Determinants of the Effect of Existential Behavioral Therapy for Bereaved Partners: A Qualitative Study

Kögler, Monika; Brandl, Jürgen; Brandstätter, Monika; Borasio, Gian Domenico; Fegg, Martin

doi:10.1089/jpm.2013.0050

Cited by 9 publications

(30 citation statements)

References 24 publications

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“…44,47 These understandings in turn helped them to accept these experiences 61 and 'not fear' their feelings. 47 Groups in five studies were found to be helpful for enabling self-disclosure and the expression of grief, emotions and the 'venting' of experience, 51,60,61,64,74 as well as pleasant memories. 58 In the music therapy group, participants described how the spiritual connection to the deceased that they experienced helped to resolve their grief.…”

Section: Evidence On the Impact Of Interventionsmentioning

confidence: 95%

“…And we shared this with each other. (Participant) 61 Sense of mastery and moving ahead. Twelve studies described benefits relating to coping, mastery and moving ahead.…”

Section: Evidence On the Impact Of Interventionsmentioning

confidence: 99%

“…And the important thing is not to hold on to these bad thoughts or things, but rather to know that they are there and that that is okay, but that one will get out of this again. (Participant) 61 In the group for bereaved fathers, the guidance and support shared between members helped with doubts and concerns relating to parenting. 76 Social support.…”

Section: Volunteer Ledmentioning

confidence: 99%

“…[67][68][69] The importance of continuity between pre-and post-bereavement support for families was also widely acknowledged, seen as leading to better bereavement care, either by provision of information about bereaved relatives or by the rapport and trust that was needed to support families after death. 61,67,73,80 However, potential difficulties associated with service users becoming dependent on the support, and related 'boundary' issues for volunteers were identified in two studies. 67,70 In terms of group content and composition, the need for groups to be informal, but with an explicit purpose and structure was identified.…”

Section: Features Of Effective Deliverymentioning

confidence: 99%

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The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis

et al. 2020

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Background: Bereavement support is a key component of palliative care, with different types of support recommended according to need. Previous reviews have typically focused on specialised interventions and have not considered more generic forms of support, drawing on different research methodologies. Aim: To review the quantitative and qualitative evidence on the effectiveness and impact of interventions and services providing support for adults bereaved through advanced illness. Design: A mixed-methods systematic review was conducted, with narrative synthesis of quantitative results and thematic synthesis of qualitative results. The review protocol is published in PROSPERO ( www.crd.york.ac.uk/prospero , CRD42016043530). Data sources: The databases MEDLINE, Embase, PsycINFO, CINAHL and Social Policy and Practice were searched from 1990 to March 2019. Studies were included which reported evaluation results of bereavement interventions, following screening by two independent researchers. Study quality was assessed using GATE checklists. Results: A total of 31 studies were included, reporting on bereavement support groups, psychological and counselling interventions and a mix of other forms of support. Improvements in study outcomes were commonly reported, but the quality of the quantitative evidence was generally poor or mixed. Three main impacts were identified in the qualitative evidence, which also varied in quality: ‘loss and grief resolution’, ‘sense of mastery and moving ahead’ and ‘social support’. Conclusion: Conclusions on effectiveness are limited by small sample sizes and heterogeneity in study populations, models of care and outcomes. The qualitative evidence suggests several cross-cutting benefits and helps explain the impact mechanisms and contextual factors that are integral to the support.

