Preloss grief in family members of COVID-19 patients: Recommendations for clinicians and researchers
Abstract
Researchers have long examined grief-related reactions to the diagnosis of a loved one with a terminal illness, including preloss grief (PLG), which is the experience of grief symptoms prior to the loss of a loved one. Families face novel challenges when loved ones with COVID-19 become critically ill-most notably mandated physical separation-and may experience a wide range of PLG responses. This commentary examines the existing literature related to PLG as a means for understanding the psychological impact of COVID-19 deaths, identifies factors professionals can assess for and address when working with a family member of COVID-19 patients, and identifies areas for future research related to COVID-19 and PLG. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Grief due to loss of loved ones and suffering from mandatory physical separation of family members sick with COVID-19 are important psychological consequences.
“In addition, among the psychological consequences, the grief due to the loss of loved ones cannot be ignored, and it should also be noted the importance of the suffering derived from the mandatory physical separation of family members who are sick with COVID-19 (Singer et al., 2020).”
Due to the COVID-19 pandemic, a large number of deaths have occurred worldwide and in Mexico, generating psychological consequences related to suffering from mandatory physical separation of relatives infected with COVID-19.
“Due to the COVID-19 pandemic, a large number of deaths have occurred throughout the world and in Mexico, which has generated multiple consequences at a psychological level related to the suffering caused by the mandatory physical separation of relatives infected with COVID-19 (Singer et al., 2020).”
Cites
Sohrabi, C., Alsafi, Z., O’Neill, N., Khan, M., Kerwan, A., Al‐Jabir, A., Iosifidis, C., & Agha, R. (2020) · International Journal of Surgery · doi:10.1016/j.ijsu.2020.02.034 · Cited by 6,093 · see citing works
Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11
Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., Raphael, B., Marwit, S. J., Wortman, C., Neimeyer, R. A., et al. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000121 · Cited by 1,863 · see citing works
COVID-19: the medium is the message
Garrett, L. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30600-0 · Cited by 278 · see citing works
Nielsen, M. K., Neergaard, M. A., Jensen, A. B., Vedsted, P., Bro, F., & Guldin, M. (2016) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.09.013 · Cited by 225 · see citing works
Factors of complicated grief pre‐death in caregivers of cancer patients
Tomarken, A., Holland, J. C., Schachter, S. R., Vanderwerker, L. C., Zuckerman, E. L., Nelson, C. J., Coups, E. J., RAMIREZ, P. M., & Prigerson, H. G. (2007) · Psycho-Oncology · doi:10.1002/pon.1188 · Cited by 139 · see citing works
DEVELOPMENT OF A SHORT FORM INVENTORY TO ASSESS GRIEF IN CAREGIVERS OF DEMENTIA PATIENTS
MARWIT, S. J., & MEUSER, T. M. (2005) · Death Studies · doi:10.1080/07481180590916335 · Cited by 130 · see citing works
Caregiver's Anticipatory Grief in Dementia: A Pilot Study
Theut, S. K., Jordan, L., Ross, L. A., & Deutsch, S. I. (1991) · The International Journal of Aging and Human Development · doi:10.2190/4kyg-j2e1-5kem-leba · Cited by 129 · see citing works
Tsai, W.-I., Prigerson, H. G., Li, C., Chou, W., Kuo, S., & Tang, S. T. (2015) · Palliative Medicine · doi:10.1177/0269216315603261 · Cited by 107 · see citing works
Health Care Proxy Grief Symptoms Before the Death of Nursing Home Residents With Advanced Dementia
Kiely, D. K., Prigerson, H. G., & Mitchell, S. L. (2008) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181784143 · Cited by 95 · see citing works
Nielsen, M. K., Neergaard, M. A., Jensen, A. B., Bro, F., & Guldin, M. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3120-7 · Cited by 90 · see citing works
An open trial of meaning-centered grief therapy: rationale and preliminary evaluation
Lichtenthal, W. G., Catarozoli, C., Masterson, M., Slivjak, E., Schofield, E., Roberts, K. E., Neimeyer, R. A., Wiener, L., Prigerson, H. G., Kissane, D. W., et al. (2019) · Palliative and Supportive Care · doi:10.1017/s1478951518000925 · Cited by 88 · see citing works
Draper, E. J., Hillen, M. A., Moors, M., Ket, J. C. F., van Laarhoven, H. W. M., & Henselmans, I. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.09.019 · Cited by 68 · see citing works
Bowman, B. A., Back, A. L., Esch, A., & Marshall, N. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.03.028 · Cited by 56 · see citing works
Anticipatory Grief: Its Measurement and Proposed Reconceptualization
Levy, L. H. (1991) · The Hospice Journal · doi:10.1080/0742-969x.1991.11882707 · Cited by 48 · see citing works
The Role of Palliative Care in Oncology
Agarwal, R., & Epstein, A. S. (2017) · Seminars in Interventional Radiology · doi:10.1055/s-0037-1608702 · Cited by 40 · see citing works
Supiano, K. P., Luptak, M., Andersen, T. C., Beynon, C., Iacob, E., & Wong, B. G. (2020) · Death Studies · doi:10.1080/07481187.2020.1731014 · Cited by 38 · see citing works
Adapting manualized Behavioural Activation treatment for older adults with depression
Pasterfield, M., Bailey, D., Hems, D., McMillan, D., Richards, D. A., & Gilbody, S. M. (2014) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x14000038 · Cited by 26 · see citing works
Behavioral Activation for Pathological Grief
Papa, A., Rummel, C., Garrison‐Diehn, C., & Sewell, M. T. (2013) · Death Studies · doi:10.1080/07481187.2012.692459 · Cited by 25 · see citing works
Self-citationIs this bereaved relative at risk of prolonged grief?
