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Journal articles on the topic 'Complicated grief intervention programme'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Drenth, Cornelia, Alida Herbst, and Herman Strydom. "A COMPLICATED GRIEF INTERVENTION PROGRAMME (CGIP) FOR SOCIAL WORKERS." Southern African Journal of Social Work and Social Development 26, no. 3 (2017): 309–30. http://dx.doi.org/10.25159/2415-5829/2256.

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Grief is a well-described concept in the literature, but complicated grief only recently became the concern of professionals working in this field. The necessity for a complicated grief intervention programme became evident after a fruitless search to find South African literature and interventions on the topic. This article describes the Complicated Grief Intervention Programme (CGIP) with the Complicated Grief Intervention Model (CGIM) as framework for intervention. The focus is on intervention techniques such as desensitisation, visualisation, use of the client-log, miracle questions, metap

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Pinheiro, M., N. Carvalho, D. Mendes, and J. Rocha. "A Prospective Intervention in Patients with Complicated Grief." European Psychiatry 41, S1 (2017): s781. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1487.

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IntroductionMost reactions to grief are adaptive. However, there is the possibility that some individuals present a complicated grief disorder, where there is a pathological intensification of symptoms lasting more than 6 months, deserving special treatment.Objectives/aimsEvaluate the effectiveness of two types of intervention in complicated grief: group intervention (GI) and cognitive-narrative (CN) therapy.MethodsPatients in a complicated grief process were selected (n = 70), and distributed in three groups: cognitive–narrative therapy group (CNTG), group intervention group (GIG) and a contr

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Wittouck, Ciska, Sara Van Autreve, Gwendolyn Portzky, and Kees van Heeringen. "A CBT-Based Psychoeducational Intervention for Suicide Survivors." Crisis 35, no. 3 (2014): 193–201. http://dx.doi.org/10.1027/0227-5910/a000252.

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Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in suicide survivors. Method: In total, 83 suicide survivors were randomized to the intervention or the control condition in a cluster randomized controlled trial. Pri

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Sharpe, Tanya L., Derek Kenji Iwamoto, Johari M. Massey, and Lynn Murphy Michalopoulos. "The Development of a Culturally Adapted Pilot Intervention for African American Family Members of Homicide Victims: A Preliminary Report." Violence and Victims 33, no. 4 (2018): 708–20. http://dx.doi.org/10.1891/0886-6708.vv-d-17-00052.

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African Americans are disproportionately impacted by homicide in the United States. Individuals who have lost a relative to homicide often experience symptoms of complicated grief. The objective of this study was to explore the impact of a culturally tailored psychoeducational pilot intervention whose development was informed by a conceptual model of coping for African American survivors of homicide victims and was designed to (a) educate participants about the manifestation of complicated grief and symptoms and (b) help participants develop ways to cope with their grief. Pre- and post-test re

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Blackman, Noelle. "Supporting people with learning disabilities through a bereavement." Tizard Learning Disability Review 21, no. 4 (2016): 199–202. http://dx.doi.org/10.1108/tldr-07-2016-0020.

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Purpose There remains a lack of clarity regarding what constitutes “normal” or “complicated” grief within this client group. The purpose of this paper is to identify the factors that complicate grief and considers interventions which would be beneficial. Design/methodology/approach The paper draws on previous research by the author and others to comment on some of the issues discussed by Hannah Young in her article. Findings Three domains contribute to complicated grief in people with learning disabilities. These are the learning disability itself, environmental factors and the impact of disab

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Kempson, Diane A. "Effects of Intentional Touch on Complicated Grief of Bereaved Mothers." OMEGA - Journal of Death and Dying 42, no. 4 (2001): 341–53. http://dx.doi.org/10.2190/t1u8-jwau-3rxu-ly1l.

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Loss of one's child represents one of the most traumatic events a human may endure. Few effective interventions have been documented. The purpose of this research was to determine the effect of touch therapy on grieving mothers. Bereavement responses of mothers who had lost a child in the previous 6–60 months ( n 31, intervention group; n 34, comparison group) were evaluated for significant differences between intervention (touch therapy) and comparison groups, measured by the Grief Experience Inventory (GEI). Analysis of the nine clinical scales of the GEI demonstrated statistically significa

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Buck, Harleah G., Paula Cairns, Nnadozie Emechebe, et al. "Accelerated Resolution Therapy: Randomized Controlled Trial of a Complicated Grief Intervention." American Journal of Hospice and Palliative Medicine® 37, no. 10 (2020): 791–99. http://dx.doi.org/10.1177/1049909119900641.

