Managing Bereavement within the Health Care System. Kara Z. McDaniel, NCC, LPC, Ph.D. Department of Family and Preventive Medicine-PA Program Behavioral Medicine Course.
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Kara Z. McDaniel, NCC, LPC, Ph.D.
Department of Family and Preventive Medicine-PA Program
Behavioral Medicine Course
Life is a series of experiences, each one of which makes us bigger, even though it is hard to realize this. For the world was built to develop character, and we must learn that the setbacks and griefs which we endure help us in our marching onward.
(DSM-IV-TR, p. 741)
presented significant health risks to patients and that their role in identifying and treating bereavement was important
Holly, Jacobs, & Selby, 2001;
Holly, Jacobs, & Selby, 2001
“ bigger, even though it is hard to realize this. For the world was built to develop character, and we must learn that the setbacks and Physicians who aid grief-stricken patients are afforded the rewarding, quintessentially human opportunity of transforming a personal sorrow they inevitably will experience into sympathetic and supportive aftercare”-George Eliot
Questions bigger, even though it is hard to realize this. For the world was built to develop character, and we must learn that the setbacks and
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV). Washington, DC.: American Psychiatric Association.
Bedell, S.E., Cadenhead, K. Graboys, T.B. (2001). The doctor’s letter of condolence.
National vital statistics reports final data. New England Journal of Medicine, 344, 1161-
Birtchnell, J. (1970).The relationship between attempted suicide, depression, and
parent death. British Journal of Psychiatry, 116, 307-313.
Bowlby, J. (1980). Attachment and loss: Loss, sadness and depression (Vol. III). New
York: Basic Books.
Brown, L.F, Reynolds, C.F., Monk, T.H., et al. (1996). Social rhythm stability following
late-life spousal bereavement: Associations with depression and sleep impairment.
Psychiatry Res., 62, 161-169.
Bruce, M. L., Kim, K., Leaf, P. J., & Jacobs, S. (1990).Depressive episodes and
dysphoria resulting from conjugal bereavement in a prospective community sample.
AmericanJournal of Psychiatry, 147, 608-611.
Chen, J. H., Bierhals, A. J., Prigerson, H. G., Kasl, S. V., Mazure, C. M., & Jacobs, S.
(1999). Gender differences in the effects of bereavement-related psychological distress in
health outcomes. Psychol Med., 29, 367-380.
Clayton, P.J., Halikas, J.A., Maurice, W.L. (1972). The depression of widowhood.
British Journal of Psychiatry, 120, 71-77.
DeVries, B., Davis, C. G., Wortman, C. B., & Lehman, D. R. (1997). Long-term
psychological and somatic consequences of later life parental bereavement, OMEGA
Journal of Death and Dying, 35, 97-117.
Esterling, B.A., Antoni, M.H., Fletcher, M.A., Margulies, S., Schneiderman, N. (1994).
Emotional disclosure through writing or speaking modulates latent Epstein-Barr virus
antibody titers. Journal of Consulting and Clinical Psychology, 62, 130-140.
Glass, T.A., Prigerson, H.G., Kasl, S.V., Mendes de Leon, C.F. (1995). The effects of
negative life events on alcohol consumption among older men and women. J Gerontol B
Psychol Sci Soc Sci, 50, S205-S216.
Gregory, R.J. (1994). Grief and loss among Eskimos attempting suicide in western
Alaska. American Journal of Psychiatry, 151, 1815-1816.
Kaprio, J., Koskenvuo, M., Rita, H. (1987). Mortality after bereavement: A prospective
study of 95,647 widowed persons. American Journal of Public Health, 77, 283-287.
Kubler-Ross, E. (1969). On death and dying. New York: Simon and Schuster.
Lehman, D. R., Wortman, C. B., & Williams, A. F. (1987). Long-term effects of losing
a spouse or child in a motor vehicle crash. Journal of Pers. Soc. Psychology, 52, 218-231.
Lemkau, J.P., Mann, B., Little, D., Whitecar, P., Hershberger, P. & Schumm, J.A.
(2000). Questionnaire survey of family practice physicians’ perceptions of bereavement
care. Arch. Family Medicine, 9, 822-829.
Lindemann, E. (1944). Symptomatology and management of acute grief. American
Journal of Psychiatry, 101, 141-148.
Maddison, D.C. & Viola, A. (1968). The health of widows in the year following
bereavement. J Psychosom Res., 12, 297-330.
Main, J. (2000). Improving management of bereavement in general practice based
on a survey of recently bereaved subjects in a single general practice. British Journal of
General Practice, 50, 863-866.
Martikainen, P. & Valkonen, T. (1996). Mortality after the death of a spouse: Rates
and causes of death in a large Finnish cohort. American Journal of Public Health, 86,
McDermott, O.D., Prigerson, H.G., Reynolds, C.F.III, et al. (1997). Sleep in the wake
of complicated grief symptoms: An exploratory study. Biol Psychiatry, 41, 710-716.
National Mental Health Association (2004). General mental health issues: Coping with
loss-bereavement and grief. Retrieved from world wide web,
Parkes, C. M. (1972). Bereavement: Studies of grief in adult life. New York:
International Universities Press.
Parkes, C. M., & Weiss, R. S. (1983). Recovery from bereavement. New York: Basic
Pennebaker, J.W., Zech, E., & Rime, B. (2001). Disclosing and sharing emotion:
Psychological, social and health consequences. In M.S. Stroebe, R.O. Hansson, W.
Stroebe, & H. Schut, eds. Handbook of Bereavement Research: Consequences, coping,
and care. Washington, DC: American Psychological Association.
Prigerson, H.G. & Jacobs, S.C. (2001). Caring for bereaved patients: “All the
doctors just suddenly go.” Journal of American Medical Association, 286, 1369-1376.
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., et al. (1997). Traumatic grief as a risk
factor for mental and physical morbidity. American Journal of Psychiatry, 154, 616-623.
Prigerson, H.G., Reynolds, C.F. III, Frank, E., Kupfer, D.J., George, C.J., & Houck,
P.R. (1994). Stressful life events, social rhythms, and depressive symptoms among the
elderly: An examination of hypothesized causal linkages. Psychol Res., 51, 33-49.
Rando, T. A. (1984). Grief, dying, and death: Clinical interventions for caregivers.
Illinois: Research Press.
Reynolds, C.F. III, Hoch, C.C., Buysse, D.J., et al. (1993). Sleep after spousal
bereavement: A study of recovery from stress. Biol Psychiatry, 34, 791-797.
Reynolds, C.F. III, Miller, M.D., Pasternak, R.E., et al. (1999). Treatment of
bereavement-related major depressive episodes in later life: A controlled study
of acute and continuation treatment with nortriptyline and interpersonal
psychotherapy. American Journal of Psychiatry, 156, 202-208.
Rogers, M. P. & Reich, P. (1988). On the health consequences of
bereavement. New England Journal of Medicine, 319, 510-511.
Rynearson, E. K. & McCreery, J. M. (1993). Bereavement after homicide: A synergism
of trauma and loss. American Journal of Psychiatry, 150, 258-261.
Schaefer, C., Quesenberry, C.P. Jr., & Wi, S. (1995). Mortality following conjugal
bereavement and the effects of a shared environment. Am J Epidemiol, 141, 1142-1152.
Umberson, D. Wortman, C.B., & Kessler, R.C. (1992). Widowhood and depression:
Explaining long-term gender differences in vulnerability. J Health Soc Behav., 33, 10-24.