The transformation of the meaning of death in complicated grief group therapy for survivors of suicide: A treatment process analysis using the meaning of loss codebook

Supiano, Katherine; Haynes, Lara Burns; Pond, Vicki

doi:10.1080/07481187.2017.1320339

Cited by 30 publications

(38 citation statements)

References 25 publications

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“…Accordingly, meaning-oriented interventions may be well-suited for mitigating PGD in the sociodemographic contexts where violent death tends to be over-represented. While preliminary research has shown promising outcomes with PGD (Neimeyer & Alves, 2017), violent loss (Rheingold et al, 2015; Saindon et al, 2014), and suicide bereavement (Supiano, Haynes, & Pond, 2017), randomized controlled trials testing the efficacy of the meaning-oriented approach with violent loss in marginalized populations are a high priority.…”

Section: Discussionmentioning

confidence: 99%

Prolonged grief symptomatology following violent loss: the mediating role of meaning

Milman

Neimeyer

Fitzpatrick

et al. 2017

European Journal of Psychotraumatology

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Background: Prolonged Grief Disorder (PGD) is over-represented among those who have lost loved ones to violent causes. To tailor PGD interventions for this vulnerable population it is critical to examine the aetiology of PGD specifically in the context of violent death bereavement. Previous studies have suggested that violent loss increases symptoms of PGD by hindering the mourner’s ability to make meaning of the death or its aftermath. However, these studies have relied on cross sectional data that preclude genuine prediction and have not differentiated among specific themes of meaning. Objective: This study aimed to identify specific themes of meaning that mediate the detrimental impact of violent loss on subsequent emergence of PGD symptomatology among the violently bereft. Method: A longitudinal, prospective design (N = 171) was used to assess violent loss and themes of meaning an average of six months post-loss allowing for prediction of PGD symptoms an average of eight months later. Results: Violent loss had a significant indirect effect on PGD symptomatology when meaning themes focusing on sense of peace and continuing bonds served as mediators. Conclusions: This study demonstrates the mediating role that specific meaning themes play in the development of PGD symptomatology following violent loss. These findings highlight the potential benefits of applying a meaning-based intervention approach with the violently bereft.

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Section: Discussionmentioning

confidence: 99%

Prolonged grief symptomatology following violent loss: the mediating role of meaning

Milman

Neimeyer

Fitzpatrick

et al. 2017

European Journal of Psychotraumatology

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“…Eight papers published since 2014 met the inclusion criteria and were included in the review (Table 1). Two studies were conducted in Australia (Visser et al, 2014; Peters et al, 2015), two in the USA (Supiano et al, 2017; Zisook et al, 2018), two in Belgium (Wittouck et al, 2014) (including one also conducted in the Netherlands, Kramer et al, 2015), and one in Korea (Cha et al, 2018) and Italy (Scocco et al, 2019), each. There were two RCTs (Wittouck et al, 2014; Zisook et al, 2018), two pre- and post-designs without control group (Kramer et al, 2015; Scocco et al, 2019), two prospective designs without control groups (Supiano et al, 2017; Cha et al, 2018), and two retrospective descriptive, cross-sectional studies (Visser et al, 2014; Peters et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

Suicide Postvention Service Models and Guidelines 2014–2019: A Systematic Review

et al. 2019

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Background: Suicide bereavement can have a lasting and devastating psychosocial impact on the bereaved individuals and communities. Many countries, such as Australia, have included postvention, i.e., concerted suicide bereavement support, in their suicide prevention policies. While little is known of the effectiveness of postvention, this review aimed to investigate what is known of the effects of postvention service delivery models and the components that may contribute to the effectiveness.Method: Systematic review and quality assessment of peer reviewed literature (Medline, PsycINFO, Embase, EBM Reviews) and gray literature and guidelines published since 2014.Results: Eight studies and 12 guidelines were included, with little evidence of effectiveness. Still, providing support according to the level of grief, involvement of trained volunteers/peers, and focusing the interventions on the grief, seem promising components of effective postvention.Conclusions: Adopting a public health approach to postvention can allow to tailor the service delivery to needs of the bereaved individuals and to align postvention with suicide prevention programs.

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“…The combined emphasis on reducing ruminative avoidance and promoting meaning‐making is well suited for addressing the detrimental interaction between these two processes that is demonstrated in the current study. In the preliminary research, meaning‐oriented techniques and protocols have shown promising outcomes with PGD (Neimeyer & Alves, ) and with risk factors for PGD including violent bereavement (Rheingold et al, ; Saindon et al, ), and suicide bereavement (Supiano, Haynes, & Pond, ). An intervention promoting meaning making following child loss, another risk factor for PGD, has also been proposed and outcome research is currently underway (Lichtenthal & Breitbart, ).…”

Section: Discussionmentioning

confidence: 99%

Rumination moderates the role of meaning in the development of prolonged grief symptomatology

et al. 2019

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Objective:: To address the etiology of prolonged grief disorder (PGD) by examining whether rumination moderates the role of meaning-making in mediating the impact of PGD risk factors. Method:: A survey assessing PGD risk factors (low social support, insecure attachment, violent loss, neuroticism, and loss of a spouse), meaning, and rumination was administered 2-12 months postloss among adults across North America and Europe (mean age = 44.3, 71.9% female). At a 7-10 months follow-up, symptoms of PGD were assessed (n = 171). Results:: When measuring meaning with the Grief and Meaning Reconstruction Inventory, the moderated mediation pathway was significant for each PGD-risk factor. However, when measuring meaning with the Integration of Stressful Life Experiences-Short Form, the pathway was significant for every risk factors except violent loss.Conclusions:: Rumination appears to moderate meaningmaking in the development of PGD symptomatology. These findings highlight rumination as a target for intervention with atrisk grievers.Author note: This publication is one in a series of separate manuscripts that report findings from an ongoing project. The first manuscript, currently under review, establishes meaning made as a mediator of PGD symptomatology. The second manuscript (Milman et al., 2018), examines which specific themes of meaning mediate the relationship between violent loss and PGD symptomatology. Finally, the current manuscript describes a detrimental relationship between rumination and meaning-making following bereavement. Please contact the authors regarding relevant publications and presentations.This study was conducted jointly with the Jewish

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The transformation of the meaning of death in complicated grief group therapy for survivors of suicide: A treatment process analysis using the meaning of loss codebook

Cited by 30 publications

References 25 publications

Prolonged grief symptomatology following violent loss: the mediating role of meaning

Prolonged grief symptomatology following violent loss: the mediating role of meaning

Suicide Postvention Service Models and Guidelines 2014–2019: A Systematic Review

Rumination moderates the role of meaning in the development of prolonged grief symptomatology

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