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Background and Objectives: Complicated grief (CG) is severe, prolonged (>12 months) grieving. Complicated grief disproportionately affects older adults and is associated with negative physical/psychological effects. Although treatment options exist, those which do are time-intensive. We report on a randomized clinical trial (RCT) which examined whether accelerated resolution therapy (ART), a novel mind-body therapy, is effective in treating CG, post-traumatic stress disorder (PTSD), and depression among hospice informal caregivers. Research Design and Methods: Prospective 2 group, wait-list

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Meuser, Thomas M., Ruth M. Davies, and Samuel J. Marwit. "Personality and Conjugal Bereavement in Older Widow(er)s." OMEGA - Journal of Death and Dying 30, no. 3 (1995): 223–35. http://dx.doi.org/10.2190/84yn-cbdf-5ugy-yj1f.

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This study examined the degree to which an individual's propensity to experience emotional distress and restraint are predictive of grief intensity in a sample of older widow(er)s ( N = 51). Characteristic distress was found to be a significant predictor of present grief intensity, whereas repressive defensive-ness was found to predict past grief, as recalled from the time of loss. Results are discussed in light of known risk factors for complicated bereavement and intervention concerns.

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Nakajima, Satomi. "Complicated grief: recent developments in diagnostic criteria and treatment." Philosophical Transactions of the Royal Society B: Biological Sciences 373, no. 1754 (2018): 20170273. http://dx.doi.org/10.1098/rstb.2017.0273.

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Although grief is a natural response to loss among human beings, some people have a severe and prolonged course of grief. In the 1990s, unusual grief persisting with a high level of acute symptoms became known as ‘complicated grief (CG)’. Many studies have shown that people who suffer from CG are at risk of long-term mental and physical health impairments and suicidal behaviours; it is considered a pathological state, which requires clinical intervention and treatment. DSM-5 (2013 Diagnostic and statistical manual of mental disorders , 5th edn) proposed ‘persistent complex bereavement disorder

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Soares, J., S. L. Azevedo Pinto, A. C. Pinheiro, S. Pacheco, and R. Curral. "Therapeutic Approach to Complicated Grief–An Example of Group Psychotherapy in Psychiatric Patients." European Psychiatry 41, S1 (2017): s772—s773. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1458.

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Introduction.Complicated Grief (CG) affects 7–10% of the grieving individuals in the general population. However, the incidence is much higher in psychiatric patients, reaching 70% in most samples. These individuals present many risk factors for such condition, demanding a particular attention and treatment approach. Most studies have shown that pharmacological treatment may help relieving depressive and anxiety symptoms, although they do not promote a consistent improvement of the grieving scenario. Several meta-analyses have recognized different psychological interventions as effective in de

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de López, Kristine Jensen, Hanne Søndergaard Knudsen, and Tia G. B. Hansen. "What Is Measured in Bereavement Treatment for Children and Adolescents? A Systematic Literature Review." Illness, Crisis & Loss 28, no. 4 (2017): 363–87. http://dx.doi.org/10.1177/1054137317741713.

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Objective Childhood bereavement from parental death can be a significant stressor. Treatment studies vary largely on how the effect of the grief treatment is measured. This sytematic review evaluates whether controlled bereavement intervention studies focus on symptomatalogy or grief as outcome measure and also summarizes the effect of grief treatment. Method For inclusion in the review, studies must report on children or adolesecents who experienced the death of a parent or sibling, must have a control group and must report results of a grief treatment. Results Eight studies met the inclusion

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Paris, Gisele Ferreira, Francine de Montigny, and Sandra Marisa Pelloso. "Factors associated with the grief after stillbirth: a comparative study between Brazilian and Canadian women." Revista da Escola de Enfermagem da USP 50, no. 4 (2016): 546–53. http://dx.doi.org/10.1590/s0080-623420160000500002.

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Abstract OBJECTIVE To verify the association between complicated grief and sociodemographic, reproductive, mental, marital satisfaction, and professional support characteristics in women after stillbirth. METHOD Cross-sectional study with 26 women who had stillbirth in 2013, living in the city of Maringá, Brazil, and eight women who attended the Centre d'Études et de Rechercheen Intervention Familiale at the University of Quebec en Outaouais, in Canada. The instrument was administered as an interview to a small number of mothers of infants up to three months (n=50), who did not participate in

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Wagner, Birgit, and Andreas Maercker. "A 1.5-year follow-up of an internet-based intervention for complicated grief." Journal of Traumatic Stress 20, no. 4 (2007): 625–29. http://dx.doi.org/10.1002/jts.20230.

