A framework of meaning attribution following loss

Smid, Geert E.

doi:10.1080/20008198.2020.1776563

Cited by 23 publications

(20 citation statements)

References 65 publications

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“…While there are some evidence-based practices for PGD (48,49), there has not been efficacy studies on treatment of traumatic loss (50), future efficacy studies are needed which integrate both PTSD and grief treatment interventions to provide trauma-informed services for SMI clients among whom, multi-morbidity is common. The finding that being African American was associated with increased likelihood of having both PTSD and probable PGD is consistent with the social and cultural determinants of traumatic loss/grief (51), in which determinants such as cultural, social factors related to loss may facilitate or complicate the grieving process and therefore call for culturally sensitive care for traumatic grief.…”

Section: Discussionsupporting

confidence: 73%

Trauma Exposure and Prolonged Grief Disorder Among Persons Receiving Community Mental Health Services: Rates and Correlates

Yanos

Waynor

et al. 2022

Front. Psychiatry

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BackgroundPersons with serious mental illnesses (SMIs) are at increased risk for exposure to trauma and posttraumatic stress disorder (PTSD). Prolonged Grief Disorder (PGD) may also impact this population but has been seldom studied.AimsThe present study investigated the rate of both PTSD and PGD among clients receiving community mental health services, and the clinical correlates of co-occurring PTSD/PGD.MethodsTrauma history, PTSD and PGD were assessed among 536 individuals receiving community mental health services (Study 1). A subsample of 127 individuals from Study 1 who met DSM-5 criteria for PTSD based on diagnostic interview completed measures of psychiatric symptoms (Study 2).ResultsIn Study 1, 92.4% of participants receiving community mental health services had experienced a traumatic event, 49.6% met criteria for probable and provisional PTSD, 14.7% scored positive for probable PGD, and 11.9% met criteria for probable and provisional PTSD as well as probable PGD. In Study 2, participants meeting diagnostic DSM-5 criteria for PTSD and probable PGD had more self-reported PTSD symptoms, but did not differ on other outcomes.ConclusionsFindings highlight the need for trauma informed services including grief counseling for persons with SMI.

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Section: Discussionsupporting

confidence: 73%

Trauma Exposure and Prolonged Grief Disorder Among Persons Receiving Community Mental Health Services: Rates and Correlates

Yanos

Waynor

et al. 2022

Front. Psychiatry

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“…Research has shown that PGD can be discriminated from PTSD, depression and anxiety disorders e.g., [ 41 , 42 ]. In general, grief is a highly individualized reaction that depends not only on the characteristics of the bereaved person but also on the relationship to the deceased and circumstances of the loss as well as other social and cultural factors [ 43 ].…”

Section: Ecological Grief and Bereavement Researchmentioning

confidence: 99%

Ecological Grief as a Response to Environmental Change: A Mental Health Risk or Functional Response?

Comteße

Ertl

Hengst

et al. 2021

IJERPH

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107

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The perception of the impact of climate change on the environment is becoming a lived experience for more and more people. Several new terms for climate change-induced distress have been introduced to describe the long-term emotional consequences of anticipated or actual environmental changes, with ecological grief as a prime example. The mourning of the loss of ecosystems, landscapes, species and ways of life is likely to become a more frequent experience around the world. However, there is a lack of conceptual clarity and systematic research efforts with regard to such ecological grief. This perspective article introduces the concept of ecological grief and contextualizes it within the field of bereavement. We provide a case description of a mountaineer in Central Europe dealing with ecological grief. We introduce ways by which ecological grief may pose a mental health risk and/or motivate environmental behavior and delineate aspects by which it can be differentiated from related concepts of solastalgia and eco-anxiety. In conclusion, we offer a systematic agenda for future research that is embedded in the context of disaster mental health and bereavement research.

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“…Specific attention needs to be paid to the management and treatment of bereaved individuals. Grief interventions taking into account the complex circumstances of the loss, such as ritual omissions and other cultural and intergenerational determinants of meaning attribution (Smid, 2020), may support meaning reconstruction following loss and thereby contribute towards increasing connectedness and inspiring hope. The pandemic affects the traditional means of delivery of psychosocial services, including psychological treatments for mental disorders.…”

Section: Setting Policy and Designing Intervention Strategiesmentioning

confidence: 99%

Can a ‘second disaster’ during and after the COVID-19 pandemic be mitigated?

Gersons

Smid

Smit

et al. 2020

European Journal of Psychotraumatology

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In most disasters that have been studied, the underlying dangerous cause does not persist for very long. However, during the COVID-19 pandemic a progressively emerging life threat remains, exposing everyone to varying levels of risk of contracting the illness, dying, or infecting others. Distancing and avoiding company have a great impact on social life. Moreover, the COVID-19 pandemic has an enormous economic impact for many losing work and income, which is even affecting basic needs such as access to food and housing. In addition, loss of loved ones may compound the effects of fear and loss of resources. The aim of this paper is to distil, from a range of published literature, lessons from past disasters to assist in mitigating adverse psychosocial reactions to the COVID-19 pandemic. European, American, and Asian studies of disasters show that long-term social and psychological consequences of disasters may compromise initial solidarity. Psychosocial disruptions, practical and financial problems, and complex community and political issues may then result in a 'second disaster'. Lessons from past disasters suggest that communities and their leaders, as well as mental healthcare providers, need to pay attention to fear regarding the ongoing threat, as well as sadness and grief, and to provide hope to mitigate social disruption.

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A framework of meaning attribution following loss

Cited by 23 publications

References 65 publications

Trauma Exposure and Prolonged Grief Disorder Among Persons Receiving Community Mental Health Services: Rates and Correlates

Trauma Exposure and Prolonged Grief Disorder Among Persons Receiving Community Mental Health Services: Rates and Correlates

Ecological Grief as a Response to Environmental Change: A Mental Health Risk or Functional Response?

Can a ‘second disaster’ during and after the COVID-19 pandemic be mitigated?

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