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"I want my son to die before I do": A phenomenological study on the views of mothers with disabled children about death after the 6 February 2023 earthquakes in Türkiye. "我希望我的儿子比我先死:2023 年 2 月 6 日土耳其地震后残疾儿童母亲对死亡看法的现象学研究。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-09 DOI: 10.1080/07481187.2024.2376826
Özge Erduran Tekin

In this study, it was aimed to investigate the experiences of mothers with disabled children directly affected by the 6 February 2023 earthquakes in Türkiye regarding the concept of death in the context of social representations. The interpretive phenomenological analysis method, which is a qualitative research method, was used in the study. The content of semi-structured interviews held with 23 mothers was analyzed according to the analysis guidelines of Smith and Osborn. As a result of the analyses, four themes representing the views of the participants on the concept of death, which were "the perception of death, individual factors affecting the perception of death, environmental factors affecting the perception of death, and methods of coping with death anxiety," as well as fifteen categories under these themes, were revealed. The results of this study present the experiences and needs of mothers with disabled children after the aforementioned earthquakes, their needs in this process, their views about death, and their coping resources within a cultural framework. According to the results, the existing needs and death anxiety of mothers with disabled children have become more prominent after the earthquakes.

本研究旨在调查直接受到 2023 年 2 月 6 日土耳其地震影响的有残疾儿童的母亲在社会表征背景下对死亡概念的体验。本研究采用了解释性现象学分析方法,这是一种定性研究方法。根据史密斯和奥斯本的分析指南,对 23 位母亲的半结构式访谈内容进行了分析。分析结果揭示了代表参与者对死亡概念看法的四个主题,即 "对死亡的感知、影响对死亡感知的个人因素、影响对死亡感知的环境因素和应对死亡焦虑的方法",以及这些主题下的 15 个类别。本研究的结果呈现了上述地震后残疾儿童母亲的经历和需求、她们在这一过程中的需求、她们对死亡的看法以及她们在文化框架内的应对资源。研究结果显示,地震发生后,残疾儿童母亲的现有需求和死亡焦虑变得更加突出。
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引用次数: 0
Transnational grieving: The lived experience of Overseas Filipino Workers who lost their loved ones due to COVID-19. 跨国悲伤:因 COVID-19 而失去亲人的海外菲律宾工人的生活经历。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-09 DOI: 10.1080/07481187.2024.2376026
Blanche Marie M Abellana, Austin J P Ferolino

This study aimed to gain an insight into the lived experience of Overseas Filipino Workers (OFWs) who lost their family members due to COVID-19 during the lockdown in 2020. Five OFWs volunteered to participate in this study and underwent online semi-structured interviews. An interpretative phenomenological approach guided the data analysis, through which four major themes were derived: (1) experiencing the emotional strains of unexpected death while physically distant; (2) enduring the absence of traditional mourning rituals; (3) managing grief from a distance; and (4) finding closure through physical and symbolic presence. These findings shed light on how OFWs experienced loss and grief during the lockdown, as well as how they coped amidst the distance and eventually finding a degree of closure.

本研究旨在了解在 2020 年封锁期间因 COVID-19 而失去家人的海外菲律宾工人(OFWs)的生活经历。五名海外菲律宾工人自愿参与本研究,并接受了在线半结构化访谈。研究采用解释现象学的方法对数据进行分析,并从中得出四大主题:(1)经历意外死亡带来的情感压力,而自己却远在他乡;(2)忍受传统哀悼仪式的缺失;(3)从远方处理悲伤;以及(4)通过身体和象征性的存在找到结局。这些发现揭示了海外菲律宾工人在封锁期间是如何体验损失和悲伤的,以及他们是如何在距离中应对并最终找到某种程度的解脱的。
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引用次数: 0
The impact of their role on telephone crisis support workers' psychological wellbeing and functioning: Qualitative findings from a mixed methods investigation. 电话危机支持人员的角色对其心理健康和功能的影响:混合方法调查的定性结果。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-08 DOI: 10.1080/07481187.2024.2376038
Taneile A Kitchingman, Peter Caputi, Alan Woodward, Ian Wilson, Coralie Wilson

