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Claudia Ravaldi, Miriam Levi, Elena Angeli, Gianpaolo Romeo, Marco Biffino, Roberto Bonaiuti, Alfredo Vannacci
OBJECTIVE: To assess current practices of health care providers (HCPs) caring for women experiencing a stillbirth and to explore their needs for training to better support bereaved families. DESIGN: Nationwide cross-sectional survey. The main outcome measures were the evaluation of HCPs cognition, emotions and behaviours with regard to the care of women with a stillbirth care, as well as their compliance with international guidelines. PARTICIPANTS: 750 HCPs, in 11 Italian hospitals, were administered a multiple-choice questionnaire...
June 7, 2018: Midwifery
Tim A Bruckner, Ralph Catalano
Public health researchers may assume, based on the fetal origins literature, that "scarring" of birth cohorts describes the population response to modern-day stressors. We contend, based on extensive literature concerned with selection in utero , that this assumption remains questionable. At least a third and likely many more of human conceptions fail to yield a live birth. Those that survive to birth, moreover, do not represent their conception cohort. Increasing data availability has led to an improved understanding of selection in utero and its implications for population health...
August 2018: SSM—Population Health
Steven Pham, Giovanna Porta, Candice Biernesser, Monica Walker Payne, Satish Iyengar, Nadine Melhem, David A Brent
OBJECTIVE: The authors sought to determine the long-term impact of sudden parental death on youths and pathways between youth bereavement and impairment. METHODS: Youths (N=216) who lost a parent to suicide, accident, or sudden natural death and nonbereaved youths (N=172) were followed periodically for up to 7 years. The incidence and prevalence of disorder and of functional impairment, as well as pathways to impairment, were assessed using Cox and mixed-effects logistic regression and structural equation modeling...
June 20, 2018: American Journal of Psychiatry
Jennifer Weathersbee Steinberg, Gayle M Roux
The purpose of this descriptive study was to co-create oral histories of Midwestern farm widows. Rural widows constitute a vulnerable population due to issues of bereavement and depression compounded by emotional and geographical isolation. A farm widow is often forced to maintain viability of the farm for the family's livelihood. Oral history interviews with nine Midwest farm widows were conducted and analyzed. Three overarching themes emerged: competence, industriousness, and inner strength. Women shared stories of overcoming insurmountable obstacles...
July 2018: Nursing Science Quarterly
Ting Li, Su-Wei Wang, Jing-Jing Zhou, Qing-Zhuo Ren, Yu-Lin Gao
BACKGROUND: The Texas Revised Inventory of Grief-Present Scale (TRIG-Present) is a widely used tool to measure grief. Most existing research related to the assessment and characteristics of grief has been conducted sampling bereaved Western subjects and, as such, limited information is available on the experience of grief in Chinese samples. OBJECTIVE: This study aims to validate the Chinese version of the TRIG-Present (TRIG-Present-C) and explore the predictors of grief among bereaved adults in China...
June 18, 2018: Journal of Palliative Medicine
Christine Mauro, Charles F Reynolds, Andreas Maercker, Natalia Skritskaya, Naomi Simon, Sidney Zisook, Barry Lebowitz, Stephen J Cozza, M Katherine Shear
BACKGROUND: The World Health Organization (WHO) International Classification of Disease (ICD-11) is expected to include a new diagnosis for prolonged grief disorder (ICD-11PGD). This study examines the validity and clinical utility of the ICD-11PGD guideline by testing its performance in a well-characterized clinical sample and contrasting it with a very different criteria set with the same name (PGDPLOS). METHODS: We examined data from 261 treatment-seeking participants in the National Institute of Mental Health (NIMH)-sponsored multicenter clinical trial to determine the rates of diagnosis using the ICD-11PGD guideline and compared these with diagnosis using PGDPLOS criteria...
