Assessment of Grief Reactions Following the Death of First-degree Relatives Due to COVID-19
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Keywords

COVID-19
Death
GEQ
Grief
Grief experience

How to Cite

Yaghoubi, T. ., Jannati, Y. ., Moosazadeh, M. ., Hosseinnataj, A., & Aaraghian Mojarad, F. . (2021). Assessment of Grief Reactions Following the Death of First-degree Relatives Due to COVID-19. Iranian Red Crescent Medical Journal, 23(12). https://doi.org/10.32592/ircmj.2021.23.12.1034

Abstract

Background: Coronavirus disease 2019 (COVID-19) has made the grief process more complicated and brought about loads of unexpressed grief.

Objectives: The present study aimed to determine the severity of grief reactions following the death of first-degree relatives (FDRs) due to COVID-19.

Methods: This analytic cross-sectional study was conducted to determine the grief score of people aged over 18 with the experience of losing one of their FDRs (i.e., father, mother, and siblings) due to COVID-19. Convenience sampling was employed to select the participants. The instrument used in this study was the Grief Experience Questionnaire (GEQ-34) which was completed via phone calls. The inclusion criteria entailed a willingness to participate in the study, the age range of above 18, and experience of FDR’s death. On the other hand, the exclusion criteria were severe discomfort and restlessness while talking on the phone. Descriptive statistics and multiple linear regression were employed to diagnose the factors affecting grief using SPSS software (version 22) with a significance level of 0.05.

Results: The findings indicated that the mean score of GEQ was 67.22±19.24 (ranging from 34 to 126). In this study, 54.5%, 40.2%, and 5.3% of subjects experienced low, moderate, and severe levels of grief, respectively. The grief score showed a positive relationship with the gender of the mourners and marital status; nonetheless, it was negatively correlated with subjects’ employment and the age of their deceased FDRs.

Conclusion: As evidenced by the obtained results, among the subscales of mourning, the highest scores were related to the dimensions of justification, coping, and guilt. Communication and social support were reduced due to the COVID-19 pandemic; therefore, the provision of online mental health services can be a useful way to treat and help the bereaved.

 

https://doi.org/10.32592/ircmj.2021.23.12.1034
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References

