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[PMID]:29364937
[Au] Autor:Nuzum D; Meaney S; O'Donoghue K
[Ad] Endereço:Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland.
[Ti] Título:The impact of stillbirth on bereaved parents: A qualitative study.
[So] Source:PLoS One;13(1):e0191635, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To explore the lived experiences and personal impact of stillbirth on bereaved parents. METHODS: Semi-structured in-depth interviews analysed by Interpretative Phenomenological Analysis (IPA) on a purposive sample of parents of twelve babies born following fetal death at a tertiary university maternity hospital in Ireland with a birth rate of c8,500 per annum and a stillbirth rate of 4.6/1000. RESULTS: Stillbirth had a profound and enduring impact on bereaved parents. Four superordinate themes relating to the human impact of stillbirth emerged from the data: maintaining hope, importance of the personhood of the baby, protective care and relationships (personal and professional). Bereaved parents recalled in vivid detail their experiences of care following diagnosis of stillbirth and their subsequent care. The time between diagnosis of a life-limiting anomaly or stillbirth and delivery is highlighted as important for parents as they find meaning in their loss. CONCLUSIONS: The impact of stillbirth on bereaved parents is immense and how parents are cared for is recalled in precise detail as they revisit their experience. Building on existing literature, these data bring to light the depth of personal experience and impact of stillbirth for parents and provides medical professionals with valuable insights to inform their care of bereaved parents and the importance of clear and sensitive communication.
[Mh] Termos MeSH primário: Luto
Pais/psicologia
Natimorto
[Mh] Termos MeSH secundário: Seres Humanos
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191635


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[PMID]:29406651
[Au] Autor:Palmer M; Saviet M; Tourish J
[Ti] Título:Understanding and Supporting Grieving Adolescents and Young Adults.
[So] Source:Pediatr Nurs;42(6):275-81, 2016 Nov-Dec.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The adolescent and young adult years are a time of growth, change, and challenge. Experiencing the loss of a family member or friend during this period of life can have a profound effect on a young person's social functioning, physical and mental health, and development. Research demonstrates that the grief reactions of adolescents and young adults differ from those of adults, and that loss is an individual experience that varies widely throughout each developmental stage. Further, youth who struggle to cope with a significant loss without support and guidance are more likely to experience a greater intensity of grief and distress. When providing support to a grieving adolescent or young adult, it is important to understand normal development, appreciate common grief responses, and identify deviations. It is also important to know about available interventions and supportive strategies, specifically for this age group. With this knowledge, pediatric nurses and other helping professionals can tailor guidance, support, and referrals to suit the specific needs of individual bereaved youth.
[Mh] Termos MeSH primário: Adaptação Psicológica
Comportamento do Adolescente/psicologia
Atitude Frente à Morte
Terapia Comportamental/métodos
Luto
Pesar
Estresse Psicológico/enfermagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29215421
[Au] Autor:Merrigan JL
[Ad] Endereço:Joyce L. Merrigan is a Resolve Through Sharing® National Faculty member, Clinton, New Jersey. The author can be reached via e-mail at joyce.merrigan@yahoo.com.
[Ti] Título:Educating Emergency Department Nurses About Miscarriage.
[So] Source:MCN Am J Matern Child Nurs;43(1):26-31, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Miscarriage is the unwanted ending of a pregnancy before 20 weeks gestation. Women experiencing miscarriage require specialized care from nurses and other healthcare professionals. Many women are dissatisfied with emergency care related to miscarriage and desire honest communication, validation of urgency, and more robust information at discharge. Perinatal bereavement education offers an opportunity for emergency department nurses to acquire specific knowledge and communication skills that assist with understanding the individualized experience of early pregnancy loss. For many women, a miscarriage is devastating, whereas for some, a part of life. Therefore, assessing the meaning of miscarriage is an essential step to providing sensitive, supportive care. Education was offered to emergency department nurses based on a 4-hour Resolve Through Sharing curriculum. Education focused on knowledge of policy and practice, medical aspects of pregnancy loss, information on how to assess the meaning of the miscarriage, respectful handling and disposition of the remains, and communication strategies to initiate and sustain a meaningful relationship with the woman and her family, within the barriers to care that are exclusive to the emergency department. Participants embraced the information and actively participated in dialogue of an evaluation process to identify needed revisions in current policies and practices for caring for this patient population. Recommendations and guidance for emergency room nurses who care for women experiencing miscarriage are offered.
[Mh] Termos MeSH primário: Aborto Espontâneo/enfermagem
Luto
Enfermagem em Emergência/educação
Gestantes/psicologia
[Mh] Termos MeSH secundário: Serviço Hospitalar de Emergência/organização & administração
Feminino
Pessoal de Saúde/psicologia
Seres Humanos
Gravidez
Revelação da Verdade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000391


