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Death and grief in illustrated storybooks: An inventory of Swedish literature for young children. 绘本故事书中的死亡与悲伤:瑞典幼儿文学作品盘点》。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-02-13 DOI: 10.1080/07481187.2024.2317167
Rakel Eklund

Storybooks play a crucial role in the experience of childhood. As death is an inevitable part of life, storybooks can be a helpful tool to start communicating about death and grief. The aim of this study was to learn which storybooks were available regarding death and grief for Swedish-speaking children. During spring 2023, a literature search was conducted. A total of 62 books were included in the content analysis to assess language, words, symbolism, and coping strategies. This study provides valuable insights for adults, aiming to enrich the literary experiences of children and promote meaningful conversations about death and grief.

故事书在童年经历中起着至关重要的作用。由于死亡是生命中不可避免的一部分,故事书可以成为开始交流死亡和悲伤的有用工具。本研究旨在了解哪些故事书可供瑞典语儿童阅读,以了解死亡和悲伤。2023 年春季,我们进行了一次文献检索。共有 62 本图书被纳入内容分析,以评估语言、词汇、象征意义和应对策略。这项研究为成人提供了宝贵的见解,旨在丰富儿童的文学经验,促进关于死亡和悲伤的有意义的对话。
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引用次数: 0
The Meaning in Loss protocol: A clinical trial of online grief therapy. 损失中的意义协议:在线悲伤疗法临床试验。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-06-28 DOI: 10.1080/07481187.2024.2370633
João Batista, Daniela Alves, Nuno Pires, Joana R Silva, Inês Mendes, Carina Magalhães, Catarina Rosa, João Tiago Oliveira, Miguel M Gonçalves, Robert A Neimeyer

For a minority of the bereaved, the loss of a significant other can trigger an overwhelming emotional reaction and impaired functioning across life domains, known as prolonged grief disorder (PGD). Hence, ongoing efforts have been made to refine existing treatments to increase their efficacy and to accommodate the idiosyncrasies of grief reactions. This study presents the results of an open clinical trial of the feasibility and effectiveness of the Meaning in Loss (MIL) protocol in an online format. The brief intervention of 12 to 16 sessions combines constructivist and narrative strategies to explore and work through impediments to meaning reconstruction in loss. The sample included 25 participants diagnosed with PGD who were treated by six therapists. Baseline and post-therapy comparisons showed a significant improvement in all clinical measures (grief symptomatology, depression and general distress) and an increase of meaning making regarding the loss. Meaning making was found to be a prospective mediator of symptomatic improvement in grief across the course of therapy. These findings suggest the effectiveness of the MIL protocol in decreasing grief specific and associated symptomatology and argue for the relevance of further controlled evaluations of its efficacy. Moreover, results confirm previous findings that meaning making is a relevant factor in the evolution of grief reactions, including in the context of psychotherapy.

对于少数失去亲人的人来说,失去重要的另一半会引发难以承受的情绪反应,并损害各生活领域的功能,这就是所谓的长期悲伤障碍(PGD)。因此,人们一直在努力改进现有的治疗方法,以提高其疗效并适应悲伤反应的特殊性。本研究介绍了一项开放式临床试验的结果,该试验针对在线形式的 "失去的意义"(MIL)方案的可行性和有效性进行了研究。这项为期 12 到 16 个疗程的简短干预结合了建构主义和叙事策略,以探索和克服在损失中重建意义的障碍。样本包括 25 名被诊断为 PGD 的参与者,他们接受了六名治疗师的治疗。基线和治疗后的比较显示,所有临床测量指标(悲伤症状、抑郁和一般痛苦)都有显著改善,对损失的意义建构也有所增加。在整个治疗过程中,"意义建构 "被认为是悲伤症状改善的前瞻性中介因素。这些研究结果表明,MIL 方案在减少特定悲伤和相关症状方面非常有效,因此有必要对其疗效进行进一步的对照评估。此外,研究结果还证实了之前的发现,即意义建构是悲伤反应演变的一个相关因素,包括在心理治疗中。
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引用次数: 0
Spanish adaptation of the Stillbirth Stigma Scale (SSS). 死产羞辱量表(SSS)的西班牙文改编版。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-02-08 DOI: 10.1080/07481187.2024.2312378
Manuel Fernández-Alcántara, Ana Alejandra Esteban-Burgos, Silvia Escribano, Nereida Congost-Maestre, Danielle Pollock, María José Cabañero-Martínez

