APPsyCI - Artigos em revistas científicas internacionais
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Browsing APPsyCI - Artigos em revistas científicas internacionais by Author "Albuquerque, Sara"
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- Bereavement support guidelines for caregivers in palliative care: A scoping reviewPublication . Coelho, Alexandra; Albuquerque, Sara; Neto, David DiasPalliative care teams’ support practices for bereavement vary substantially. Clinical guidelines are needed to promote concerted, evidence-based intervention. The goal of the present study is to identify and synthesize the principles and clinical guidelines that ensure best practices in bereavement support for family caregivers accompanied in palliative care. A scoping review was conducted based on a systematic search of articles in academic databases (EBSCO, PsycINFO, PubMed, Web of Science, Psychology and Behavioral Sciences Collection, Scopus) and Google (2010–2024). The review included articles focused on the principles, guidelines, and clinical recommendations for bereavement support for adult family caregivers in palliative care. Quality appraisal of guidelines was conducted using the AGREE II instrument. Of the 1,489 references identified, 20 documents were included, mostly governmental or institutional norms and clinical guidelines from gray literature. Quality appraisal revealed gaps in evidence selection, resource implications, updates and monitoring criteria. Eight fundamental principles were identified, from which several clinical guidelines were derived, organized according to the moments of assessment and intervention throughout the bereavement process, including pre and post-death period: (1) organizing support for the family caregiver; (2) assessing needs and establishing a care plan; (3) ensuring information and support for the family caregiver; (4) preparing for death; (5) support at the time of death; and (6) bereavement support post-death. In addition to universal support and information measures, regular assessment procedures should be adopted for timely referrals based on individual needs.These guidelines cover the temporal variation of care and the multidimensional and multiple-actor nature of palliative care. Implementing these guidelines and evaluating their impact will allow for the standardization of best practices and improve the quality of bereavement support in palliative care.
- Does meaning-making mediate COVID-19 restrictions’ impact on grief and psychological symptoms?Publication . Batista, João; Albuquerque, Sara; Delalibera, Mayra; Oliveira, João T.; Coelho, AlexandraThe COVID-19 pandemic imposed substantial restrictions on funeral ceremonies,profoundly affecting grief experiences. This study investigated the mediating role ofmeaning-making in the relationship between these restrictions and prolonged griefdisorder (PGD) symptoms, anxiety, depression, and trauma. A longitudinal studyinvolving 141 bereaved individuals was conducted, with assessments at two time points:3–6 months (T1) and 9–12 months (T2) post-loss. Structural equation modeling re-vealed that the psychological impact of restrictions on death and funeral ceremonieshad indirect effects on anxiety and prolonged grief symptoms through meaning-making,particularly the footing in the world subscale. These findings underscore the im-portance of understanding the complex interplay between pandemic-related re-strictions and grief experiences, emphasizing the pivotal role of meaning-making inadapting to loss during those challenging times.
- Effectiveness of empower-grief for relatives of palliative care patients: Protocol for an exploratory randomized controlled trial.Publication . Neto, David Dias; Coelho, Alexandra; Albuquerque, Sara; Silva, Ana Nunes da; PsychOpenBackground: Grief reactions of relatives of palliative care patients are seldom addressed. Most interventions focus on Prolonged Grief Disorder (PGD) and not on its prevention. This is particularly relevant in palliative care, in which death is the result of a difficult period of a terminal illness, making caregivers particularly vulnerable to psychological distress. The purpose of the present exploratory trial is to test the efficacy of a selective intervention (Empower-Grief) for the initial problematic grief reactions and to study potential predictors of adherence and efficacy. Method: This is an exploratory Randomized Controlled Trial (RCT) studying Empower-Grief compared with Treatment as Usual (TAU). Participants will be relatives or caregivers of palliative and oncological patients with initial indicators of risk of developing PGD and will be randomly allocated to Empower-Grief and TAU. Participants will be assessed prior, at the end and six months after the intervention. The primary outcome considered will be symptoms of PGD. The assessment includes measures of anxiety and depression, coping, attachment, psychological flexibility, posttraumatic growth, social support and therapeutic alliance. Results: The trial is ongoing. Forty-four participants will be invited to participate. Conclusion: This study addresses the need for the development of empirically grounded and feasible interventions aimed at dealing with initial problematic reactions in grief, exploring potential predictors and possible venues for personalizing intervention and understanding the mechanism through which these interventions operate.
- Utrecht grief rumination scale (UGRS): Psychometric study of validation of the Portuguese versionPublication . Araújo, Liliane; Albuquerque, Sara; Coelho, Alexandra; Delalibera, Mayra; Paulino, PaulaGrief rumination is characterized by recurring, repetitive, self-focused thoughts about the causes and consequences of loss and loss-related emotions. This cognitive process is a transdiagnostic risk factor for mental disorders, such as prolonged grief. The aim of this study was to analyze the psychometric properties of the Portuguese version of the Utrecht Grief Rumination Scale (UGRS). The sample consists of 242 bereaved adult participants with Portuguese nationality. Confirmatory Factor Analysis showed that the hierarchical model showed a better fit to the data. Average Variance Extracted was also calculated to measure convergent and divergent validity. Test-criterion validity was investigated by analyzing associations between grief rumination and measures of posttraumatic stress, prolonged grief, anxiety, and depression. Using McDonald’s Omega and Cronbach’s Alpha, all subscales showed adequate reliability. The UGRS showed acceptable psychometric properties, standing out as a valid instrument for practice and research in psychology in the area of bereavement.