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The Absence of Funeral Rites as a Risk Factor for the French Bereaved Population. 没有葬礼仪式是法国丧亲人群的一个风险因素。
Pub Date : 2024-08-22 DOI: 10.1177/00302228241276570
Livia Sani, Chad Cape, José Merheb, Nicolas Poulin, Boris Lassagne, Géraldine Canet, Maxime Lallemant, Jacques Cherblanc, Ciro De Vincenzo, Ines Testoni, Lissy Canellopoulos, Nicholas T Kaufmann, Marie-Frédérique Bacqué

During the COVID-19 pandemic, stringent measures were imposed in numerous countries, including France. These measures significantly disrupted societal practices, particularly mourning and funeral rituals. This study, conducted between June and September 2021 as part of the COVIDEUIL-France research, involved 242 participants, predominantly female (84%) with an average age of 49.64 years. The research aimed to investigate the consequences of the absence of funeral rituals and the adoption of personalized, domestic, and digital alternatives. Using online surveys and psychological tools, including the Traumatic Grief Inventory Self Report Version (TGI-SR), General Health Questionnaire-28 (GHQ-28), and Post-traumatic Growth Inventory (PTGI), the study found a significant correlation between the lack of traditional practices and grief complications. Despite 21.81% of participants compensating with personal commemorations, digital commemorations were underutilized, raising questions about their effectiveness. The study provides crucial insights, emphasizing the need to address the psychological effects of disrupted mourning practices in France.

在 COVID-19 大流行期间,包括法国在内的许多国家都实施了严格的措施。这些措施极大地扰乱了社会习俗,尤其是哀悼和葬礼仪式。作为 COVIDEUIL-France 研究的一部分,这项研究于 2021 年 6 月至 9 月间进行,共有 242 人参与,其中大部分为女性(84%),平均年龄为 49.64 岁。研究旨在调查葬礼仪式的缺失以及采用个性化、家庭化和数字化替代方式的后果。研究使用在线调查和心理工具,包括创伤性悲伤量表自我报告版(TGI-SR)、一般健康问卷-28(GHQ-28)和创伤后成长量表(PTGI),发现缺乏传统习俗与悲伤并发症之间存在显著相关性。尽管有 21.81% 的参与者以个人纪念活动作为补偿,但数字纪念活动的利用率却很低,这就引起了人们对其有效性的质疑。这项研究提供了重要的见解,强调有必要解决法国丧葬习俗中断造成的心理影响。
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引用次数: 0
"Talking About Funerals Won't Make You Dead": Dialogic Tensions in Death Café Design and Facilitation. "谈论葬礼不会让你死":死亡咖啡馆设计和引导中的对话张力。
Pub Date : 2024-08-21 DOI: 10.1177/00302228241272716
Jessica Cherry, Laura W Black

Death Cafes (DCs) explicitly encourage conversation and constitute space to explore the dialogue around death and dying. This study draws on scholarship from communication and dialogue theory to explore the design features and facilitation practices used within DC meetings. Through qualitative analysis of the DC webpage and interviews with facilitators, the study uncovers how DC facilitators structure and manage conversations to help attendees normalize death conversations and manage the death anxiety of others in their lives. The analysis highlights three main tensions within the DC structure and facilitation guidelines: structure versus openness, authority versus equality, and conversation versus information. These fundamental contradictions are inherent in DCs, and facilitators need to manage them in order to promote meaningful dialogue among DC participants. This study deepens the theorizing around DC facilitation practices and has implications for death and dying practitioners hoping to foster dialogue about end-of-life topics.

