Bereavement and the role of religious and cultural factors

Oyebode, Jan R.; Owens, R. Glynn

doi:10.1080/02682621.2013.812828

Cited by 18 publications

(9 citation statements)

References 23 publications

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“…These results need to be interpreted in the broader context of a likely multifactorial pathway(s) to psychiatric disorder. The potential impact of death of a parent in early life, and the way that individuals respond, is complicated by multiple factors 6,35 . In the first instance, the relationships between children and parents vary on a spectrum from loving through to abusive.…”

Section: Discussionmentioning

confidence: 99%

“…The potential impact of death of a parent in early life, and the way that individuals respond, is complicated by multiple factors. 6,35 In the first instance, the relationships between children and parents vary on a spectrum from loving through to abusive. Therefore, the impact of the loss of a parent will be influenced by the nature of the pre-death relationship between child and parent.…”

Section: Contextualizing the Findingsmentioning

confidence: 99%

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A meta‐analysis of the relationship between parental death in childhood and subsequent psychiatric disorder

McKay

Cannon

Healy

et al. 2021

Acta Psychiatr Scand

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Objective To systematically review evidence for an association between parental death in childhood, and the subsequent development of an anxiety, affective or psychotic disorder. Methods Electronic databases (Scopus, Medline (for Ovid), EMBASE and PsychINFO) were searched for peer‐reviewed, cohort studies in the English language. Meta‐analyses were performed for studies reporting hazard ratios, incidence rate ratios and odds ratios. Two studies reported risk ratios, and these were included in an overall pool of odds, risk and incidence rate ratios. Sensitivity analyses were performed (removal of one study at a time) for all meta‐analyses, and study quality assessed using the Newcastle‐Ottawa Scale. Results Fifteen studies were retained, and where required, data were averaged in advance of pooling. Significant results were observed in studies reporting hazard ratios (k = 4, 1.48 [95% CI = 1.32–1.66]), incidence rate ratios (k = 3, 1.37 [95% CI = 1.01–1.85]), but not odds ratios (k = 4, 0.87 [95% CI = 0.72, 1.05]). However, the overall pooled effect (using odds, incidence rate and risk ratios) was statistically significant (k = 9, 1.22 [95% CI = 1.03–1.44]). Conclusion Overall, the evidence suggests that there is a positive association between the death of a parent before age 18, and the subsequent development of an anxiety, affective or psychotic disorder. The lack of a significant pooled effect in studies reporting results as odds ratios is likely an artefact of study design. Limitations Data were clustered in four countries making generalizability uncertain. Studies adjusted for a variety of possible confounders, and follow‐up after death varied considerably.

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Section: Discussionmentioning

confidence: 99%

Section: Contextualizing the Findingsmentioning

confidence: 99%

A meta‐analysis of the relationship between parental death in childhood and subsequent psychiatric disorder

McKay

Cannon

Healy

et al. 2021

Acta Psychiatr Scand

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“…Cancer also is a threat and it's scary (Male respondent #1) Some people have [a] stroke because of [the] death because the breadwinner will be dead, [and they feel they can't survive without someone taking care of them; they have a stroke from worrying about the future] (Male respondent #1) [1] n=2 missing [2] n=8 missing data [3] n=11 missing [4] n=3 missing [5] n=1 missing [6] n=7 missing [7] n=8 missing data [8] n=11 missing [9] n=3 missing [10] n=1 missing [11] n=7 missing [12] n=8 missing [13] n=11 missing [14] n=3 missing [15] n=1 missing [16] n=7 missing Shona symptom Questionnaire, lower scores better outcomes Figure 5 MOS-SSS (Medical Outcomes Study-Social Support Survey), higher scores better outcomes Figure 6 MOS-SSS (Medical Outcomes Study-Social Support Survey), higher scores better outcomes…”

Section: Helping Othersmentioning

confidence: 99%

“…Bereavement is the process during which grief is experienced over time 11 . Bereaved individuals who have not been through the process of grief have an increased risk of mortality 12,13 , deterioration of physical health 12 , reduced cognitive functioning, increase in mental health challenges and associated illnesses 14 .…”

Section: Introductionmentioning

confidence: 99%

Improving Bereavement Outcomes in Zimbabwe: Results of a Feasibility Cluster Trial of the 9-Cell Bereavement Tool

