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Complicated grief

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https://www.readbyqxmd.com/read/28936597/terminal-weaning-or-immediate-extubation-for-withdrawing-mechanical-ventilation-in-critically-ill-patients-the-arreve-observational-study
#1
René Robert, Amélie Le Gouge, Nancy Kentish-Barnes, Alice Cottereau, Bruno Giraudeau, Mélanie Adda, Djillali Annane, Juliette Audibert, François Barbier, Patrick Bardou, Simon Bourcier, Jeremy Bourenne, Alexandre Boyer, François Brenas, Vincent Das, Arnaud Desachy, Jérôme Devaquet, Marc Feissel, Frédérique Ganster, Maïté Garrouste-Orgeas, Guillaume Grillet, Olivier Guisset, Rebecca Hamidfar-Roy, Anne-Claire Hyacinthe, Sebastien Jochmans, Mercé Jourdain, Alexandre Lautrette, Nicolas Lerolle, Olivier Lesieur, Fabien Lion, Philippe Mateu, Bruno Megarbane, Sybille Merceron, Emmanuelle Mercier, Jonathan Messika, Paul Morin-Longuet, Bénédicte Philippon-Jouve, Jean-Pierre Quenot, Anne Renault, Xavier Repesse, Jean-Philippe Rigaud, Ségolène Robin, Antoine Roquilly, Amélie Seguin, Didier Thevenin, Patrice Tirot, Isabelle Vinatier, Elie Azoulay, Jean Reignier
PURPOSE: The relative merits of immediate extubation versus terminal weaning for mechanical ventilation withdrawal are controversial, particularly regarding the experience of patients and relatives. METHODS: This prospective observational multicentre study (ARREVE) was done in 43 French ICUs to compare terminal weaning and immediate extubation, as chosen by the ICU team. Terminal weaning was a gradual decrease in the amount of ventilatory assistance and immediate extubation was extubation without any previous decrease in ventilatory assistance...
September 22, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28910996/think-adult-think-child-why-should-staff-caring-for-dying-adults-ask-what-the-death-means-for-children-in-the-family
#2
Sir Al Aynsley-Green
Introduction: Bereaved children and young people in the UK are 'hidden mourners'. Sources of data: Review of primary and secondary evidence on childhood bereavement. Area of agreement: Children experience grief that varies according to the circumstance of death and their cognitive ability. Voluntary organizations can be supportive, but provision is patchy and vulnerable to austerity. Areas of concern: Adult-centric denial of the importance and long-term consequences of childhood grief; uncertainty in how best to relate to bereaved children in faiths and in schools...
September 1, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/28885932/screening-for-complicated-grief-in-a-military-mental-health-clinic
#3
Eileen M Delaney, Kathryn J Holloway, Derek M Miletich, Jennifer A Webb-Murphy, Nicole M Lanouette
INTRODUCTION: Bereavement is one of the most common and stressful life experiences one can endure. Typical grief reactions follow a course of recovery in which individuals come to terms with the loss and resume functioning within weeks to months. However, for some, grief remains indefinitely distressing. Complicated Grief (CG) refers to significant chronic impairment that stems from bereavement. Military service members experience myriad factors that likely increase their risk for developing CG...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28868909/-recognizing-complicated-grief-from-a-doctor-s-point-of-view
#4
András Zelena
By reviewing two bereavement support group cases I wish to demonstrate the important role a doctor, also receptive of his patients' non-verbal signals, has in the early recognition of complicated grief and halted grief process. Doctors are aware of individual traumas and destinies, and general practitioners are familiar with the details of their patients' life and home circumstances, could be catalysts for the continuation of the halted grief process. They discover the real cause of trauma behind several psychosomatic symptoms...
