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At least 19 recordsLinked to original sources

[Grief experience by 154 young adults in the general population (value of the TRIG grief scale). Texas Revised Inventory of Grief].

154 young adults (25-35 years old) of the general population completed tests and questionnaires in order to find correlations between the scores at the Texas Revised Inventory of Grief, TRIG (Faschingbauer et al. 1977) and several personality variables (depression, anxiety-state and -trait, self-esteem, locus of control, social support, and tobacco dependency). The correlation between all these variables are presented and discussed. TRIG, in its French translation and validation, proves to be a reliable and specific instrument in the assessment of bereavement (past and current distress, and coping process).

Adaptation, Psychological↗

Grief processing and deliberate grief avoidance: a prospective comparison of bereaved spouses and parents in the United States and the People's Republic of China.

In this study, the authors measured grief processing and deliberate grief avoidance and examined their relationship to adjustment at 4 and 18 months of bereavement for 2 types of losses (spouse, child) in 2 cultures (People's Republic of China, United States). Three hypotheses were compared: the traditional grief work assumption, a conditional grief work hypothesis, and a view of grief processing as a form of rumination absent among resilient individuals. Although cultural differences in grief processing and avoidance were observed, the factor structure of these measures proved invariant across cultures. Consistent with the grief work as rumination hypothesis, both grief processing and deliberate grief avoidance predicted poor long-term adjustment for U.S. participants. Furthermore, initial grief processing predicted later grief processing in both cultures. However, among the participants in the People's Republic of China, neither grief processing nor deliberate avoidance evidenced clear psychological consequences.

Adaptation, Psychological↗

Impact of current grief on memory for past grief in spousal bereavement.

This study examined the impact of changes in level of current grief over time on changes in memory for past grief. Following from previous work on the impact of current affective state on memory for past affectively salient events, bereaved individuals who underwent a greater reduction in grief over time were expected to show a similar pattern of changes in memory for past grief. A sample of conjugally bereaved participants completed measures of current grief and memory for past grief at the time of the loss of their spouse at each of the 2, 6, 13, and 30 month post-loss time periods. As predicted, those who reported greater reduction in grief over the course of the study were more likely to remember their past grief as progressively less severe relative to those who underwent less reduction in grief over time. A nonrecursive causal model analysis verified that changes in memory for past grief were explained by changes in current grief. These results were discussed in terms of contemporary reconstructive memory accounts of the effect of affective state on memory.

Aged↗

Grief communication, grief reactions and marital satisfaction in bereaved parents.

This study examined if attitudes about grief communication are related to grief reactions and marital satisfaction in bereaved parents. The sample consisted of 36 couples who experienced the loss of a child. For the couple as a unit, the relation between attitudes about communication and grief changed over time, and the nature of the change was related to the level of communication; positive attitudes about open communication were related to high grief in the early stages of bereavement and to low grief in later stages. No relation to marital satisfaction was found. Spouses were correlated in their attitudes about communication, but women valued open communication significantly more than men. Positive attitudes about grief communication were related to men's grief reactions but not marital satisfaction; whereas for women, positive attitudes were related to marital satisfaction but not grief.

Child↗

A comparison of spousal anticipatory grief and conventional grief.

The purpose of the present investigation was to compare the degree of similarity between the grief experienced by spouses of terminally-ill patients prior to (anticipatory grief) and following the death (conventional grief). Responses of this sample were also compared with those of two control groups: spouses of chronically-ill patients and spouses of relatively healthy individuals from the community. The impact of such factors as the quality of the marital relationship, perceived ability to cope, concurrent stressors, previous losses, perceived social support, and perception of spouse's pain and suffering on anticipatory and conventional grief was also systematically explored. Results indicated that these two phenomena are statistically similar with regard to the majority of subscales on the Grief Experience Inventory. Furthermore, when compared with conventional grief, anticipatory grief was unexpectedly associated with higher intensities of anger, loss of emotional control, and atypical grief responses.

Aged↗

[Grief and the work of grief].

In this article, the grief process is described and discussed. Differences between grief and disease processes are discussed. The first systematic study of bereavement and grief by Lindemann (1944) is described in detail. A comparison is made of two different concepts: one in which the grief process is divided in phases of coping and adaptation, and one in which the process is divided on the basis of "grief work", tasks that need to be performed for adaptation and adequate coping behaviour to occur. Determinants that influence the grief process and risk factors that may have a negative influence on it are discussed. Finally, a distinction is made between normal and pathological grief processes and attention is drawn to measures that may prevent pathological processes.

Adaptation, Psychological↗

Scott and White Grief Study--phase 2: toward an adaptive model of grief.