The death of a baby in the perinatal period is considered a disenfranchized grief that can be a source of significant symptoms of guilt, shame, and stigma. There is a lack of validated instruments for assessing the stigma associated with perinatal grief. The aim of this study was to examine the psychometric properties (factor structure, reliability, and validity) of the Spanish version of the Stillbirth Stigma Scale (SSS) in parents who have experienced a perinatal loss. A total of 291 participants (mostly mothers) completed an online questionnaire that included the SSS and other measures. The best-fitting factor structure was a second-order model with four dimensions and adequate reliability values. In terms of validity, we found statistically significant relationships between the SSS scores and the variables of self-esteem, complicated grief, event centrality, depression, and anxiety. In conclusion, the Spanish adaptation of the SSS is deemed to have adequate psychometric properties.

围产期婴儿死亡被认为是一种被剥夺了权利的悲痛,可能会导致严重的内疚、羞愧和耻辱症状。目前还缺乏有效的工具来评估与围产期悲伤相关的耻辱感。本研究旨在对西班牙文版死胎耻辱感量表(SSS)的心理测量特性(因子结构、信度和效度)进行研究,研究对象为经历过围产期丧子的父母。共有 291 名参与者(主要是母亲)填写了一份在线问卷,其中包括 SSS 和其他测量指标。最佳拟合因子结构是一个二阶模型,有四个维度和足够的信度值。在有效性方面,我们发现 SSS 分数与自尊、复杂悲伤、事件中心性、抑郁和焦虑等变量之间存在统计学意义上的显著关系。总之,西班牙文改编版 SSS 被认为具有充分的心理测量特性。
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引用次数: 0
Development and validation of the Earthquake Obsession Scale. 地震迷信量表的开发与验证。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-02-19 DOI: 10.1080/07481187.2024.2317177
Aslı Kartol, Servet Üztemur, Pınar Yaşar

Earthquakes are natural disasters that are very destructive and whose timing is unknown. These disasters can have a very negative effect on people's mental health, and their effects can last for many years. This study examined the psychometric properties of a scale to measure earthquake obsession. Data were collected from adults living in different provinces of Türkiye (N = 732), who completed the new scale, Doomscrolling Scale, Death Distress Scale, and Mental Well-Being Scale. The Earthquake Obsession Scale (EOS) had a two-factor structure, good internal consistency reliability, and convergent and discriminant validity. Correlational analysis revealed that earthquake obsession was positively associated with doomscrolling and death anxiety, and negatively associated with well-being. Mediation analysis indicated that doomscrolling and death distress mediated the relationship between earthquake obsession and well-being. The results emphasized the potential of earthquake obsession to affect daily life negatively and revealed its relationship with psychological variables.

地震是一种破坏性极大且时间未知的自然灾害。这些灾害会对人们的心理健康产生非常负面的影响,而且这种影响可能会持续多年。本研究考察了地震强迫量表的心理测量特性。数据收集自居住在土耳其不同省份的成年人(N = 732),他们完成了新量表、末日滚动量表、死亡困扰量表和心理健康量表。地震强迫量表(EOS)具有双因素结构、良好的内部一致性可靠性、收敛性和区分性有效性。相关分析表明,地震强迫症与末日焦虑和死亡焦虑呈正相关,与幸福感呈负相关。中介分析表明,厄运滚动和死亡焦虑对地震强迫症与幸福感之间的关系起中介作用。研究结果强调了地震强迫症对日常生活的潜在负面影响,并揭示了它与心理变量之间的关系。
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引用次数: 0
Balancing roles: Teaching staff's dilemma in supporting bereaved college students. 平衡角色:教学人员在支持失去亲人的大学生时的两难选择。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-02-19 DOI: 10.1080/07481187.2024.2306464
Martin Lytje, Atle Dyregrov

