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Associations between comorbid depression and grief with suicidal ideation (SI) have been inconsistent. To identify at-risk individuals, it is important to determine the role of symptom severity by examining both continuous and clinical-threshold grief and depression, in addition to other factors (i.e., hopelessness, reasons for living—RFL) associated with SI. Participants (n = 216) bereaved by combat, accident, or suicide completed an online survey. Associations between depression, grief, SI, RFL, and hopelessness were examined by multivariable logistic regressions and structural equation modeling (SEM). Across the sample, hopelessness and RFL were associated with SI while continuous measures of grief and depression were not. In contrast, clinical-threshold grief, clinical-threshold depression, hopelessness, and RFL each were associated with SI. In addition, of the grief characteristics, yearning was the most robust correlate of SI, and Survival/Coping Beliefs (SCB) was the RFL most associated with SI. SEM indicated that direct paths between grief and SI, hopelessness and SI, and RFL and SI were significant, but not between depression and SI. Instead, depression had a strong direct effect on hopelessness, and hopelessness had a direct effect on SI. Results are consistent with previously-identified associations between SI and clinical levels of depression and grief. More nuanced findings suggest hopelessness, yearning, and SCB as additional targets for reducing risk for SI in bereaved individuals regardless of whether they meet clinical thresholds for grief or depression. • Clinical-threshold depression and clinical-threshold grief are potential targets for suicidal ideation. • Hopelessness and reasons for living (RFL) likely effective targets in community samples. • Of grief symptoms, yearning was the most robust correlate of suicidal ideation. • Survival/Coping Beliefs (SCB) was the RFL most associated with suicidal ideation. • Support should focus on reducing yearning and hopelessness and encouraging SCB. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effect of carer- and disease-related factors on anticipatory grief (AG) in family carers supporting people living with Motor Neurone Disease. Methods: Seventy-five carers from the UK and USA participated in this cross-sectional study, between July 2021 and February 2023. Participants completed assessments on: anticipatory grief (MMCGI-SF, comprising three sub-scales: Personal Sacrifice Burden, Heartfelt Sadness and Longing, Worry and Felt Isolation); person with MND (pwMND) behavioral changes (MiND-B) and disease severity (ALSFRS-R); carer-pwMND emotional bond (Relationship Closeness Scale), familism levels (Familism Scale), and reported hours of care provided. Multiple linear regression analyses were conducted to explore factors impacting carer AG. Results: AG total scores showed that 50.7% of carers were experiencing common grieving reactions, 22.6% presented intense grieving emotions, and 26.7% presented low grieving responses. Disease severity (regression coefficient, β = −0.31, p = 0.01, 95%CI −0.91 to −0.13) and behavioral changes (β = −0.34, p = 0.002, 95%CI −1.45 to −0.33) predicted AG total scores (proportion of explained variation, R2=0.38, p < 0.001). Regarding AG subscales, Personal Sacrifice Burden (R2=0.43, p < 0.001) was predicted by disease severity (β = −0.39, p < 0.001, 95%CI −0.42 to −0.11). Behavioral changes predicted Heartfelt Sadness and Longing (β = −0.27, p = 0.03, 95%CI −0.49 to −0.03; R2 = 0.21, p = 0.01) and Worry and Felt Isolation (β = −0.42, p < 0.001, 95%CI −0.63 to −0.20; R2=0.33, p < 0.001). Conclusion: This study suggests that disease-related factors may be the strongest predictors of carer AG. Interventions addressing carers' understanding and management of MND symptoms seem crucial to support their experiences of loss and their acceptance of MND. Evidence-based support for carers in MND services is required. [ABSTRACT FROM AUTHOR]

In this "Decade of Healthy Ageing," the integration of resilience into the healthy aging discourse becomes paramount, particularly in the context of indigenous communities grappling with the enduring effects of historical oppression, persistent poverty, and health disparities in their aging journey. Employing a phenomenological lens, this study seeks to derive the resilient characteristics exhibited by the Attappadi indigenous older adults of Kerala, aiming to explore the role of resilience in their pursuit of healthy aging. In-depth phenomenological interviews (n = 34), observation, and document analysis have revealed four key themes: A life course marked by adversities, Embracing the unyielding strength within, Personal resilience catalysts, and Extrinsic resilience catalysts. The participants exhibited a reasonably well-functioning collective, given their persistent adversities in their life course. Narratives illuminated a notable connection between the presence of resilience characteristics and the overall functioning of older adults. From a social work standpoint on resilience, this article underscores the vital interplay between individual agency and environmental factors in addressing adversity. The article advocates culturally sensitive, asset-based strategies to strengthen indigenous older adults' intrinsic and extrinsic resilience to ensure that they are not left behind in the global pursuit of healthy aging. [ABSTRACT FROM AUTHOR]

This study explores and documents the processes of loss and grief among families who have lost relatives due to the COVID-19 pandemic in Gaborone city, Botswana. In-person and online in-depth interviews were used to collect data from 15 families and a key informant, selected using the non-probability technique of purposive sampling. Participant observation was also used as a method of data collection. We discovered that dealing with the processes of loss and grief has been restructured due to the pandemic, as there was limited to no interaction with the general public on the one hand, and funerals were short and less crowded on the other. Consequently, these changes have affected the aftermath as well as the mourning process of the concerned families. In addition, the study revealed that the concerned families and households were negatively affected by the untimely passing of their relative, and the short mourning days made it even harder for them to say goodbye properly. For remaining family members, it was difficult to grieve due to the lack of support from extended family members who were also affected by the pandemic. As they felt left out, the experience seems to have perpetuated mental health problems. Given the significance of COVID-19 in the history of humankind, documenting the experience of loss and grief in times of pandemic is a necessity, as it highlights various socio-cultural responses to the death of family members. [ABSTRACT FROM AUTHOR]