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Barbosa, Virginia, Mónica Sá, and José Carlos Rocha. "Randomised controlled trial of a cognitive narrative intervention for complicated grief in widowhood." Aging & Mental Health 18, no. 3 (2013): 354–62. http://dx.doi.org/10.1080/13607863.2013.833164.

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Gilewski, Teresa. "Encountering Grief in Patient Care." American Society of Clinical Oncology Educational Book, no. 32 (June 2012): e81-e84. http://dx.doi.org/10.14694/edbook_am.2012.32.302.

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Overview: Grief is essentially unavoidable and is a normal reaction to loss. Grief may be experienced by patients and their loved ones as well as by physicians and members of the health care team in response to the consequences of illness or death. Grief is typified by certain indicators that may significantly effect one's emotional and physical well-being. Although these indicators tend to follow a general pattern, there is variability among individuals. Complicated grief may require psychiatric intervention. Caring for the seriously ill or dying patient may be particularly challenging from a

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Buck, Harleah, Paula Cairns, Nnadozie Emechebe, et al. "Lessons Learned in a Community-Based, Randomized Controlled Trial of a Complicated Grief Intervention." Innovation in Aging 4, Supplement_1 (2020): 699. http://dx.doi.org/10.1093/geroni/igaa057.2453.

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Abstract Complicated grief (CG), severe, prolonged (&gt;12 months) grieving, disproportionately affects older adults. A prospective two-group, waitlisted RCT examined whether four sessions of Accelerated Resolution Therapy (ART) was effective in informal caregivers by comparing pre-to-post ART changes and investigating variation in treatment response by baseline CG levels. Inclusion: ≥60 years, Inventory of Complicated Grief &gt;25. Paired t-tests of mean (SD) differences compared pre- to post-ART; pre-ART to 8-week follow-up, and post-ART to 8-week follow-up; then stratified by median

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Beder, Joan. "War, Death, and Bereavement: How We Can Help." Families in Society: The Journal of Contemporary Social Services 84, no. 2 (2003): 163–67. http://dx.doi.org/10.1606/1044-3894.88.

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War imposes many hardships on both service people and those they leave behind. One of the greatest fears during wartime is the potential for loss of life. Death in wartime creates a bereavement situation that has been relatively ignored in bereavement literature. During this wartime period, grief counselors and pastoral counselors will surely find themselves faced with mourners suffering from losses during the war. This article explores the literature on this topic, explains why this form of grief is particularly complicated, and suggests a strategy for intervention.

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Rowe, Caron. "The effects of unexpected pregnancy loss on the social and emotional development of subsequent children." Journal of Health Visiting 7, no. 12 (2019): 576–80. http://dx.doi.org/10.12968/johv.2019.7.12.576.

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A range of factors can have an impact on a child whose parents have dealt with the grief of losing a baby, including unresolved grief and maternal mental health, encompassing depression, anxiety and stress. This article will discuss these factors and reasons why early recognition of additional needs, intervention, implementation and deliverance of specialised care plans is fundamental in ensuring all children get the best start possible, optimising their chances of fulfilling their potential. It will also consider why health visitors play a vital role through the delivery of the Healthy Child

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Wagner, Birgit, Christine Knaevelsrud, and Andreas Maercker. "Post‐Traumatic Growth and Optimism as Outcomes of an Internet‐Based Intervention for Complicated Grief." Cognitive Behaviour Therapy 36, no. 3 (2007): 156–61. http://dx.doi.org/10.1080/16506070701339713.

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Kissane, David W., Talia I. Zaider, Yuelin Li, et al. "Randomized Controlled Trial of Family Therapy in Advanced Cancer Continued Into Bereavement." Journal of Clinical Oncology 34, no. 16 (2016): 1921–27. http://dx.doi.org/10.1200/jco.2015.63.0582.

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Purpose Systematic family-centered cancer care is needed. We conducted a randomized controlled trial of family therapy, delivered to families identified by screening to be at risk from dysfunctional relationships when one of their relatives has advanced cancer. Patients and Methods Eligible patients with advanced cancer and their family members screened above the cut-off on the Family Relationships Index. After screening 1,488 patients or relatives at Memorial Sloan Kettering Cancer Center or three related community hospice programs, 620 patients (42%) were recruited, which represented 170 fam

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Patel, Sapana R., Andrea Cole, Virna Little, et al. "Acceptability, feasibility and outcome of a screening programme for complicated grief in integrated primary and behavioural health care clinics." Family Practice 36, no. 2 (2018): 125–31. http://dx.doi.org/10.1093/fampra/cmy050.