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[PMID]:29206946
[Au] Autor:Golan A; Leichtentritt RD
[Ad] Endereço:School of Social Work, Tel Aviv University.
[Ti] Título:Meaning Reconstruction among Women following Stillbirth: A Loss Fraught with Ambiguity and Doubt.
[So] Source:Health Soc Work;41(3):147-154, 2016 Aug 01.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stillbirth (SB), death of a fetus in late stages of pregnancy or during birth, usually leads to extended and intense grief among women. However, their grief is often disenfranchised and they are denied the social right to mourn their loss. Constructivist theories recently assuming a central place in bereavement studies inform this article, which aims to identify the meaning that women who experience SB ascribe to their loss in general and to the lost figure. This tack may offer the opportunity to examine the consequences of the discrepancy between personal and environmental constructions of this loss on its personal construction and to learn about the essence of the loss. Within the domain of qualitative research, the current article draws on phenomenology and the research method that has emerged from this approach. Specifically, the article focuses on in-depth interviews with 10 women who experienced SB. Its findings suggest that for these women, the lost figure and the loss in general engender ambiguity both internally-that is, within the psyche of women themselves-and externally, within the women's social environment. Thus, ambiguity, uncertainty, and doubt infused women's experience of SB. Implications for theory and practice are discussed.
[Mh] Termos MeSH primário: Pesar
Natimorto/psicologia
Mulheres/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adulto
Luto
Feminino
Seres Humanos
Entrevistas como Assunto
Gravidez
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw007


