it relates to Pediatric Palliative Care (PPC). The following aspects of grief are addressed: (1) anticipatory grief: the nondeath losses that occur with a complex and chronic illness, as well as the time leading up to death; (2) grief around the time of death: the intense and sacred experience of companioning with a dying child; (3) grief after death: supporting bereavement and mourning through programing and other methods; (4) innovative approaches: the future of grief support. The contents of this article are meant to support and educate programs currently providing grief services and those aiming to begin the meaningful work of grief support.
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Affiliation(s)
- Taryn Schuelke
- Department of Pediatric Palliative Care, Texas Children’s Hospital, 6621 Fannin St., Houston, TX 77030, USA; (C.C.); (K.S.)
| | - Claire Crawford
- Department of Pediatric Palliative Care, Texas Children’s Hospital, 6621 Fannin St., Houston, TX 77030, USA; (C.C.); (K.S.)
| | - Rachel Kentor
- Department of Pediatrics, Baylor College of Medicine, Psychology Service, Texas Children’s Hospital, 6701 Fannin St., Houston, TX 77030, USA;
| | - Heather Eppelheimer
- Memorial Hermann Pediatric Hospice, 902 Frostwood Suite 288, Houston, TX 77024, USA;
| | | | - Kirstin Springmeyer
- Department of Pediatric Palliative Care, Texas Children’s Hospital, 6621 Fannin St., Houston, TX 77030, USA; (C.C.); (K.S.)
| | - Allison Shukraft
- Department of Pediatrics, Pediatric Advanced Care Team, Atrium Health’s Levine Children’s Hospital, MEB 415-F, 1000 Blythe Blvd, Charlotte, NC 28203, USA;
| | - Malinda Hill
- Justin Michael Ingerman Center for Palliative Care, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA 19104, USA;
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Fang C, Comery A. Understanding Grief During the First-Wave of COVID-19 in the United Kingdom-A Hypothetical Approach to Challenges and Support. FRONTIERS IN SOCIOLOGY 2021; 6:607645. [PMID: 33869550 PMCID: PMC8022837 DOI: 10.3389/fsoc.2021.607645] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 03/04/2021] [Indexed: 05/27/2023]
Abstract
Purpose: This article develops immediate understandings of loss and grief at both an individual and collective level following the first-wave of COVID-19 in the UK. This allows for insights into the likely challenges and support for loss and grief in facing unprecedented disruption and uncertainty. Ultimately, it explores avenues for the priorities to inform better bereavement support. Methods: By examining trusted media data and carefully selected academic literature, we analyse both individual and societal responses to loss and grief in the novel context of the first-wave of COVID-19 in the UK. The discussion relocates the ideas of good and bad deaths in the context of increased social constrains and inequalities. Further, two pairs of contrasting hypotheses are proposed to examine how the UK's first-wave outbreak has shaped policy and practical structures and how these have further impacted experiences of loss and grief both at an individual and collective level. Findings: The discussion captures a mixed picture of loss and grief in the UK, which highlights the importance of timely, holistic, and continuous support both in social policy and care provision. It is found that individuals and collectives express diverse needs in response to deaths and losses as a process of meaning-making. Further, the significance of socio-cultural environments also become evident. These findings highlight community support during the outbreak and further promote a grief literate culture as imperative to support individual and collective needs when confronted with loss and grief. Conclusion: This article provides a timely and comprehensive account of possible challenges and support both for individual and collective experiences of loss and grief at a time of unprecedented social restrictions and mass deaths in the UK. These understandings provide a base from which we advocate the priorities for future research into the ongoing impacts of COVID-19 on grief and bereavement.
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Affiliation(s)
- Chao Fang
- University of Bath, Bath, United Kingdom
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Weinstock L, Dunda D, Harrington H, Nelson H. It's Complicated-Adolescent Grief in the Time of Covid-19. Front Psychiatry 2021; 12:638940. [PMID: 33708148 PMCID: PMC7940762 DOI: 10.3389/fpsyt.2021.638940] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 02/01/2021] [Indexed: 01/04/2023] Open
Abstract
Presently, there is a real possibility of a second pandemic occurring: a grief pandemic. There are estimated to be over 1 million children and young people experiencing bereavement because of Covid-19. Adolescent grief is unique due to bio-psycho-social factors such as increased risk-taking, identity-formation, and limited capacity for emotional regulation. In this article, we will argue that adolescents are at increased risk of developing complicated grief during the Covid-19 pandemic, and that it is vital that services are improved to recognize and address this need before secondary problems emerge, including anxiety, depression, and substance abuse. Complicated grief in adolescents is widely underrecognized and often misdiagnosed as a range of mental health problems, addictions, and offending behavior. For example, 25% of <20 year olds who commit suicide have experienced childhood bereavement, whilst 41% of youth offenders have experienced childhood bereavement; this is in comparison with only 4% of the general population. Many of the broader risk factors for complicated grief were already increasing prior to the Covid-19 pandemic, including increased loneliness amongst young people, and the collapse of collective structures to help people manage grief. We propose that this pandemic could be a catalyst for mental health professionals to support and nurture the caring communities emerging in this time as an essential resource to prevent the onset of a grief pandemic.