Mutedzi¹,

Nkhoma

Langhaug

et al. 2021

Preprint

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ContextDespite high mortality rates from both communicable and non-communicable diseases, bereavement studies are under-researched in African countries. The 9-cell bereavement tool was designed to assist individuals to reflect on their feelings in bereavement, and identify resources in families and communities to manage bereavement. This study aimed to determine the feasibility of implementing the 9-cell bereavement tool and recruitment to experimental evaluation. Methods: A feasibility cluster randomized trial with embedded qualitative interviews was conducted in two comparable neighborhoods in Chitungwiza, Zimbabwe. Community leaders identified potential community lay bereavement supporters (interventionists). Each recruited 2-3 recently bereaved community members (trial participants). Following baseline data collection, the communities were randomly allocated to intervention or wait-list control. Self-administered questionnaires were completed at T0 (month 0), T1(3 months) and T2 (6 months). Grief, mental health and social support were assessed. Focus group discussions with selected interventionists described training impact and intervention processes. Quantitative and qualitative analysis were performed. ResultsObjectives were achieved as follows(i) feasibility of recruitment and retention (ii) feasibility of implementing the intervention (iii) determining contamination(iv) completeness of data(v) participants’ views on intervention and mechanisms(vi) estimating potential effect size (vii) determining whether full trial warranted. In line with the aim of the study, the processes of the randomized cluster trial were possible. We successfully conducted the randomized control trial of the 9-cell bereavement tool and successfully recruited study participants. In addition, the 9-cell intervention allowed interventionists to share and learn from their grieving process. All of the above was conducted within the intended timeframe of 3 weeks, with an over recruitment of 112% of interventionists and 43% more trial participants. This means we were able to recruit at least 75% of the suggested sample size; and to retain at least 75% of the trial participants for the total duration of the study. Conclusion The processes of the randomized controlled trial were possible. The 9-cell bereavement intervention was delivered and process data assessed. The study was funded through the BuildCARE fund from the Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation Protocol Registration: http://www.isrctn.com/ISRCTN16484746.Protocol Publication: https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-019-0450-5

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“…Bereavement is the process during which grief is experienced over time [1]. Both grief and bereavement are subjective in their experience and duration.…”

Section: Introductionmentioning

confidence: 99%

Improving bereavement outcomes in Zimbabwe: protocol for a feasibility cluster trial of the 9-cell bereavement tool

Mutedzi¹,

Langhaug²,

Hunt³

et al. 2019

Pilot Feasibility Stud

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Background The high burden of bereavement in sub-Saharan Africa is largely attributable to HIV, cancer, and other non-communicable diseases. However, interventions to improve grief and bereavement are rare. Given high rates of mortality in the context of weak health systems, community lay members are well placed to provide peer bereavement support. The 9-cell bereavement tool was developed in Zimbabwe to improve community members’ capacity to support the bereaved. This study aims to determine the feasibility of implementing the 9-cell bereavement tool and recruitment to experimental evaluation. Methods/design This feasibility cluster randomized trial with embedded qualitative interviews will be conducted in two comparable neighborhoods in Zimbabwe. Community leaders from each neighborhood will identify 25 potential community lay bereavement supporters, each of whom will recruit 2–3 bereaved community members into the trial. The intervention will be randomly allocated to one community, and the second community will form a wait-list control ( n ≥ 75 in each community cluster). Recruitment is estimated to take place over 3 weeks. Measures at T0 (baseline, i.e., week 0), T1 (midline, i.e., week 14 or 3 months post-baseline) and T2 (endline, i.e., week 27 or 3 months post-midline) will address mental health, social support, and levels of grief per individual. Qualitative data will describe lay supporters’ views of intervention training and delivery, and participants’ experience of bereavement support. Discussion This is the first documented trial evaluating a bereavement intervention in sub-Saharan Africa. Recruitment, retention, and measurement data will determine the feasibility of a full trial. Trial registration ISRCTN, ISRCTN16484746 . Registered 6 February 2018

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Bereavement and the role of religious and cultural factors

Cited by 18 publications

References 23 publications

A meta‐analysis of the relationship between parental death in childhood and subsequent psychiatric disorder

A meta‐analysis of the relationship between parental death in childhood and subsequent psychiatric disorder

Improving Bereavement Outcomes in Zimbabwe: Results of a Feasibility Cluster Trial of the 9-Cell Bereavement Tool

Improving bereavement outcomes in Zimbabwe: protocol for a feasibility cluster trial of the 9-cell bereavement tool

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