June 18, 2018: Psychological Medicine
Minsoo Khang, Dong Hun Lee, Yewon Kim
The aim of this study was to provide empirical descriptions of responses to the death of a sibling to the sinking of the Sewol ferry in South Korea. 16 bereaved parents are interviewed regarding their surviving children's grief responses at approximately 2 years after the death. The surviving siblings described by the bereaved parents are 14 in total, including 8 teens in their 10s and 4 young adults in their 20s. Interviews were transcribed verbatim and analyzed using a qualitative content analysis method...
January 1, 2018: Omega
Rebecca Garcia, Nasreen Ali, Malcolm Griffiths, Gurch Randhawa
BACKGROUND: To review the similarities and differences in Pakistani, Bangladeshi and White British mothers health beliefs (attitudes, knowledge and perceptions) and health behaviour regarding their consumption of folic acid pre-conception, to reduce the risk of neural tube defects. METHODS: Our study used a descriptive qualitative research approach, implementing face-to-face focus group discussions with Pakistani, Bangladeshi or White British mothers (normal birth outcomes and mothers with poor birth outcomes) and semi-structured interviews or focus groups with service providers using semi-structured topic guides...
June 15, 2018: BMC Pregnancy and Childbirth
Julian Abel, Allan Kellehear
The UK Palliative Medicine Syllabus is critically evaluated to assess its relationship and relevance to contemporary palliative care policy and direction. Three criteria are employed for this review: (1) relevance to non-cancer dying, ageing, caregivers, and bereaved populations; (2) uptake and adoption of well-being models of public health alongside traditional illness and disease models of clinical understanding; and (3) uptake and integration of public health insights and methodologies for social support...
2018: Palliative Care
Rose Miranda, Yolanda W H Penders, Tinne Smets, Luc Deliens, Guido Miccinesi, Tomás Vega Alonso, Sarah Moreels, Lieve Van den Block
Background: measuring the quality of primary palliative care for older people with dementia in different countries is important to identify areas where improvements can be made. Objective: using quality indicators (QIs), we systematically investigated the overall quality of primary palliative care for older people with dementia in three different countries. Design/setting: a mortality follow-back survey through nation- and region-wide representative Sentinel Networks of General Practitioners (GPs) in Belgium, Italy and Spain...
June 8, 2018: Age and Ageing
Meg McCallum, Leslie Hill, Cheryl Tschupruk
No abstract text is available yet for this article.
June 2018: Journal of Palliative Medicine
Sara Martel, Lori Ives-Baine
PURPOSE: To qualitatively explore neonatal intensive care nurses' experiences with end-of-life photography as part of their bereavement support work with families. DESIGN AND METHODS: An Interpretive Phenomenological Analysis with data collected through a focus group (n = 6) and one semi-structured interview (n = 1) with neonatal nurses from a Level 3/4 NICU in a Canadian pediatric hospital. RESULTS: Participants' comfort with EOL photography developed over time through exposure to bereavement scenarios and positive experiences with families...
June 7, 2018: Journal of Pediatric Nursing
Julie B Kaplow, Britney M Wardecker, Christopher M Layne, Ethan Kross, Amanda Burnside, Robin S Edelstein, Alan R Prossin
This study examined links between the language bereaved children use to describe the death of their caregiver and children's psychological/behavioral functioning and coping strategies. Participants included 44 children (54.5% male) aged 7 to 12 (M = 9.05) years who were bereaved by the death of a caregiver. Children were assessed via self- and caregiver-report measures and an in-person interview regarding the loss of their caregiver. Children's loss narratives gathered through in-person interviews were transcribed and subjected to textual analysis...
June 5, 2018: Journal of Traumatic Stress
Benjamin W Bellet, Jason M Holland, Robert A Neimeyer
A mourner's success in making meaning of a loss has proven key in predicting a wide array of bereavement outcomes. However, much of this meaning-making process takes place in an interpersonal framework that is hypothesized to either aid or obstruct this process. To date, a psychometrically validated measure of the degree to which a mourner successfully makes meaning of a loss in a social context has yet to be developed. The present study examines the factor structure, reliability, and validity of a new measure called the Social Meaning in Life Events Scale (SMILES) in a sample of bereaved college students (N = 590)...