死亡咖啡馆(Death Cafes,DCs)明确鼓励对话,并为探讨有关死亡和临终的对话提供了空间。本研究借鉴了传播和对话理论的学术成果,探讨了死亡咖啡馆会议的设计特点和促进实践。通过对区委会网页的定性分析和对主持人的访谈,本研究揭示了区委会主持人如何组织和管理对话,以帮助与会者将死亡对话正常化,并管理他们生活中其他人的死亡焦虑。分析凸显了 "死亡对话 "结构和促进指南中的三大矛盾:结构与开放、权威与平等、对话与信息。这些基本矛盾是区议会所固有的,主持人需要处理好这些矛盾,以促进区议会参与者进行有意义的对话。这项研究深化了关于区会促进实践的理论,并对希望促进生命末期话题对话的死亡与临终从业者具有启示意义。
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引用次数: 0
Exploring Funeral Directors' Experience and Perceived Impact of Providing Funeral Services During COVID-19 Restrictions. 探讨殡仪业者在 COVID-19 限制期间提供殡仪服务的经验和感知影响。
Pub Date : 2024-08-20 DOI: 10.1177/00302228241272608
Anne Dodd, Suzanne Guerin

The importance of ritual/ceremony following bereavement is well documented, however restrictions during the COVID-19 pandemic impacted the freedom to bury loved ones according to beliefs/traditions. This study explores the experiences of staff providing funeral services during COVID-19 and considers the implications for supporting bereaved families. Fifty-eight staff (male, 72.4%; n = 42) from 17 counties in Ireland, completed a self-report survey assessing perceived impact of COVID-19, confidence providing services, and challenges and supports for practice during this time. Quantitative findings suggest moderate confidence in service provision and low perception of negative impact from COVID-19, while qualitative results highlight a contrast between a feeling of under-recognition at a policy level and a sense of being appreciated by the public. This study highlights the evolving role of the funeral sector in Ireland in supporting the bereaved, and the potential to capitalise on a genuine interest in contributing more to support beyond the funeral.

丧亲之痛后的仪式/典礼的重要性有据可查,但在 COVID-19 大流行期间的限制影响了按照信仰/传统埋葬亲人的自由。本研究探讨了在 COVID-19 期间提供殡葬服务的工作人员的经历,并考虑了对丧亲家庭提供支持的影响。来自爱尔兰 17 个郡的 58 名工作人员(男性,72.4%;n = 42)完成了一项自我报告调查,评估了他们对 COVID-19 的影响、提供服务的信心以及在此期间面临的挑战和实践支持。定量研究结果表明,对提供服务的信心一般,对 COVID-19 负面影响的感知较低,而定性研究结果则强调了在政策层面未得到充分认可的感觉与受到公众赞赏的感觉之间的反差。这项研究强调了爱尔兰殡葬业在支持丧亲者方面不断发展的作用,以及利用人们对葬礼后提供更多支持的真正兴趣的潜力。
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引用次数: 0
Performance of Adult's Death and Burial Among Ilaje People of Southwest Nigeria. 尼日利亚西南部伊拉杰人对成人死亡和葬礼的表现。
Pub Date : 2024-08-20 DOI: 10.1177/00302228241276239
Rantimi Jays Julius-Adeoye, Masoje Oghenerobaro Akpor-Robaro, Damilola Mayowa Babarinde, Elizabeth Amarukhor Omoruyi

The meaning ascribed to death differs from one society to the other. This study adopts the descriptive method in unraveling the ritual of burial practices among the Ilaje people of Nigeria's Niger delta. Based on linguistic similarities, Ilaje people are part of the Yoruba ethnic group of Nigeria's Southwest area. Among the people, burial accorded to the dead is based on how the deceased died. The Ilaje groups death into five distinctive categories - death due to old-age, death caused by witchcraft or evil spirit, death through drowning by accident, death through curse, and death due to suicide. For the people, adult's death has two layers of meaning: sorrow and merriment. We conclude that physical death is viewed as part of the continuum of life's circle; it is the point when the dead pass to the realm of the ancestor who may be reborn into the family in the future.