Kentish‐Barnes, N., & Prigerson, H. G. (2015) · Intensive Care Medicine · doi:10.1007/s00134-015-4182-6 · Cited by 17 · see citing works
Flagged first, then by citations
1 of the 20 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Bereavement in Times of COVID-19: A Review and Theoretical Framework
Stroebe, M., & Schut, H. A. W. (2020) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222820966928 · Cited by 265 · see citing works
Spiritual Well-Being and Mental Health During the COVID-19 Pandemic in Italy
Coppola, I., Rania, N., Parisi, R., & Lagomarsino, F. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.626944 · Cited by 195 · see citing works
The Many Faces of Grief: A Systematic Literature Review of Grief During the COVID-19 Pandemic
Kumar, R. M. (2021) · Illness Crisis & Loss · doi:10.1177/10541373211038084 · Cited by 74 · see citing works
O luto nos tempos da COVID-19: desafios do cuidado durante a pandemia
Dantas, C. D. R., de Azevedo, R. C. S., Vieira, L. C., Côrtes, M. T. F., Federmann, A. L. P., Cucco, L. D. M., Rodrigues, L. R., Domingues, J. F. R., Dantas, J. E., Portella, I. P., et al. (2020) · Revista Latinoamericana de Psicopatologia Fundamental · doi:10.1590/1415-4714.2020v23n3p509.5 · Cited by 65 · see citing works
Prosociality in times of separation and loss
Ramkissoon, H. R. (2021) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2021.11.008 · Cited by 66 · see citing works
Family Presence for Critically Ill Patients During a Pandemic
Hart, J. L., & Taylor, S. P. (2021) · CHEST Journal · doi:10.1016/j.chest.2021.05.003 · Cited by 57 · see citing works
Beck, K., Vincent, A., Becker, C., Keller, A., Cam, H., Schaefert, R., Reinhardt, T., Sutter, R., Tisljar, K., Bassetti, S., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0250590 · Cited by 55 · see citing works
Shi, L., Lu, Z.-A., Que, J., Huang, X., Lu, Q.-D., Liu, L., Zheng, Y., Liu, W.-J., Ran, M., Yuan, K., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168790 · Cited by 47 · see citing works
Singer, J. B., Roberts, K. E., McLean, E., Fadalla, C., Coats, T., Rogers, M., Wilson, M. K., Godwin, K., & Lichtenthal, W. G. (2022) · Palliative Medicine · doi:10.1177/02692163221074540 · Cited by 42 · see citing works
Self-citationVincent, A., Beck, K., Becker, C., Zumbrunn, S., Ramin-Wright, M., Urben, T., Quinto, A., Schaefert, R., Meinlschmidt, G., Gaab, J., et al. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110526 · Cited by 28 · see citing works
Singer, J., & Papa, A. (2021) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2021.104353 · Cited by 32 · see citing works
Self-citationDirect and Indirect Effects of COVID-19 on Long-Term Care Residents and Their Family Members
Cohen‐Mansfield, J., & Meschiany, G. (2022) · Gerontology · doi:10.1159/000521146 · Cited by 27 · see citing works
Khosravi, M. (2020) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2020.5502 · Cited by 21 · see citing works
Dominguez-Rodriguez, A., Martínez-Luna, S. C., Hernández Jiménez, M. J., De La Rosa-Gómez, A., Arenas-Landgrave, P., Esquivel Santoveña, E. E., Arzola-Sánchez, C., Alvarez Silva, J., Solis Nicolas, A. M., Colmenero Guadián, A. M., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.644782 · Cited by 18 · see citing works
“In addition, among the psychological consequences, the grief due to the loss of loved ones cannot be ignored, and it should also be noted the importance of the suffering derived from the mandatory physical separation of family members who are sick with COVID-19 (Singer et al., 2020).”
