Prolonged Grief Disorder in the Next of Kin of Adult Patients Who Die During or After Admission to Intensive Care

Villar, S. Rodríguez; Casado, Marcelino Sánchez; Prigerson, Holly G.; García, Silvia Mesa; Villar, María Rodríguez; Martin, Victor; Schulke, C. Marco; Vega, R. Barrientos; Quintana, M Amigo

doi:10.1378/chest.11-3099

Cited by 20 publications

(13 citation statements)

References 5 publications

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“…Symptoms of psychiatric illness requiring professional help [11], post-traumatic stress [12,13], complicated grief [13][14][15], prolonged grief disorder [16] and social distress [17] are prevalent in family members whose relative died in ICU. Families of ICU decedents report that they would appreciate bereavement support [11,18], and the provision of support also extends to healthcare providers [19,20].…”

Section: Introductionmentioning

confidence: 99%

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Efstathiou

Walker

Metcalfe

et al. 2019

Journal of Critical Care

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Purpose: Despite advances in medical science, patient death and family bereavement are commonly encountered in adult intensive care units (ICUs). This is the first review to investigate the state of ICU bereavement support globally, and the availability and effectiveness of bereavement support interventions.Methods: A systematic review and narrative synthesis. Medline, CINAHL Plus, PsycINFO, Web of Science, EMBASE were searched and inclusion/exclusion criteria were applied. Included studies were appraised using relevant appraisal tools.Results: Fourteen papers formed the review; five of which were international surveys reporting variable bereavement practices and levels of support. A lack of training and resources were identified barriers. Nine papers reported the effectiveness of primarily discrete bereavement support interventions including: a personal memento, a handwritten condolence letter, a post-death meeting; storytelling, research participation, use of an ICU diary. One study evaluated a bereavement follow-up program. Generally, all identified interventions were well accepted by bereaved families.Conclusions: The reviewed evidence was weak, and findings were contextually bound. As such, it is difficult to make recommendations for the most acceptable and effective bereavement support intervention(s). Bereavement support in ICU needs further exploration and clinicians must be adequately trained and supported for the delivery of evidence-informed, culturally competent care.

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Section: Introductionmentioning

confidence: 99%

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Efstathiou

Walker

Metcalfe

et al. 2019

Journal of Critical Care

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“…These persistent grief reactions have been variably referred to as prolonged, complicated, or traumatic grief. We will use the term “prolonged grief disorder.” PGD is associated with several mental and physical health problems, including depression and anxiety disorders and reduced quality of life (Boelen & Prigerson, 2007; Chiambretto et al, 2010; Lichtenthal et al, 2011; Prigerson et al, 2009; Rodriguez Villar et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Acceptance and valued living as critical appraisal and coping strengths for caregivers dealing with terminal illness and bereavement

2014

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The model presents caregiver psychological distress and grief as functions of death attitudes and communication about death and dying, mediated by acceptance and valued living from an ACT perspective. An outline of the empirical and theoretical underpinnings for each component in the model is provided. SIGNIFICANT OF RESULTS: The presented model is an inherently strengths-based model that is concordant with acceptance- and values- (ACT) based interventions to facilitate coping in caregivers.

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“…Complicated grief results when there is a failure of transition from acute grief to integrate grief. 13 It is a debilitating disorder, with significant mental and health consequences, 14 –19 and it has been proposed as a new diagnostic category in the forthcoming Diagnostic and Statistical Manual of Mental Disorder (Fifth Edition). 13…”

Section: Introductionmentioning

confidence: 99%

Predictive Role of Different Dimensions of Burden for Risk of Complicated Grief in Caregivers of Terminally Ill Patients

Lai

Luciani

Morelli

et al. 2013

Am J Hosp Palliat Care

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The aim of the study was to test whether high levels of caregiver burden, as other confirmed predictors, are associated with the risk of prolonged grief disorder in caregivers of terminally ill patients. A predictive study was carried out in order to test the hypothesis. A demographic schedule, the Prolonged Grief 12 (PG-12), the Toronto Alexithymia Scale, Hamilton Anxiety Rating Scale, Hamilton Depression Rating Scale, and Caregiver Burden Inventory were administered to 60 caregivers of 51 patients who were admitted in Hospice. In the regression analysis, difficulty in recognizing emotions, total burden, depression, and developmental burden dimension were significant predictors of PG-12 levels. Findings showed that feeling of deprivation of existential expectations represents the greater risk factor for the prolonged grief disorder, among the burden dimensions.

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Prolonged Grief Disorder in the Next of Kin of Adult Patients Who Die During or After Admission to Intensive Care

Cited by 20 publications

References 5 publications

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

The state of bereavement support in adult intensive care: A systematic review and narrative synthesis

Acceptance and valued living as critical appraisal and coping strengths for caregivers dealing with terminal illness and bereavement

Predictive Role of Different Dimensions of Burden for Risk of Complicated Grief in Caregivers of Terminally Ill Patients

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