Little is known about how telephone crisis support workers are impacted by frequent empathic engagement with callers in crisis, including those who are suicidal. This is the only known qualitative study to specifically examine the impact of their role on telephone crisis support workers' psychological wellbeing and functioning. Eighteen telephone crisis support workers participated in semi-structured interviews, providing detailed accounts of the impact of the role on their wellbeing and functioning. Interpretive Phenomenological Analysis of interview data resulted in four key themes. Results suggest that telephone crisis support workers' motivations, background, personal help-seeking and coping practices are likely to impact their experiences of psychological wellbeing and functioning in relation to empathic engagement with callers in crisis. Telephone crisis services should seek to integrate an understanding of workers' experiences into the provision of training, supervision and support strategies to optimize workers' wellbeing and functioning.

人们对电话危机支持人员如何因经常与处于危机中的来电者(包括有自杀倾向者)进行移情接触而受到影响知之甚少。这是目前已知的唯一一项专门研究电话危机支持人员的角色对其心理健康和工作的影响的定性研究。18 名电话危机支持工作者参加了半结构化访谈,详细讲述了这一角色对他们的幸福感和功能的影响。对访谈数据的解释性现象学分析产生了四个关键主题。结果表明,电话危机支持人员的动机、背景、个人求助和应对方法很可能会影响他们在与危机来电者进行移情接触时的心理健康和功能体验。电话危机服务机构在提供培训、监督和支持策略时,应设法将对工作人员经历的理解融入其中,以优化工作人员的幸福感和功能。
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引用次数: 0
Perceived social support and symptoms of prolonged grief after a drug-related death. 感知到的社会支持与毒品相关死亡后的长期悲伤症状。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-06 DOI: 10.1080/07481187.2024.2376037
Monika Alvestad Reime, Maja O'Connor, Sigurd William Hystad, Kari Dyregrov

Social network support can be important when adjusting to life after the death of a close family member or friend. However, research has yielded inconclusive results regarding the relationship between social support and complicated grief reactions. Persons bereaved after a drug-related death (DRD) are a group of people who are at high risk of developing bereavement complications. Based on a Norwegian study on DRD bereaved close family members and friends (n = 250), this study examines the association between perceived social support, societal stigma, own social withdrawal, and prolonged grief symptoms (PGS). Own social withdrawal predicts the most variance in PGS symptoms: 8%, perceived social support: 3%, and societal stigma: 1%. Together the three focal variables explain 17.5% of variations in PGS. Results from the study point to the importance of social network support, which could reduce bereavement complications after a DRD.

在亲密的家人或朋友去世后,社会网络的支持对于适应生活非常重要。然而,关于社会支持与复杂悲痛反应之间的关系,研究结果尚无定论。毒品相关死亡(DRD)后的丧亲之痛者是丧亲并发症的高危人群。本研究以挪威一项针对毒品相关死亡丧亲者近亲属和朋友(n = 250)的研究为基础,探讨了感知到的社会支持、社会耻辱、自身社会退缩和长期悲伤症状(PGS)之间的关系。自身社会退缩对 PGS 症状的预测差异最大:8%,感知到的社会支持3%,社会污名:1%。这三个焦点变量加在一起可以解释 17.5% 的 PGS 变异。研究结果表明了社会网络支持的重要性,它可以减少 DRD 后的丧亲并发症。
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引用次数: 0
Psychosocial burden after the death of a child from cancer: Results of a bereaved parent survey. 儿童死于癌症后的社会心理负担:丧子父母调查结果。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-03 DOI: 10.1080/07481187.2024.2371074
Courtney E Wimberly, Elizabeth S Davis, Lisa Towry, Kyle M Walsh, Emily E Johnston

