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Grief

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1. Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement

Palliative Care for the Patient with Incurable Cancer or Advanced Disease: Part 3: Grief and Bereavement Guidelines & Protocols Advisory Committee Palliative Care for the Patient with Incurable Cancer or Advanced Disease Part 3: Grief and Bereavement Effective Date: February 22, 2017 Scope This guideline addresses the needs of adult patients with incurable cancer or advanced disease (but can be useful for adults dying of any cause), as well as the needs of their caregivers or family, including (...) grieving, but it is helpful to provide a listening ear, to be supportive, and to provide information. • Distinguish grief from depression and treat grief-related major depression once you are confident it is pathological. • In the case of Prolonged Grief Disorder (complicated grief), assess and take note of any risk factors or concerns. • Primary care providers play a key role in the continued monitoring of patients’ grief responses and may refer the patient to grief counselling and treatment options

2017 Clinical Practice Guidelines and Protocols in British Columbia

2. Tales of Survival-The Physician?s Stages of Grief (Based upon the Kübler-Ross Model)

Tales of Survival-The Physician?s Stages of Grief (Based upon the Kübler-Ross Model) Tales of Survival-The Physician’s Stages of Grief (Based upon the Kübler-Ross Model) – Clinical Correlations Search Tales of Survival-The Physician’s Stages of Grief (Based upon the Kübler-Ross Model) August 4, 2017 5 min read By Lauren M. Young Prologue/Narrowing a Diagnosis . A 61 year-old African American male, with a longstanding history of right knee and lower back pain, presented to the Emergency (...) . But while the intern and I sit at the bedside and feed another terminal patient chocolate ice cream one afternoon, he gives me some sustaining advice: “You’re going to be a doctor for a long time, and most of it is going to be work that is hard or annoying or boring, but enjoy these moments. These are the ones that matter.” Epilogue. The Kübler-Ross model is a well-accepted framework for how people experience grief, and it has been applied to many types of loss, including death of a loved one, loss

2017 Clinical Correlations

3. Assessment of grief-related rumination: validation of the German version of the Utrecht Grief Rumination Scale (UGRS). (PubMed)

Assessment of grief-related rumination: validation of the German version of the Utrecht Grief Rumination Scale (UGRS). Bereavement can result in severe mental health problems, including persistent, severe and disabling grief symptoms, termed complicated grief. Grief rumination (i.e., repetitive thought about the causes and consequences of the loss) is a malleable cognitive risk-factor in adjustment to bereavement. The Utrecht Grief Rumination Scale (UGRS) was recently developed to assess grief (...) rumination. The present study aimed to develop and validate a German version of the UGRS.An online survey including measures of demographic and loss-related variables, grief rumination (UGRS), depressive rumination (brooding and reflection), and symptoms of depression, anxiety, and complicated grief, was administered online among 159 persons (87% women) who had lost a first-degree relative in the past three years. UGRS item analyses, a confirmatory factor analysis and associations of grief rumination

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2018 BMC Psychiatry

4. Treating prolonged grief disorder with prolonged grief-specific cognitive behavioral therapy: study protocol for a randomized controlled trial (PubMed)

Treating prolonged grief disorder with prolonged grief-specific cognitive behavioral therapy: study protocol for a randomized controlled trial Prolonged grief disorder (PGD) has emerged as a well-defined and relatively common mental disorder that will be included in the upcoming revision of the International Classification of Diseases. Recent trials with grief-specific, mostly cognitive behavioral interventions for patients with a clinically relevant diagnosis of PGD showed large effect sizes (...) . However, a small trial suggested that non-specific behavioral activation might suffice to improve PGD. So, more evidence for the relative efficacy of grief-specific treatments is needed, as is more research on the predictors of treatment success. The purpose of the proposed trial is to evaluate a newly developed and successfully pilot-tested, prolonged grief-specific, integrative cognitive behavioral therapy (PG-CBT) compared to an active yet unspecific treatment, present-centered therapy (PCT

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2018 Trials

5. Accommodating Grief on Twitter: An Analysis of Expressions of Grief Among Gang Involved Youth on Twitter Using Qualitative Analysis and Natural Language Processing (PubMed)

