Over a year of war and loss: rising from the ashes of grief to build a new life

Khaustоva O.O.,Leshchuk I.V.

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Over a year of war and loss: rising from the ashes of grief to build a new life

March 13, 2023

1505

Psychology

Khaustоva O.O.

Leshchuk I.V.

Keywords :

disorder of prolonged grief,

Specialities :

Resume

After the start of the full-scale invasion of Russia in Ukraine, almost every Ukrainian felt a sharp increase in the level of stress, had to make important, sometimes fateful decisions, some were in the area of active fighting, experiences traumatic stress that threatens mental well-being. However, the war cannot last forever, what has been destroyed (both material and mental) can be restored and improved. However, the war is accompanied by irreversible changes — the deaths of people who will never return again, it cannot be changed, but it has to reconcile to live on. There are no exact statistics on the dead, but it is obvious that every day dozens of Ukrainian families face grief. Grief is a person’s experience caused by the loss of something important in their life. Loss and grief are usually talked about when a loved one dies, but the grieving process can follow the loss of other important life components, such as a job, home, pet, meaningful relationships, or career. In some cases, grief can last for years and disrupt functioning. The COVID-19 pandemia and the war take away people’s lives, work, destroy the usual way of life and cause crossings. This article examines the essence of the process and possible options for the course of grieving due to the loss of a loved one and features of assistance to persons with different options for the course of grieving.

