Interventions to Enhance Adaptation to Bereavement
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This paper reviews quantitative evaluations of the efficacy of intervention programs designed to reduce the pain and suffering associated with bereavement. After identifying the psychological and physical health impacts of bereavement and outlining the prevalence of detrimental outcomes, we conclude that a minority of bereaved persons experience severe and sometimes lasting consequences, whereas the majority manage to overcome their grief across the course of time. We detail criteria for establishing the efficacy of bereavement intervention and examine the impact of intervention according to these stringent criteria. We critically examine previous reviews and summarize their conclusions. Using a narrative review approach, we apply a public health framework to organize intervention programs into primary, secondary, and tertiary prevention strategies. A comprehensive, updated review of empirical studies in these categories leads to the following conclusions: Routine intervention for bereavement has not received support from quantitative evaluations of its effectiveness and is therefore not empirically based. Outreach strategies are not advised, and even provision of intervention for those who believe that they need it and who request it should be carefully evaluated. Intervention soon after bereavement may interfere with "natural" grieving processes. Intervention is more effective for those with more complicated forms of grief. Finally, a research agenda is outlined that includes the use of rigorous design and methodological principles in both intervention programs themselves and in studies evaluating their efficacy; systematic investigation of "risk factors"; and comparison of relative effectiveness of different intervention programs (i.e., what works for whom).
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Reviews and meta-analyses of general bereavement interventions have shown that empirical evidence yields inconclusive results on their effectiveness.
“Reviews and meta-analyses of general bereavement interventions have shown that although effectiveness of bereavement interventions is often assumed, empirical evidence yields inconclusive results.”
From Complicated grief after perinatal loss (2012) · cites this paper as [56]
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Self-citation
- Authors
- Schut, H., & Stroebe, M. S.
- Affiliations
- Utrecht University (NL)
- Venue
- Journal of Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2005-12
- Volume
- 8
- Issue
- supplement 1
- Pages
- s-140-s-147
- ISSN
- 1096-6218 (ISSN-L)
- 1557-7740
- OpenAlex
- W1989735232
- Cited by
- 162
- References
- 32
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 7 · 2023: 1 · 2022: 5 · 2021: 8 · 2020: 4 · 2019: 10 · 2018: 9 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 7 · 2012: 10
- FWCI
- 6.16
- Type
- journal article
- Language
- en
- Open access
- green
- dspace.library.uu.nl
- Locations
- Journal of Palliative Medicine (publishedVersion)
- PubMed (publishedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- bereavement, grief, bereavement interventions, complicated grief, intervention efficacy, primary prevention, secondary prevention, tertiary prevention, public health framework, intervention timing, intervention effectiveness evaluation
- MeSH terms
- Adaptation, Psychological, Adjustment Disorders, Bereavement, Counseling, Family, Humans, Psychotherapy, Terminal Care
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