Persons who have lost a loved one by death are increasingly searching for support from online peer groups to process their grief. One approach involves sharing photographs with peers online. The purpose of this study was to assess the impact of a four-week internet-based photography therapy intervention concerning participants' grief reactions using the Hogan Grief Reaction Checklist (HGRC). Another aim was to assess the role of the moderator and describe development targets in the internet-based photography therapy group based on the participants' experiences. The participants were individuals who had lost a loved one divided into an intervention group (n = 101) and a comparison group (n = 55). The changes in the dimensions of grief of the intervention group members were slightly greater than in the comparison group. The dimension of panic behaviour declined statistically significantly more in the intervention than in the comparison group during the follow-up period. While the participants from the intervention group valued the expertise of the moderator, the moderator's role could have been more visible. The participants also wished that the therapeutic photography group would have included more active involvement. Additionally, the participants made suggestions on modifying intervention content and developing a platform better suited for sharing photographs. [ABSTRACT FROM AUTHOR]

Using grief as a node of beginning, this paper considers how all qualitative writing is an intra-action through which the process of engaging with one's memory, remembering, and collective memory co-constitutes subjectivities and agency within and across the writing process. Therefore, this paper argues that through writing qualitatively, both the author, as well as broader sociopolitical norms and values be and become in ways that are worth our attention and intention as researchers and participants in local and less local contexts. [ABSTRACT FROM AUTHOR]

Over the course of the last year and a half, the Coronavirus has swept across the world causing death and devastation to our geriatric population residing in long term care facilities, also known as nursing homes. This paper explores the complicated grief responses exhibited by individuals who were affected by nursing home resident COVID-19 deaths. Nursing home resident survivors, families of the deceased residents, and healthcare workers in this situation have experienced a wide variety of complicated grief responses that need to be addressed. To address this need, an application will follow regarding the usage of a garden memorial ritual and ceremony to help these grievers in their first steps of mourning. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has reshaped the way Americans deal with death and dying. Social distancing restrictions prevented or delayed end of life services for families who lost loved ones to COVID-19. Alternatively, some took to the internet to express their grief through online memorialization. Using content analysis, this study analyzes 200 randomly selected online memorials from the COVID Memorial website, a website created to share the stories of those lost to COVID-19 on social media. Our findings offer insight into memorial author demographics, how memorial authors framed and understood death due to COVID-19, and the COVID-19 pandemic through online memorialization. Two major themes emerged during data analysis, "references to COVID-19 death" and "COVID-specific directives to readers." The former, details how memorial authors framed and understood the death of a loved one to COVID-19. The latter details "advice" or "directives" authors gave to readers about social distancing guidelines and other guidelines meant to prevent the spread of COVID-19. [ABSTRACT FROM AUTHOR]

Different parents grieve differently. However, research directed at understanding the important contextual or individual factors that influence the path each bereaved parent takes is lacking. In this qualitative analysis we seek to understand the array of bereaved parent experiences more completely. By deeply diving into one parent dyad using interpretive phenomenology analysis and situating that story within the conventional content analysis of 13 other bereaved parents of adolescents and young adults (AYAs) who died from advanced cancer, we illustrate the roles of religion/spirituality, maintaining a connection, and fulfilling parental roles as elements of grief processing. Clinicians and investigators should consider similar individualized approaches to understanding and supporting the grief experiences of bereaved parents before and after the death of a child. [ABSTRACT FROM AUTHOR]

Kübler-Ross's five-stage model of death and dying—denial, anger, bargaining, depression, and acceptance—is one of the most popular theoretical models to come out of the 20th century. How did an obscure theory of the dying process come to dominate our understanding of emotional processes altogether? Building on previous work in the sociology of knowledge, I analyze the diffusion and institutionalization of Kübler-Ross's five-stage model in scientific and journalistic fields. Specifically, I analyze all 3216 citations of Kübler-Ross in the New York Times and the Web of Science database using qualitative and quantitative text analysis. I demonstrate how early scientific interest and commercial promotion led to adoption in popular culture, and document how the five-stage model expanded to cover everything from rent prices to COVID-19. I also argue that renewed interest in Kübler-Ross's work may signal contemporary attempts to mine the tradition for meaningful understandings of death and dying. [ABSTRACT FROM AUTHOR]

The educational staff that meets the children at school struggles to cope with the death of a child, and often avoids talking with them about the death and their sense of loss. This way of coping is complicated in the case of grief among children with special needs, called "disenfranchised grief ". The aim of this qualitative study was to examine the experience and the perceptions of the educational staff in schools for special education and to assess their way of coping, support and care they employ following the death of a student. 15 staff members from different schools in Israel, interviewed. The findings reveal that schools are a significant source of support for students, staff and parents, alike, in the processing of the loss. The special education frameworks generally maintained a special and close connection with students and families. procedures and guidelines are required following death of a student. [ABSTRACT FROM AUTHOR]

This article examines grief while providing transnational caregiving during the COVID-19 pandemic. There are an estimated 275 million migrants living in their destination homeland which is 3.5% of the global population. The transnational family strives to maintain solidarity, intergenerational ties, and cultural values while sustaining family structure across international borders. Transnational caregiving is the exchange of support and care across distance and international borders. The devastating assault of COVID-19 on older adults impacted caregiving significantly, especially transnational caregiving. A qualitative case study method was selected to examine a participant's understanding and experience of transnational caregiving during the COVID-19 pandemic. Through the interviews and writing of the narrative summary, five themes emerged related to transnational caregiving and COVID-related losses –exposure to sudden and unexpected death, isolation, guilt, loss and change of traditions, and lack of closure. [ABSTRACT FROM AUTHOR]

The repatriation of human remains has gained significant momentum in recent decades; however, little attention has been given to the experiences of recipient groups through these repatriations. This paper is centred on Central Australia, where repatriations have become a regular occurrence against a backdrop of strong social and racial tensions. These tensions wax and wane, lessening around regular cultural events and heightening with the summer heat and the strain of frequent sorry business (mourning). In this context, this paper follows the repatriation of an Anangu man, Yukun, to his close family who reburied him at Uluru in October 2022. The land council anthropologist who mediated the repatriation wrote this piece collaboratively with two senior descendants of Yukun. In 1934, police officer Bill McKinnon unjustifiably killed Yukun. Without the community’s knowledge, his remains were later exhumed during a Commonwealth Inquiry. Yukun’s death was well-known to Anangu and well-documented; his repatriation has not been examined in the same depth. Throughout the truth-telling process, the family was confronted with acts of historical violence, but this culminated in Yukun being finally laid to rest. This paper explores how processing this information conveyed emotional challenges that ultimately resulted in the family finding closure. The reburial enabled the constructive reintegration of Yukun into their lives. Finally, this paper considers the role of the anthropologist in supporting the family or community throughout the process. The aim of this is to provide insights encouraging a more humane approach which prioritises the recipients’ emotional needs in reconciling past injustices. [ABSTRACT FROM AUTHOR]

