Report on Bereavement and Grief Research

Genevro, Janice; Marshall, Tracy; Miller, Therese

doi:10.1080/07481180490461188

Cited by 126 publications

(20 citation statements)

References 33 publications

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“…Moreover, these results were found with minimal professional supervision and, despite the fact that we intentionally engaged an experienced therapist with bereavement expertise to ensure the highest safety standards for this trial, we found that the role the therapist ultimately played in the trial required minimal specialized therapeutic training making this intervention highly scalable. This is especially critical given that there are no evidence-based secondary prevention programs for PGD nor adequate professional resources to address the general clinical need in this area (Genevro, et al, 2004). Internet-delivered therapies have the potential to reach large segments of the population that might not seek or have access to specialized care, a feature which is especially relevant to mass-casualty events impacting entire communities.…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of an internet-based therapist-assisted indicated preventive intervention for prolonged grief disorder

Litz

Schorr

Delaney³

et al. 2014

Behaviour Research and Therapy

119

121

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This trial assessed the feasibility, acceptability, tolerability, and efficacy of an Internet-based therapist-assisted cognitive-behavioral indicated prevention intervention for prolonged grief disorder (PGD) called Healthy Experiences After Loss (HEAL). Eighty-four bereaved individuals at risk for PGD were randomized to either an immediate treatment group (n = 41) or a waitlist control group (n=43). Assessments were conducted at four time-points: prior to the wait-interval (for the waitlist group), pre-intervention, post-intervention, 6 weeks later, and 3 months later (for the immediate group only). Intent-to-treat analyses indicated that HEAL was associated with large reductions in prolonged grief (d=1.10), depression (d=.71), anxiety (d=.51), and posttraumatic stress (d=.91). Also, significantly fewer participants in the immediate group met PGD criteria post-intervention than in the waitlist group. Pooled data from both groups also yielded significant reductions and large effect sizes in PGD symptom severity at each follow-up assessment. The intervention required minimal professional oversight and ratings of satisfaction with treatment and usability of the Internet interface were high. HEAL has the potential to be an effective, well-tolerated tool to reduce the burden of significant pre-clinical PGD. Further research is needed to refine HEAL and to assess its efficacy and mechanisms of action in a large-scale trial.

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Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of an internet-based therapist-assisted indicated preventive intervention for prolonged grief disorder

Litz

Schorr

Delaney³

et al. 2014

Behaviour Research and Therapy

119

121

View full text Add to dashboard Cite

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“…Our understanding of bereavement in primary care in the U.S. is limited by several factors (Genevro, et al ., 2004). Most studies have been based on self-report questionnaires.…”

Section: Resultsmentioning

confidence: 99%

Primary care providers' bereavement care practices: recommendations for research directions

Ghesquiere

Patel

Kaplan

et al. 2014

Int J Geriat Psychiatry

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Objective Bereaved patients are often seen in primary care settings. While most do not require formal support, physicians may be called upon to provide support to some bereaved, particularly those with bereavement-related mental health disorders like complicated grief and bereavement-related depression. Research evidence on physician bereavement care is scant. We make recommendations for future research in this area. Design Literature review, focusing on studies conducted between 1996 and 2013 in the United States. Searches of Medline and PsychInfo, along with hand searches of reference sections, was conducted. Results The limited existing research indicates substantial gaps in the research literature, especially in the areas of primary care physician skill and capacity, patient-level outcomes, and the quality of research methodology. No U.S. studies have focused specifically on care for bereavement-related mental health disorders. We provide recommendations about how to improve research about primary care bereavement care. Conclusions The primary care sector offers ample opportunities for research on bereavement care. With greater research efforts, there may be improvements to quality of bereavement care in primary care, in general, and also to the accurate detection and appropriate referral for bereavement-related mental health conditions.

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Section: Introductionmentioning

confidence: 99%

“…The experience of loss can vary greatly by intensity, duration, and ways those individuals express it (Christ et al, 2003; Center for the Advancement of Health, 2004). The grief trajectory also may be influenced by age and stage of development, gender, history of loss and/or trauma, history of depression, the nature and quality of the relationship with the deceased, type of loss (e.g., anticipated, violent, or traumatic), familial relationships, social networks, religion, and culture (Breen & O'Connor, 2007; Center for the Advancement of Health, 2004; Klass & Walter, 2001). Bereaved parents are not only at increased risk for hospitalization for psychiatric hospitalization (Li, Laursen, Precht, Olsen, & Mortensen, 2005), but depression and anxiety associated with a previous prenatal loss may persist into subsequent pregnancies and after; even with the birth of a healthy child (Blackmore et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Impact of a Neonatal-Bereavement-Support DVD on Parental Grief: A Randomized Controlled Trial

et al. 2014

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This study tested the effect of a neonatal-bereavement-support DVD on parental grief after their baby’s death in our Neonatal Intensive Care Unit compared with standard bereavement care (controls). Following a neonatal death, we measured grief change from 3- to 12-month follow-up using a mixed-effects model. Intent-to-treat analysis was not significant, but only 18 parents selectively watched the DVD. Thus, we subsequently compared DVD-viewers with DVD-non-viewers and controls. DVD-viewers reported higher grief at 3-month interviews compared with DVD-non-viewers and controls. Higher grief at 3 months was negatively correlated with social support and spiritual/religious beliefs. These findings have implications for neonatal-bereavement care.

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Report on Bereavement and Grief Research

Cited by 126 publications

References 33 publications

A randomized controlled trial of an internet-based therapist-assisted indicated preventive intervention for prolonged grief disorder

A randomized controlled trial of an internet-based therapist-assisted indicated preventive intervention for prolonged grief disorder

Primary care providers' bereavement care practices: recommendations for research directions

Impact of a Neonatal-Bereavement-Support DVD on Parental Grief: A Randomized Controlled Trial

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