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Affiliation(s)
| | | | | | - Hannah Nelson
- Psychology Department, University of Loughborough, Loughborough, United Kingdom
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Breen LJ. Harnessing social support for bereavement now and beyond the COVID-19 pandemic. Palliat Care Soc Pract 2021; 15:2632352420988009. [PMID: 34104884 PMCID: PMC8164552 DOI: 10.1177/2632352420988009] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Lauren J. Breen
- School of Psychology, Curtin University, GPO Box
U1987, Perth, WA 6845, Australia
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45
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Misouridou E, Pavlou V, Kasidi K, Apostolara P, Parissopoulos S, Mangoulia P, Fradelos E. Translation and Cultural Adaptation of the Professional Quality of Life Scale (ProQOL V) for Greece. Mater Sociomed 2021; 32:187-190. [PMID: 33424447 PMCID: PMC7780756 DOI: 10.5455/msm.2020.32.187-190] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Introduction: Compassion constitutes a central element of all health and social care professions. The Professional Quality of Life Questionnaire is the most widely used instrument to measure compassion fatigue worldwide. Aim: The aim of this study was to culturally adapt the ProQOL V for Greece. Method: Forward-translations and back-translations were conducted by two bilingual translators (English-Greek) grown up in English speaking countries (USA, Australia) while cross-cultural adaptation followed strictly the recent WHO guidelines. Results: A five-member expert-panel convened by the first author in order to identify and discuss inadequate expressions/concepts of the forward/backward translation resolved all discrepancies and reached consensus after two panel meetings. Overall, 90.0% of participants considered the instrument very good or good, and items were found relevant, easy to understand and with appropriate alternative answer categories for the three dimensions of CF. Conclusion: High quality self-report measures are necessary in evidence-based health and social care research and practice. Participants in a pre-test of the latest cross-culturally adapted version of ProQOL V verified the readability, comprehensibility and suitability of the instruments’ items. After completion of the validation of the ProQOL V, it will become available to Greek researchers.
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46
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Aoun SM, Keegan O, Roberts A, Breen LJ. The impact of bereavement support on wellbeing: a comparative study between Australia and Ireland. Palliat Care Soc Pract 2020; 14:2632352420935132. [PMID: 32783026 PMCID: PMC7385836 DOI: 10.1177/2632352420935132] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 05/27/2020] [Indexed: 12/31/2022] Open
Abstract
Background: There is a dearth of national and international data on the impact of social support on physical, mental, and financial outcomes following bereavement. Methods: We draw from two large, population-based studies of bereaved people in Australia and Ireland to compare bereaved people’s experience of support. The Australian study used a postal survey targeting clients of six funeral providers and the Irish study used telephone interviews with a random sample of the population. Results: Across both studies, the vast majority of bereaved people reported relying on informal supporters, particularly family and friends. While sources of professional help were the least used, they had the highest proportions of perceived unhelpfulness. A substantial proportion, 20% to 30% of bereaved people, reported worsening of their physical and mental health and about 30% did not feel their needs were met. Those who did not receive enough support reported the highest deterioration in wellbeing. Discussion: The compassionate communities approach, which harnesses the informal resources inherent in communities, needs to be strengthened by identifying a range of useful practice models that will address the support gaps. Ireland has taken the lead in developing a policy framework providing guidance on level of service provision, associated staff competencies, and training needs.
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Affiliation(s)
- Samar M Aoun
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Melbourne, VIC 3086, Australia
| | - Orla Keegan
- Irish Hospice Foundation, Dublin, Ireland; Royal College of Surgeons in Ireland, Dublin, Ireland
| | | | - Lauren J Breen
- School of Psychology, Curtin University, Perth, WA, Australia
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Fang C. Dynamics of Chinese Shidu Parents’ Vulnerability in Old Age –A Qualitative Study. JOURNAL OF POPULATION AGEING 2020. [DOI: 10.1007/s12062-020-09293-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AbstractShidu is a Chinese word, referring to a group of bereaved parents who were subject to the One-Child Policy and whose only child has died. Living in a society where care for older people largely relies on adult children, Shidu parents can be highly vulnerable due to losing an only child who may be their primary resource for old age security. Despite the noticeable rise of Shidu families in China, these vulnerable parents have often been overlooked in society and neglected by government policies. This article adopts a qualitative approach to analyse interviews with 15 older Shidu parents and four support professionals, capturing dynamic experiences of these parents’ vulnerability in grief, elderly care and end-of-life care. Through a sociological lens, these Shidu parents are found to have adapted, revised and even rejected the status quo to cope with significant gaps in support and to negotiate for more meaningful support for their old age. This dynamic but distressing picture has also revealed a lack of ongoing structures that can effectively address these older Shidu parents’ multifaceted and changing needs. Based on the findings, recommendations are made aiming to inform future practice and policymaking for older Shidu parents.
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Morrigan B, Keesing S, Breen LJ. Exploring the Social Networks of Bereaved Spouses: Phenomenological Case Studies. OMEGA-JOURNAL OF DEATH AND DYING 2020; 85:268-284. [PMID: 32698677 DOI: 10.1177/0030222820944062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Bereavement is a significant stressor that can affect and be affected by social support, yet there is little known about the social networks of bereaved individuals. We conducted an in-depth qualitative examination of the social networks of bereaved spouses through an interpretive phenomenological analysis. Five participants were interviewed about their social networks prior to and following bereavement. Participants described considerable changes in their social networks. They reported connecting with others who had experienced similar stressors, including via online support groups for widows/widowers, as a key strategy for re-engagement with their social worlds. The death of a spouse can precipitate the dramatic reorganization of social networks to incorporate and adapt to this crisis. Findings offer guidance for service providers to support bereaved spouses to harness existing social networks to optimize received support.
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Affiliation(s)
| | - Sharon Keesing
- School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Australia
| | - Lauren J Breen
- School of Psychology, Curtin University, Perth, Australia
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