The current study was a dual investigation focused both on the pathogenesis of grief responses and on factors associated with personal growth as a bereavement outcome in a heterogeneous sample of 85 mourners. To examine the pathogenesis of grief, the authors tested the ability of several high-risk factors to predict mourners' subsequent emotional intensity on 2 dependent measures: the Grief Experience Inventory and the Hogan Grief Reaction Checklist. Three situational variables (traumatic death, younger age of decedent, and perception of preventability) as well as 2 mourner liabilities (history of mental health treatment and greater number of other losses) were associated with higher subjective grief misery scores. When using personal growth as a positive outcome following bereavement, the authors identified 4 behavioral correlates of adaptive grieving: ability to see some good resulting from the death, having a chance to say goodbye, intrinsic spirituality, and spontaneous positive memories of the decedent. The advantages of an adaptive model of grief for generating treatment implications are discussed.

Adaptation, Psychological↗

A survey of grief and bereavement in nursing homes: the importance of hospice grief and bereavement for the end-stage Alzheimer's disease patient and family.

OBJECTIVES: To determine the prevalence of grief and bereavement services in nursing homes. To highlight the importance of grief and bereavement as provided in the Medicare hospice benefit for the end-stage Alzheimer's Disease (AD) patient and family residing in long-term care facilities. DESIGN: Telephone survey of nursing homes. PARTICIPANTS: One hundred twenty-one nursing homes in the Lower Peninsula of the state of Michigan. MEASUREMENTS: The facilities were asked questions about on-site grief and bereavement services, services routinely offered by licensed hospice agencies. RESULTS: Fifty-five percent of the homes sent sympathy cards after the patients death. Ninety-nine percent of the facilities surveyed did not provide materials to the family or primary caregiver on the grieving process or bereavement after the death. None of the facilities sent a letter after the patients death informing them of local, community or on-site bereavement support group meetings. Seventy-six percent of the homes were not able to offer a referral to a counseling or psychiatric professional when bereavement intervention was deemed appropriate. Fifty-four percent of the homes usually went to the funeral home or the funeral of a patient who died it their facility. Ninety-eight percent of the nursing homes neither visited, made phone calls, nor provided written communication (i.e., bereavement newsletter) to the family members after the patients death. CONCLUSION: The study demonstrated few grief and bereavement services for families of patients residing in long-term care facilities. Because grief and bereavement is part of the career of most Alzheimer's caregivers, access to the Medicare hospice benefit should be encouraged for families of patients with end-stage Alzheimer's Disease residing in nursing facilities.

Alzheimer Disease↗

The Melbourne Family Grief Study, II: Psychosocial morbidity and grief in bereaved families.

OBJECTIVE: The aim of this study was to describe the intensity of grief, the psychosocial morbidity, and the coping patterns in members of families classified according to a typology of family functioning comprising supportive, conflict-resolving, intermediate, sullen, and hostile classes. METHOD: One hundred fifteen families were assessed longitudinally 6 weeks (time 1), 6 months (time 2), and 13 months (time 3) after the death of a parent (constituting 670 individual responses) on measures of grief intensity, psychological state, social adjustment, and family coping. A previously described typology of perceptions of family functioning was applied. Repeated measures multivariate analysis of variance based on both individuals and families and post hoc comparisons of significant results were undertaken. RESULTS: Sullen families displayed the most intense grief and the most severe psychosocial morbidity. Well-functioning families (supportive and conflict-resolving) resolved their grief and adjusted more adaptively than their dysfunctional counterparts (intermediate, sullen, and hostile families). There were no cluster-by-time interactions. The clusters accounted for 15.7% of the variance in depression (Beck Depression Inventory) and 27.9% of the variance in social functioning (Social Adjustment Scale). Well-functioning families used more family coping strategies (Family Crisis Oriented Personal Evaluation Scales). CONCLUSIONS: More intense grief and greater psychosocial morbidity are found in sullen, hostile, and intermediate bereaved families than in the more adaptive supportive and conflict-resolving types. At-risk families are identifiable and could be treated preventively to reduce morbidity.

Adaptation, Psychological↗

[Assessment of grief exemplified pregnancy loss: development and initial results on the validity of the Munich Grief Scale].

Bereavement research is hampered conceptually by confounding of grief and depression, methodologically by a lack of generally agreed-upon measures. Therefore we developed the Munich Grief Scale (MGS) based on the Perinatal Grief Scale (PGS, Potvin et al. 1989) and results from a previous study. Validation included comparisons with standardized self-report scales of depression, anxiety and physical symptoms. It was based on a follow-up study of 125 patients who had miscarried and 3 comparison groups who either suffered from a miscarriage or a stillbirth. Self-reports were compared to expert ratings of grief and depression. The MGS is a economical, reliable self- and expert rating scale after pregnancy loss. The applicability of the grief measures to other kinds of bereavements remains to be determined.