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Hornsveld, Hellen K., Frieda Landwehr, Willeke Stein, Margaretha P. H. Stomp, Monique A. M. Smeets, and Marcel A. van den Hout. "Emotionality of Loss-Related Memories Is Reduced After Recall Plus Eye Movements But Not After Recall Plus Music or Recall Only." Journal of EMDR Practice and Research 4, no. 3 (2010): 106–12. http://dx.doi.org/10.1891/1933-3196.4.3.106.

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Numerous studies have shown that eye movements during recall of negative memories reduce their emotionality. We investigated whether these findings can be extended specifically to negative memories of loss. Sixty undergraduate students participated and recalled a negative autobiographical memory of loss and performed—in counterbalanced order—three types of tasks: recall-plus-eye-movements, recall-only, and recall-plus-relaxing-music. Recall-plus-music was added to investigate whether reductions in emotionality are associated with relaxation. Levels of emotionality, relaxation, and concentratio

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Delgado, Heather, and Kelly Wester. "Using Photovoice to Promote Meaning-Making in a Suicide Loss Support Group." Journal of Mental Health Counseling 42, no. 3 (2020): 189–205. http://dx.doi.org/10.17744/mehc.42.3.01.

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The loss of a loved one to suicide is a devastating event that results in a complicated grief experience for those survivors left behind. This specific bereavement experience consists of three challenging obstacles: the unanswered question of why, the stigma concerning the manner of death, and the forced isolation of the grievers. These obstacles complicate the ability to make meaning of the loss, which is an important part of the healing process. Therefore, counselors can target meaning-making as an intervention by utilizing photovoice because it can provide survivors with the opportunity to

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Dionne-Odom, J. Nicholas, Andres Azuero, Kathleen Lyons, et al. "Family caregiver grief and depression outcomes from the ENABLE III randomized controlled trial." Journal of Clinical Oncology 33, no. 29_suppl (2015): 48. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.48.

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48 Background: Little is known whether early palliative care (PC) support for family caregivers (FCGs) impacts grief and depression after care recipients die. We conducted a randomized controlled trial (RCT) of a nurse-led, phone-based concurrent PC intervention for FCGs delivered at the time of care recipients’ advanced cancer diagnosis (early group) or 12 weeks later (delayed group). We hypothesized that grief and depression scores would be lower for early compared to delayed group FCGs. Methods: Early vs. delayed RCT (10/2010-9/2013) of 123 FCGs of community dwelling persons with advanced c

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Dartey, Anita Fafa, and Ellemes Phuma-Ngaiyaye. "Physical Effects of Maternal Deaths on Midwives’ Health: A Qualitative Approach." Journal of Pregnancy 2020 (April 1, 2020): 1–6. http://dx.doi.org/10.1155/2020/2606798.

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Grief does not only affect human emotions but also impacts their physical health. Understanding physical grief of people can bring to bear the grip of its daunting nature, a situation where routines become challenging. A qualitative explorative descriptive research method was used. A purposive sample of 18 ward supervisors and 39 ward midwives was used to ascertain the physical effects of maternal deaths on these caregivers in the Ashanti Region of Ghana. Data were collected through semistructured and focus group discussions. Data analysis was done parallel with data collection till saturation

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Toner, Ignatius J. "Children of "the Troubles" in Northern Ireland: Perspectives and Intervention." International Journal of Behavioral Development 17, no. 4 (1994): 629–48. http://dx.doi.org/10.1177/016502549401700404.

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The chronology of investigations focusing on the effects of "the Troubles" on the children of Northern Ireland is presented. Studies by Belfast psychiatrists, visitors from the United States, and Scottish and English psychologists dominated the first decade of the 25-year-old conflict and were marked by a distinctly pessimistic appraisal of the impact of the troubled situation on the children. Developmental psychologists from within Northern Ireland have been very active studying the children of their own country for the second decade of the crisis. The view from the "inside" is more complicat

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Gray, Matt J., Shira Maguen, and Brett T. Litz. "Acute Psychological Impact of Disaster and Large-Scale Trauma: Limitations of Traditional Interventions and Future Practice Recommendations." Prehospital and Disaster Medicine 19, no. 1 (2004): 64–72. http://dx.doi.org/10.1017/s1049023x00001497.

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AbstractNearly everyone will experience emotional and psychological distress in the immediate aftermath of a disaster or other large-scale traumatic event. Although extremely upsetting and disruptive, the reaction is understood best as a human response to inordinate adversity, which in the majority of cases remits over time without formal intervention. Nevertheless, some people experience sustained difficulties. To prevent chronic post-traumatic difficulties, mental health professionals provide early interventions soon after traumatic exposure. These interventions typically take the form of si

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Zheng, Yongqiang, Thomas R. Lawson, and Barbara Anderson Head. "“Our Only Child Has Died”—A Study of Bereaved Older Chinese Parents." OMEGA - Journal of Death and Dying 74, no. 4 (2016): 410–25. http://dx.doi.org/10.1177/0030222815612285.

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Long and complicated grief is a relevant factor contributing to the deterioration of the older adults’ later life quality. In China, the unintentional consequence of the one-child policy has emerged. There, the group of older adults who lost their only child is called shiduers. The current study compared 42 older adults who lost their only child to 33 older adults who have a child, in term of their physical and mental health, and social support. The results confirmed the general deteriorating trend in those aspects of the bereaved Chinese parents’ life after their only child’s death. The resul

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Carter, Patricia A., Sabrina Q. Mikan, and Cherie Simpson. "A feasibility study of a two-session home-based cognitive behavioral therapy–insomnia intervention for bereaved family caregivers." Palliative and Supportive Care 7, no. 2 (2009): 197–206. http://dx.doi.org/10.1017/s147895150900025x.

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ABSTRACTObjective:In 2008 over two million family caregivers will become bereaved. The vast majority of these caregivers have provided ‘round-the-clock care for a period ranging from months to years. Bereaved family caregivers report insomnia symptoms that persist beyond 1 year, longer than what is seen in bereaved noncaregivers, placing them at increased risk of depression and complicated grief. Despite some rewarding elements, caregiving is a stressful and exhausting role that often requires the caregiver to restructure his or her life around the needs of the patient. Once the patient dies,

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Dobbs, Debra, and Sheryl Zimmerman. "Lessons Learned in Research to Address Wicked Problems Facing the Care of Older Adults Across the Care Continuum." Innovation in Aging 4, Supplement_1 (2020): 699. http://dx.doi.org/10.1093/geroni/igaa057.2451.

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Abstract A wicked problem, by definition, has innumerable causes, is tough to describe, and doesn’t necessarily have a right answer. This describes today’s health care for older adults across the long-term care continuum. Our interdisciplinary group has almost as many years (n=70) of experience as GSA conducting research in community-based groups across the continuum of care from skilled nursing facilities, assisted living communities, adult day care, to independent living. In this symposium we will discuss lessons learned in recruitment, intervention delivery, and unexpected outcomes. Peterso

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Ho, Andy Hau Yan, Oindrila Dutta, Geraldine Tan-Ho, et al. "A Novel Narrative E-Writing Intervention for Parents of Children With Chronic Life-Threatening Illnesses: Protocol for a Pilot, Open-Label Randomized Controlled Trial." JMIR Research Protocols 9, no. 7 (2020): e17561. http://dx.doi.org/10.2196/17561.

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Background A novel evidence-based Narrative e-Writing Intervention (NeW-I) has been developed and tested in Singapore to advance psychosociospiritual support for parents of children with chronic life-threatening illnesses. NeW-I is informed by an international systematic review and a Singapore-based qualitative inquiry on the lived experience of parental bereavement and supported by literature on anticipatory grief interventions for improving the holistic well-being of parent caregivers of seriously ill children. Objective This study's aim was to provide an accessible platform, NeW-I—which is

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Alves-Costa, Filipa, Catherine Hamilton-Giachritsis, Hope Christie, and Sarah L. Halligan. "Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study." BMJ Open 8, no. 8 (2018): e020443. http://dx.doi.org/10.1136/bmjopen-2017-020443.

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ObjectiveResearch on homicidal bereavement has focused on postloss impact and coping. Less is known about how individuals perceive their adjustment posthomicide. Adverse experiences are likely to leave individuals with an increased risk of developing severe psychological difficulties, such as depression, Post-traumatic stress(PTSD), anxiety and complicated grief. This study aimed to explore how individuals perceive their change and progression posthomicide and post-psychoeducational intervention.DesignSemistructured qualitative interviews were conducted both as part of a prospective study and

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Weipert, Kay F., Timm Bauer, Holger M. Nef, et al. "Incidence and outcome of peri-procedural cardiogenic shock: results from the international Euro Heart Survey PCI registry." European Heart Journal: Acute Cardiovascular Care 9, no. 2 (2019): 120–27. http://dx.doi.org/10.1177/2048872618822460.