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Registro de Ensaios Clínicos
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[PMID]:28462880
[Au] Autor:Thurman TR; Luckett BG; Nice J; Spyrelis A; Taylor TM
[Ad] Endereço:Highly Vulnerable Children Research Center, Tulane University School of Social Work, New Orleans, LA, USA; Tulane International LLC, Cape Town, South Africa. Electronic address: tthurma@tulane.edu.
[Ti] Título:Effect of a bereavement support group on female adolescents' psychological health: a randomised controlled trial in South Africa.
[So] Source:Lancet Glob Health;5(6):e604-e614, 2017 Jun.
[Is] ISSN:2214-109X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Bereavement increases children's risk for psychological disorders, highlighting the need for effective interventions, especially in areas where orphanhood is common. We aimed to assess the effects of an eight-session support group intervention on the psychological health of bereaved female adolescents in South Africa. METHODS: This randomised controlled trial enrolled female adolescents at 11 schools in three peri-urban towns of Free State province, South Africa. 453 bereaved ninth-grade students aged 13-17 years who had expressed interest in taking part in the group were randomly assigned (1:1) to receive the intervention or to be waitlisted for programme enrolment after the study period and serve as the control group. The intervention, Abangane ("friends" in isiZulu), is a locally derived, curriculum-based support group focused on coping with loss incorporating indigenous stories and cognitive behavioural therapy components. Weekly group sessions were facilitated by trained social workers or social auxiliary workers from a local non-profit organisation. The primary outcomes included indicators of grief and depression as reported by adolescents and behavioural problems reported by their caregivers. Grief was measured with three scales: the grief subscale of the Core Bereavement Items to assess normative grief; and the Intrusive Grief Thoughts Scale and the Inventory of Complicated Grief-Revised for Children to assess maladaptive grief symptoms in the past 4 weeks. Depression symptoms in the past 7 days were measured with the Center for Epidemiological Studies-Depression Scale for Children. Caregivers completed the Brief Problem Monitor-Parent Form to report on adolescent's behaviour in the previous 4 weeks. Analysis was intention to treat. This study is registered with ClinicalTrials.gov, number NCT02368808. FINDINGS: Between Sept 30, 2014, and Feb 5, 2015, eligible female participants were identified, of whom 226 were assigned to the intervention, Abangane, and 227 were assigned to the waitlisted control group. Analysis included 382 adolescents who completed both surveys (193 participants assigned to Abangane and 189 assigned to waitlist). At follow up, the intervention group had significantly lower scores for primary outcomes, including intrusive grief (p=0·000, Cohen's d=-0·21), complicated grief (p=0·015, d=-0·14), and depression (p=0·009, d=-0·21) relative to the waitlisted group, while core bereavement scores were similar between groups (p=0·269). Caregivers in the intervention group reported lower levels of behavioural problems among adolescents (p=0·017, d=-0·31). INTERPRETATION: Short-term, structured, theory-based support groups with contextually relevant content show promise in mitigating psychological and behavioural problems among bereaved adolescents. Abangane is replicable in resource limited settings, using freely available curriculum materials, existing programme structures, and appropriately trained personnel to implement it. FUNDING: US Agency for International Development Southern Africa.
[Mh] Termos MeSH primário: Luto
Transtornos Mentais/prevenção & controle
Grupos de Autoajuda
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:27770330
[Au] Autor:Maguire A; Moriarty J; O'Reilly D; McCann M
[Ad] Endereço:Centre of Excellence for Public Health, Queen's University Belfast, Belfast, UK. a.maguire@qub.ac.uk.
[Ti] Título:Education as a predictor of antidepressant and anxiolytic medication use after bereavement: a population-based record linkage study.
[So] Source:Qual Life Res;26(5):1251-1262, 2017 05.
[Is] ISSN:1573-2649
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Educational attainment has been shown to be positively associated with mental health and a potential buffer to stressful events. One stressful life event likely to affect everyone in their lifetime is bereavement. This paper assesses the effect of educational attainment on mental health post-bereavement. METHODS: By utilising large administrative datasets, linking Census returns to death records and prescribed medication data, we analysed the bereavement exposure of 208,332 individuals aged 25-74 years. Two-level multi-level logistic regression models were constructed to determine the likelihood of antidepressant medication use (a proxy of mental ill health) post-bereavement given level of educational attainment. RESULTS: Individuals who are bereaved have greater antidepressant use than those who are not bereaved, with over a quarter (26.5 %) of those bereaved by suicide in receipt of antidepressant medication compared to just 12.4 % of those not bereaved. Within individuals bereaved by a sudden death, those with a university degree or higher qualifications are 73 % less likely to be in receipt of antidepressant medication compared to those with no qualifications, after full adjustment for demographic, socio-economic and area factors (OR 0.27, 95 % CI 0.09,0.75). Higher educational attainment and no qualifications have an equivalent effect for those bereaved by suicide. CONCLUSIONS: Education may protect against poor mental health, as measured by the use of antidepressant medication, post-bereavement, except in those bereaved by suicide. This is likely due to the improved cognitive, personal and psychological skills gained from time spent in education.
[Mh] Termos MeSH primário: Ansiolíticos/uso terapêutico
Antidepressivos/uso terapêutico
Luto
Registro Médico Coordenado/métodos
Educação de Pacientes como Assunto/métodos
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Acontecimentos que Mudam a Vida
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-Anxiety Agents); 0 (Antidepressive Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180125
[Lr] Data última revisão:
180125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1007/s11136-016-1440-1


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[PMID]:29236401
[Au] Autor:Somers S; McLennan M; MacCourt P
[Ti] Título:Education on grief, loss and dementia for family caregivers.
[So] Source:Can Nurse;112(7):26-7, 2016 Oct.
[Is] ISSN:0008-4581
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Adaptação Psicológica
Luto
Cuidadores/psicologia
Demência/enfermagem
Pesar
Educação em Saúde
Gravação em Vídeo
[Mh] Termos MeSH secundário: Colúmbia Britânica
Efeitos Psicossociais da Doença
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29183880
[Au] Autor:McLaughlin D
[Ad] Endereço:School of Nursing and Midwifery, Queen's University, Belfast, UK.
[Ti] Título:Formal carers providing end-of-life care and bereavement support to people with intellectual disabilities have unmet learning needs.
[So] Source:Evid Based Nurs;21(1):19, 2018 01.
[Is] ISSN:1468-9618
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Cuidadores
Deficiência Intelectual
[Mh] Termos MeSH secundário: Luto
Seres Humanos
Cuidados Paliativos
Assistência Terminal
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1136/eb-2017-102799


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[PMID]:28977013
[Au] Autor:Aoun SM; Rumbold B; Howting D; Bolleter A; Breen LJ
[Ad] Endereço:School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
[Ti] Título:Bereavement support for family caregivers: The gap between guidelines and practice in palliative care.
[So] Source:PLoS One;12(10):e0184750, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Standards for bereavement care propose that support should be matched to risk and need. However, studies in many countries demonstrate that palliative care services continue to adopt a generic approach in offering support to bereaved families. OBJECTIVE: To identify patterns of bereavement support in palliative care services based upon the experience of bereaved people from a population based survey and in relation to clinical practice guidelines. DESIGN: An anonymous postal survey collected information from clients of six funeral providers in four Australian states (2014-15), 6 to 24 months after the death of their family member or friend, with 1,139 responding. Responses from 506 bereaved relatives of people who had terminal illnesses were analysed. Of these, 298 had used palliative care services and 208 had not. RESULTS: More people with cancer (64%) had received palliative care in comparison to other illnesses such as heart disease, dementia and organ failure (4-10%). The support for family caregivers before and after their relative's death was not considered optimal. Only 39.4% of the bereaved reported being specifically asked about their emotional/ psychological distress pre-bereavement, and just half of the bereaved perceived they had enough support from palliative care services. Half of the bereaved had a follow up contact from the service at 3-6 weeks, and a quarter had a follow-up at 6 months. Their qualitative feedback underlined the limited helpfulness of the blanket approach to bereavement support, which was often described as "not personal" or "generic", or "just standard practice". CONCLUSIONS: Timeliness and consistency of relationship is crucial to building rapport and trust in the service's ability to help at post-bereavement as well as a focus on the specific rather than the generic needs of the bereaved. In light of these limitations, palliative care services might do better investing their efforts principally in assessing and supporting family caregivers during the pre-bereavement period and developing community capacity and referral pathways for bereavement care. Our findings suggest that bereavement support in Australian palliative care services has only a tenuous relationship with guidelines and assessment tools, a conclusion also drawn in studies from other countries, emphasizing the international implications of our study.
[Mh] Termos MeSH primário: Luto
Cuidadores/psicologia
Família/psicologia
Guias como Assunto
Cuidados Paliativos
Apoio Social
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184750


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[PMID]:28976977
[Au] Autor:Alisic E; Groot A; Snetselaar H; Stroeken T; van de Putte E
[Ad] Endereço:Monash University Accident Research Centre, Monash University, Melbourne, Australia.
[Ti] Título:Children bereaved by fatal intimate partner violence: A population-based study into demographics, family characteristics and homicide exposure.
[So] Source:PLoS One;12(10):e0183466, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the context of violence against women, intimate partner homicide increasingly receives research and policy attention. Although the impact of losing a parent due to intimate partner homicide is intuitively obvious, little is known about the children involved. We aimed to identify all children bereaved by parental intimate partner homicide in the Netherlands in the period 2003-2012, describe their demographics and family circumstances, and assess their exposure to prior violence at home and to the homicide itself. METHODS AND FINDINGS: We cross-examined 8 national data sources and extracted data about children's demographics and circumstances prior to, and during the homicide. Our primary outcomes were prior violence at home (child maltreatment, neglect or domestic violence) and homicide witness status (ranging from being at a different location altogether to being present at the scene). During the decade under study, 256 children lost a biological parent due to 137 cases of intimate partner homicide. On average, the children were 7.4 years old at the time of the homicide (51.1% were boys; 95% CI 47.3-54.7) and most lost their mother (87.1%; full population data). Immigrant children were overrepresented (59.4%; 95% CI 52.8-66.0). Of the children for whom information about previous violence at home was gathered, 67.7% (95% CI 59.7-73.7) were certainly exposed and 16.7% (95% CI 11.3-22.2) probably. Of the children who had certainly been exposed, 43.1% (95% CI 41.1-60.9) had not received social services or mental health care. The majority of the children (58.7%; 95% CI 52.1-65.3) were present at the location of the homicide when the killing took place, with varying levels of exposure. Homicide weapons mostly involved cutting weapons and firearms, leading to graphic crime scenes. CONCLUSIONS: Care providers need capacity not only to help children cope with the sudden loss of a parent but also with unaddressed histories of domestic violence and exposure to graphic homicide scenes, in a culture-sensitive way. Future directions include longitudinal monitoring of children's mental health outcomes and replication in other countries.
[Mh] Termos MeSH primário: Luto
Violência Doméstica
Família
Homicídio
Parceiros Sexuais
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183466



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