This study examines the challenges faced by teaching staff in supporting bereaved college students. A three-year study was conducted in Danish colleges, involving focus groups and 1-on-1 interviews with 18 teachers from five collaborating colleges, situated in all main regions of Denmark. The research aimed to understand the role of college teaching staff in providing support during critical illness and death. Findings reveal an absence of clear structures, leaving teaching staff uncertain about their responsibilities. Challenges include inconsistent engagement, difficulty identifying bereaved students, and the need for more time, support structures, and training. Clear guidelines are essential to empower teaching staff in effectively assisting bereaved students. Providing support, resources, and training will enhance student well-being and enable teachers to fulfill their support roles confidently.

本研究探讨了教职员工在支持失去亲人的大学生时所面临的挑战。这项为期三年的研究在丹麦各学院进行,涉及焦点小组和一对一访谈,访谈对象是来自丹麦各主要地区五所合作学院的 18 名教师。研究旨在了解高校教师在危重病人和逝者提供支持时所扮演的角色。研究结果表明,由于缺乏明确的结构,教学人员对自己的职责并不确定。面临的挑战包括:参与程度不一致,难以识别失去亲人的学生,以及需要更多的时间、支持结构和培训。明确的指导方针对于增强教学人员有效帮助丧亲学生的能力至关重要。提供支持、资源和培训将增进学生的福祉,使教师能够自信地履行其支持职责。
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引用次数: 0
The burden of grief: A scoping review of nurses' and physicians' experiences throughout the COVID-19 pandemic. 悲伤的负担:对护士和医生在整个 COVID-19 大流行期间的经历进行的范围审查。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2025-01-01 Epub Date: 2024-01-27 DOI: 10.1080/07481187.2024.2306461
Sarah Burm, Selena MacDonald, Carolyn Melro, Erin Kennedy, Pauline Tran-Roop, Frances Kilbertus, Anna MacLeod, Susan Robinson, Jackie Phinney

Coping with loss is an unfortunate reality faced by healthcare professionals, and the COVID-19 pandemic exacerbated this challenge for those who worked on the frontlines. Our scoping review aimed to comprehensively map the existing literature pertaining to the experiences of grief among nurses and physicians in the context of the pandemic. Six bibliographic databases were searched in 2022, and a targeted search of gray literature and citation chasing was also performed. After screening a total of 2920 records, we included 173 evidence sources in this review. Data was both analyzed descriptively (e.g., frequency counts and percentages) and using a qualitative content analysis approach. Our findings illuminate the myriad losses experienced by nurses and physicians throughout the pandemic. While the literature portrays the coping mechanisms healthcare professionals have developed personally, there is a pronounced need for increased institutional support to alleviate the burdens they carry.

应对损失是医疗保健专业人员面临的一个不幸现实,而 COVID-19 大流行则加剧了在前线工作的人员所面临的这一挑战。我们的范围界定综述旨在全面梳理现有文献中与大流行病背景下护士和医生的悲伤经历相关的内容。我们在 2022 年检索了六个文献数据库,还对灰色文献和引文进行了有针对性的检索。在筛选了总共 2920 条记录后,我们将 173 个证据来源纳入了本综述。我们对数据进行了描述性分析(如频率计数和百分比),并采用了定性内容分析方法。我们的研究结果阐明了护士和医生在整个大流行病期间所经历的无数损失。虽然文献描绘了医护专业人员个人开发的应对机制,但显然需要更多的机构支持来减轻他们的负担。
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引用次数: 0
COVID-19 pandemic impact on funeral service workers' work-related mental health. 新冠肺炎大流行对殡葬服务人员职业心理健康的影响
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-26 DOI: 10.1080/07481187.2024.2443431
Mitzy Kennis, Renée R Dijkhuis, Charlie A Steen, Lonneke I M Lenferink, Joris F G Haagen

