Complicated Grief After the Loss of a Baby: A Systematic Review About Risk and Protective Factors for Bereaved Women

被引：14

作者：

Flach K. ^{[1
,2
]}

Gressler N.G. ^{[2
]}

Marcolino M.A.Z. ^{[3
]}

Levandowski D.C. ^{[2
,4
]}

机构：

[1] Post-Graduation Program of Health Sciences of Federal University of Health Sciences of Porto Alegre, UFCSPA, RS, Porto Alegre

[2] Federal University of Health Sciences of Porto Alegre, UFCSPA, RS, Porto Alegre

[3] Post-Graduation Program of Epidemiology of Federal University of Rio Grande do Sul, RS, Porto Alegre

[4] Department of Psychology, Post-Graduation Program of Psychology and Health Sciences of Federal University of Health Sciences of Porto Alegre, UFCSPA, RS, Porto Alegre

来源：

Trends in Psychology | 2023年 / 31卷 / 4期

关键词：

Bereavement; Child loss; Complicated grief; Parental mourning; Prolonged grief;

D O I：

10.1007/s43076-021-00112-z

中图分类号：

学科分类号：

摘要：

This study sought to identify the factors associated with the development and prevention of complicated grief in women who have lost a baby. This is a systematic review of scientific articles in the main mental health databases: MEDLINE (PubMed), EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS), and APA Databases (PsycINFO). The selection and data extraction processes occurred independently and blindly by two authors, considering the eligibility criteria. The analysis included publications from 2013 to 2021 of observational studies with adult women who had experienced losing a baby (during pregnancy up to 2 years of life) and that employed standardized instruments to evaluate grief. From the 8,200 records found, 23 articles were selected for analysis. As risk factors, we identified the presence of mother’s psychopathology, history of gestational loss, and social pressure for a new pregnancy, while as protective factors, we identified the presence of another child other than the deceased one, the quality of specialized healthcare, and the social support provided by either a partner, community, or spiritual activities. Furthermore, the studies pointed to the event of losing a baby as an opportunity for posttraumatic growth. Although complicated grief is often associated with other mental health conditions, such as anxiety, depression, or posttraumatic stress, it is necessary to differentiate it for a clearer understanding of the complicated grief as a singular condition, to enable access to appropriate care for bereaved mothers and families, as well as to promote public policies which provide support to them. © 2021, Associação Brasileira de Psicologia.

引用

页码：777 / 811

页数：34

共 56 条

[21]

Goldstein R.D., Et al., The grief of mothers after the sudden unexpected death of their infants, Pediatrics, 141, 5, pp. 1-11, (2018)

[22]

Goldstein R.D., Et al., Pre-loss personal factors and prolonged grief disorder in bereaved mothers, Psychological Medicine, 49, 14, pp. 2370-2378, (2019)

[23]

Hawthorne D.M., Youngblut J.M., Brooten D., Parent spirituality, grief, and mental health at 1 and 3 months after their infant's/child's death in an intensive care unit, Journal of Pediatric Nursing, 31, 1, pp. 73-80, (2016)

[24]

Hunter A., Tussis L., MacBeth A., The presence of anxiety, depression and stress in women and their partners during pregnancies following perinatal loss: A meta-analysis, Journal of Affective Disorders, 223, pp. 153-164, (2017)

[25]

Inati V., Matic M., Phillips C., Maconachie N., Vanderhook F., Kent A.L., A survey of the experiences of families with bereavement support services following a perinatal loss, Australian and New Zealand Journal of Obstetrics and Gynaecology, 58, 1, pp. 54-63, (2018)

[26]

Keim M.C., Fortney C.A., Shultz E.L., Winning A., Gerhardt C.A., Baughcum A., Parent distress and the decision to have another child after an infant's death in the NICU, Journal of Obstetric, Gynecologic, & Neonatal Nursing, 46, 3, pp. 446-455, (2017)

[27]

Kerns J.L., Mengesha B., McNamara B.C., Cassidy A., Pearlson G., Kuppermann M., Effect of counseling quality on anxiety, grief, and coping after second-trimester abortion for pregnancy complications, Contraception, 97, 6, pp. 520-523, (2018)

[28]

Kokou-Kpolou K., Megalakaki O., Nieuviarts N., Persistent depressive and grief symptoms for up to 10 years following perinatal loss: Involvement of negative cognitions, Journal of Affective Disorders, 241, pp. 360-366, (2018)

[29]

Kulathilaka S., Hanwella R., de Silva V.A., Depressive disorder and grief following spontaneous abortion, BMC Psychiatry, 16, (2016)

[30]

Lafarge C., Mitchell K., Fox P., Posttraumatic growth following pregnancy termination for fetal abnormality: The predictive role of coping strategies and perinatal grief, Anxiety Stress and Coping, 30, 5, pp. 536-550, (2017)

← 1 2 3 4 5 6 →