A Mixed Methods Approach of End-of-Life Care, Social Rites, and Bereavement Outcomes: A Transnational Perspective.
Fiche publication
Date publication
mars 2020
Journal
Culture, medicine and psychiatry
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACQUE Marie-Frédérique
Tous les auteurs :
Kokou-Kpolou CK, Moukouta CS, Sani L, McIntee SE, Cénat JM, Awesso A, Bacqué MF
Lien Pubmed
Résumé
The current article focused on examining the potential benefits of the End-of-Life (EoL) informal caregiving, communication, and ritualistic behaviors in adaptation to the conjugal bereavement across two different cultural-background contexts: France and Togo, West Africa. The investigation adopted a transnational approach including a total of 235 bereaved spouses. Despite the variation in the length of time since death, no significant difference was found between the Togolese and French bereaved with respect to the level of complicated grief symptoms. However, the Togolese bereaved perceived a significant postloss growth, fostered by EoL communication with the dying and the performance of ritualistic behaviors. In the French sample, bereaved individuals who had experienced more intimate communication with their dying spouse reported a high level of postloss growth. Moreover, findings showed that EoL caregiving without ritualistic support or communication is associated with poor postbereavement outcomes. These findings suggest a clinical need to promote informal caregiving to the dying, communication with the dying, and ritualistic support during the process of dying as entangled components of EoL care.
Mots clés
Complicated grief, End-of-life care, Postloss growth, Rituals, Spouse bereavement
Référence
Cult Med Psychiatry. 2020 Mar 2;: