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Prolonged grief reactions and help-seeking in bereaved adults during the covid-19 pandemic
Article
Background: The COVID-19 pandemic disrupted many care systems limiting bereaved peoples' ability to access social, community, and professional support. This study investigated help-seeking of people living with probable prolonged grief disorder (PGD) to identify challenges and facilitators of care, with the aim of informing bereavement practice and policy recommendations.
Methods: Participants (N = 786; 96.3 % female, Mage = 54.51. SD = 11.64) who were 12 or more months post-bereavement completed an online survey indexing pandemic bereavement experiences, mental health and functional outcomes, and help-seeking experiences. Probable PGD was defined as a score =30 on the Prolonged Grief Scale 13-Revised (PG-13-R). Results were analyzed using univariate statistics for closed questions and content analysis for free-text responses.
Results: Participants living with probable PGD (39.4 %) were more likely than others to: have sought help from professional or other structured grief supports ( 2(1) = 41.18, p < .001); have unmet bereavement needs ( 2(1) = 91.87, p < .001); and be living with significant functional impairment (t = -26.55, p < .001) and suicidal ideation ( 2(3) = 117.38, p < .001). Lack of provider availability and lack of relevant skills in working with grief and trauma were identified as challenges to care.
Limitations: The study used a convenience sample recruited online and so care is required before generalizing to less represented populations.
Conclusions: We identified both pandemic-specific and more general gaps within bereavement support systems. Our findings highlight a need to recognize care needs and elevate bereavement care within pandemic planning and health care systems more generally.
https://www.sciencedirect.com/science/article/pii/S0165032725000734
Voir la revue «Journal of affective disorders, 374»
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