Accommodating Grief on Twitter: An Analysis of Expressions of Grief Among Gang Involved Youth on Twitter Using Qualitative Analysis and Natural Language Processing There is a dearth of research investigating youths' experience of grief and mourning after the death of close friends or family. Even less research has explored the question of how youth use social media sites to engage in the grieving process. This study employs qualitative analysis and natural language processing to examine tweets (...) that follow 2 deaths. First, we conducted a close textual read on a sample of tweets by Gakirah Barnes, a gang-involved teenaged girl in Chicago, and members of her Twitter network, over a 19-day period in 2014 during which 2 significant deaths occurred: that of Raason "Lil B" Shaw and Gakirah's own death. We leverage the grief literature to understand the way Gakirah and her peers express thoughts, feelings, and behaviors at the time of these deaths. We also present and explain the rich and complex style

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2018 Biomedical Informatics Insights

6. The adolescent grief inventory: Development of a novel grief measurement. (PubMed)

The adolescent grief inventory: Development of a novel grief measurement. To develop an empirically derived, reliable and valid measure of grief in adolescents, aged 12-18 years old.An online survey comprising 59 items derived from a qualitative study of 39 bereaved adolescents, the Hogan Inventory of Bereavement Children and Adolescents (HIB), the Depression, Anxiety and Stress Scales (DASS-21), the Multidimensional Scale of Perceived Social Support (MSPSS), and a series of death- and mental (...) health-related questions, targeted adolescents bereaved when aged 12-18 years, with 176 adolescents (80.6% girls) completing the survey.Factor Analysis of the 59-items resulted in a final solution, the Adolescent Grief Inventory (AGI) comprised of 40 items and 6 factors: Sadness, Self-blame, Anxiety and Self-harm, Shock, Anger and Betrayal, and Sense of Peace, with indices of good fit (RMSEA = 0.057, CFI = 0.952, TLI = 0.948). There was strong evidence of convergent (HIB) and divergent (MSPSS

2018 Journal of Affective Disorders

7. Detecting pre-death grief in family caregivers of persons with dementia: measurement equivalence of the Mandarin-Chinese version of Marwit-Meuser caregiver grief inventory. (PubMed)

Detecting pre-death grief in family caregivers of persons with dementia: measurement equivalence of the Mandarin-Chinese version of Marwit-Meuser caregiver grief inventory. Pre-death grief (PDG) is a key challenge faced by caregivers of persons with dementia (PWD). Marwit-Meuser Caregiver Grief Inventory (MM-CGI) and its abbreviated MM-CGI-Short-Form (MM-CGI-SF) are among the few empirically-developed scales that detect PDG. However, they have not had a Mandarin-Chinese version even though

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2018 BMC Geriatrics

8. The role of avoidance in complicated grief: A detailed examination of the Grief-Related Avoidance Questionnaire (GRAQ) in a large sample of individuals with complicated grief (PubMed)

The role of avoidance in complicated grief: A detailed examination of the Grief-Related Avoidance Questionnaire (GRAQ) in a large sample of individuals with complicated grief 28649184 2018 11 13 1532-5024 21 6 2016 Journal of loss & trauma J Loss Trauma The role of avoidance in complicated grief: A detailed examination of the Grief-Related Avoidance Questionnaire (GRAQ) in a large sample of individuals with complicated grief. 533-547 10.1080/15325024.2016.1157412 Baker Amanda W AW Massachusetts (...) of Social Work. Simon Naomi M NM Massachusetts General Hospital/Harvard Medical School. eng R01 MH085308 MH NIMH NIH HHS United States Journal Article 2016 02 24 United States J Loss Trauma 101082763 1532-5024 anxiety avoidance grief loss questionnaire 2017 6 27 6 0 2016 1 1 0 0 2016 1 1 0 1 ppublish 28649184 10.1080/15325024.2016.1157412 PMC5482544 NIHMS831683 J Affect Disord. 2011 Jun;131(1-3):339-43 21216470 Eur J Psychotraumatol. 2015 Jul 06;6:27324 26154434 Int J Med Educ. 2011 Jun 27;2:53-55