COVID-19 may pose a mental health risk to funeral service workers (FSWs). In this cross-sectional survey, 278 Dutch FSWs were assessed three months after the acute phase of the pandemic ended. The FSWs reported on burnout symptoms (BAT-12), work engagement (UWES-9), wellbeing (MHC-SF) mental health indicators, and retrospectively on work stress and perceived support during the acute phase of the pandemic. Data-analyses included descriptive statistics and linear regression. Mental health scores were compared with norm scores. Almost all FSWs reported "average-to-high" levels of wellbeing (93%, n = 223) and work engagement (99%, n = 275), and rarely (3%, n = 7) "high" levels of burnout symptoms. However, a third (33%, n = 81) expressed a need for support. Higher levels of work stress and lower levels of perceived support were significantly associated with poorer current mental health. FSWs appear mentally healthy and may provide worthwhile insights into pandemic resilience.

COVID-19可能对殡葬服务工作者构成精神健康风险。在这项横断面调查中,在大流行急性期结束三个月后对278名荷兰fsw进行了评估。FSWs报告了倦怠症状(bat12)、工作投入(UWES-9)、幸福感(MHC-SF)心理健康指标,并回顾性地报告了大流行急性期的工作压力和感知支持。数据分析包括描述性统计和线性回归。将心理健康得分与正常得分进行比较。几乎所有的fsw都报告了“中等到高”的幸福感(93%,n = 223)和工作投入(99%,n = 275),很少(3%,n = 7)。“高度”的倦怠症状然而,三分之一(33%,n = 81)的人表示需要支持。较高水平的工作压力和较低水平的感知支持与当前较差的心理健康显著相关。fsww看起来精神健康,可能为大流行抵御能力提供有价值的见解。
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引用次数: 0
Grief from Afar: Parental bereavement for fallen "lone soldiers" in the Israel Defense Forces-an exploration of parents' continuing bond with their deceased offspring who is buried in a different country. 来自远方的悲伤:以色列国防军阵亡 "孤军 "父母的丧亲之痛--探讨父母与埋葬在异国他乡的已故后代之间的持续联系。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-17 DOI: 10.1080/07481187.2024.2437473
Jonathan Rosenhead, Michal Mahat Shamir

Based on continuing bonds theory, this research assessed the manifestation of a continuing relationship for bereaved parents with their deceased offspring who is buried in a different country. This qualitative interpretive phenomenological study is based on interviews with seven bereaved parents whose offspring died during military service in the Israel Defense Forces (IDF) and were buried in Israel, whilst the parents live outside of Israel. Analysis revealed three themes: (a) fulfillment of their offspring's will; (b) commemoration; (c) physical and emotional proximity to their offspring. The geographical distance from the grave presented a challenge to parents' continuing bonds with their deceased offspring, manifesting as a dialectical bond of distance and closeness with their offspring. A key finding was the relational dynamic of the parent-offspring relationship through the continuing bond that emerged following the death of their offspring. Implications for parental bereavement support are considered.