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Background: There is a large body of literature on acute myocardial infarction complicated by cardiogenic shock. However, very little is known about patients who are initially haemodynamically stable and develop cardiogenic shock during percutaneous coronary intervention. Methods: A total of 47,407 consecutive patients were prospectively enrolled in the PCI Registry of the Euro Heart Survey Programme. We analysed interventions with peri-procedural complications that were classified as ‘shock induced by procedure’ on the case report form. Clinical and procedural characteristics as well as hospi

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Crompton, David. "Responding to Disasters: More Than Economic and Infrastructure Interventions." Prehospital and Disaster Medicine 34, s1 (2019): s70. http://dx.doi.org/10.1017/s1049023x19001535.

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Introduction:Natural disasters confront individuals, communities, and governments with the challenge of rebuilding and addressing psychosocial sequelae. With the increasing number of natural disasters, it is pertinent to evaluate the efficacy of interventions and strategies to address the mental health needs of individuals and the community.Aim:The presentation will highlight the effectiveness of interventions post-disaster, and continued adverse outcomes five years post-event.Methods:An evaluation of literature related to the psychosocial impact of natural disasters, treatment efficacy, and g

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Rait, *Louise I., *Nikki Y. Yeo, *Equal first authors, et al. "The impact of bereavement support on psychological distress in family members: a systematic review and meta-analysis." Critical Care and Resuscitation 23, no. 2 (2021): 225–33. http://dx.doi.org/10.51893/2021.2.sr1.

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BACKGROUND: Persistent psychological distress occurs frequently in family members of patients who die in an intensive care unit (ICU). OBJECTIVE: To determine the effectiveness of bereavement interventions in reducing persisting psychological distress in bereaved family members after death in an adult ICU. DESIGN: Systematic review and meta-analysis of studies that assessed the effect of bereavement interventions on persisting psychological distress in bereaved family members of ICU patients. DATA SOURCES: MEDLINE and APA Psycinfo databases were searched until April 2020. REVIEW METHODS: Two o

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Sinha, Rajesh Kumar, Asha Kiran, Vivek Kashyap, and Praveen Kumar. "Performance and costing of nutrition intervention measures on admitted children in malnutrition treatment center: a case study from Jharkhand, India." International Journal Of Community Medicine And Public Health 7, no. 10 (2020): 4048. http://dx.doi.org/10.18203/2394-6040.ijcmph20204375.

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Background: Children with severe acute malnutrition (SAM) having medical complications require immediate care at malnutrition treatment centers (MTC). Thus, it becomes important to assess the effect and treatment cost of such children in these facilities. Hence, the present study was done with these aims in two MTCs in Jharkhand, India.Methods: A retrospective record review was done of the children admitted to these two MTCs between 1st April 2017 and 31st March 2018. A predesigned proforma was used to collect child related information. The data collected was entered in Microsoft excel sheet a

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Chinkhumba, Jobiba, Manuela De Allegri, Stephan Brenner, Adamson Muula, and Bjarne Robberstad. "The cost-effectiveness of using results-based financing to reduce maternal and perinatal mortality in Malawi." BMJ Global Health 5, no. 5 (2020): e002260. http://dx.doi.org/10.1136/bmjgh-2019-002260.

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IntroductionResults-based financing (RBF) is being promoted to increase coverage and quality of maternal and perinatal healthcare in sub-Saharan Africa (SSA) countries. Evidence on the cost-effectiveness of RBF is limited. We assessed the cost-effectiveness within the context of an RBF intervention, including performance-based financing and conditional cash transfers, in rural Malawi.MethodsWe used a decision tree model to estimate expected costs and effects of RBF compared with status quo care during single pregnancy episodes. RBF effects on maternal case fatality rates were modelled based on

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Kruse, David, Christos Pantelis, Ray Rudd, Joy Quek, Penny Herbert, and Michael McKinley. "Treatment of Psychogenic Polydipsia: Comparison of Risperidone and Olanzapine, and the Effects of an Adjunctive Angiotensin-II Receptor Blocking Drug (Irbesartan)." Australian & New Zealand Journal of Psychiatry 35, no. 1 (2001): 65–68. http://dx.doi.org/10.1046/j.1440-1614.2001.00847.x.