AbstractThe study investigated the effect of grief cognitions on grief and meaning reconstruction levels and explored how sociodemographic factors and loss-related variables relate to these outcomes, using a sample of 155 older bereaved spouses in Türkiye. The sample for the study, which used a relational screening model, consisted of 155 participants aged 60 and over from Çankaya district of Ankara. Data were collected using the socio-demographic information form, the grief cognition questionnaire, and the grief and meaning reconstruction inventory. Spearman correlation analyses were conducted to evaluate the correlations between variables, and multiple and hierarchical regression analyses were performed to ascertain the predictors of the scales. The analysis revealed a negative correlation between grief cognitions and grief and meaning reconstruction levels. Expectedness of death and the time elapsed since the spouse’s death were predictors of both grief cognitions and levels of grief and meaning reconstruction. [ABSTRACT FROM AUTHOR]

ObjectiveMethodFindingsConclusionTo synthesise the qualitative research related to the processes of loss and grief experienced by adults who have sustained a moderate to severe ABI.We conducted a systematic review and thematic synthesis of the experiences of loss and grief in adults with moderate to severe ABI. Five electronic database searches (PubMed, CINAHL, EMBASE, PsycINFO and Scopus) were conducted, identifying 2434 studies, of which 25 met inclusion criteria.Thematic synthesis generated four overarching analytical themes: the loss within me; devaluation of social roles and social identity; acceptance of grief and loss as an active process; and an ambivalent experience of loss. Our findings indicate that the experiences of grief and loss following brain injury are dynamic processes, requiring significant adjustment to and reappraisal of the sense of self, an often uncomfortable reconstruction and sometimes reluctant acceptance of new personal and social identities, and development of tolerance for the ambiguity of one’s experience.Findings suggest that people with moderate to severe ABI go through a significant process of change and adaptation in relation to grief and loss and their sequelae. Given the enduring nature of the injury and changing needs of the individual, rehabilitation may need to be increasingly personalised and responsive. [ABSTRACT FROM AUTHOR]

Simple Summary: Zoo professionals and volunteers care for numerous animals, creating the potential for exposure to multiple deaths and transfer-related losses. Despite this, there is limited research exploring how zoo professionals and volunteers experience and adapt to zoo animal loss. This qualitative study was designed to explore the personal experiences of zoo animal loss among zoo professionals and volunteers, including their emotional challenges, coping mechanisms, and support-related needs. We found participants' responses highlighted two main themes: the lasting toll of animal-related loss and their interpersonal experience of loss. Within these themes, zoo professionals and volunteers' responses provided insights into experiences related to deaths (both expected and unexpected), transfer losses, experiences of complicated grief, and interpersonal factors that interfered with their ability to process their loss. Participants' suggestions for support when faced with these experiences included enhanced communication before pending losses and following deaths and transfers, environments conducive for memorializing rituals, and increased access to grief support resources. Zoo professionals and volunteers play essential roles in the wellbeing and conservation of a diverse array of animal species. Despite the growing body of literature revealing the psychological impacts of pet loss, there remains a dearth of information describing the experience of animal loss among those who work in zoo settings. This qualitative study explored the personal experiences of zoo animal loss among volunteers (n = 12), animal care and health professionals (ACHPs) (n = 135), and other zoo staff (n = 35) who participated in a larger mixed-method study. Participants responded to five open-ended questions exploring their most significant zoo animal death loss, where or from whom they found the most support, how the zoo community could better support them, advice for zoo leaders, and other thoughts about their grief and animal-related loss experiences. Using thematic analysis, two key themes were identified: the lasting toll of zoo animal loss and zoo professionals' and volunteers' interpersonal experiences. Participants described their experiences with animal transfers and both expected and unexpected deaths. Requests for support focused on better communication, grief resources, and opportunities to recognize and mourn animal losses. These findings suggest that zoo animal loss can negatively impact zoo professionals' and volunteers' psychological health. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has challenged mental health professionals in many unexpected ways. Research completed in the years following the pandemic suggests that individuals around the globe have experienced significant mental health difficulties since the start of the pandemic, including posttraumatic stress disorder (PTSD) and complicated grief. Much of this research has examined the general population or medical personnel specifically and has neglected to turn attention to mental health professionals who have been on the frontlines of treating these mental health difficulties. This study fills this gap in the literature by examining mental health professionals' reactions during the early stages of the pandemic. Sixty-nine mental health professionals completed questionnaires examining trauma, grief, and resilience during the COVID-19 pandemic. Results indicated that 48% of participants met criteria for a provisional diagnosis of posttraumatic stress disorder (PTSD) and 7% were experiencing severe grief. Those who first began using virtual platforms during the pandemic reported less grief and fewer PTSD symptoms. Those with children reported more resilience. Further, resilience mediated the relationship between having children and grief. Resilience and PTSD symptoms independently predicted grief responses. The results suggest the COVID-19 pandemic had profound effects on mental healthcare providers during the early stages of the pandemic. [ABSTRACT FROM AUTHOR]

