Supporting patients who are bereaved
Open accessAbstract
#### What you need to know A doctor consults with a 69 year old patient and notes that she seems distant and sad. It is three months since her partner died. When the doctor asks how she is managing she says the house feels empty without him and she feels low. She no longer sees any reason to cook and struggles to clean. She longs for companionship but refuses invitations from her friends because being with them makes her miss her partner. Her grandchildren are a pleasure but they ask about grandpa, so she doesn’t want to see them. Tearfully, she talks of dreading her future. A woman presents with sleep disturbance and severe headaches a month after her son died by suicide. She believes that a good mother would have saved him and she is plagued by guilty self-recrimination. She seems irritable and has been fighting with her husband. She has been finding it very hard to care for her two living children. Loss of a loved one can be very painful. When seeking support, some people turn to their doctor. Because of their pivotal role in the community, physicians can provide excellent support for bereaved people and can often direct them to additional resources.1 Medical professionals who see bereaved patients …
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Low-intensity interventions recommended by international and national bodies have a good cost-benefit ratio and increase access to psychological interventions in this social context.
“First, the study of low-intensity interventions – recommended by international and national bodies (Shear et al., 2017) – has a good cost-benefit ratio and increases access to psychological interventions in this social context.”
From Effectiveness of Empower-Grief for Relatives of Palliative Care Patients: Protocol for an Exploratory Randomized Controlled Trial (2025) · cites this paper as Shear et al., 2017
Cites
Positive psychological states and coping with severe stress
Folkman, S. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(97)00040-3 · Cited by 1,848 · see citing works
Shear, M. K. (2015) · New England Journal of Medicine · doi:10.1056/nejmcp1315618 · Cited by 533 · see citing works
Self-citationKeyes, K. M., Pratt, C., Galea, S., McLaughlin, K. A., Koenen, K. C., & Shear, M. K. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.13081132 · Cited by 398 · see citing works
Sleep disturbance in bereavement
Monk, T. H., Germain, A., & Reynolds, C. F. (2008) · Psychiatric Annals · doi:10.3928/00485713-20081001-06 · Cited by 59 · see citing works
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Grief and the COVID-19 pandemic in older adults
Goveas, J. S., & Shear, M. K. (2020) · The American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.06.021 · Cited by 201 · see citing works
Self-citationLooking beyond the mean in grief trajectories: A prospective, population-based cohort study
Nielsen, M. K., Carlsen, A. H., Neergaard, M. A., Bidstrup, P. E., & Guldin, M.-B. (2019) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.10.007 · Cited by 138 · see citing works
“Grief reactions after the loss of a close relative are often intense around the time of the loss with grief symptoms such as longing, yearning, preoccupation with the deceased person, and sense of meaninglessness (Shear, 2015; Shear et al., 2017; Prigerson et al., 2009).”
BackgroundNeto, D. D., Coelho, A., Albuquerque, S., & Nunes da Silva, A. (2025) · Clinical Psychology in Europe · doi:10.32872/cpe.14307 · Cited by 4 · see citing works
“First, the study of low-intensity interventions – recommended by international and national bodies (Shear et al., 2017) – has a good cost-benefit ratio and increases access to psychological interventions in this social con text.”
- Authors
- Shear, M. K., Muldberg, S., & Periyakoil, V.
- Affiliations
- Columbia University (US)
- VA Palo Alto Health Care System (US)
- Corresponding author
- Shear, M Katherine
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2017-07-06
- Volume
- 358
- Pages
- j2854
- ISSN
- 1756-1833 (ISSN-L)
- 0959-8138
- PMC
- PMC6887826
- OpenAlex
- W2729065159
- Cited by
- 30
- References
- 4
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 1
- FWCI
- 4.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (R25MD006857)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- bereavement, grief, physician support, grief counseling, suicide bereavement, guilt, sleep disorders, primary care
- MeSH terms
- Adaptation, Psychological, Attitude to Death, Bereavement, Counseling, Depressive Disorder, Diagnosis, Differential, Empathy, Grief, Humans, Medical History Taking, Physician-Patient Relations, Referral and Consultation, Social Support, Stress, Psychological
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