Titlestad Kristine B, Stroebe Margaret, Dyregrov Kari
Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands.
Omega (Westport). 2020 Nov;82(1):141-164. doi: 10.1177/0030222820923168. Epub 2020 May 9.
Knowledge about how bereaved persons grieve can enhance quality in providing the support and potential services that they need. We aimed to identify ways in which drug-death-bereaved Norwegian parents go on with their lives and what inhibits or promotes adaptation during their grieving. Reflexive thematic analysis was used to analyze 14 semistructured in-depth interviews. We generated three themes: (I) processing grief emotions, (II) proactive coping, and (III) giving and receiving support and assistance. Processing guilt rumination, reflections on blame and a burden of grief emotions characterized grieving early on. Using cognitive strategies and functional-support-giving were found to be the most frequently used strategies. Oscillation between processing stressors and reorientation to the world promoted adjustment to ongoing life. We discuss characteristics of parents who struggle to reorient and outline important implications for policy and practice.
了解丧亲者如何悲伤，有助于提高为他们提供所需支持及潜在服务的质量。我们旨在确定挪威那些因药物致死而失去亲人的父母继续生活的方式，以及在他们悲伤过程中抑制或促进适应的因素。采用反思性主题分析法对14次半结构化深度访谈进行分析。我们提炼出了三个主题：（I）处理悲伤情绪，（II）积极应对，以及（III）给予和接受支持与帮助。处理内疚反刍、对责备的反思以及悲伤情绪的负担是早期悲伤的特征。使用认知策略和提供功能性支持是最常用的策略。在处理压力源和重新适应现实世界之间的摇摆促进了对持续生活的调整。我们讨论了难以重新适应的父母的特征，并概述了对政策和实践的重要启示。