Context: Health inequities exist across the healthcare continuum, significantly impacting 2SLGBTQIA + individuals. Palliative care presents unique challenges for sexual and gender minorities due to socio-cultural, psychological, and systemic barriers. The objective of this scoping review was to synthesize existing research on palliative care use among 2SLGBTQIA + individuals and identify common themes in the literature. Methods: A literature review was conducted, focusing on articles published between 2010 and 2023 from the PubMed and CINAHL databases. Arksey and O'Malley's methodological framework for scoping reviews was applied to guide the review process. Results: A total of 31 studies were identified. A significant portion of the research originated in North America, with little research from outside the USA. Palliative care and end-of-life care were most used to describe care, though these terms were often not clearly defined. All studies included a focus on sexual and gender minorities, but there was considerable variation in the terminology used and a noticeable paucity of literature specifically addressing the needs of transgender and gender non-conforming individuals, or use of an intersectional approach in analysis. Key themes identified in the literature include discrimination in palliative care settings, disenfranchised grief experienced by care partners, and a lack of training in palliative care settings concerning the unique needs of 2SLGBTQIA + people utilizing palliative care services. Conclusions: People identifying as 2SLGBTQIA + experience unique inequities in accessing and using palliative care services. To address these challenges, future initiatives should focus on developing identity-affirming palliative care settings, enhancing respect and support for care partners and found family, and ensuring healthcare providers are properly educated to provide care to this community. Future research is also needed that considers more diverse samples, as well as the impact of intersecting identities on the specific needs and challenges they face at end-of-life. [ABSTRACT FROM AUTHOR]

This article examines long-term experiences of loss and grief among survivors of a massive earthquake that struck western Turkey in 1999. Based on extended ethnographic fieldwork in the region, I explore how subjectivity and temporality, loss and living on, can configure in the long aftermath of disaster. Drawing on the writings of Abû Hâmid al-Ghazâlî, I approach this relationship between disaster and future-making as a form of optimism. This article is part of a larger project concerned with the future of catastrophe – the ways that worlds and futures are fashioned in the wake of large-scale disaster. [ABSTRACT FROM AUTHOR]

Background: Pregnancy loss affects 1 in 4 women and is linked with poorer overall health and relationship outcomes. Despite sexual well-being's importance to health, how sexual well-being changes across time after a pregnancy loss and what might predict such changes, like perinatal grief, have never been examined, leaving practitioners and couples without knowledge of what to expect. Aim: We aimed to examine (1) how sexual satisfaction, sexual desire, sexual distress, and perinatal grief change from 10 to 25 weeks postloss for both couple members; and (2) if perinatal grief levels at 10 weeks postloss predict sexual well-being trajectories. Methods: Women and gender-diverse individuals who were pregnant when a pregnancy loss occurred (within the last 4 months) and men, women, and gender-diverse partners who were not pregnant (N = 132 couples) independently completed 4 monthly assessments of sexual well-being and perinatal grief. Outcomes: Outcomes included sexual satisfaction (Global Measure of Sexual Satisfaction), sexual desire (Sexual Desire Inventory), sexual distress (Sexual Distress Scale–Short Form), perinatal grief (Perinatal Grief Scale). Results: Dyadic growth curve modeling indicated that, from 10 to 25 weeks postloss, both couple members' sexual satisfaction increased, and their sexual desire remained stable; sexual distress decreased for partners but remained stable for individuals who were pregnant; and both couple members' perinatal grief decreased. Perinatal grief levels at 10 weeks postloss did not predict sexual well-being trajectories over time. Clinical Implications: Given sexual well-being's dynamic nature, clinicians should regularly discuss sexuality with both couple members after pregnancy loss. During such discussions, clinicians could reassure couples about their sexual relationship's recovery by sharing that, on average, sexual satisfaction, sexual desire, and sexual distress tend to improve or stay the same (rather than worsen) from 10 to 25 weeks postloss. They can also share that perinatal grief tends to decrease during this time and is unrelated to trajectories of sexual satisfaction, sexual desire, and sexual distress. Strengths and limitations: This is the first study, to our knowledge, to examine how sexual well-being changes across time after a pregnancy loss and perinatal grief's role in such changes. The results may not generalize broadly, as most couples were in mixed-gender/sex relationships, identified as White, and were relatively affluent. Conclusion: From 10 to 25 weeks postloss, both couple members tend to experience improvements in their overall sexual well-being and declines in their perinatal grief. Early perinatal grief levels and subsequent sexual well-being trajectories are seemingly unrelated. [ABSTRACT FROM AUTHOR]

Recently, there has been more attention paid to trauma related to adoption. This article addresses the unacknowledged trauma which may exist with children adopted in infancy, before they had any retrievable recollection of their first families. Because this trauma has not been recognized, there has been inadequate attention paid to the adoptee's grief at the loss of the first family. This article suggests that all sealed records laws which prevent adoptees from having access to records otherwise available to non‐adoptees be repealed, that all adoptions be presumed to be open, with the possibility for ongoing contact with first family members, and that more trauma‐informed and adoption‐competent therapeutic resources be made available to adoptees. Key points for the family court community: Persons adopted in infancy may suffer trauma related to a "primal wound" or their later understanding of their loss of connection with their families of origin.A presumption in favor of open adoption, with adoptees having ongoing access to their first families may mitigate their sense of loss and grief.Trauma‐informed and adoption‐competent counselors should be made available to all adoptees.There are legal barriers to adoptees having access to their own history, legal, and medical records which must be eliminated.All adoptees should have the same access to their own records as non‐adoptees have to theirs. [ABSTRACT FROM AUTHOR]

Background: Community nurses (CN), both generalist and palliative care-specific, are key to supporting the carer with their experience of grief. Aim: To identify the grief-related needs of carers and the capacity of CNs to provide for those needs. Methods: A convergent parallel mixed-methods study which employed i) a needs questionnaire among carers of palliative care patients who had recently died; ii) a qualitative interview study among carers and iii) a questionnaire among CNs which canvassed their confidence and skills in working with carer grief. Findings: In the carer survey, just one-third of carers reported engagement with CNs regarding prolonged and anticipatory grief. In the CN survey, low confidence and skill regarding supporting carers with their grief was reported. CNs with palliative care training were more confident and knowledgeable than generalist CNs. Conclusions: Despite offering high ratings for CN compassion and overall quality of support during the dying process, grief support was reported by carers to be missing from their experience of CN care. The role of CNs in providing for the grief-related needs of carers is yet to be established. [ABSTRACT FROM AUTHOR]