Parents experience lasting psychological distress after a child's death from cancer. Limited evidence exists regarding difficult life events, duration of psychosocial impacts, and associated risk factors among bereaved parents. Alex's Lemonade Stand Foundation surveyed self-selected, bereaved parents regarding difficult life events and psychosocial wellbeing (life satisfaction, unanswered questions, and missing the care team) through a public, cross-sectional survey. 176 bereaved parents (89% mothers) participated a median of 7 y after their child's death. The most difficult events were family vacations (80%), their child's birthday (80%), and anniversary of their child's death (76%). Only the latter did not improve with time. Greater life satisfaction was associated with male sex (ARR = 1.2, 95% CI:1.1-1.4) and being married/partnered (ARR = 1.2, 95% CI = 1.0-1.3). Having unanswered questions and missing the child's team were associated with annual income <$50,000 (ARR = 1.2, 95% CI:1.1-1.2; ARR = 1.2, 95% CI:1.0-1.3, respectively). Pediatric oncology programs need robust bereavement programs that include prolonged contact with families.

孩子死于癌症后,父母会经历持久的心理压力。关于生活中的困难事件、社会心理影响的持续时间以及丧子父母的相关风险因素的证据有限。亚历克斯柠檬水摊位基金会通过一项公开的横断面调查,就生活困难事件和社会心理健康(生活满意度、未回答的问题和对护理团队的思念)对自我选择的丧亲父母进行了调查。176 名丧亲父母(89% 为母亲)在孩子去世后 7 年参加了调查。最困难的事件是家庭度假(80%)、孩子的生日(80%)和孩子的忌日(76%)。只有后者没有随着时间的推移而改善。更高的生活满意度与男性(ARR = 1.2,95% CI:1.1-1.4)和已婚/有伴侣(ARR = 1.2,95% CI = 1.0-1.3)有关。有未回答的问题和错过孩子的团队与年收入有关。
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引用次数: 0
Death-is-life-enhancing: Adaptation and validation of the Norwegian Death Mindsets Measure (NDMM). 死亡即生命:挪威死亡心态测量法(NDMM)的调整和验证。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-01 DOI: 10.1080/07481187.2024.2362851
Michelle Chang, Jens C Thimm

While existing psychological frameworks and their accompanying measures focus on death as anxiety-inducing and debilitating, we highlight an overlooked perspective of death-that death can be a basis for living with more meaning and presence. The present research adapts and validates the Death Mindsets Measure (DMM), which assesses the mindset that "death-is-life-enhancing," for a Norwegian context. Firstly, we translated the DMM and consulted with Norwegian bereavement experts and bereaved Norwegians on items' clarity and relevance to cultural perspectives of death. Secondly, we validated the Norwegian DMM (NDMM) on a predominantly bereaved community sample of Norwegians (N = 241). Using structural equation modeling, we confirmed the hierarchical two-factor structure of our measure. The NDMM also demonstrated high internal consistency and discriminant validity with existing death anxiety and death attitudinal measures. Finally, our measure explained additional variance in psychological well-being beyond existing death anxiety and attitudinal measures.

现有的心理学框架及其相应的测量方法主要将死亡视为会引起焦虑和使人衰弱的因素,而我们则强调了一个被忽视的死亡视角--死亡可以成为让人活得更有意义、更有存在感的基础。本研究针对挪威的国情,对死亡心态测量法(Death Mindsets Measure,DMM)进行了改编和验证。首先,我们翻译了DMM,并就项目的清晰度和与死亡文化观点的相关性征求了挪威丧亲专家和挪威丧亲人士的意见。其次,我们在一个以丧亲挪威人为主的社区样本(样本数=241)中验证了挪威语丧亲教育指标(NDMM)。通过结构方程模型,我们证实了我们的测量方法具有层次分明的双因素结构。NDMM 还与现有的死亡焦虑和死亡态度测量方法具有很高的内部一致性和区分效力。最后,除了现有的死亡焦虑和死亡态度测量方法外,我们的测量方法还能解释更多的心理健康差异。
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引用次数: 0
Companion animal bereavement: Psychometric properties of the Spanish version of the Pet Bereavement Questionnaire. 伴侣动物的丧亲之痛:宠物丧亲之痛问卷西班牙文版的心理测量特性。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-01 DOI: 10.1080/07481187.2024.2363477
Javier López-Cepero, Marta Ferrer, Marina Mori, Alicia Español