September 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28846510/psychological-mindedness-and-psychotherapy-process-in-short-term-group-therapy
#5
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
Psychological mindedness is regarded as an important patient characteristic that can influence the course of psychotherapy. The purpose of this study was to investigate the relationship between patients' capacity for psychological mindedness and aspects of the group psychotherapy process as experienced and rated by therapists and other group members. Participants were 110 patients who completed two forms of short-term group therapy for the treatment of complicated grief. Psychological mindedness was assessed at pretreatment by external raters using a video-interview procedure...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28767332/short-term-group-therapy-for-complicated-grief-the-relationship-between-patients-in-session-reflection-and-outcome
#6
David Kealy, Carlos A Sierra-Hernandez, William E Piper, Anthony S Joyce, Rene Weideman, John S Ogrodniczuk
OBJECTIVE: The objective of the present study was to examine the nature of patients' work in two types of short-term group psychotherapy. The study sought to investigate the relationship between patients' psychodynamic work versus supportive work in group psychotherapy and treatment outcome at termination and at 6-month follow-up. Psychodynamic work refers to reflection regarding intrapsychic motivations, defenses, and relational patterns, and supportive work refers to practical problem solving...
2017: Psychiatry
https://www.readbyqxmd.com/read/28730182/tracking-deceased-related-thinking-with-neural-pattern-decoding-of-a-cortical-basal-ganglia-circuit
#7
Noam Schneck, Stefan Haufe, Tao Tu, George A Bonanno, Kevin Ochsner, Paul Sajda, J John Mann
BACKGROUND: Deceased-related thinking is central to grieving and potentially critical to processing of the loss. Self-report measurements might fail to capture important elements of deceased-related thinking and processing. Here, we used a machine learning approach applied to fMRI - known as neural decoding - to develop a measure of ongoing deceased-related processing. METHODS: 23 subjects grieving the loss of a first-degree relative, spouse or partner within 14 months underwent two fMRI tasks...
July 2017: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/28711756/meaningful-communication-before-death-but-not-present-at-the-time-of-death-itself-is-associated-with-better-outcomes-on-measures-of-depression-and-complicated-grief-among-bereaved-family-members-of-cancer-patients
#8
Hiroyuki Otani, Saran Yoshida, Tatsuya Morita, Maho Aoyama, Yoshiyuki Kizawa, Yasuo Shima, Satoru Tsuneto, Mitsunori Miyashita
CONTEXT: Few studies have explored the clinical significance of the family's presence or absence at the moment of a patient's death and meaningful communication (saying "goodbye") in terms of post-bereavement outcomes. OBJECTIVES: To explore the potential association between the family's depression/complicated grief and their presence at the moment of a patient's death and the patient's communication with the family. METHODS: A nationwide questionnaire survey was conducted on 965 family members of cancer patients who had died at palliative care units...
July 13, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28708342/-admission-to-intensive-care-of-palliative-care-patients-the-stakes-and-factors-influencing-the-decision
#9
Monica Escher, Mathieu Nendaz, Bara Ricou
Palliative care patients have limited prospects of survival and the benefit of intensive care is uncertain. To make a decision there are considerations other than survival probabilities. Patients should receive appropriate care and be spared suffering. End of life in the intensive care unit has an impact on families, who may develop psychological problems or complicated grief. End of life care can be a source of conflicts and cause burnout in health providers. Finally, intensive care is an expensive resource, which must be fairly allocated...
February 1, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28705039/the-associations-of-complicated-grief-depression-posttraumatic-growth-and-hope-among-bereaved-youth
#10
Alison Salloum, Anne Bjoerke, Carly Johnco
Research on the association between complicated grief (CG), hope, and posttraumatic growth (PTG) among bereaved youth is limited. Measures of CG, depression, hope, and PTG were completed by 85 youth (aged 7-18 years). Results indicated a strong positive relationship between CG and depressive symptoms, an inverse relationship between hope and depressive symptoms, and a moderate positive relationship between hope and PTG. There was no significant association between CG and hope or between CG and PTG. Higher levels of CG and lower levels of hope independently predicted greater depressive symptoms, but PTG did not...