References

1. Heeke C., Stammel N., Heinrich M., Knaevelsrud C. (2017) Conflict-related trauma and bereavement: exploring differential symptom profiles of prolonged grief and posttraumatic stress disorder. BMC Psychiatry, 17(1). doi.org/10.1186/s12888-017-1286-2.
2. Habib A., Stevelink S.A.M., Greenberg N., Williamson V. (2018) Post-traumatic growth in (ex-) military personnel: review and qualitative synthesis. Occupational Medicine, 68(9): 617–625. doi.org/10.1093/occmed/kqy140.
3. Xu W., Pavlova I., Chen X. et al. (2023) Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022. Int. J. Soc. Psychiatr., 002076402211439. doi.org/10.1177/00207640221143919.
4. Shevlin M., Hyland P., Karatzias T. et al. (2022) The Ukraine crisis: Mental health resources for clinicians and researchers. J. Traumat. Stress. doi.org/10.1002/jts.22837.
5. Osokina O., Silwal S., Bohdanova T. et al. (2022) Impact of the Russian Invasion on Mental Health of Adolescents in Ukraine. J. Am. Acad. Child Adolescent Psychiatr. doi.org/10.1016/j.jaac.2022.07.845.
6. Magne H., Jaafari N., Voyer M. (2021) La croissance post-traumatique : un concept méconnu de la psychiatrie française. L’Encéphale, 47(2): 143–150. doi.org/10.1016/j.encep.2020.05.021.
7. Boelen P. A., Olff M., Smid G.E. (2019) Traumatic loss: Mental health consequences and implications for treatment and prevention. Eur. J. Psychotraumatol., 10(1): 1591331. doi.org/10.1080/20008198.2019.1591331.
8. Kristensen P., Weisæth L., Heir T. (2012) Bereavement and Mental Health after Sudden and Violent Losses: A Review. Psychiatry: Int. Biol. Proc., 75(1): 76–97. doi.org/10.1521/psyc.2012.75.1.76.
9. Bonanno G.A. (2004) Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events? Am. Psychol., 59(1): 20–28. doi.org/10.1037/0003-066x.59.1.20.
10. Pop-Jordanova N. (2021) Grief: Aetiology, Symptoms and Management. PRILOZI, 42(2): 9–18. doi.org/10.2478/prilozi-2021-0014.
11. O’Connor M.-F. (2019) Grief: A Brief History of Research on How Body, Mind, and Brain Adapt. Psychosomatic Med., 81(8): 731–738. doi.org/10.1097/PSY.0000000000000717.
12. Kübler-Ross E., Kessler D. (2005) On Grief & Grieving: Finding the Meaning of Grief Through the Five Stages of Loss. Simon & Schuster.
13. Stroebe M., Schut H., Stroebe W. (2007) Health outcomes of bereavement. The Lancet, 370(9603): 1960–1973. doi.org/10.1016/s0140-6736(07)61816-9.
14. Stroebe M., Schut H., Boerner K. (2017) Cautioning health-care professionals: Bereaved persons are misguided through the stages of grief. OMEGA — J. Death and Dying, 74(4): 455–473. doi.org/10.1177/0030222817691870.
15. Boelen Р. (2022) Prolonged grief disorder: Nature, risk-factors, assessment, and cognitive-behavioural treatment. Psychosomatic Med. General Pract., 7(2): e0702375–e0702375. doi.org/10.26766/pmgp.v7i2.375.
16. Penman E.L., Breen L.J., Hewitt L.Y., Prigerson H.G. (2014) Public Attitudes About Normal and Pathological Grief. Death Studies, 38(8): 510–516. doi.org/10.1080/07481187.2013.873839.
17. Sveen J., Johannesson B.K., Cernvall M., Arnberg F.K. (2018) Trajectories of prolonged grief one to six years after a natural disaster. PLoS ONE, 13(12): e0209757. doi.org/10.1371/journal.pone.0209757.
18. Prigerson H. (2004) Complicated grief. Bereavement Care, 23(3): 38–40. doi.org/10.1080/02682620408657612.
19. Nielsen M.K., Carlsen A.H., Neergaard M.A. et al. (2019) Looking beyond the mean in grief trajectories: A prospective, population-based cohort study. Soc. Sci. Med., 232: 460–469. doi.org/10.1016/j.socscimed.2018.10.007.
20. icd.who.int/en.
21. http://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/DSM-5-TR/APA-DSM5TR-ProlongedGriefDisorder.pdf.
22. Djelantik A.A.A., Manik J., Robinaugh D.J., Boelen P.A. (2022) The course of symptoms in the first 27 months following bereavement: A latent trajectory analysis of prolonged grief, posttraumatic stress, and depression. Psychiatr. Res., 311: 114472. doi.org/10.1016/j.psychres.2022.114472.
23. Maciejewski P.K., Maercker A., Boelen P. A., Prigerson H.G. (2016) «Prolonged grief disorder» and «persistent complex bereavement disorder», but not «complicated grief», are one and the same diagnostic entity: an analysis of data from the Yale Bereavement Study. World Psychiatry, 15(3): 266–275. doi.org/10.1002/wps.20348.
24. Doering B.K., Barke A., Vogel A. et al. (2022) Predictors of Prolonged Grief Disorder in a German Representative Population Sample: Unexpectedness of Bereavement Contributes to Grief Severity and Prolonged Grief Disorder. Front. Psychiatr., 13. doi.org/10.3389/fpsyt.2022.853698.
25. Dennis H., Eisma M.C., Breen L.J. (2021) Public Stigma of Prolonged Grief Disorder. J. Nervous Mental Dis. doi.org/10.1097/nmd.0000000000001427.
26. Nielsen M.K., Neergaard M.A., Jensen A.B. et al. (2017) Predictors of Complicated Grief and Depression in Bereaved Caregivers: A Nationwide Prospective Cohort Study. J. Pain Symptom Management, 53(3): 540–550. doi.org/10.1016/j.jpainsymman.2016.09.013.
27. Lenger M.K., Neergaard M.A., Guldin M.-B., Nielsen M.K. (2020) Poor physical and mental health predicts prolonged grief disorder: A prospective, population-based cohort study on caregivers of patients at the end of life. Palliat. Med., 34(10): 1416–1424. doi.org/10.1177/0269216320948007.