This work provides psychometric data on the validity and reliability of the Spanish adaptation of the Pet Bereavement Questionnaire (PBQ), as well as information on the intensity of bereavement in the Spanish population. The study evaluated 333 Spanish participants of legal age (M = 31.5; SD = 11.6), mostly women (76.3%). Confirmatory factor analysis (CFA) tested the adequacy of three different structures present in literature, finding better fit indexes for a model that kept the original three-factor structure (grief, guilt, and anger) but rearranged 2 of the 16 items. Around 70% of participants reported signs of intense bereavement on the grief scale, with higher means among women. The results confirm adequate psychometric qualities of the PBQ, offering healthcare professionals a tool to evaluate bereavement intensity after the loss of a companion animal in Spanish samples.

这项研究提供了有关宠物丧亲之痛问卷(PBQ)西班牙语改编版的有效性和可靠性的心理测量数据,以及有关西班牙人丧亲之痛强度的信息。该研究评估了 333 名法定年龄的西班牙参与者(M = 31.5;SD = 11.6),其中大部分为女性(76.3%)。确认性因子分析(CFA)测试了文献中三种不同结构的适当性,发现保留原始三因子结构(悲伤、内疚和愤怒)但重新安排 16 个项目中 2 个项目的模型拟合指数更好。约 70% 的参与者在悲伤量表中报告了强烈的丧亲迹象,其中女性的平均值更高。研究结果证实了 PBQ 具有良好的心理测量质量,为医护人员提供了一种工具,用于评估西班牙样本中伴侣动物丧亲后的丧亲强度。
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引用次数: 0
The first casualty of COVID-19 for patients nearing death was human dignity: Understanding the experience of palliative care patients during the COVID-19 pandemic. 对于濒临死亡的病人来说,COVID-19首先损害的是人的尊严:了解 COVID-19 大流行期间姑息关怀病人的经历。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-01 DOI: 10.1080/07481187.2024.2353974
Salina Pirzada, Kelsey Papineau, Lily Pankratz, Gagan Gill, Jennifer Hensel, Kristin Reynolds, James M Bolton, Tim Hiebert, Kendiss Olafson, Renée El-Gabalawy, Christian La Rivière, Maia S Kredentser, Harvey Max Chochinov

The COVID-19 pandemic changed the way people lived, but also the way they died. It accentuated the physical, psychological, social, and spiritual vulnerabilities of patients approaching death. This study explored the lived experience of palliative inpatients during the pandemic. We conducted interviews with 22 palliative inpatients registered in a Canadian urban palliative care program, aimed to uncover how the pandemic impacted participants' experiences of approaching end-of-life. The reflexive thematic analysis revealed 6 themes: putting off going into hospital, the influence of the pandemic on hospital experience, maintaining dignity in care, emotional impact of nearing death, making sense of end-of-life circumstances and coping with end-of-life. Findings highlight the vulnerability of patients approaching death, and how that was accentuated during the pandemic. Findings reveal how the pandemic strained, threatened, and undermined human connectedness. These lived experiences of palliative inpatients offer guidance for future pandemic planning and strategies for providing optimal palliative care.