Abortion, Spontaneous↗

How do nurses deal with their own grief when a patient dies on an intensive care unit, and what help can be given to enable them to overcome their grief effectively?

There is an expectation that nurses are good at caring for relatives on the death of a patient. Who, though, cares for the nurses? Using both a quantitative and a qualitative approach, this study looks at how nurses overcome their own grief when a patient dies on an intensive care unit. Information was first collected using a questionnaire. Personal grief, however, is a very emotive area, so a proportion of the nurses from the initial study were then asked to take part in a semi-structured interview, to explore their feelings in more depth. The quantitative data were analysed using the computer software Statistical Package for the Social Sciences and the results were related to the interview responses. This showed how nurses deal with their grief, and that many, but not all, felt that the informal support network already present was sufficient. Some nurses, however, felt that a support group would also be helpful and some felt the availability of a counsellor would be useful. All nurses felt that more training about how to deal with their own grief was needed.

Adaptation, Psychological↗

The impact of a grief workshop for pediatric oncology nurses on their grief and perceived stress.

Coping with the death of a pediatric patient with whom the nurses has developed a close relationship is reported by nurses as the most stressful experience of being a pediatric nurse. Such losses are inevitable for a pediatric nurse regardless of subspecialty and can contribute to a nurse leaving the specialty or the discipline. To prevent those consequences, nurses' grief needs to be acknowledged, and their grieving needs to be facilitated. The purpose of this study was to determine the impact of a grief workshop on grief symptoms and perceived stress in two groups of pediatric oncology nurses who differed in years of experience in the specialty. Study findings indicated that the workshop affected the two groups differently, with the more experienced nurses reporting significantly higher stress levels after the workshop than did the less experienced nurses. Study findings are interpreted and recommendations for future work are offered.

Adaptation, Psychological↗

[The role of grief in palliative care--new models and approaches for accompaniment of grief].

On the basis of a case report, I want to discuss my experience with grief and its accompaniments in palliative care. Furthermore, issues will be addressed such as: accompanying a palliative patient whose daughter died of cancer three years earlier; establishing rapport with patients of different religious beliefs; the limits of psychotherapeutic aid: what it can offer and its acceptance. New models and approaches for accompaniment of grief.

Adaptation, Psychological↗

Parental grief following the brain death of a child: does consent or refusal to organ donation affect their grief?

The purpose of this study was to investigate the grieving process of parents who were faced with the dilemma of donating organs and tissues of their underage brain dead child, and to explore the impact of their decision on their grief process. A grounded theory methodology was adopted and a semi-structured interview was conducted with 11 bereaved parents who consented to, and 11 parents who declined organ donation. Findings suggest that the core themes that characterize their grief and the main variables that affect their grieving process are similar for both donor and non-donor parents. Consent or refusal of organ donation per se does not seem to affect the overall grieving process. It is the meaning attributed to the act of donation that affects how parents perceive the child's death and subsequently facilitate or hinder their adjustment to loss.

Adaptation, Psychological↗

Perinatal Bereavement Grief Scale: distinguishing grief from depression following miscarriage.

The study evaluated the Perinatal Bereavement Grief Scale (PBGS), the first scale designed to measure grieffollowing reproductive loss in terms of yearning for the lost pregnancy and lost baby. Participants included 304 women interviewed by telephone I to 3 times within 6 months aftermiscarriage. The PBGS had high internal consistency and test-retest reliability. It showed convergent validity with measures of attachment and investment in the child and divergent validity against measures of social desirability and depressive symptoms, supporting the conceptual distinction between grief and depression. Cross-cultural validity was acceptable whether tested by language (Spanish vs. English) or ethnicity (Hispanic vs. other). This measure of yearning enables study of the epidemiology and prognostic value of this key feature of mourning.

Abortion, Spontaneous↗

Mapping grief: an active approach to grief resolution.

This article describes a clinical tool, the Grief Map, that is designed to assist those who are grieving death and non-death losses. The map provides a constructive multidimensional framework for dealing with the phenomena of the grieving process and for rebuilding life following major loss. The method of developing the map and its various uses as an assessment, educational, and therapeutic tool are detailed with illustrative case examples. The underlying precepts on which the map is based and its correlates with current theory and research are discussed. The limitations of the map and issues for further research are discussed.

Grief↗