28. Heeke C., Kampisiou C., Niemeyer, H., Knaevelsrud C. (2017) A systematic review and meta-analysis of correlates of prolonged grief disorder in adults exposed to violent loss. Eur. J. Psychotraumatol., 8(Sup. 6): 1583524. doi.org/10.1080/20008198.2019.1583524.
29. Shimizu K. (2020) Risk factors of severe prolonged grief disorder among individuals experiencing late-life bereavement in Japan: A qualitative study. Death Studies, 1–9. doi.org/10.1080/07481187.2020.1728427.
30. Yi X., Gao J., Wu C. et al. (2018) Prevalence and risk factors of prolonged grief disorder among bereaved survivors seven years after the Wenchuan earthquake in China: A cross-sectional study. Int. J. Nurs. Sci., 5(2): 157–161. doi.org/10.1016/j.ijnss.2018.04.001.
31. Simon N.M., Shear K.M., Thompson E.H. et al. (2007) The prevalence and correlates of psychiatric comorbidity in individuals with complicated grief. Comprehensive Psychiatr., 48(5): 395–399. doi.org/10.1016/j.comppsych.2007.05.002.
32. Latham A.E., Prigerson H.G. (2004) Suicidality and Bereavement: Complicated Grief as Psychiatric Disorder Presenting Greatest Risk for Suicidality. Suicide and Life-Threatening Behavior, 34(4): 350–362. doi.org/10.1521/suli.34.4.350.53737.
33. Marques L., Bui E., LeBlanc N. et al. (2013) COMPLICATED GRIEF SYMPTOMS IN ANXIETY DISORDERS: PREVALENCE AND ASSOCIATED IMPAIRMENT. Depression and Anxiety, 30(12), 1211–1216. doi.org/10.1002/da.22093.
34. Lancel M., Stroebe M., Eisma M.C. (2020) Sleep disturbances in bereavement: A systematic review. Sleep Medicine Reviews, 53: 101331. doi.org/10.1016/j.smrv.2020.101331.
35. Prigerson H.G., Frank E., Kasl S.V., Reynolds Ch.F. (1995) Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses. Am. J. Psychiatr., 152(1): 22–30. doi.org/10.1176/ajp.152.1.22.
36. Boelen P.A., van den Bout J. (2005) Complicated Grief, Depression, and Anxiety as Distinct Postloss Syndromes: A Confirmatory Factor Analysis Study. Am. J. Psychiatr., 162(11): 2175–2177. doi.org/10.1176/appi.ajp.162.11.2175.
37. Spuij M., Reitz E., Prinzie P. et al. (2012) Distinctiveness of symptoms of prolonged grief, depression, and post-traumatic stress in bereaved children and adolescents. Eur. Child Adolesc. Psychiatr., 21(12): 673–679. doi.org/10.1007/s00787-012-0307-4.
38. Bonanno G.A., Papa A., O’Neill K. (2001) Loss and human resilience. Applied and Preventive Psychology, 10(3): 193–206. doi.org/10.1016/s0962-1849(01)80014-7.
39. Houwen K. van der, Stroebe M., Stroebe W. et al. (2010) Risk Factors for Bereavement Outcome: A Multivariate Approach. Death Studies, 34(3): 195–220. doi.org/10.1080/07481180903559196.
40. Ginzburg K., Geron Y., Solomon Z. (2002) Patterns of Complicated Grief among Bereaved Parents. OMEGA — Journal of Death and Dying, 45(2): 119–132. doi.org/10.2190/xuw5-qgq9-kcb8-k6ww.
41. Hollander T. (2016) Ambiguous Loss and Complicated Grief: Understanding the Grief of Parents of the Disappeared in Northern Uganda. J. Fam. Theor. Rev., 8(3): 294–307. doi.org/10.1111/jftr.12153.
42. Crocker R.M., Reineke R.C., Ramos Tovar M.E. (2021) Ambiguous Loss and Embodied Grief Related to Mexican Migrant Disappearances. Med. Anthropol., 1–14. doi.org/10.1080/01459740.2020.1860962.
43. Heeke C., Kampisiou C., Niemeyer H. et al. (2017) A systematic review and meta-analysis of correlates of prolonged grief disorder in adults exposed to violent loss. Eur. J. Psychotraumatol., 8(Sup. 6): 1583524. doi.org/10.1080/20008198.2019.1583524.
44. Brent D., Melhem N., Donohoe M.B. et al. (2009) The Incidence and Course of Depression in Bereaved Youth 21 Months After the Loss of a Parent to Suicide, Accident, or Sudden Natural Death. Am. J. Psychiatr., 166(7): 786–794. doi.org/10.1176/appi.ajp.2009.08081244.
45. Boelen P.A. (2016) Improving the understanding and treatment of complex grief: an important issue for psychotraumatology. Eur. J. Psychotraumatol., 7(1): 32609. doi.org/10.3402/ejpt.v7.32609.
46. Szuhany K.L., Malgaroli M., Miron C.D. et al. (2021) Prolonged Grief Disorder: Course, Diagnosis, Assessment, and Treatment. FOCUS, 19(2): 161–172. doi.org/10.1176/appi.focus.20200052.
47. Boelen P.A., Lenferink L.I.M., Spuij M. (2021) CBT for Prolonged Grief in Children and Adolescents: A Randomized Clinical Trial. Am. J. Psychiatr., 178(4): appi.ajp.2020.2. doi.org/10.1176/appi.ajp.2020.20050548.
48. Kumar S.M. (2013) Mindfulness for Prolonged Grief. New Harbinger Publications.
49. Johannsen M., Schlander C., Farver-Vestergaard I. et al. (2022) Group-based compassion-focused therapy for prolonged grief symptoms in adults — Results from a randomized controlled trial. Psychiatr. Res., 314: 114683. doi.org/10.1016/j.psychres.2022.114683.
50. Чабан О.С., Хаустова О.О. (2022) Медико-психологічні наслідки дистресу війни в Україні: що ми очікуємо та що потрібно враховувати при наданні медичної допомоги. Укр. мед. часопис, 4: 150. doi.org/10.32471/umj.1680-3051.150.232297.
51. Liebrenz M., Gluzman S. (2022) When two sides go to war. The Lancet Psychiatry, 9(5): 337. doi.org/10.1016/s2215-0366(22)00118-3.
52. Shalev A. (2022) Surviving Warfare Adversities. A Brief Survival Advice for Civilians Under War Stress. Psychosomat. Med. Gen. Pract., 7(1). doi.org/10.26766/pmgp.v7i1.357.
53. Chaban O. (2022) A response to the paper by Arieh Y. Shalev «Surviving the hardships of war. Brief advice on survival for civilians in the circumstances of war stress». Psychosomat. Med. Gen. Pract., 7(1). doi.org/10.26766/pmgp.v7i1.359.