Duelo: evaluación, diagnóstico y tratamiento

Source: OAI

ABSTRACT A lo largo de la vida, todos los seres humanos sufren en mayor o menor medida el duelo por una pérdida. Es una experiencia inevitable que conlleva sufrimiento pero también puede ser una oportunidad de crecimiento. Objetivo: realizar una revisión bibliográfi - ca tanto de los artículos publicados durante los últimos años sobre estudios relacionados con el duelo, como de los aspectos más relevantes contenidos en la literatura reciente. Material y método: las referencias bibliográfi cas en las que nos hemos basado han sido recogidas de las bases computerizadas Medline y PsycINFO, siendo la mayoría de los artículos encontrados de procedencia anglosajona; además se han consultado las principales revistas españolas relacionadas con el tema. Resultados: en función del contenido de los resultados, hemos tratado de organizar el trabajo en las siguientes áreas: evaluación del duelo; diagnóstico de duelo complicado; predictores de duelo patológico; prevención y tratamiento. Conclusiones: la mayoría de estudios encontrados sobre el duelo son descriptivos, en cambio hay pocos estudios con un diseño experimental adecuado. No obstante, consideramos que es necesario investigar más sobre los aspectos fundamentales de esta compleja realidad Throughout their life, all human beings suffer in greater or lesser extent the grief due to a loss. It is an inevitable experience which causes suffering, but it also can be an opportunity for growth. Objectives: with this study our goal is to conduct a bibliographical review both of the articles published over the last few years of studies related with bereavement, as well as of the most relevant details contained in recent literature. Materials and methods: the bibliographical references on which we have based our research have been gathered from Medline and PsycINFO computerized databases. The majority of the articles are of Anglo-Saxon origin and noteworthy Spanish journals related with the topic have also been consulted. Results: according to the content of the results, we have tried to organize the study in the following areas: evaluation of grief; diagnosis of complicated bereavement; predictors of pathological bereavement, prevention and treatment. Conclusions: the majority of the studies found on bereavement are descriptive; however, there are few studies with an adequate experimental design. Nevertheless, we believe that it is necessary to further investigate the fundamental aspects of this complex reality

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    ABSTRACT: Grief is a natural response to the loss of anyone who has built a bond. Grief advice is to help in the development and adaptation to the new situation. Among the different techniques to accomplish the aims in the grief, one has to learn to adapt to each individual, assessing individual strategies. This case report concerns an 18 year-old female whose father died while in the Palliative Care Unit (PCU), who complained of being unwell, crying, anxiety and nightmares. The use of emotional writing was the technique used, both helped to relate her behaviours, emotions and thoughts in sequence and narrative, all of which helped to improve her emotional and support in the tasks of mourning. This type of narrative therapy, coupled with the introduction of new technologies with young or adolescent patients, can be useful to perform this type of monitoring in specific populations.
    Medicina Paliativa 04/2013; 20(2):68–71. · 0.16 Impact Factor
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    Contemporary and Innovative Practice in Palliative Care, 02/2012; , ISBN: 978-953-307-986-8
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    ABSTRACT: Objectives To assess the emotional impact and perceived usefulness of condolence letters in families of patients who died in the hospital Nephrology and Haematology departments. Method A prospective study was conducted with a single one measure in the form of a semi-structured telephone interview. The questionnaire was constructed ad hoc. Variables were assessed independently. The sample consisted of 102 deceased and 82 grievers. Results Of the total responses 15% related to have felt discomfort on receiving the letter and 100% of the sample (non-exclusive percentages) were comforted, reporting emotions such as, gratitude (42.5%) happiness (40%), pride (10%), and surprise (7.5%). The large majority (96.3%) shared the letter with those around them, and 98.8% said that the letter was useful. The patients with kidney disease were older at time of death (U = 599.00; P=.008), were attended for more years in the department (χ2 = 19.,40; P<.001) and their families responded more frequently to the condolence letter through phone calls, visits to the department, or by post card (χ2 = 5.30; P<.021). The difference between the results of the impact of the letter on both departments was not statistically significant. Discussion The impact of the letter gave comfort to all the families, and discomfort in 15% of the sample. It shows the need to consider the opposite, but not incompatible emotions, in bereavement. Awareness of this ambivalence, which is typical in the grieving process, will help to normalise it.
    Medicina Paliativa 07/2014; 21(3):98–104. · 0.16 Impact Factor

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