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Objective: Our objective was to determine the outcome of novel strategies in managing a case of severe polydipsia. Clinical picture: The patient was a 39-year-old male with a 20-year history of paranoid schizophrenia who, despite only mild residual psychotic symptoms, had been hospitalized for the previous 10 years because of severe polydipsic behaviour complicated by water intoxication. Treatment: Novel antipsychotic agents, risperidone and olanzapine, as well as the specific angiotensin-II receptor blocking drug, irbesartan were employed at selected intervals in a study lasting nearly 3 year

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Gaughran, Fiona, Daniel Stahl, Anita Patel, et al. "A health promotion intervention to improve lifestyle choices and health outcomes in people with psychosis: a research programme including the IMPaCT RCT." Programme Grants for Applied Research 8, no. 1 (2020): 1–124. http://dx.doi.org/10.3310/pgfar08010.

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Background People with psychotic disorders have reduced life expectancy largely because of physical health problems, especially cardiovascular disease, that are complicated by the use of tobacco and cannabis. Objectives We set out to (1) chart lifestyle and substance use choices and the emergence of cardiometabolic risk from the earliest presentation with psychosis, (2) develop a pragmatic health promotion intervention integrated within the clinical teams to improve the lifestyle choices and health outcomes of people with psychosis and (3) evaluate the clinical effectiveness and cost-effective

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Aung, Pyae Linn, Tepanata Pumpaibool, Than Naing Soe, and Myat Phone Kyaw. "Feasibility of Real-Time Mobile Phone Case Notification by Village Malaria Workers in Rural Myanmar: A Mixed Methods Study." Global Journal of Health Science 11, no. 1 (2018): 103. http://dx.doi.org/10.5539/gjhs.v11n1p103.

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Malaria burden has markedly decreased in Myanmar and is on course for elimination by 2030. Interrupting of local transmission is essential, and timely notification within 24 hours of disease occurrence by frontline village malaria workers (VMWs) is a crucial initial component of timely follow-up by response teams. Here we studied the feasibility of real-time case notification using mobile phones among VMWs in the remote Banmauk Township, Sagaing Region, Myanmar. A structured quantitative and qualitative questionnaire was used for data collection after implementing the intervention for six mont

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Pouw, Maaike A., Agneta H. Calf, Barbara C. van Munster, Jan C. ter Maaten, Nynke Smidt, and Sophia E. de Rooij. "Hospital at Home care for older patients with cognitive impairment: a protocol for a randomised controlled feasibility trial." BMJ Open 8, no. 3 (2018): e020332. http://dx.doi.org/10.1136/bmjopen-2017-020332.

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IntroductionAn acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient’s own environment.Methods and analysisThis randomised, non-blinded feasibility trial aims to assess the feasibility o

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Jeffcoate, William, Frances Game, Vivienne Turtle-Savage, et al. "Evaluation of the effectiveness and cost-effectiveness of lightweight fibreglass heel casts in the management of ulcers of the heel in diabetes: a randomised controlled trial." Health Technology Assessment 21, no. 34 (2017): 1–92. http://dx.doi.org/10.3310/hta21340.

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Background Ulcers of the foot in people with diabetes mellitus are slow to heal and result in considerable cost and patient suffering. The prognosis is worst for ulcers of the heel. Objective To assess both the clinical effectiveness and the cost-effectiveness of lightweight fibreglass casts in the management of heel ulcers. Design A pragmatic, multicentre, parallel, observer-blinded randomised controlled trial. A central randomisation centre used a computer-generated random number sequence to allocate participants to groups. Setting Thirty-five specialist diabetic foot secondary care centres

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Williams, Charlotte L., Susie Weller, Lisa Roberts, et al. "Timing of surgical intervention for developmental dysplasia of the hip: a randomised controlled trial (Hip ’Op)." Health Technology Assessment 21, no. 63 (2017): 1–84. http://dx.doi.org/10.3310/hta21630.

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BackgroundDevelopmental dysplasia of the hip (DDH) is a very common congenital disorder, and late-presenting cases often require surgical treatment. Surgical reduction of the hip may be complicated by avascular necrosis (AVN), which occurs as a result of interruption to the femoral head blood supply during treatment and can result in long-term problems. Some surgeons delay surgical treatment until the ossific nucleus (ON) has developed, whereas others believe that the earlier the reduction is performed, the better the result. Currently there is no definitive evidence to support either strategy

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Story, Alistair, Elizabeth Garber, Robert W. Aldridge, et al. "Management and control of tuberculosis control in socially complex groups: a research programme including three RCTs." Programme Grants for Applied Research 8, no. 9 (2020): 1–76. http://dx.doi.org/10.3310/pgfar08090.