In this article, I focus on the way in which grief can alter temporal experience, to the extent that it is possible for the mourner to find themselves held out into the timeless time of the dead. My interpretation is informed by a close reading of poet Denise Riley's remarkable work Time Lived, without Its Flow, which I bring into dialogue with the shifting conceptions of time put forward by Maurice Merleau-Ponty. In so doing, I situate Riley's account of the limits of temporal experience in grief at the juncture of Merleau-Ponty's turn away from the horizontal time of Phenomenology of Perception, and towards the vertical time of The Visible and the Invisible. By conceptualising Riley's own interpretation of time in terms of Merleau-Ponty's turn to a thicker, ontological interpretation of time, I suggest we are able to think through the limits of temporal experience in grief and see what is lit up about time, meaning, subjectivity and inter-subjectivity, and life and death as a result. [ABSTRACT FROM AUTHOR]

Simple Summary: Pet ownership is growing in Chinese societies, but tools to assess grief from pet loss among the Chinese are lacking. This study adapted and validated the Pet Bereavement Questionnaire (PBQ) in Hong Kong, which aimed to provide a culturally appropriate assessment tool for pet bereavement. The findings supported a three-factor structure—grief, anger, and guilt—similar to the original PBQ. The validated Chinese version of the PBQ demonstrated strong reliability, meaning it consistently measures what it is supposed to, and strong validity, meaning it accurately reflects the emotional experiences of pet loss. This tool can significantly enhance our understanding of the emotional complexities surrounding pet loss within this cultural context, offering critical insights that can guide more effective support interventions and public health strategies for individuals experiencing the often-unrecognized grief associated with pet loss. Despite the increasing prevalence of pet ownership in Chinese societies, standardized tools to assess grief from pet loss remain lacking. Research predominantly focuses on Western populations, creating a gap in understanding pet bereavement in Chinese cultural settings. This study aimed to adapt and validate the Pet Bereavement Questionnaire (PBQ-C) for a Chinese context to create a culturally appropriate assessment tool. A total of 246 participants with companion animal loss experiences were recruited through the university of the research team. They were invited to complete an online survey including the PBQ-C, the Depression subscale of the Depression Anxiety Stress Scales (DASS-21), and the Inventory of Complicated Grief (ICG). Both Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted to examine the psychometric properties of the PBQ-C and the findings supported a three-factor structure—grief, anger, and guilt—aligned with the original PBQ, with three items reassigned to different factors. Despite these adjustments, the PBQ-C demonstrated strong internal consistency, reflecting the reliability of the questionnaire in measuring the same construct across its items; split-half reliability, indicating its ability to produce consistent results when divided into two parts; and concurrent validity, showing that the PBQ-C correlates well with other established measures of grief. The validated PBQ-C provides a culturally sensitive tool for assessing pet bereavement in Chinese society that can promote research and counselling support for this under-researched and under-recognized type of loss of human-animal relationships. [ABSTRACT FROM AUTHOR]

This article explores the experiences of anticipatory grief in women in their mid-80s and beyond; women who are in Gene Cohen's (2005) encore phase of aging. Women in this phase of life are quite vulnerable to multiple losses and frequently experience anticipatory grief. Since the emergence of the concept of anticipatory grief, or pre-loss grief, the literature has reflected a biomedical reductionist lens. This reframes a human reaction to a life experience as a medical problem, replete with measurement tools and a medical treatment focus. However, this narrow problem-centric approach is steadily being replaced by the concept of the holistic person-centered approach, a view that reframes the anticipated losses as challenges to be overcome, requiring the woman to call upon her stores of resilience. If her resilience is insufficient to support coping, she may exhibit behavioral changes like those exhibited by grieving individuals. Supportive professionals can facilitate growth by assisting the woman in identifying and participating in supportive activities that build resilience. [ABSTRACT FROM AUTHOR]

The importance of acknowledging the grief and loss integral to the experiences of foster carers, has long been understood. However, in a complex area of practice and an increasingly pressured out-of-home care sector, there is a need to refocus foster care program and practitioner attention on supporting carers and their families with the difficult experience of placements ending. This article reports on findings from research that aimed to understand current carer experiences of grief and loss, their coping strategies, their support needs, and the implications for a foster care agency's duty of care towards its workforce. Through a mixed-methods exploratory methodology, data were collected through an online survey and semistructured interviews with carers affiliated with a foster carer provider operating across three Australian jurisdictions. Carers called for acknowledgement of the deep feelings they develop for the children they look after and help for the grieving process, through training, preparation, and tailored support based on authentic relationships with professionals. The need for well-trained and strongly supported agency workers was emphasised. IMPLICATIONS Providing updates to carers about foster children who have left their care can alleviate the pain of grief and loss. Training, preparation, and step-by-step support for carers can promote healthy grieving processes. Tailored support for grieving carers needs to be founded on authentic relationships with foster care professionals and open and honest communication. [ABSTRACT FROM AUTHOR]

Although grief can have a profound effect on the workplace, the long-term lived experience of working after bereavement remains under researched. But how is grief experienced at work? And to what extent does this experience vary according to type of loss and form of work? Drawing on data collected through a qualitative online survey (n = 220), this article provides a sociological exploration of experiences of work after bereavement. The article will argue that while grief can be silenced in the workplace, work can also provide an important source of relational connection for bereaved individuals. It concludes by reflecting on the need to move beyond linear approaches to grief and work, highlighting the important intersection of social relations and place. By analysing experiences through a relational lens, this article seeks to offer an original contribution to the sociology of work, and to grief theory as applied in the workplace. [ABSTRACT FROM AUTHOR]

Objectives Widowhood has been shown to decrease surviving spouses' economic well-being. However, previous research has focused mostly on income-related outcomes, and has been less attentive to the importance of wealth, the processual nature of spousal death, and cross-national variation. In this study, we assessed how total, housing, and nonhousing wealth changes over the process of widowhood across 11 European countries. Methods Individual fixed-effects regressions and longitudinal data from the Survey of Health, Ageing and Retirement in Europe were used to estimate how household net total wealth, housing wealth, and nonhousing wealth changed 3 years prior and 6 or more years after spousal death relative to 4 or more years prior to widowhood in 11 European countries. Results In all countries, household net wealth stayed relatively constant across the widowhood process, except for Austria, the Czech Republic, and Poland, where wealth declines were observed especially in the years following death. However, we found declines in housing wealth over the widowhood process, including prior to spousal death, across most countries in our sample, particularly in Austria, France, Denmark, the Czech Republic, and Poland. Declines in housing wealth were generally not reflected by changes in nonhousing wealth but coincided with leaving homeownership and downsizing. Discussion Widowhood is associated with lower wealth, especially housing wealth, even in the years before spousal loss. Future research should focus on adjudicating the mechanisms behind country differences and exploring the implications of lost wealth following widowhood for surviving spouses' well-being and intergenerational transfers. [ABSTRACT FROM AUTHOR]

