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- Creators: Arizona State University
- Member of: Theses and Dissertations
- Resource Type: Text
Description
A child’s death evokes intense and long-lasting grief in parents. However, few interventions exist to address the needs of this population. This mixed methods project used secondary data to evaluate the impact of a four-day, grief-focused mindfulness-based retreat on bereaved parents.
A quasi-experimental design with two nonequivalent groups (intervention group n = 25, comparison group n = 41) and three observations (pretest and two posttests) was used. Mixed-model repeated-measures analyses of variance were used to assess change over time for the intervention group and relative to a no-intervention comparison group. Outcome measures were depressive and anxious responses, measured by the Hopkins Symptom Checklist-25 (HSCL-25); trauma responses, measured by the Impact of Event Scale-Revised (IES-R); mindfulness, measured by the Five Facet Mindfulness Questionnaire (FFMQ); and self-compassion, measured by the Self-Compassion Scale-Short Form (SCS-SF). The intervention group was expected to show significant decreases in psychological distress and significant increases in mindfulness and self-compassion over time and relative to the comparison group.
The qualitative component consisted of semi-structured interviews with nineteen retreat participants using a constructivist phenomenological approach in order to obtain a richer understanding of the retreat’s impact on participants’ lives.
There were significant time by condition interactions with small to medium effect sizes for the IES-R and its subscales, the HSCL-25 and its depression subscale, and three FFMQ scales (describe, act with awareness, and nonjudge), all favoring the intervention group. However, not all benefits were maintained at follow-up.
Psychoeducation and relationships emerged as key qualitative themes. Psychoeducation included benefits related to present-moment awareness, fully inhabiting grief, self-compassion, emotional equanimity, and reduced distress or judgment of distress. Relationships included benefits related to giving and receiving social support, emotional expression and sharing, validation and normalization of grief-related experiences, resonance and self-other awareness, self-appraisal, changes in relationships, and connection to a deceased child. Mindfulness seemed to be a key component in reducing trauma responses. Relationship factors, combined with psychoeducation and present-moment awareness, seemed responsible for increasing participants’ capacity for nonjudgmental acceptance of experiences.
The retreat may be an effective intervention for helping parents cope with and express their grief and warrants further study.
A quasi-experimental design with two nonequivalent groups (intervention group n = 25, comparison group n = 41) and three observations (pretest and two posttests) was used. Mixed-model repeated-measures analyses of variance were used to assess change over time for the intervention group and relative to a no-intervention comparison group. Outcome measures were depressive and anxious responses, measured by the Hopkins Symptom Checklist-25 (HSCL-25); trauma responses, measured by the Impact of Event Scale-Revised (IES-R); mindfulness, measured by the Five Facet Mindfulness Questionnaire (FFMQ); and self-compassion, measured by the Self-Compassion Scale-Short Form (SCS-SF). The intervention group was expected to show significant decreases in psychological distress and significant increases in mindfulness and self-compassion over time and relative to the comparison group.
The qualitative component consisted of semi-structured interviews with nineteen retreat participants using a constructivist phenomenological approach in order to obtain a richer understanding of the retreat’s impact on participants’ lives.
There were significant time by condition interactions with small to medium effect sizes for the IES-R and its subscales, the HSCL-25 and its depression subscale, and three FFMQ scales (describe, act with awareness, and nonjudge), all favoring the intervention group. However, not all benefits were maintained at follow-up.
Psychoeducation and relationships emerged as key qualitative themes. Psychoeducation included benefits related to present-moment awareness, fully inhabiting grief, self-compassion, emotional equanimity, and reduced distress or judgment of distress. Relationships included benefits related to giving and receiving social support, emotional expression and sharing, validation and normalization of grief-related experiences, resonance and self-other awareness, self-appraisal, changes in relationships, and connection to a deceased child. Mindfulness seemed to be a key component in reducing trauma responses. Relationship factors, combined with psychoeducation and present-moment awareness, seemed responsible for increasing participants’ capacity for nonjudgmental acceptance of experiences.
The retreat may be an effective intervention for helping parents cope with and express their grief and warrants further study.
ContributorsThieleman, Kara (Author) / Cacciatore, Joanne (Thesis advisor) / Segal, Elizabeth (Committee member) / Hodge, David (Committee member) / Arizona State University (Publisher)
Created2019
Description
The bereaved and those who have experienced trauma have received support through music therapy. However, there has been no research on the effectiveness of music therapy as a therapeutic intervention for those who have experienced the loss of a loved one by suicide. While every loss presents its own challenges, those who experience a suicide loss may need extra support to process the traumatic nature of the death. This study aims to explore the current research on grief and trauma to determine what information can be applied to the care of those who have experienced a suicide loss. The present study is a group case study of survivors of suicide who have experienced a loss within the last 3 years. Participants received weekly music therapy sessions for four weeks. All participants completed the Inventory of Traumatic Grief, prior to and at the conclusion of the music therapy sessions, and the pre and post test scores were compared. Additionally qualitative data was collected throughout the sessions, indicating any common themes that emerged throughout the sessions and the participants’ reactions to the interventions, as well as in a short questionnaire following the four sessions.
ContributorsEdmonds, Alexis Elaine (Author) / Rio, Robin (Thesis advisor) / Crowe, Barbara (Committee member) / Humphreys, Jere (Committee member) / Arizona State University (Publisher)
Created2016
Description
The process of pathologizing grief and othering grievers is historically situated in white supremacist, capitalist patriarchy and is reproduced socially. ‘Grief norms, gender norms’ explores and complicates the ways that grief and gender are co-constitutive; mediated by social norms; and reinforced through institutions like psychiatry and medicine, workplace policies, and public discourses around grief which all work together to create ‘acceptable’ structures of feeling. This dissertation uses a combination of in-depth, semi-structured interviews and digital grief content across two social media sites: Instagram and TikTok in order to explore various sites of this affective social reproduction and the multi-directional impact of gender and grief when studied side by side. This project is made up of three distinct, but thematically related sections: feminine embodied grief and masking; how the Widow is socially reproduced as ‘Other’; and the intimate publics of female grief influencers on Instagram. Each of these chapters explores a different aspect of the shaping of 'acceptable' grief through valences of gendered norms - which are already raced and classed - and explores the ways that those norms socializes individuals of all genders towards expectations about how grief 'should' be experienced and expressed. Feminine embodied grief is experienced beyond linear temporality, and felt sensationally and relationally. This means that grievers experiencing this kind of feminine embodied grief more readily rely on grief masking to 'pass' in non-grieving society. In the third chapter, the experience of the Widow is the primary focus. This chapter examines the social processes that render the Widow as 'Other', socially, and polices the active grief of the Widow through processes of isolation and exclusion. Each widow in this study experienced such othering, including John, whose partner died of AIDS in the 1990s. The end of this chapter explores his experience of ambiguous widowhood. The final chapter takes a wider view and focuses on the intimate publics formed by female grief influencers on Instagram. This chapter highlights two such influencers and the ways that the discourses about grief that they employ both disrupts and reinforces traditional, Western logics about 'acceptable' grief.
ContributorsLacey, Elisabeth (Author) / Switzer, Heather (Thesis advisor) / Anderson, Lisa (Committee member) / Cacciatore, Joanne (Committee member) / Arizona State University (Publisher)
Created2023