Attachment processes following traumatic loss: A mediation model examining identity distress, shattered assumptions, prolonged grief, and posttraumatic growth.

2021 ◽  
Vol 13 (1) ◽  
pp. 94-103
Author(s):  
Laura E. Captari ◽  
Shelley A. Riggs ◽  
Krystal Stephen
2020 ◽  
pp. 003022282090965
Author(s):  
Yudi Zhang ◽  
Xiaoming Jia

Previous studies have sporadically explored the effect of various bonds on the mental health of shiduers (i.e., parents who lost their only child). However, research has rarely classified different bonds to systematically describe their effects. This study administered a self-compiled questionnaire, the Center for Epidemiologic Studies Depression Scale, the Zung Self-Rating Anxiety Scale, the posttraumatic stress disorder Checklist, the Prolonged Grief Questionnaire, the Posttraumatic Growth Inventory, and the Adult Dispositional Hope Scale to 466 shiduers. The commemoration rituals that occur soon after the loss predict a lower level of posttraumatic stress disorder. Similarly, the commemoration rituals that occur on special days predict lower levels of depression and anxiety. In contrast, the continuation of commemoration rituals on ordinary days predicts higher levels of depression and prolonged grief. Support from family members and relatives, other shiduers, and nonshiduer friends are all beneficial to shiduers’ mental health.


2017 ◽  
Vol 41 (S1) ◽  
pp. S360-S361
Author(s):  
F.D. Usta ◽  
A.B. Yasar ◽  
A.E. Abamor ◽  
M. Caliskan

Grief is a normal response to loss of someone to whom a bond was formed; however, prolonged grief is considered pathological. Persistent complex bereavement disorder (PCBD) is defined as a persistent longing for the deceased over 12 months. Several treatment ways have been used for traumatic loss including eye movement desensitization and reprocessing (EMDR). In the current case series, effectiveness of EMDR on three PCBD patients will be indicated. Three patients applied to the clinic with similar complaints based on different traumatic backgrounds; commonly, all experienced death of a first-degree relative. Complaints of the patients were over-thinking about the deceased, sleep disturbances, self-blaming, social isolation, avoiding talks about lost relative, and loss of interest in activities. After pre-interviews, they were advised EMDR therapy. One session of EMDR was applied to two of the patients, and two EMDR sessions were conducted on one of them. After the sessions, the patients reported not feeling guilty about the loss anymore, returning their normal routines, feeling better, and showing decreased avoidance. Additionally, the scores of scales (CAPS, BAI, BDI, and IES-R) significantly declined. EMDR therapy can show successful results in a shorter time than other treatment ways used for PCBD treatment [1].Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 17 (1) ◽  
pp. 2-12 ◽  
Author(s):  
Wendy G. Lichtenthal ◽  
Corinne Catarozoli ◽  
Melissa Masterson ◽  
Elizabeth Slivjak ◽  
Elizabeth Schofield ◽  
...  

AbstractObjectiveTo determine the preliminary feasibility, acceptability, and effects of Meaning-Centered Grief Therapy (MCGT) for parents who lost a child to cancer.MethodParents who lost a child to cancer and who were between six months and six years after loss and reporting elevated levels of prolonged grief were enrolled in open trials of MCGT, a manualized, one-on-one cognitive-behavioral-existential intervention that used psychoeducation, experiential exercises, and structured discussion to explore themes related to meaning, identity, purpose, and legacy. Parents completed 16 weekly sessions, 60–90 minutes in length, either in person or through videoconferencing. Parents were administered measures of prolonged grief disorder symptoms, meaning in life, and other assessments of psychological adjustment preintervention, mid-intervention, postintervention, and at three months postintervention. Descriptive data from both the in-person and videoconferencing open trial were pooled.ResultEight of 11 (72%) enrolled parents started the MCGT intervention, and six of eight (75%) participants completed all 16 sessions. Participants provided positive feedback about MCGT. Results showed postintervention longitudinal improvements in prolonged grief (d = 1.70), sense of meaning (d = 2.11), depression (d = 0.84), hopelessness (d = 1.01), continuing bonds with their child (d = 1.26), posttraumatic growth (ds = 0.29–1.33), positive affect (d = 0.99), and various health-related quality of life domains (d = 0.46–0.71). Most treatment gains were either maintained or increased at the three-month follow-up assessment.Significance of resultsOverall, preliminary data suggest that this 16-session, manualized cognitive-behavioral-existential intervention is feasible, acceptable, and associated with transdiagnostic improvements in psychological functioning among parents who have lost a child to cancer. Future research should examine MCGT with a larger sample in a randomized controlled trial.