Background: This study examines self-reported impacts of the COVID-19 pandemic among Chicago residents and disparities of these impacts across demographic characteristics. Six logistic regression models were developed to identify demographic and socioeconomic factors associated with each COVID-19 impact. Method: The study used de-identified and weighted data from the 2020 Healthy Chicago Survey (HCS). HCS is an annual survey using an address-based random sampling method administered by the Chicago Department of Public Health (CDPH) across the city of Chicago on adults aged 18 or older living between July 17 and November 11, 2020, and received 4517 responses. Results: Chicago residents with lower socioeconomic status had a higher likelihood of food and housing insecurity. Non-Hispanic (NH) Black residents were more likely to report being unable to obtain food (OR: 2.996; 95% CI: 2.268–2.324); being unable to pay for rent, mortgage, or bills (OR: 2.352; 95% CI: 2.325–2.380); and grief from a loss of someone to COVID-19 (OR: 2.037; 95% CI: 2.013–2.061) compared to NH White residents. NH White residents were more likely than other racial/ethnic groups to report loss of social connections, worsened mental health, and canceling or postponing medical care. Conclusions: The analysis showed higher odds of social contact loss and worsened mental health from COVID-19 in NH White and higher education populations. By implementing strategies to address specific challenges faced by different racial groups, Chicago may effectively mitigate pandemic's adverse effects. These strategies can promote a more inclusive approach to distributing COVID investments for programs and policies. [ABSTRACT FROM AUTHOR]

Ninety-one percent of surviving spouses in the U.S. cared for their spouses before they died. This review explores the challenges of the transition from caregiving to widowhood and different coping strategies used by widowed spousal caregivers. A systematic review of literature on the transition from caregiving to widowhood was conducted using four major academic search engines. Overall, 280 articles were identified, with 22 meeting the inclusion criteria. Challenges for widowed caregivers included experiencing care burden, letting go of the caregiver role, grief, and triggers. Widowed caregivers' coping strategies included social support and services use, filling the time gap, finding spirituality, and engaging in unhealthy behaviors. Future research is needed to determine the efficacy of widowed caregivers' coping strategies. Concerted and collaborative action by health professionals, community organizations, and policymakers is needed to develop programs and other approaches to support widowed caregivers. [ABSTRACT FROM AUTHOR]

In this autoethnographic text, the author reflects on his grandmother's life and embeds it into the broader societal and historical developments of her generation. Although the author's grandmother was not a person of public interest, her life story leads right into the heart of many significant events and turning points of the history of the 20th century in Germany and beyond. Listening to the story of her life can serve as a starting point for writing a counter-history that investigates how the center of historical events looks like when viewed from the periphery. [ABSTRACT FROM AUTHOR]

In this study, we describe continuing bonds and grief reactions and assess their association in 980 parents bereaved in pregnancy, at or shortly after birth. We found that most parents experienced continuing bonds. However, they differed by type of loss. Parents losing their child due to termination of pregnancy or miscarriage experienced bonds less frequently and had the least intense grief reaction. Parents losing their child postpartum experienced bonds most frequently and had the most intense grief reaction. Continuing bonds were associated with intensified grief in parents losing their child after termination or miscarriage, while this relationship was less obvious after stillbirth or postpartum death. [ABSTRACT FROM AUTHOR]

Prolonged Grief Disorder (PGD) is included in ICD-11 and DSM-5-TR and includes a requirement of cultural deviance. This study examined endorsement rates and factors associated with endorsement of this criterion among Danish bereaved spouses (n = 425) and their adult children (n = 159) four years post-loss. In total, 7.5% (n = 44) participants endorsed this criterion. Both including and excluding the criterion, the prevalence rates for probable DSM-5-TR PGD were 1.4% (n = 8) and 1.7% (n = 10), respectively and for probable ICD-11 PGD were 1.4% (n = 8) and 2.2% (n = 13), respectively. Age and gender of the deceased, age of the bereaved, greater grief severity, and comorbid psychopathology were positively associated with endorsement of the criterion. Findings demonstrate low endorsement of the cultural deviation criterion, that its inclusion excludes several potential PGD cases, and unanticipated associations with several factors raise questions about the criterion's validity. [ABSTRACT FROM AUTHOR]

COVID-19 has complicated grieving experiences. Rich qualitative description of these experiences is lacking. We interviewed 10 bereaved relatives (mainly daughters) 2–3 times each: shortly after their relative died in the first wave of COVID-19 pandemic, and after 12 and 18 months (29 interviews in total). Analyses took place according to inductive content analysis. Losses were threefold: the loss of the loved one; of the (desired) way to say farewell, and of social support. We identified five ways in which the three COVID-19 related loss experiences interacted: overshadowed grief, cumulative grief, triggered grief, derailed grief, and conciliatory grief. This study demonstrated that pre-COVID-19 diagnoses and understandings of grief are not sufficient to picture grief during and after the COVID-19 pandemic. These grief experiences are more complex and deserve further exploration. [ABSTRACT FROM AUTHOR]

This article aimed to assess posttraumatic growth among participating and nonparticipating families of organ donors in grief support groups. The program, in the form of both face-to-face and WhatsApp groups, is unique in that it extends over many years without limitation for a predefined period, is open to both immediate and extended family members, and is conducted according to predetermined topics. A questionnaire was completed by 84 participants and 115 non-participant family members. Most participants had attended for between 1 and 5 years (57.2%), although 33.3% had participated for >5 years, including 16.7% who participated for >10 years. All measures of posttraumatic growth were significantly higher in group participants (3.40 [0.75] vs. 3.15 [0.75], p =.010) than non-participants. The often-prolonged participation in the groups suggests there may be an important need for ongoing contact with and support for these families even many years after the loss. [ABSTRACT FROM AUTHOR]