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Background Socially complex groups, including people experiencing homelessness, prisoners and drug users, have very high levels of tuberculosis, often complicated by late diagnosis and difficulty in adhering to treatment. Objective To assess a series of interventions to improve tuberculosis control in socially complex groups. Design A series of observational surveys, evaluations and trials of interventions. Setting The pan-London Find&Treat service, which supports tuberculosis screening and case management in socially complex groups across London. Participants Socially complex groups with

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Norman, Jane E., John Norrie, Graeme MacLennan, et al. "The Arabin pessary to prevent preterm birth in women with a twin pregnancy and a short cervix: the STOPPIT 2 RCT." Health Technology Assessment 25, no. 44 (2021): 1–66. http://dx.doi.org/10.3310/hta25440.

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Background Preterm birth is common in twins and accounts for significant mortality and morbidity. There are no effective preventative treatments. Some studies have suggested that, in twin pregnancy complicated by a short cervix, the Arabin pessary, which fits around the cervix and can be inserted as an outpatient procedure, reduces preterm birth and prevents neonatal morbidity. Objective STOPPIT 2 aimed to evaluate the clinical utility of the Arabin cervical pessary in preventing preterm birth in women with a twin pregnancy and a short cervix. Design STOPPIT 2 was a pragmatic, open label, mult

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Lotery, Andrew, Sobha Sivaprasad, Abby O’Connell, et al. "Eplerenone versus placebo for chronic central serous chorioretinopathy: the VICI RCT." Efficacy and Mechanism Evaluation 8, no. 2 (2021): 1–82. http://dx.doi.org/10.3310/eme08020.

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Background In chronic central serous chorioretinopathy, fluid accumulates in the subretinal space and causes permanent vision loss in ≈ 30% of patients. There is no definitive treatment. Previous research suggests that the mineralocorticoid receptor antagonist eplerenone is effective but it is not licensed for chronic central serous chorioretinopathy. Objectives The objective was to evaluate whether or not eplerenone was safe and superior to placebo for treating chronic central serous chorioretinopathy. We also aimed to set up a biobank of DNA, serum and plasma samples from treatment-naive par

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Thị Tuyết Vân, Phan. "Education as a breaker of poverty: a critical perspective." Papers of Social Pedagogy 7, no. 2 (2018): 30–41. http://dx.doi.org/10.5604/01.3001.0010.8049.

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This paper aims to portray the overall picture of poverty in the world and mentions the key solution to overcome poverty from a critical perspective. The data and figures were quoted from a number of researchers and organizations in the field of poverty around the world. Simultaneously, the information strengthens the correlations among poverty and lack of education. Only appropriate philosophies of education can improve the country’s socio-economic conditions and contribute to effective solutions to worldwide poverty. In the 21st century, despite the rapid development of science and technolog

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Drenth, Cornelia M., Alida G. Herbst, and Herman Strydom. "A complicated grief intervention model." Health SA Gesondheid 15, no. 1 (2010). http://dx.doi.org/10.4102/hsag.v15i1.415.

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Complicated grief refers to a prolonged state of grief and indicates the inability of the client to incorporate the death into his or her life. Few social workers in South Africa assess the possibility of complicated grief as a contributing factor to impaired social functioning. This can be as a result of limited knowledge, ignorance and/or insufficient skills on the part of the social worker to assess and identify complicated grief. In this article, the researchers tabulate some of the models and approaches to bereavement and discusses its applicability to complicated grief. Specific attentio

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Baumann, Ines, Jochen Künzel, Lutz Goldbeck, Dunja Tutus, and Mandy Niemitz. "Prolonged Grief, Posttraumatic Stress, and Depression Among Bereaved Parents: Prevalence and Response to an Intervention Program." OMEGA - Journal of Death and Dying, April 14, 2020, 003022282091867. http://dx.doi.org/10.1177/0030222820918674.

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Bereaved parents may experience diverse psychological symptoms. Possible interventions are not yet well established. In this study, the psychological symptoms of 323 bereaved parents (mean age = 39.97, SD = 7.21, 52.0% female), referred to a 4-week family-oriented rehabilitation (FOR) program, were assessed. The baseline assessments indicated that 160 (49.5%) parents showed symptoms of prolonged grief disorder (PGD). Complicated grief was indicated in 272 (84.2%), depression in 191 (59.1%), and posttraumatic stress disorder in 242 (74.9%) parents. Mothers were at higher risk of complicated gri

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Meuser, Thomas M. "When Grief Gets Complicated: Promoting Lasting Adaptation Through Group Intervention." PsycCRITIQUES 56, no. 14 (2011). http://dx.doi.org/10.1037/a0022636.

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