2019 ◽  
Vol 66 (6) ◽  
pp. 714-725 ◽  
Author(s):  
Evgenia Milman ◽  
Robert A. Neimeyer ◽  
Marilyn Fitzpatrick ◽  
Christopher J. MacKinnon ◽  
Krista R. Muis ◽  
...  

2021 ◽  
pp. 003022282110192
Author(s):  
Juan Jaime De la Fuente-Herrera ◽  
Hada Soria-Escalante

In the context of violence and enforced disappearance in Mexico, the concept of mourning is recontextualized from a psychoanalytic perspective. Two themes of the psychoanalytic theory of mourning are considered: 1) the impossibility to confirm the death of the missing person and 2) the availability and purpose of symbolic resources (rites, community activities). The private and public aspects of mourning are reviewed in relation to the afflictions of the relatives of the missing. Without a body to mourn, the rites that are performed around the disappeared have a different function than funeral rites. Nuanced by repetition, these rites attempt to work through the traumatic loss. The role of search groups in working through the pain of loss is also explored. The notions of intrapsychic crypt and endocryptic identification are reviewed, to better understand the encrypted mourning -the particular state of prolonged grief- endured by the relatives of the disappeared.


2019 ◽  
Vol 32 (3) ◽  
pp. 231-243 ◽  
Author(s):  
Maarten C. Eisma ◽  
Lonneke I. M. Lenferink ◽  
Margaret S. Stroebe ◽  
Paul A. Boelen ◽  
Henk A. W. Schut

2021 ◽  
Vol 12 ◽  
Author(s):  
Hong-Kun Zhai ◽  
Qiang Li ◽  
Yue-Xin Hu ◽  
Yu-Xin Cui ◽  
Xiao-Wei Wei ◽  
...  

Emotional creativity refers to a set of cognitive abilities and personality traits related to the originality of emotional experience and expression. Previous studies have found that emotional creativity can positively predict posttraumatic growth and mental health. The outbreak of coronavirus disease 2019 (COVID-19) has posed great challenges to people’s daily lives and their mental health status. Therefore, this study aims to address the following two questions: whether emotional creativity can improve posttraumatic growth and mental health during the COVID-19 pandemic and how it works. To do this, a multiple mediation model has been proposed, which supposes that emotional creativity is associated with posttraumatic growth and mental health through perceived social support and regulatory emotional self-efficacy. The study involved 423 participants from multiple regions with different COVID-19 involvement levels. Participants were asked to complete a questionnaire with six parts, which included Emotional Creativity Inventory (ECI), Regulatory Emotional Self-Efficacy Scale (RES), Stress-Related Growth Scale-Short Form (SRGS-SF), Multidimensional Scale of Perceived Social Support scale (MSPSS), Brief Symptom Inventory-18 scale (BSI-18), and COVID-19-related life events questionnaire. Path analysis used to examine the mediation model indicated that under the control of COVID-19-related life events and age, perceived social support mediated a positive association between emotional creativity and posttraumatic growth as well as a negative association between emotional creativity and all mental health problems, including somatization, depression, and anxiety. Regulatory emotional self-efficacy mediates the association between emotional creativity and posttraumatic growth, emotional creativity and anxiety, and emotional creativity and depression. The results suggest that emotional creativity plays an important role in coping with stressful events related to COVID-19. Furthermore, these results might provide a better understanding of the possible paths through which emotional creativity is related to psychological outcomes, such as mental health and posttraumatic growth.


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