BackgroundSinger, J., Shrout, M. R., & Papa, A. (2021) · Journal of Health Psychology · doi:10.1177/1359105321995945 · Cited by 15 · see citing works
Self-citationBereavement during the COVID-19 Pandemic: Impact on Coping Strategies and Mental Health
Fisher, J. E., Rice, A. J., Zuleta, R. F., & Cozza, S. J. (2022) · Psychiatry · doi:10.1080/00332747.2022.2051141 · Cited by 13 · see citing works
Pandemic grief risk factors and prolonged grief disorder in bereaved young adults during COVID-19
Schneider, S., Rerick, P. O., Cummings, C., McLean, E., Breen, L. J., & Singer, J. (2023) · Palliative & Supportive Care · doi:10.1017/s1478951523000160 · Cited by 11 · see citing works
Self-citationAnticipatory grief during COVID-19: a commentary
Khanipour-Kencha, A., Jackson, A. C., & Bahramnezhad, F. (2022) · British Journal of Community Nursing · doi:10.12968/bjcn.2022.27.3.114 · Cited by 9 · see citing works
Carvalheiro, A. M., Faria, C. S., Semeão, I., & Martinho, S. M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.624665 · Cited by 8 · see citing works
The lived experience of bereaved Iranian families with COVID-19 grief
Abdekhodaie, Z. (2022) · Death Studies · doi:10.1080/07481187.2022.2068698 · Cited by 7 · see citing works
SECCION IX. Síndrome Post COVID-19: complicaciones tardías y rehabilitación
Saavedra, C. (2021) · Infectio · doi:10.22354/in.v25i4.979 · Cited by 8 · see citing works
Blackburn, J., Waring, G., Turner, M., Currell, K., & Caress, A. (2023) · Comprehensive Child and Adolescent Nursing · doi:10.1080/24694193.2023.2292503 · Cited by 4 · see citing works
Hasan, A. B. P., Dwiartyani, A., & Arief, H. (2021) · Psikologi Prima · doi:10.34012/psychoprima.v4i1.1864 · Cited by 3 · see citing works
Danzmann, P. S., da Silva, A. C. P., & Guazina, F. M. N. (2021) · ID on line REVISTA DE PSICOLOGIA · doi:10.14295/idonline.v15i55.3016 · Cited by 3 · see citing works
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de Lima, P. K. G. C., Laranjeira, C., Carreira, L., Baldissera, V. D. A., Meireles, V. C., Baccon, W. C., Dias, L. E., Ali, A. M., Mello, F. F., Tostes, M. F. D. P., et al. (2025) · Behavioral Sciences · doi:10.3390/bs15060829 · Cited by 3 · see citing works
Pre-death grief in patients requiring hematopoietic stem cell transplantation
Garcia, J. T., dos Santos, M. A., & de Oliveira‐Cardoso, É. A. (2022) · Death Studies · doi:10.1080/07481187.2022.2150723 · Cited by 2 · see citing works
vivência do luto em familiares de pacientes internados pela COVID-19
Rocha, T. A. B., de Souza, V. F., da Silva, V. D. F. D., & de Almeida, A. C. (2023) · Revista da SBPH · doi:10.57167/rev-sbph.v25.489 · Cited by 2 · see citing works
Navigating Uncertainty: The Impact of COVID-19 on Families of Terminally Ill Patients
Hussein, M. T. E., & Dhaliwal, S. (2024) · Research and theory for nursing practice · doi:10.1891/rtnp-2024-0046 · Cited by 1 · see citing works
Reflections on First Wave COVID-19 Practice: Insights from Family–Patient Liaisons
Lewins, K., Seabi, T. M., Seotsanyana, L., Maphelela, K., Nyirenda, T., & Benvie, C. (2020) · South African Review of Sociology · doi:10.1080/21528586.2022.2035252 · Cited by 1 · see citing works
Indicadores emocionais dos profissionais de saúde do Amazonas durante a pandemia de Covid-19
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- Authors
- Singer, J., Spiegel, J. A., & Papa, A.
- Venue
- Psychological Trauma Theory Research Practice and Policy
- Published
- 2020-08
- Volume
- 12
- Issue
- S1
- Pages
- S90-S93
- ISSN
- 1942-9681 (ISSN-L)
- 1942-969X
- OpenAlex
- W3029943994
- Cited by
- 49
- References
- 20
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 24 · 2021: 14 · 2020: 4
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Trauma Theory Research Practice and Policy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- COVID-19 pandemic, family members, grief symptoms, clinician recommendations, family bereavement
- MeSH terms
- COVID-19, Adult, Family, Grief, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Mental Health Services, Pneumonia, Viral, Research Personnel, Social Support, Coronavirus Infections, Pandemics
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