不同社会赋予死亡的意义各不相同。本研究采用描述性方法来揭示尼日利亚尼日尔三角洲伊拉杰人的丧葬习俗。根据语言上的相似性,Ilaje 人属于尼日利亚西南部地区的约鲁巴族。伊拉杰人根据死者的死亡方式对其进行安葬。伊拉杰人将死亡分为五类:老死、巫术或邪灵致死、意外溺水致死、诅咒致死和自杀致死。对人们来说,成年人的死亡有两层含义:悲伤和欢乐。我们得出的结论是,肉体死亡被视为生命轮回连续体的一部分;这是死者进入祖先境界的时刻,而祖先可能在未来重生到家庭中。
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引用次数: 0
The Internalization of Stigma and the Shaping of the Grief Experience for Peers Bereaved by a Drug-Related Death. 因毒品导致的死亡而失去亲人的同龄人对耻辱的内化和悲伤体验的塑造》(The Internalization of Stigma and the Shaping of the Grief Experience for Peers Bereaved by a Drug-Related Death)。
Pub Date : 2024-08-19 DOI: 10.1177/00302228241275728
Daniel O'Callaghan, Sharon Lambert

People who use drugs form a significant part of the community who are impacted by drug-related deaths, but their stigmatized positioning in society yields implications for their access to support and the social recognition of their grief. This project explores how the internalization of drug-related stigmas shapes the grief experience for peers bereaved by a DRD. Six individuals who experienced the drug death of a peer during their own time in active addiction participated in semi-structured interviews, analyzed by interpretative phenomenological analysis. Three superordinate themes are reported in this paper: (i) Forged Connections; (ii) The Condemnation Script; and (iii) Nowhere Left to Turn. Participants reported grief responses such as survivor's guilt, shame, and increased drug use against the wider social invalidation of their close peer bonds. This paper appeals for a more health-based approach to supporting people in active addiction that recognizes and validates their grief experiences.

吸毒者是受毒品相关死亡事件影响的群体中的重要组成部分,但他们在社会中被污名化的定位影响了他们获得支持和社会对其悲伤的认可。本项目探讨了与毒品有关的污名内化如何影响因 DRD 而丧生的同龄人的悲伤体验。六名在自己吸毒成瘾期间经历过同伴吸毒死亡的人参与了半结构式访谈,并通过解释性现象分析法进行了分析。本文报告了三个首要主题:(i) 建立联系;(ii) 谴责脚本;以及 (iii) 无处可去。参与者报告了悲伤反应,如幸存者的内疚感、羞耻感和吸毒的增加,与此同时,他们亲密的同伴关系在更广泛的社会范围内变得无效。本文呼吁采用一种更加基于健康的方法来支持积极戒毒者,承认并确认他们的悲伤经历。
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引用次数: 0
Family Coping With COVID-19: Unexpected Parental Loss and Surviving Parent Coping, Grief and Posttraumatic Growth Outcomes Based on Child Age. 家庭应对 COVID-19:基于儿童年龄的父母意外丧子与幸存父母的应对、悲伤和创伤后成长结果。
Pub Date : 2024-08-17 DOI: 10.1177/00302228241272566
Erin Donohue

Guided by the conceptual framework of widowed parenting, the current study takes a relational approach to understand more about how the characteristics of parents of young and adult children relate to coping following the unexpected death of a partner due to COVID-19, and how these variables predict complicated grief and posttraumatic growth. A sample of 81 widowed parents completed self-report measures examining parenting self-efficacy, relationship uncertainty, coping, complicated grief, and posttraumatic growth. Results of hierarchical regression analyses suggest that, when controlling for time since death (1) relationship uncertainty and avoidant coping significantly predict complicated grief for parents in the sample with adult children, and (2) widowed parenting self-efficacy and both problem-focused and emotion-focused coping significantly predict posttraumatic growth for parents in the sample with young children. Results of the current study may inform future practices (e.g., use of Emotionally Focused Family Therapy) to aid families grieving an unexpected loss.