This study validated a Persian translation of the Grief Impairment Scale (GIS) in a sample of 548 grieving Iranian adults. Researchers recruited participants online using convenience and targeted sampling and asked them to complete the GIS and other measures. Of the 548 participants, 150 completed the scales again at Time 2 after one month using anonymous identifiers. Confirmatory factor analysis supported the unidimensionality of the Persian GIS. Measurement invariance held across gender. The GIS demonstrated good internal consistency (ω =.86) and test–retest reliability (ICC =.842). Convergent validity was evidenced by strong correlations with measures of prolonged grief and functional impairment. Divergent validity was supported by weaker correlations with anxiety and depression. A cut-score of ≥ 7 yielded good sensitivity (87%) and specificity (71%) in identifying those with significant functional impairment from grief. The Persian GIS demonstrated excellent psychometric properties as a brief tool for assessing grief-related impairment. [ABSTRACT FROM AUTHOR]

Grief is a core human experience. The time following the loss of a loved one is associated with an increased risk for negative health outcomes. Yet, only a few studies investigate bodily consequences of grief and consoling behaviors, specifically the potentially supportive role of interpersonal touch during grief. We conducted an online-study where participants filled in questionnaires and rated videos of short touch gestures and interactions. People who lost a loved one within the last 2 years were asked about their grief experiences and to rate the different types of touch from the perspective of a receiver. People who had not lost a close person in the last 2 years rated the touch from the perspective of providing touch to a grieving individual. The majority of the recent-loss sample reported to have perceived their own body and bodily states less after the loss. Two-thirds reported feeling the presence of the deceased at least once. Grief-sensations were experienced mostly in the chest and upper body, the same areas where the consoling effect of a hug was perceived. Overall, the recent-loss group reported amounts of wanting of the vicarious touch gestures similar to the endorsement by people taking the active touching perspective. However, discrepancies between groups were found for some types of touch, including slow affective stroking. These results contribute to a deeper understanding of the body and bodily interactions like social touch in grief and consolation. Our findings can be seen as a first point of reference on how to interact with grieving individuals and could contribute to novel interventions for individuals with prolonged grief disorder. [ABSTRACT FROM AUTHOR]

Deaths from COVID-19 have exceeded 6.5 million people globally. Although many people are mourning the loss of loved ones to this deadly disease, little is known about the validity of measuring coronavirus-related anxiety with this particular group of people. Therefore, the objective of this study is to determine if the coronavirus anxiety scale (CAS) measures the coronaphobia construct the same way for mourners with and without dysfunctional levels of grief. The results indicated that the four-item version of the CAS has acceptable fit indices and is partially invariant between people with dysfunctional and non-dysfunctional grief. Moreover, the CAS demonstrated adequate criterion validity and reliability with this group of bereaved adults. In conclusion, the CAS can be used to measure anxiety due to COVID-19 in people who are going through dysfunctional and non-dysfunctional grieving processes. [ABSTRACT FROM AUTHOR]

Parental bereavement is often considered one of the most harrowing life experiences. Yet, little is known about losing an adult child in older age. In this qualitative, descriptive study, nine interviews lasting 45 to 120 minutes were conducted with parents who were 65 years or older at the time of their adult child's death. All interviews were transcribed verbatim and analyzed by two researchers independently. Four main themes were identified: disbelief, injustice, uncertainty, and readjustment. The themes were then compared and contrasted with the extant literature to support validity of the findings. The results have implications for future research and practice. [ABSTRACT FROM AUTHOR]

Losses that took place during the covid 19 pandemic are recognised as "bad deaths". They are characterized by physical discomfort, difficulty breathing, social isolation, psychological distress and ineffective care. The experience of grief has been even more challenging during the covid times as compared to the usual grief prior to the pandemic due to the lack of resources that assist in coping. Lack of social support, uncertainty about the future, lack of routine, and absence of mourning rituals deny the bereaved with the basic opportunity to grieve adaptively. Enhancing advance care planning may help dying patients to receive effective care. Virtual funeral services, extending support through telephonic conversations, online psychotherapy and encouraging continuing bonds with the deceased assist individuals who experience grief and bereavement. The current chapter focuses on expanding awareness about the nature of grief during the pandemic and understanding effective measures to mitigate complicated grief across various subgroups of the society who experienced grief as a result of the covid-19 pandemic. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has killed millions across the world in only two years. Government health restrictions aimed at preventing transmission have impacted typical mourning practices such as funeral gatherings and in-person grief support services. This research examines the potential impacts that the pandemic may have had on people's ability to grieve. We employed a mixed methods study design to ask those who have lost a loved one during this time to reflect on their mourning practices with an anonymous survey. Our results present themes of complicated grief, the uncertainty of who to blame for frustrations, and common needs requested by the bereaved to help them mourn during these unprecedented times. These findings may help inform grief support and bereavement services during current and future mass death and pandemic health concerns. [ABSTRACT FROM AUTHOR]

With a rapidly aging population, Canada has a growing need for public health palliative care services. End of life care, including palliative care, is holistic in nature, paying attention to the physical, psychological, social-cultural, and spiritual needs of the person who is dying and their networks of friends, family, and caregivers. Public health approaches to palliative care work to strengthen community capacities to provide care in tandem with medical and social services. This study reports on the findings of the Healthy End of Life Project (HELP Ottawa), a 4.5-year community-based research project, to demonstrate the importance of including faith communities in public health palliative care initiatives. Focusing on Christian faith communities, this article explores how faith communities can best build the capacity to offer, ask for, and accept support for members who are living with advanced illness, caregiving, or grieving. [ABSTRACT FROM AUTHOR]