January 1, 2017: Omega
https://www.readbyqxmd.com/read/28701245/parental-coping-in-the-context-of-having-a-child-who-is-facing-death-a-theoretical-framework
#11
Anne-Sophie E Darlington, David N Korones, Sally A Norton
OBJECTIVE: While improvements in healthcare have resulted in children with complex and life-threatening conditions living longer, a proportion of them still die. The death of a child puts parents at increased risk for anxiety, depression, and complicated grief. Increasing our understanding of the coping strategies that parents use under such extreme circumstances will enable us to best provide support to families, before and after a child's death. Our aim herein was to develop a theoretical framework of parental coping...
July 13, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28673257/experiences-of-end-of-life-amongst-family-carers-of-people-with-advanced-dementia-longitudinal-cohort-study-with-mixed-methods
#12
Kirsten J Moore, Sarah Davis, Anna Gola, Jane Harrington, Nuriye Kupeli, Victoria Vickerstaff, Michael King, Gerard Leavey, Irwin Nazareth, Louise Jones, Elizabeth L Sampson
BACKGROUND: Many studies have examined the mental health of carers of people with dementia. Few have examined their experiences in the advanced stages of disease and into bereavement. We aimed to understand the experiences of carers during advanced dementia exploring the links between mental health and experiences of end of life care. METHODS: Mixed methods longitudinal cohort study. Thirty-five family carers of people with advanced dementia (6 at home, 29 in care homes) were recruited and assessed monthly for up to nine months or until the person with dementia died, then at two and seven months into bereavement...
July 3, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28670757/an-exploration-of-clinical-psychology-s-response-to-parental-bereavement-in-adults-with-intellectual-disability
#13
Lynn Irwin, Grace O'Malley, Shazia Neelofur, Suzanne Guerin
BACKGROUND: The dearth of literature regarding how or when to intervene when an adult with intellectual disability is bereaved may impede clinical practice; this study therefore aimed to explore the current clinical psychology response, so as to enhance understanding of the role of the profession in supporting grief within this population. METHOD: A collective case study design was used. Data for six persons with intellectual disability, including interviews with parentally bereaved persons and involved staff members, were integrated into individual case stories for cross-case synthesis...
July 3, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28664618/examination-of-factor-structure-of-the-inventory-of-complicated-grief-icg-in-a-sample-of-bereaved-military-family-members-with-persistent-and-elevated-grief
#14
Joscelyn E Fisher, Christine Mauro, Stephen J Cozza, Melanie Wall, Naomi M Simon, Claudio D Ortiz, Jill Harrington-LaMorie, Yuanjia Wang, Carol S Fullerton, Robert J Ursano, M Katherine Shear
Knowledge about the effect of a US service member's death on surviving family members is limited. In order to identify their grief-related health care needs, a first step is to identify the characteristics of persistent and elevated grief in a military family sample. The present study identified military family members (n = 232) bereaved more than six months who endorsed an elevated level of grief. A confirmatory factor analysis and test of measurement invariance of factor structure were used to compare the factor structure of their Inventory of Complicated Grief (ICG) responses to that of a bereaved non-military-related clinical research sample with similar grief levels...
June 30, 2017: International Journal of Methods in Psychiatric Research
https://www.readbyqxmd.com/read/28663165/early-interventions-following-the-death-of-a-parent-protocol-of-a-mixed-methods-systematic-review
#15
Mariana Pereira, Iren Johnsen, May Aa Hauken, Pål Kristensen, Atle Dyregrov
BACKGROUND: Previous meta-analyses examined the effectiveness of interventions for bereaved children showing small to moderate effect sizes. However, no mixed methods systematic review was conducted on bereavement interventions following the loss of a parent focusing on the time since death in regard to the prevention of grief complications. OBJECTIVE: The overall purpose of the review is to provide a rigorous synthesis of early intervention after parental death in childhood...