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2016 Journal of loss & trauma

9. Detecting Predeath Grief in Family Caregivers of Persons With Dementia: Validity and Utility of the Marwit-Meuser Caregiver Grief Inventory in a Multiethnic Asian Population (PubMed)

Detecting Predeath Grief in Family Caregivers of Persons With Dementia: Validity and Utility of the Marwit-Meuser Caregiver Grief Inventory in a Multiethnic Asian Population Coping with predeath grief (PDG) is an unmet need in caregivers of persons with dementia (PWD). The Marwit-Meuser Caregiver Grief Inventory (MM-CGI) and its abbreviated MM-CGI-Short-Form (MM-CGI-SF) are among the few empirically developed scales that detect PDG, yet they have not been substantially validated outside United

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2017 The Gerontologist

10. Examination of factor structure of the Inventory of Complicated Grief (ICG) in a sample of bereaved military family members with persistent and elevated grief (PubMed)

Examination of factor structure of the Inventory of Complicated Grief (ICG) in a sample of bereaved military family members with persistent and elevated grief 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. Results confirmed an equivalent five-factor structure of the ICG in both the military family sample and the clinical research sample. The similarity in factor

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2017 International journal of methods in psychiatric research

11. Richard Smith: The public health of death, dying, and grief has been neglected, but now is the time

Richard Smith: The public health of death, dying, and grief has been neglected, but now is the time Richard Smith: The public health of death, dying, and grief has been neglected, but now is the time - The BMJ ---> The dying spend less than 5% of their time with doctors and nurses, and 95% doing something else, perhaps alone, with family and friends, walking the dog, making love, reading poetry, or watching the television. “Dying is not hard,” said Alan Kellehear, 50 th Anniversary Professor (...) , End of Life Care, University of Bradford in London this week; it’s what happens on the journey to death, which may last years, that can be hard: anxiety, depression, fear, loneliness, social isolation, stigma, looking into the abyss, and suicide. Yet palliative care concerns itself primarily with the 5% not the 95%. And the grief that starts before a death and continues after death lasts not for weeks, months, or years but forever. “What are our forever strategies?” asked Kellehear. “Grief,” he

2019 The BMJ Blog

12. Effectiveness of psychosocial interventions in reducing grief experienced by family carers of people with dementia: a systematic review. (PubMed)

Effectiveness of psychosocial interventions in reducing grief experienced by family carers of people with dementia: a systematic review. Family carers of people living and dying with dementia experience grief. The prevalence, predictors and associated factors of grief in this population have been identified, and psychosocial interventions to decrease grief symptoms have been implemented. However, the effect of psychosocial interventions on family carers' grief, loss or bereavement has not been (...) examined.To synthesize the existing evidence regarding the impact of psychosocial interventions to assist adjustment to grief, pre- and post-bereavement, for family carers of people with dementia.Family carers of older persons with dementia (>65 years).Psychosocial interventions in health and social care facilities, and community settings designed to assist family carers adjust to grief during the dementia trajectory and/or following death.No treatment, standard care or treatment as usual

2017 JBI database of systematic reviews and implementation reports

13. Child grief due to the death of parents who were victims of homicide: a systematic review of literature

Child grief due to the death of parents who were victims of homicide: a systematic review of literature Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

14. What are dementia caregivers experiences of grief and bereavement? A qualitative systematic review.

What are dementia caregivers experiences of grief and bereavement? A qualitative systematic review. Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

15. Complicated grief and maternal mental health after the loss of a child: a systematic review

Complicated grief and maternal mental health after the loss of a child: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

16. Dementia Grief: A Theoretical Model of a Unique Grief Experience (PubMed)

Dementia Grief: A Theoretical Model of a Unique Grief Experience Previous literature reveals a high prevalence of grief in dementia caregivers before physical death of the person with dementia that is associated with stress, burden, and depression. To date, theoretical models and therapeutic interventions with grief in caregivers have not adequately considered the grief process, but instead have focused on grief as a symptom that manifests within the process of caregiving. The Dementia Grief (...) Model explicates the unique process of pre-death grief in dementia caregivers. In this paper we introduce the Dementia Grief Model, describe the unique characteristics of dementia grief, and present the psychological states associated with the process of dementia grief. The model explicates an iterative grief process involving three states- separation, liminality, and re-emergence-each with a dynamic mechanism that facilitates or hinders movement through the dementia grief process. Finally, we offer