Background: Caring for a family member can be demanding, particularly when caregivers experience profound distress. Supportive interventions may help prevent mental and physical illness in the caregiver. General practice plays a key role by regularly engaging with patients and caregivers, thereby being able to identify their support needs, offer talk therapy and refer to care initiatives. Objective: This study aimed to develop and pilot-test the Caregiver Care Model to mitigate grief reactions among caregivers in general practice. Design: A participatory intervention development study. Methods: A prototype was developed in a workshop with healthcare professionals. The prototype was refined based on a pilot-test among 40 caregivers from 5 general practice clinics and a workshop with general practitioners. The data were obtained from workshops, feedback questionnaires completed by healthcare professionals, and interviews with caregivers and general practitioners. The analysis focused on model development and mechanisms of impact. Results: The prototype was refined by focusing the dialogue questionnaire, minimising the grief facilitation tools and expanding the target group. The prototype seemed to accommodate the needs among caregivers by acknowledging their situation. The final model includes up to seven caregiver consultations in general practice. A dialogue questionnaire filled in by the caregiver serves as a fixed starting point and preparation for the first consultation. If needed, talk therapy in general practice or referrals to other services are used. Conclusion: The model offers promising support for caregivers. Its flexible structure allows for customisation. The viability of the model should be further tested. [ABSTRACT FROM AUTHOR]

AbstractThe objective of this scoping review was to assess and summarize existing literature on daughter adjustment to life following the death of their mother. The review examined factors that hinder and/or help daughter adjustment to mother loss, guided by the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. Included sources were published quantitative and qualitative primary research studies, and dissertations/theses. Sources referenced mother loss by death due to any cause, mother-bereaved daughters of any age and identification (e.g., biological, adopted, foster, step), and factors that hinder and/or help daughter adjustment to mother loss. MEDLINE Complete, APA PsycInfo, CINAHL, Embase, SCOPUS, and Web of Science were searched with no restrictions on language or date of publication. From 2774 sources retrieved, 30 were included for final review and data charting. A template thematic analysis was conducted on charted qualitative data. Findings indicate that many factors involved in daughter adjustment to mother loss are not categorically unhelpful or helpful; their utility is context-dependent. Safe, continued connections with mothers, growth mindsets and spiritual or religious beliefs are internal resources that may facilitate adjustment. External support from maternal figures and surviving parents, may have an especially salient influence, both positive and negative, on daughter adjustment, coping and development. Particularly helpful for mother-bereaved daughters may be activities that promote mindfulness, healthy self-expression, distraction, connection with others, and a sense of mastery or self-esteem. Research focused on identifying mother-bereaved daughter needs is required to inform social perceptions of mother loss, bereavement education, support, and policy. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic changed people’s lives and resulted in tremendous pain, loss and suffering. The Rio Grande Valley (RGV), in the state of Texas in the U.S., was one of the regions with the highest number of infections and deaths during the pandemic. However, individuals’ bereavement in the RGV is rarely addressed. In this qualitative study, a snowball sample of 47 individuals who had lost their loved ones during the years 2020–2021 were interviewed and invited to engage in an art activity. The findings revealed four themes: peculiar funeral, grieving confusion, loved ones’ memories, and connection to self and the lost one through art. Results indicate that the collective aspect of the funeral was disrupted during the pandemic and created emotional numbness and denial. The intensity of grieving did not decrease with time. The participants mainly relied on their family support and rarely sought professional help. A culturally adapted intervention is needed to address long-term bereavement in this community. Analysis of the art activities indicated that all participants had a feeling of peace and relief afterward, especially male participants who had difficulty expressing their emotions. The participants reported that the artwork positively affected their grievances and that the process was satisfying. [ABSTRACT FROM AUTHOR]

AbstractThe COVID-19 pandemic raised fears about a rise in prolonged grief rates. To determine if these fears are justified, we examined an online sample of 329 Turkish adults for their level of prolonged grief symptoms (as well as probable Prolonged Grief Disorder-PGD) and associated factors in relation to losses during the pandemic. Respondents completed measures of prolonged grief, post-traumatic stress disorder, and depression. Overall, 10% of participants reported symptoms indicating a probable PGD diagnosis. Surprisingly, loss due to COVID-19 or disruption of the natural mourning process did not relate to higher levels of prolonged grief. Our findings suggest that although levels of prolonged grief (and rates of PGD) may have increased during the pandemic, prolonged grief (or PGD) during this time is likely not linked to losses due to COVID-19 or to disruptions in the normal grieving process. [ABSTRACT FROM AUTHOR]

AbstractAs little attention has been paid to dysphemism in death-related discourse, the goal of this study is to analyze the dysphemistic language in a sample of funeral cards, i.e., personalized keepsakes distributed at memorial or funeral services, of Nationalist Spaniards, including both combatants and civilians, who were killed in the Spanish Civil War (1936-1939) and, by doing so, have access to the motivations and purposes underlying dysphemistic use in wartime funeral cards. The inductive, “bottom-up” analysis carried out demonstrates that dysphemism is used to express a negative evaluation of the political enemy through intense and emotionally charged language that refers to the cause and circumstances of the death, on the one hand, and to those responsible for the death, on the other. In this way, dysphemism creates a narrative atmosphere charged with contempt and hatred toward the political enemy and thus becomes a strategic tool of ideological propaganda. [ABSTRACT FROM AUTHOR]

The term ‘disenfranchised grief’ is increasingly being used to designate grief experiences that are overlooked by wider society. In the French context, this term has overwhelmingly been applied to perinatal loss. Focusing on medical termination (IMG), a somewhat liminal category of perinatal loss, this article considers the doubly disenfranchised experience of paternal grief in such circumstances. While IMG-related grief is, in itself, disenfranchised, not least because it lacks societal recognition, paternal grief following IMG is doubly so, since the male voice is seldom heard. Taking as its focus Pater dolorosa (2019), author and journalist Jérémie Szpirglas’ narrative of medical termination, this article will consider the value of the term ‘disenfranchised grief’ in naming the experience of grief to which Szpirglas’ text attests; the capacity of the text to give voice to that experience and to offer a textual transposition of it; and the role of male grief writing following medical termination in beginning to carve out an alternative space for the sharing of a grief experience that defies established social norms. The article will therefore suggest, in line with Rita Felski’s argument, that ‘a literary text could know as much, or more, than a theory’, particularly when it comes to individual experiences of grief. [ABSTRACT FROM AUTHOR]