基于持续联系理论,本研究评估了丧亲父母与其在不同国家埋葬的已故子女之间持续关系的表现。本定性解释性现象学研究基于对7位失去亲人的父母的访谈,他们的子女在以色列国防军(IDF)服役期间死亡,并被埋葬在以色列,而父母住在以色列以外。分析揭示了三个主题:(a)实现后代的意愿;(b)纪念;(c)与子女的身体和情感亲近。距离坟墓的地理距离对父母与已故子女的持续联系提出了挑战,表现为与子女的距离和亲密的辩证联系。一个关键的发现是亲子关系的动态关系,这种关系是通过后代死亡后出现的持续联系而形成的。考虑了对父母丧亲支持的影响。
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引用次数: 0
My child's home: Parental grief at a Chinese cemetery. 我孩子的家中国墓地里父母的悲伤。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-14 DOI: 10.1080/07481187.2024.2435931
Lihong Shi

This article explores how the parent-child bond is continued in an emergent deathscape in urban China where graves designated for deceased children are being created. This new child-centered deathscape stands in stark contrast to the dominant Chinese deathscape which is embedded in the longstanding practice of ancestor worship. Based on data collected through cemetery visits and interviews with bereaved parents, this article delves into the making of this new deathscape manifested at a cemetery in urban China to demonstrate the process of bereaved parents building and maintaining bonds with their deceased children. It reveals how bereaved parents regard their children's graves as the children's new homes in the afterlife. It also discusses how a deceased child's identity is presented and social presence continued at the grave, how parental love is expressed and practiced after the burial, and how the parent-child bond is expressed as continuing in the afterlife.

这篇文章探讨了亲子关系是如何在中国城市的一个紧急的死亡景观中继续下去的,那里正在为死去的孩子建造坟墓。这种新的以儿童为中心的死亡景观与中国长期以来的祖先崇拜中所蕴含的主流死亡景观形成鲜明对比。本文通过访问墓地和采访丧亲父母收集的数据,深入研究了在中国城市墓地中表现的这种新的死亡景观的制作,以展示丧亲父母与已故子女建立和维持联系的过程。它揭示了失去亲人的父母如何将孩子的坟墓视为孩子死后的新家。它还讨论了一个死去的孩子的身份是如何呈现的,在坟墓上的社会存在是如何继续的,父母的爱是如何在葬礼后表达和实践的,以及亲子关系是如何在来世继续表达的。
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引用次数: 0
Nationalizing the patient and privatizing the loss: Ideological meaning-making in the aftermath of COVID-19-related loss. 病人国有化,损失私有化:COVID-19 相关损失后的意识形态意义塑造。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-12-13 DOI: 10.1080/07481187.2024.2437671
Adi Barak, Liron Ben-Ezra, Mor Safyon

In this qualitative study, we explored the process of ideological meaning-making of bereaved individuals (N = 19) who have lost a close family member to Covid-19. Based on a thematic analysis three key themes emerged: "cut," "fade out," and "fade in." Participants initially experienced a sudden disconnect (cut) that was forced onto the bereaved, both during the loved one's illness period and after the loved one's death. This "cut" was followed by a "fade out" of the social, medical, and institutional entities that had been highly involved in the illness period, leaving the bereaved to realize that they are no longer part of "the national struggle." The "fade out" generated a "fade in" process, during which the collective sense of loss was forcefully replaced by a privatized one. This study provides a nuanced understanding of the complex interplay between the social narratives of COVID-19, ideological meaning-making and bereavement.

在本定性研究中,我们探讨了因Covid-19失去亲密家庭成员的丧亲个体(N = 19)的意识形态意义制造过程。基于主题分析,出现了三个关键主题:“剪切”、“淡出”和“淡入”。参与者最初经历了突然的断开(切断),这是强加给失去亲人的,无论是在亲人生病期间还是在亲人去世后。这一“削减”之后是社会、医疗和机构实体的“淡出”,这些实体在疾病期间高度参与,使失去亲人的人意识到他们不再是“国家斗争”的一部分。“淡出”产生了一个“进入”的过程,在这个过程中,集体的失落感被一种私有化的失落感所取代。这项研究对COVID-19的社会叙事、意识形态意义创造和丧亲之痛之间的复杂相互作用提供了细致入微的理解。
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引用次数: 0
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Death Studies
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