Supporting children and adolescents following parental bereavement: guidance for health-care professionals

Kentor, Rachel; Kaplow, Julie B.

doi:10.1016/s2352-4642(20)30184-x

Cited by 40 publications

(38 citation statements)

References 60 publications

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“…In conclusion my findings of embracing appreciation, acknowledging fear, and find the personal coping skills that work for each person support the literature regarding coping with grief and loss (Khanjari & Mianji, 2020;Kentor & Kaplow, 2020). But, more importantly, the implications of my story on others will be:…”

Section: Conclusion/implicationssupporting

confidence: 71%

Love, Fear, and Hope: Personal Coping Techniques of a Realistic yet Optimistic Daughter

Sanabria

2021

AM J QUALITATIVE RES

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The purpose of this autoethnography is to explore my experience (the researcher) of coping with daily life after my mother's diagnosis of stage four metastatic breast cancer. Throughout this study, I will explore the experiences of myself and two other individuals whose mothers also have incurable advanced-stage cancer. I would like to know more about my own daily experiences and theirs in regard to how our daily lives have been impacted since the initial diagnosis. I would also like to explore the reality of living with the knowledge of a daunting inevitable loss, without a miracle. Through this study, the following themes emerged from the thick, rich data description: appreciation, fear, and coping skills.

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Section: Conclusion/implicationssupporting

confidence: 71%

Love, Fear, and Hope: Personal Coping Techniques of a Realistic yet Optimistic Daughter

Sanabria

2021

AM J QUALITATIVE RES

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“… 16 Orphaned children cared for by custodial grandparents after losing their parents might face secondary trauma after losing that caregiver from COVID-19. 30 …”

Section: Discussionmentioning

confidence: 99%

“… 31 Psychosocial threats for children and adolescents bereft of parents or caregivers include increased risk of post-traumatic stress disorder, depression, and suicidal attempts. 30 These consequences can be compounded by mitigation-related isolation, school closures, and inability to participate in bereavement practices. 32 …”

Section: Discussionmentioning

confidence: 99%

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Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study

Hillis¹,

Unwin²,

Chen³

et al. 2021

The Lancet

203

149

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Background The COVID-19 pandemic priorities have focused on prevention, detection, and response. Beyond morbidity and mortality, pandemics carry secondary impacts, such as children orphaned or bereft of their caregivers. Such children often face adverse consequences, including poverty, abuse, and institutionalisation. We provide estimates for the magnitude of this problem resulting from COVID-19 and describe the need for resource allocation. MethodsWe used mortality and fertility data to model minimum estimates and rates of COVID-19-associated deaths of primary or secondary caregivers for children younger than 18 years in 21 countries. We considered parents and custodial grandparents as primary caregivers, and co-residing grandparents or older kin (aged 60-84 years) as secondary caregivers. To avoid overcounting, we adjusted for possible clustering of deaths using an estimated secondary attack rate and age-specific infection-fatality ratios for SARS-CoV-2. We used these estimates to model global extrapolations for the number of children who have experienced COVID-19-associated deaths of primary and secondary caregivers.Findings Globally, from March 1, 2020, to April 30, 2021, we estimate 1 134 000 children (95% credible interval 884 000-1 185 000) experienced the death of primary caregivers, including at least one parent or custodial grandparent. 1 562 000 children (1 299 000-1 683 000) experienced the death of at least one primary or secondary caregiver. Countries in our study set with primary caregiver death rates of at least one per 1000 children included Peru (10•2 per 1000 children), South Africa (5•1), Mexico (3•5), Brazil (2•4), Colombia (2•3), Iran (1•7), the USA (1•5), Argentina (1•1), and Russia (1•0). Numbers of children orphaned exceeded numbers of deaths among those aged 15-50 years. Between two and five times more children had deceased fathers than deceased mothers.Interpretation Orphanhood and caregiver deaths are a hidden pandemic resulting from COVID-19-associated deaths. Accelerating equitable vaccine delivery is key to prevention. Psychosocial and economic support can help families to nurture children bereft of caregivers and help to ensure that institutionalisation is avoided. These data show the need for an additional pillar of our response: prevent, detect, respond, and care for children.

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“…Psychosocial support for bereaved children can be generally classified into two categories. Grief camps are considered preventative interventions designed for the spectrum of bereaved youth, whereas psychological treatments target a subset of children with severe and persistent grief reactions [ 102 ]. Although there are limited studies evaluating the effectiveness of grief camps for siblings, preliminary research suggests such camps lead to decreased symptoms of anxiety and posttraumatic stress, increased coping skills, and decreased feelings of isolation [ 103 ].…”

Section: Grief After Deathmentioning

confidence: 99%

Current Grief Support in Pediatric Palliative Care

et al. 2021

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Grief support changes as more is learned from current grief theory and research. The authors provide a comprehensive overview of current grief support as it relates to Pediatric Palliative Care (PPC). The following aspects of grief are addressed: (1) anticipatory grief: the nondeath losses that occur with a complex and chronic illness, as well as the time leading up to death; (2) grief around the time of death: the intense and sacred experience of companioning with a dying child; (3) grief after death: supporting bereavement and mourning through programing and other methods; (4) innovative approaches: the future of grief support. The contents of this article are meant to support and educate programs currently providing grief services and those aiming to begin the meaningful work of grief support.

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Supporting children and adolescents following parental bereavement: guidance for health-care professionals

Cited by 40 publications

References 60 publications

Love, Fear, and Hope: Personal Coping Techniques of a Realistic yet Optimistic Daughter

Love, Fear, and Hope: Personal Coping Techniques of a Realistic yet Optimistic Daughter

Global minimum estimates of children affected by COVID-19-associated orphanhood and deaths of caregivers: a modelling study

Current Grief Support in Pediatric Palliative Care

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