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Section: Evidence On the Impact Of Interventionsmentioning

confidence: 95%

“…And we shared this with each other. (Participant) 61 Sense of mastery and moving ahead. Twelve studies described benefits relating to coping, mastery and moving ahead.…”

Section: Evidence On the Impact Of Interventionsmentioning

confidence: 99%

Section: Volunteer Ledmentioning

confidence: 99%

Section: Features Of Effective Deliverymentioning

confidence: 99%

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The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis

et al. 2020

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“…Es fehlt mir!" Die individuell erlebten Wirkfaktoren der Intervention wurden zudem ausführlich in qualitativen Interviews untersucht [4]. Hierbei erwiesen sich insbesondere der Support durch die Gruppenatmosphäre und die Strategien zur Emotionsregulation/Achtsamkeitsübungen als wirksam.…”

Section: Subjektive Einschätzung Der Gruppenelementeunclassified

Zusammenfassende Ergebnisse zur Existenziell Behavioralen Therapie (EBT) für Angehörige von Palliativpatienten

Fegg

2016

Palliativmedizin

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Zusammenfassung Nachdem bislang nur wenige, evaluierte Unterst?tzungsprogramme f?r Angeh?rige von Palliativpatienten entwickelt wurden, hat unsere Arbeitsgruppe ein auf neueren Methoden der kognitiven Verhaltenstherapie und existenziellen Psychotherapie basierendes Gruppen-Unterst?tzungsangebot konzipiert, die sog. Existenziell Behaviorale Therapie (EBT). In einer randomisiert-kontrollierten Studie zeigten sich positive Langzeiteffekte auf Lebensqualit?t und Symptombelastung der Gruppenteilnehmer im Vergleich zu einer Standard-Care-Kontrollgruppe. In der vorliegenden ?bersichtsarbeit sollen die bislang gewonnenen Anwendungs- und Wirksamkeitserkenntnisse zusammengefasst dargestellt werden. F?r ausf?hrlichere Informationen wird auf die jeweiligen Originalpublikationen verwiesen 1 2 3 4. Aktuell wird in einem Nachfolgeprojekt eine Kurzzeitintervention (bestehend aus zwei Sitzungen) im Einzelsetting erprobt.

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Existential isolation and prolonged grief in bereaved people: The moderating role of culture

Zhou

Zhao

Smith

et al. 2023

Clin Psychology and Psychoth

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Objective Existential isolation refers to an individual's awareness of the unbridgeable gulf between oneself, other people and the world. This kind of isolation has been found to be higher in individuals with nonnormative experiences, such as racial or sexual minorities. Bereaved individuals may experience a stronger sense of existential isolation and feel that no one shares their feelings or perceptions. However, research on bereaved people's experiences of existential isolation and its effects on post‐loss adaptation is scarce. This study aims to validate the German and Chinese versions of the Existential Isolation Scale, investigate cultural and gender differences in existential isolation and explore the associations between existential isolation and prolonged grief symptoms in German‐speaking and Chinese bereaved individuals. Methods A cross‐sectional study with 267 Chinese and 158 German‐speaking bereaved participants was conducted. The participants completed self‐report questionnaires assessing existential isolation, prolonged grief symptoms, social networks, loneliness and social acknowledgement. Results The results indicated that the German and Chinese versions of the Existential Isolation Scale demonstrated adequate validity and reliability. No cultural or gender differences (or their interaction) were found for existential isolation. Higher existential isolation was associated with elevated prolonged grief symptoms, which was further moderated by the cultural group. The relationship between existential isolation and prolonged grief symptoms was significant for the German‐speaking bereaved people but not significant for those from China. Conclusion The findings highlight the role of existential isolation in the adaptation to bereavement and how different cultural backgrounds moderate the effect of existential isolation on post‐loss reactions. Theoretical and practical implications are discussed.

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Determinants of the Effect of Existential Behavioral Therapy for Bereaved Partners: A Qualitative Study

Abstract: The categories considered as being helpful parallel core elements of EBT and recent grief theories. The intervention was found to be supportive and met the needs of the participants. The interviewees appreciated the continuity of EBT support from palliative care into bereavement.

Cited by 9 publications

References 24 publications

The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis

The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis

Zusammenfassende Ergebnisse zur Existenziell Behavioralen Therapie (EBT) für Angehörige von Palliativpatienten

Existential isolation and prolonged grief in bereaved people: The moderating role of culture

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