June 5, 2018: Death Studies
Hyejin Tae, Hyu Jung Huh, Jihyun Hwang, Jeong-Ho Chae
The objective of this study was to investigate the relationship between serum lipid concentrations and PTSD symptoms in the bereaved after a traumatic familial loss. Eighteen months after the Sewol ferry disaster, 107 subjects who experienced traumatic losses as a result of the accident completed a mental and medical survey as well as laboratory tests for lipid profiles. At 30 months after the trauma, a total of 64 individuals completed a follow-up psychometric survey and biochemical measurements. We performed multiple linear regression analyses, examining the association between PTSD symptoms and lipid profiles...
May 16, 2018: Psychiatry Research
Maria Ftanou, Jaelea Skehan, Karolina Krysinska, Marc Bryant, Matthew J Spittal, Jane Pirkis
Background: Suicide and suicide-related behaviours are major public health concerns in Australia and worldwide. One universal intervention that has received an increased focus as a means of preventing suicide is the use of media campaigns. There is, however, a lack of understanding of the kinds of campaign messages that are safe and effective. The current paper aims to expand on this knowledge. The study objectives were to: (1) explore what suicide prevention experts consider to be essential characteristics of effective and safe suicide media campaigns; (2) develop suicide prevention media messages; and (3) explore the impact that these messages might have on different audiences...
2018: International Journal of Mental Health Systems
Joah L Williams, Jasmine R Eddinger, Edward K Rynearson, Alyssa A Rheingold
BACKGROUND: Family members grieving the traumatic death of a loved one, as in cases of homicide, suicide, and fatal accidents, are at risk for a number of trauma and bereavement-related mental health problems, including posttraumatic stress disorder (PTSD), depression, prolonged grief disorder, and suicidal ideation (SI). AIMS: The purpose of this study was to examine the prevalence and correlates of SI among a sample of 130 treatment-seeking traumatically bereaved family members...
May 31, 2018: Crisis
Seon-Young Kim, Seung-Jeon Kim, Jae-Min Kim, Sung-Wan Kim, Il-Seon Shin, Hyun-Jeong Shim, Sang-Hee Cho, Ik-Joo Chung, Jin-Sang Yoon
OBJECTIVE: Depressive symptoms are common in bereaved caregivers; however, there have been few prospective studies using a structured interview. This study investigated the prevalence and preloss predictors of major depressive disorder (MDD) in bereaved caregivers of patients in a palliative care unit. METHOD: This prospective cohort study collected caregiver sociodemographic and psychological data before the death of a palliative care unit patient, including MDD, care-burden, coping style, and hopeful attitude...
May 28, 2018: Palliative & Supportive Care
N Spillane, S Meaney, K O' Donoghue
OBJECTIVE: Ectopic pregnancy can become a life threatening condition. Due to the specific nature of Ectopic pregnancy the grief experienced may well be overlooked compared to other pregnancy losses. Fertility concerns for the future and recovery from surgical or medical treatment may instead become the focus of care. The objective of this study was to gain insight into women's experience of Ectopic pregnancy. STUDY DESIGN: A qualitative semi-structured interview format was utilised...
June 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
Janine Stein, Jonathan Michael Bär, Hans-Helmut König, Matthias Angermeyer, Steffi G Riedel-Heller
OBJECTIVE: Loss experiences in old age are common and can be accompanied by serious consequences such as depression. This study aimed at investigating the distribution of loss experiences and their association with depression in old age. METHODS: Based on the Leipzig Longitudinal Study of the Aged 75+ (LEILA 75+), a sample of 706 individuals was assessed via structured clinical interviews. Data on social loss experiences were collected via the Leipziger Lebensereignis-Liste...
May 25, 2018: Psychiatrische Praxis
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