在丧偶父母养育概念框架的指导下,本研究采用了一种关系方法,以进一步了解年轻和成年子女父母的特征与伴侣因 COVID-19 意外死亡后的应对方式之间的关系,以及这些变量如何预测复杂悲伤和创伤后成长。81 位丧偶父母完成了自我报告测量,考察了养育子女的自我效能、关系的不确定性、应对、复杂悲伤和创伤后成长。分层回归分析的结果表明,在控制死亡时间的情况下,(1)在有成年子女的样本中,人际关系的不确定性和回避型应对方式可显著预测父母的复杂悲伤;(2)在有年幼子女的样本中,丧偶父母的养育自我效能感以及以问题为中心和以情感为中心的应对方式可显著预测父母的创伤后成长。本研究的结果可为今后的实践(如使用情感焦点家庭疗法)提供参考,以帮助遭受意外损失的悲痛家庭。
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引用次数: 0
Suicide in the USA: A Decadal Study From the 1930s to the 2020s. 美国的自杀现象:从 20 世纪 30 年代到 20 世纪 20 年代的十年研究。
Pub Date : 2024-08-16 DOI: 10.1177/00302228241274248
John L McIntosh, Christopher W Drapeau

This study provides a decadal analysis of national suicide data over 90 years, offering a comprehensive view of long-term trends and current levels in the United States. We analyzed mean decadal suicide numbers, rates, and confidence intervals from the 1930s to the early 2020s across demographic categories including sex, race, and age. Our findings reveal that suicide rates in the 2020s are the highest since the 1930s. The data indicate significant variations across groups; the 2020s show the highest suicide rates for both Whites and Nonwhites, and individuals under 44 years of age. Conversely, men's suicide rates were slightly lower than those in the 1930s, whereas rates for women and older adults peaked during the 1930s. The results underscore the need for ongoing surveillance of suicide trends and proactive suicide prevention measures by governmental and other relevant organizations.

本研究对美国 90 年来的全国自杀数据进行了十年期分析,从而全面了解了美国的长期趋势和当前水平。我们分析了从 20 世纪 30 年代到 2020 年代初的十年间自杀人数、自杀率和置信区间的平均值,涉及性别、种族和年龄等人口统计类别。我们的研究结果表明,2020 年代的自杀率是 20 世纪 30 年代以来最高的。数据显示,不同群体之间存在明显差异;2020 年代,白人和非白人以及 44 岁以下人群的自杀率最高。相反,男性的自杀率略低于 20 世纪 30 年代,而女性和老年人的自杀率则在 20 世纪 30 年代达到顶峰。研究结果表明,政府和其他相关组织有必要对自杀趋势进行持续监测,并采取积极的自杀预防措施。
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引用次数: 0
Perceived and Internalized Stigma Towards Suicide and Their Roles in Suicidal Thoughts and Behaviors Among Chinese College Students. 中国大学生对自杀的认知和内化耻辱感及其在自杀想法和行为中的作用。
Pub Date : 2024-08-13 DOI: 10.1177/00302228241272648
Shunyan Lyu, Zixuan Guo, Sabrina Yanan Jiang, Yu Li

Although perceived and internalized suicide stigma are considered risk factors for suicidal thoughts and behaviors (STBs), their specific roles in STBs are not well understood. This study examined the relationships among perceived and internalized suicide stigma, hopelessness, unbearable pain, suicidal desire, and suicide attempts in college students. A total of 1,387 Chinese college students (mean age: 22.22 years) completed the relevant scales. Structural equation modeling was used to determine the relationships of interest. The results showed that perceived stigma primarily had indirect impacts on suicidal desire through internalized stigma, which subsequently affected unbearable pain and hopelessness. The findings of this study suggest that the internalization of suicide stigma is an important predictor of STBs. These findings advocate for stigma interventions aimed at reducing internalized stigma as a potentially effective strategy for suicide prevention, as it may alleviate unbearable pain and hopelessness, which are significant contributors to suicidal desire and attempts.

