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A Mixed Methods Approach of End-of-Life Care, Social Rites, and Bereavement Outcomes: A Transnational Perspective.
Culture, Medicine, and Psychiatry ( IF 2.333 ) Pub Date : 2020-03-02 , DOI: 10.1007/s11013-020-09669-3
Cyrille Kossigan Kokou-Kpolou 1, 2 , Charlemagne S Moukouta 1 , Livia Sani 2 , Sara-Emilie McIntee 3 , Jude Mary Cénat 3 , Atiyihwè Awesso 4 , Marie-Frédérique Bacqué 2
Affiliation  

The current article focused on examining the potential benefits of the End-of-Life (EoL) informal caregiving, communication, and ritualistic behaviors in adaptation to the conjugal bereavement across two different cultural-background contexts: France and Togo, West Africa. The investigation adopted a transnational approach including a total of 235 bereaved spouses. Despite the variation in the length of time since death, no significant difference was found between the Togolese and French bereaved with respect to the level of complicated grief symptoms. However, the Togolese bereaved perceived a significant postloss growth, fostered by EoL communication with the dying and the performance of ritualistic behaviors. In the French sample, bereaved individuals who had experienced more intimate communication with their dying spouse reported a high level of postloss growth. Moreover, findings showed that EoL caregiving without ritualistic support or communication is associated with poor postbereavement outcomes. These findings suggest a clinical need to promote informal caregiving to the dying, communication with the dying, and ritualistic support during the process of dying as entangled components of EoL care.



中文翻译:

临终关怀,社交礼仪和丧亲结局的混合方法:跨国视角。

本篇文章的重点是研究在两种文化背景下(法国和多哥,西非),临终护理(EoL)的非正式照料,交流和礼节行为在适应丧亲之痛方面的潜在益处。调查采用了跨国方法,包括总共235名丧亲的配偶。尽管自死亡以来的时间长短有所不同,但多哥人和法国人在丧亲者之间在复杂悲伤症状的水平上没有发现显着差异。但是,由于EoL交流的临近以及仪式性行为的表现,多哥人的丧亲者感觉到损失后的增长显着。在法国样本中,与垂死的配偶之间有更亲密沟通的丧亲者表示,其遗失后成长率很高。此外,研究结果表明,在没有仪式支持或沟通的情况下进行EoL照护与不良的后储蓄结果相关。这些发现表明,临床上需要促进对临终者的非正式照料,与临终者的交流以及在临终过程中作为EoL护理的纠结组成部分的礼仪支持。

更新日期:2020-03-02
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