Coping with loss: Bereavement in adult life

Parkes, Colin Murray

doi:10.1136/bmj.316.7134.856

Cited by 187 publications

(137 citation statements)

References 3 publications

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“…The third area of improvement is post-ICU care: living alone after the death was associated with the presence of complicated grief symptoms, underlining the importance of providing bereaved relatives with effective social support. Previous studies reported that complicated grief was increased among subjects with an absent or unhelpful family [55]. Interventions to evaluate the impact of targeting these three domains with the goal of diminishing the frequency of complicated grief are warranted.…”

Section: Discussionmentioning

confidence: 99%

Complicated grief after death of a relative in the intensive care unit

Kentish-Barnes¹,

Chaize²,

Seegers³

et al. 2015

Eur Respir J

255

208

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An increased proportion of deaths occur in the intensive care unit (ICU).We performed this prospective study in 41 ICUs to determine the prevalence and determinants of complicated grief after death of a loved one in the ICU. Relatives of 475 adult patients were followed up. Complicated grief was assessed at 6 and 12 months using the Inventory of Complicated Grief (cut-off score >25). Relatives also completed the Hospital Anxiety and Depression Scale at 3 months, and the Revised Impact of Event Scale for post-traumatic stress disorder symptoms at 3, 6 and 12 months. We used a mixed multivariate logistic regression model to identify determinants of complicated grief after 6 months.Among the 475 patients, 282 (59.4%) had a relative evaluated at 6 months. Complicated grief symptoms were identified in 147 (52%) relatives. Independent determinants of complicated grief symptoms were either not amenable to changes (relative of female sex, relative living alone and intensivist board certification before 2009) or potential targets for improvements (refusal of treatment by the patient, patient died while intubated, relatives present at the time of death, relatives did not say goodbye to the patient, and poor communication between physicians and relatives).End-of-life practices, communication and loneliness in bereaved relatives may be amenable to improvements. @ERSpublications End-of-life care and communication in the ICU are associated with the prevalence of complicated grief http://ow.ly/DCqjB

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Section: Discussionmentioning

confidence: 99%

Complicated grief after death of a relative in the intensive care unit

Kentish-Barnes¹,

Chaize²,

Seegers³

et al. 2015

Eur Respir J

255

208

View full text Add to dashboard Cite

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“…The death of a close family member is one of the most stressful of life events 121 ; so, not surprisingly, bereavement in general has been studied widely for several decades. 122,123 Caregiving stress has a negative impact on the psychological and physical health of caregivers, and even may increase mortality. 54,124 Bereavement among family caregivers of cancer patients also has been studied relatively extensively.…”

Section: Family Caregivers' Qol At the Bereavement Phasementioning

confidence: 99%

Quality of life of family caregivers of cancer survivors

Kim

Given

2008

Cancer

410

342

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Objective: The aim of this pilot study was to determine whether early atorvastatin treatment will reduce left ventricle (LV) remodeling, infarct size, and improve microvascular perfusion. Background: In animal studies, early statin therapy reduces reperfusion injury after a percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Methods: Forty‐two consecutive patients (82% male, mean age 61.2 ± 9.8) who underwent a primary PCI for a first ST‐elevated AMI were randomized for pretreatment with atorvastatin 80 mg (n = 20) or placebo (n = 22) and continued with the same dosage daily for 1 week. All patients received atorvastatin 80 mg once daily 7 days after primary PCI. The LV function and infarct size were measured by magnetic resonance imaging within 1 day, at 1 week, and 3 months follow up. The primary endpoint was the end‐systolic volume index (ESVI) at 3 months. Secondary endpoints were global LV function measurements, myocardial infarct size, biochemical cardiac markers, TIMI flow, and ST‐T elevation resolution. Results: ESVI 3 months after AMI was 25.1 mL/m2 in the atorvastatin arm and 25.0 mL/m2 in the placebo arm (P = 0.74). The differences in change from baseline to 3 months follow up in global LV function and myocardial infarct size did not differ between both treatment arms. Furthermore, biochemical markers, TIMI flow, and ST‐T elevation resolution did not differ between atorvastatin and placebo arm. Conclusions: In this pilot study, pretreatment with atorvastatin in an acute myocardial infarction does not result in an improved cardiac function, microvascular perfusion, or decreased myocardial infarct size. © 2012 Wiley Periodicals Inc.

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“…Although it is well known that in bereavement in general, support from one's partner is one of the most important factors protecting against enduring grief and distress, most research to date has focused on factors related to the person or the situation causing bereavement [2][3][4][5] .…”

mentioning

confidence: 99%