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2016 Dementia (London, England)

17. "Prolonged grief disorder" and "persistent complex bereavement disorder", but not "complicated grief", are one and the same diagnostic entity: an analysis of data from the Yale Bereavement Study. (PubMed)

"Prolonged grief disorder" and "persistent complex bereavement disorder", but not "complicated grief", are one and the same diagnostic entity: an analysis of data from the Yale Bereavement Study. There exists a general consensus that prolonged grief disorder (PGD), or some variant of PGD, represents a distinct mental disorder worthy of diagnosis and treatment. Nevertheless, confusion remains over whether different names and proposed symptom criteria for this disorder identify the same (...) or different diagnostic entities. This study aimed to determine whether PGD, complicated grief (CG), and persistent complex bereavement disorder (PCBD) as described by the DSM-5 are substantively or merely semantically different diagnostic entities. Data were derived from the Yale Bereavement Study, a longitudinal community-based study of bereaved individuals funded by the US National Institute of Mental Health, designed explicitly to evaluate diagnostic criteria for disordered grief. The results suggested

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2016 World Psychiatry

18. Effectiveness of interventions for people bereaved through suicide: a systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. (PubMed)

Effectiveness of interventions for people bereaved through suicide: a systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. Suicide bereavement is a risk factor for adverse outcomes related to grief, social functioning, mental health and suicidal behaviour. Consequently, suicide bereavement support (i.e., postvention) has been identified as an important suicide prevention strategy. However, little is known about its effectiveness. To redress this gap (...) , this review aimed to assess the evidence of effectiveness of interventions for people bereaved by suicide, and appraise the quality of the research in this field.We conducted a systematic review according to PRISMA guidelines. Searches of peer-reviewed literature in Medline, PsycINFO, Embase and EBM Reviews identified 12 papers reporting on 11 relevant studies conducted between 1984 and 2018.Across studies, there was a wide variety of intervention modalities, study populations, control groups, and grief

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2019 BMC Psychiatry

19. Comparing the Effects of Grief and Burden on Caregiver Depression in Dementia Caregiving: A Longitudinal Path Analysis over 2.5 Years. (PubMed)

Comparing the Effects of Grief and Burden on Caregiver Depression in Dementia Caregiving: A Longitudinal Path Analysis over 2.5 Years. Caregivers of persons with dementia can experience loss and grief long before the death of the person. Although the phenomenon of caregiver grief has been increasingly described, it is uncertain if caregiver grief has independent effects-separate from the well-studied construct of caregiver burden-on adverse outcomes such as caregiver depression. We sought (...) to compare the effects of baseline grief and burden on caregiver depression at baseline and 2.5 years later.A cohort study with 2.5 years of follow-up.Family caregivers of community-dwelling persons with dementia (n = 183).Participants completed questionnaires with scales that assessed caregiver grief, burden, and depression. Baseline grief and burden scores were included in a path analysis to predict depression at baseline and at 2.5 years.At baseline, grief and burden had synergistic relationships

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2019 Journal of the American Medical Directors Association

20. Being there: protocol for a scoping review of the medical education literature on grief support training for medical professionals. (PubMed)

Being there: protocol for a scoping review of the medical education literature on grief support training for medical professionals. Medical trainees and professionals do not perceive that they are adequately taught the skills to address issues of grief with their patients. Atypical grief responses can prolong suffering, interrupt normal activities and lead to increased morbidity and mortality. Grief training can help physicians cope with feelings about and responses to suffering, loss and death (...) in a way that improves both physician and patient/family wellness. This scoping review will describe the current landscape of grief training worldwide in medical school and residency and in continuing professional development in the disciplines of paediatrics, family medicine and psychiatry. The ultimate goal is to help physicians support patients experiencing grief.The study design has been adapted from Arksey and O'Malley's review methodology. We will work with an information specialist who will run

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2019 BMJ open

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