COVID-19 大流行改变了人们的生活方式,也改变了他们的死亡方式。它加剧了临终病人在生理、心理、社会和精神方面的脆弱性。本研究探讨了大流行期间姑息治疗住院病人的生活经历。我们对在加拿大城市姑息关怀项目中注册的 22 名姑息治疗住院病人进行了访谈,旨在揭示大流行如何影响参与者的临终体验。反思性主题分析揭示了 6 个主题:推迟住院、大流行病对住院经历的影响、在护理中维护尊严、临近死亡的情绪影响、了解临终环境以及应对临终。研究结果强调了临终病人的脆弱性,以及这种脆弱性在大流行病期间是如何加剧的。研究结果揭示了大流行是如何紧张、威胁和破坏人与人之间的联系的。姑息治疗住院病人的这些生活经历为未来的大流行规划和提供最佳姑息治疗的策略提供了指导。
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引用次数: 0
Intergenerational coping: Examining how caregiver and child coping relate to resilience in bereaved children. 代际应对:研究照顾者和儿童的应对方式与丧亲儿童的复原力之间的关系。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-01 DOI: 10.1080/07481187.2024.2362858
Amanda J Hasselle, Mya E Bowen, Rachel A Stobbe, Nicollette P Dwyer, Abigail M Budney, Kathryn H Howell

The death of a loved one can have harmful effects on children's mental health, yet some bereaved children exhibit resilience. Various caregiver and child coping strategies, including active and avoidant coping, may affect the psychosocial functioning of bereaved children. The current study recruited 78 bereaved children aged 8-17 and one of their caregivers to explore: 1) how caregivers' coping strategies affect their child's coping strategies and resilience, and 2) associations between children's coping and their resilience. Results from the active coping mediation model revealed that children's active coping was significantly associated with their resilience, and caregivers' active coping was indirectly associated with children's resilience through children's active coping. The avoidant coping model was not significant. These preliminary findings highlight the importance of promoting active coping strategies among bereaved children and caregivers.

亲人的离世可能会对儿童的心理健康产生有害影响,但有些丧亲儿童却表现出了顽强的生命力。照顾者和儿童的各种应对策略,包括积极应对和回避应对,可能会影响丧亲儿童的心理社会功能。本研究招募了 78 名年龄在 8-17 岁的丧亲儿童及其一名照顾者,以探讨1) 照顾者的应对策略如何影响其子女的应对策略和复原力,以及 2) 儿童的应对策略和复原力之间的关联。积极应对中介模型的结果表明,儿童的积极应对与他们的抗逆力有显著关联,而照顾者的积极应对则通过儿童的积极应对与儿童的抗逆力间接相关。回避型应对模式的意义不大。这些初步研究结果突显了在丧亲儿童和照顾者中推广积极应对策略的重要性。
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引用次数: 0
Response to Lyon: Oranges, apples and polarizing polemic. 回应里昂:橘子、苹果和两极分化的论战。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-01 DOI: 10.1080/07481187.2024.2369380
Anne Bruce, Rosanne Beuthin

In this paper we respond to the commentary, Human misconnection? A response to Beuthin and Bruce on Medical Assistance in Dying providers' lived experience, by C. Lyon. While spirited and respectful debate of topics of interest to society are important, we illustrate how Lyon offers a polarizing reaction to findings with which he simply does not agree. We surface how Lyon ignores the methodological context underpinning the interpretive findings of the original study. In so doing, he violates an important tenet of scholarly critique and renders his claims and motivation questionable. We argue that Lyon's commentary is an opinion piece disguised as scholarly critique that will limit thoughtful conversation about assisted dying that might otherwise engage and generate new understandings across difference.

在本文中,我们将对 C. Lyon 发表的评论文章《人与人之间的误解?C. Lyon 对 Beuthin 和 Bruce 关于临终医疗协助提供者生活经历的评论的回应。尽管就社会关注的话题进行热烈和相互尊重的辩论很重要,但我们要说明 Lyon 是如何对他根本不同意的研究结果做出两极分化的反应的。我们揭示了里昂是如何忽视原始研究解释性发现所依据的方法论背景的。这样,他就违反了学术批评的一个重要原则,使他的主张和动机受到质疑。我们认为,Lyon 的评论是一篇伪装成学术批评的观点文章,它将限制关于协助死亡的深思熟虑的对话,而这种对话可能会参与并产生跨越差异的新理解。
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引用次数: 0
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Death Studies
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