  1. Khosravi M. Worden's task-based approach for supporting people bereaved by COVID-19. Curr Psychol. 2021;40:5735-5736. doi:10.1007/s12144-020-01292-0.
  2. Kastenbaum R. Macmillan encyclopedia of death and dying. New York: Macmillan Reference USA; 2003.
  3. Gonschor J, Eisma MC, Barke A, Doering BK. Public stigma towards prolonged grief disorder: Does diagnostic labeling matter? PloS one. 2020;15(9):1-20. doi:10.1371/journal.pone.0237021. [PubMed: 32915800].
  4. Morowatisharifabad MA, Alizadeh A, Bidaki R, Jambarsang S, Hosseini-Sharifabad M. Prevalence of complicated grief and related factors in elderly individuals in Sabzevar City, Iran. Psychogeriatrics.  2020;20(5):718-25. doi:10.1111/psyg.12579. [PubMed: 32702774].
  5. Momeni J, Sahab Negah S. A review on grief process: Complication of grief during COVID-19 pandemic. Navid No. 2020; 23(Supplement):51-64. doi: 10.22038/nnj.2020.48585.1208.
  6. Zhai Y, Du X. Loss and grief amidst COVID-19: A path to adaptation and resilience.Brain Behav Immun. 2020;87:80-81. doi:10.1016/j.bbi.2020.04.053.
  7. Javadi SMH, Sajadian M. Coronavirus Pandemic a Factor in Delayed Mourning in Survivors: A Letter to The Editor. J Arak Uni Med Sci. 2020;23(1):2-7. doi:10.32598/jams.23.1.4578.3.
  8. Evans R, Ribbens McCarthy J, Kébé F, Bowlby S, Wouango J. Interpreting ‘grief’ in Senegal: language, emotions and cross-cultural translation in a francophone African context. Mortality. 2017;22(2):118-35. doi:10.1080/13576275.2017.1291602.
  9. Esmaeilpour K, Bakhshalizadeh Moradi S. The Severity of Grief Reactions Following Death of First-Grade Relatives. Iran J Psychiatry Behav Sci . 2015;20(4):363-71.
  10. Kawashima D, Kawano K. Parental Grief After Offspring Suicide and Adaptation to the Loss in Japan. Omega (Westport). 2019;79(1):34-51. doi:10.1177/0030222817710139. [PubMed: 28578637 ].
  11. Spillane A, Larkin C, Corcoran P, Matvienko-Sikar K, Riordan F, Arensman E, et al. Physical and psychosomatic health outcomes in people bereaved by suicide compared to people bereaved by other modes of death: a systematic review. BMC public health. 2017;17(1):939. doi:10.1186/s12889-017-4930-3. [PubMed: 29228916].
  12. Goveas JS, Shear MK. Grief and the COVID-19 Pandemic in Older Adults. Am J Geriatr Psychiatry. 2020;28(10):1119-25. doi:10.1016/j.jagp.2020.06.021. [PubMed: 32709542].
  13. Azim Oghlui Oskooi PB, farahbakhsh k, moradi o. Effective fields the experience of mourning after the death of a family member: A phenomenological study. J Couns Psychol. 2021;12(45):117-60. doi:10.22054/qccpc.2020.48664.2275.
  14. Barrett TW, Scott TB. Development of the Grief Experience Questionnaire. Suicide Life Threat Behav. 1989;19(2):201-15. doi:10.1111/j.1943-278x.1989.tb01033.x.
  15. Mehdipour S, Shahidi S, Roshan R, Dehghani M. The Validity and Reliability of "Grief Experience Questionnaire" in an Iranian Sample. Daneshvar Raftar. 2009;7(2):35-48.
  16. Yong-Hsin C, Meng-Chih L, Mei-Huey S, Chih-Jung Y. Effect of spousal loss on depression in older adults. Int J Environ Res Public Health. 2021;18(24):1-12. doi:10.21203/rs.3.rs-38175/v1.
  17. Assare M, Firouz Kohi Moghadam M, Karimi M, Hosseini M. Complicated grief: A descriptive cross-sectional prevalence study from Iran. Shenakht Journal of Psychology and Psychiatry. 2014;1(2):40-6.
  18. Steil R, Gutermann J, Harrison O, Starck A, Schwartzkopff L, Schouler-Ocak M, et al. Prevalence of prolonged grief disorder in a sample of female refugees. BMC psychiatry. 2019;19(1):1-10. doi:10.1186/s12888-019-2136-1. [PubMed: 31088419].
  19. Papa A, Maitoza R. The Role of Loss in the Experience of Grief: The Case of Job Loss. J Loss Trauma. 2013;18(2):152-69. doi:10.1080/15325024.2012.684580.
  20. Mohaddesi H, Feizi A, Ozgoli G, Saki K, Saei Gharenaz M. Experiences of mothers' compatibility with perinatal mortality: A qualitative study. Iran J Obstet Gynecol Infertil. 2016;19(20):19-29. doi:10.22038/ijogi.2016.7633.
  21. Nematipour Z, Golzari M, Baqeri F. Evaluating the effectiveness of collective patience training on reduction of depression and stress symptoms of bereaved mothers. Clin Psychol. 2012;2(7):31-59.
  22. Bogensperger J, Lueger-Schuster B. Losing a child: finding meaning in bereavement. Eur J Psychotraumatol. 2014;5(1):1-9. doi:10.3402/ejpt.v5.22910. [PubMed: 24765248].
  23. fayyazi Bordbar M R, Chalaki Nia N, Alizadeh Jouimandi F, Delshad Noghabi, Hoseini S T, Moharari F, et al . Relationship between Spiritual Health and the Effects of Grief in Bereaved Survivors of COVID-19 in Mashhad, Iran 2020. J Mazandaran Univ Med Sci. 2021;31(198):109-118. doi: 20.1001.1.17359260.1400.31.198.16.8 .
  24. Ripoll S, Gercama I, Jones T, Wilkinson A. Social Science in Epidemics: Ebola Virus Disease Lessons Learned. Background report. (2018).
  25. Mortazavi SS, Shahbazi N, Taban M, Alimohammadi A, Shati M. Mourning During Corona: A Phenomenological Study of Grief Experience Among Close Relatives During COVID-19 Pandemics. Omega (Westport). 2021;0(0):1-22. doi: 10.1177/00302228211032736. [PubMed: 34282960].
  26. Bayatrizi Z, Ghorbani H, Taslimi Tehrani R. Risk, mourning, politics: Toward a transnational critical conception of grief for COVID-19 deaths in Iran. Curr Sociol. 2021;69(4):512-528. doi:  10.1177/00113921211007153 .
  27. Kumari S. Understanding of Stigmatization and Death Amid COVID-19 in India: A Sociological Exploration. Omega (Westport). 2021;0(0):1-17. doi: 10.1177/00302228211008753 . [PubMed: 33888012].
  28. Asadi-Aliabadi M, Tehrani-Banihashemi A, Moradi-Lakeh M. Stigma in COVID-19: A barrier to seek medical care and family support. Med J Islam Repub Iran. 2020;34:1-3. doi: 10.34171/mjiri.34.98. [PubMed: 33315991].
  29. Nursalam N, Sukartini T, Priyantini D, Mafula D, Efendi F. Risk factors for psychological impact and social stigma among people facing COVID 19: A systematic review. Syst Rev Pharm. 2020;11(6):1022-8.
  30. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:1-5. doi: 10.1016/j.ajp.2020.102066. [PubMed: 32302935].
  31. Jassim G, Jameel M, Brennan E, Yusuf M, Hasan N, Alwatani Y, et al. Psychological Impact of COVID-19, Isolation, and Quarantine: A Cross-Sectional Study. Neuropsychiatr Dis Treat. 2021;17:1413-1421. doi: 10.2147/NDT.S311018 . [PubMed: 34007180].
  32. Su Z, McDonnell D, Wen J,  Kozak M,  Abbas J, Šegalo S, et al. Mental health consequences of COVID-19 media coverage: the need for effective crisis communication practices. Global Health.2021;17:1-8.  doi: 10.1186/s12992-020-00654-4.
  33. Banerjee D, Meena KS. COVID-19 as an “Infodemic” in Public Health: Critical Role of the Social Media. Front Public Health. 2021; 9:1-8. doi: 10.3389/fpubh.2021.610623. [PubMed: 33816415].