June 29, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28656585/a-survey-of-the-experiences-of-families-with-bereavement-support-services-following-a-perinatal-loss
#16
Violet Inati, Mara Matic, Christine Phillips, Nathalie Maconachie, Fiona Vanderhook, Alison L Kent
BACKGROUND: Although there are many studies that explore complicated grief, no studies have examined the impact of bereavement support services on the progression to complicated grief. The aims of our study were to describe the types of bereavement services utilised by families who have experienced a perinatal loss, and explore the impact of these services on the families' bereavement journey. METHODS: Women who experienced a perinatal loss were sent a survey consisting of the modified Perinatal Post Traumatic Stress Disorder (PTSD) questionnaire, items addressing use of bereavement services, and the Inventory of Complicated Grief...
June 28, 2017: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28644859/grief-interventions-for-people-bereaved-by-suicide-a-systematic-review
#17
REVIEW
Katja Linde, Julia Treml, Jana Steinig, Michaela Nagl, Anette Kersting
BACKGROUND: Adaption to the loss of a loved one due to suicide can be complicated by feelings of guilt, shame, responsibility, rejection, and stigmatization. Therefore people bereaved by suicide have an increased risk for developing complicated grief which is related to negative physical and mental disorders and an increased risk for suicidal behavior. Grief interventions are needed for this vulnerable population. The aim of this systematic review was to provide an overview of the current state of evidence concerning the effectiveness of interventions that focus on grief for people bereaved by suicide...
2017: PloS One
https://www.readbyqxmd.com/read/28632358/increased-beta-power-in-the-bereaved-families-of-the-sewol-ferry-disaster-a-paradoxical-compensatory-phenomenon-a-two-channel-electroencephalography-study
#18
Kuk-In Jang, Miseon Shim, Sang Min Lee, Hyu Jung Huh, Seung Huh, Ji-Young Joo, Seung-Hwan Lee, Jeong-Ho Chae
AIM: The Sewol ferry capsizing accident in South Korea's southern coast had resulted in the death of 304 people, and serious bereavement problems of their families. Electroencephalography (EEG) beta frequency is associated with psychiatric symptoms such as insomnia. The aim of this study was to investigate the relationship between frontal beta power, psychological symptoms, and insomnia in the bereaved families. METHODS: Eighty-four family members of the Sewol ferry victims (32 men and 52 women) were recruited and their EEG was compared with that of 25 (13 men and 12 women) healthy controls...
June 20, 2017: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/28618886/emotional-sequelae-of-elective-abortion-the-role-of-guilt-and-shame
#19
Donna Krupkin Whitney
Although estimates vary, many women experience long-term emotional, spiritual, psychological and interpersonal difficulties following abortion, including complicated grief, depression, post-traumatic stress disorder (PTSD) and relationship disturbances. Developmental, drive, object-relations and narcissism models for perinatal loss also illuminate the dynamics of post-abortion syndromes. Guilt and shame play important roles in generating and concealing post-abortion sequelae. Pastoral care and healthcare providers can increase their awareness of post-abortion sequelae and provide effective care for women experiencing these syndromes...
June 2017: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/28609578/the-loss-of-a-fellow-service-member-complicated-grief-in-post-9-11-service-members-and-veterans-with-combat-related-posttraumatic-stress-disorder
#20
Naomi M Simon, Emily B O'Day, Samantha N Hellberg, Susanne S Hoeppner, Meredith E Charney, Donald J Robinaugh, Eric Bui, Elizabeth M Goetter, Amanda W Baker, Andrew H Rogers, Mireya Nadal-Vicens, Margaret R Venners, Hyungjin M Kim, Sheila A M Rauch
Bereavement is a potent and highly prevalent stressor among service members and veterans. However, the psychological consequences of bereavement, including complicated grief (CG), have been minimally examined. Loss was assessed in 204 post-9/11, when service members and veterans with combat-related posttraumatic stress disorder (PTSD) took part in a multicenter treatment study. Those who reported the loss of an important person completed the inventory of complicated grief (ICG; n = 160). Over three quarters (79...
June 13, 2017: Journal of Neuroscience Research
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