虽然自杀鄙视感和自杀鄙视内化被认为是自杀想法和行为(STBs)的风险因素,但它们在 STBs 中的具体作用却不甚了解。本研究探讨了大学生感知到的和内在化的自杀烙印、绝望、无法忍受的痛苦、自杀欲望和自杀企图之间的关系。共有 1,387 名中国大学生(平均年龄:22.22 岁)完成了相关量表。研究采用结构方程模型来确定相关关系。结果显示,感知到的成见主要通过内化的成见对自杀欲望产生间接影响,进而影响到难以忍受的痛苦和绝望。本研究结果表明,自杀成见的内化是 STB 的重要预测因素。这些发现提倡采取旨在减少内在化成见的成见干预措施,将其作为预防自杀的潜在有效策略,因为它可以减轻无法忍受的痛苦和绝望,而这正是导致自杀欲望和自杀未遂的重要因素。
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引用次数: 0
"It doesn't Always Have to Be an Expert": Professionals' Perceptions of Practical Aspects of the Existential Dimension of Care for People Approaching Death. "不一定非得由专家来做":专业人士对临终关怀存在层面的实际看法》。
Pub Date : 2024-08-10 DOI: 10.1177/00302228241272637
Carl Bäckersten, Ulla Molander, Inger Benkel, Stina Nyblom

'Existential' can be seen as a broad term for issues surrounding people's experiences and way of thinking about life. This study examined availability of existential care and found that many different staff categories performed existential care. Existential care is associated with conversations and experienced as both easy and difficult; several factors were cited, e.g. insufficient time, stress and the difficulty of addressing existential questions for oneself. Respondents reported need for education, guidance and reflection around existential issues and care. Existential care is described as a natural part of patient care that all professional categories have a responsibility to offer.

存在 "可以被视为一个广义的术语,指的是与人们的生活经历和思考方式有关的问题。本研究对存在关怀的可用性进行了调查,发现许多不同类别的工作人员都提供存在关怀。存在关怀与对话有关,既容易又困难;其中提到了几个因素,如时间不足、压力和解决自身存在问题的难度。受访者表示需要围绕存在性问题和关怀进行教育、指导和反思。存在关怀被描述为所有专业类别都有责任提供的病人关怀的自然组成部分。
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引用次数: 0
''While There's Life There's Hope'' Hope in Palliative Care: A Qualitative Study. 有生命就有希望 "姑息关怀中的希望:一项定性研究。
Pub Date : 2024-08-09 DOI: 10.1177/00302228241272557
Özge Kısaoğlu, Havva Tel

Hope is a critically important concept in palliative care that enables coping and increases quality of life. This qualitative study was conducted to determine how palliative care patients describe hope and the factors that increase or decrease hope after a hope intervention. Data were collected through semi-structural interviews with 10 palliative care patients. The analysis followed a thematic analysis approach. The participants defined hope as the joy of living in general, and the strength to cope with difficulties and stated that spending time with loved ones increased their hopes, the worsening of their diseases reduced their hopes, hope made them feel good psychologically, and health workers had an important role in increasing hope. It is recommended that hope interventions be person-centric in palliative care settings and that care should be structured by considering the factors that maintain and prevent hope.

希望是姑息关怀中一个极其重要的概念,它能够帮助患者应对困境并提高生活质量。这项定性研究旨在确定姑息关怀病人如何描述希望,以及希望干预后增加或减少希望的因素。数据是通过对 10 名姑息关怀患者进行半结构式访谈收集的。分析采用了主题分析法。参与者将希望定义为生活的喜悦和应对困难的力量,并表示与亲人共度时光会增加他们的希望,疾病恶化会减少他们的希望,希望会让他们心理感觉良好,医护人员在增加希望方面起着重要作用。建议在姑息关怀环境中以人为中心进行希望干预,并通过考虑维持和阻止希望的因素来构建关怀。
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引用次数: 0
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