The COVID-19 Disappeared: From Traumatic to Ambiguous Loss and the Role of the Internet for the Bereaved in Italy.
COVID-19
ambiguous loss
facebook
photography
prolonged grief
traumatic loss
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2021
2021
Historique:
received:
23
10
2020
accepted:
30
03
2021
entrez:
24
5
2021
pubmed:
25
5
2021
medline:
25
5
2021
Statut:
epublish
Résumé
In Italy, in the very first phase of the COVID-19 pandemic there was a dramatic rise in mortality. However, families were forbidden because of lockdown regulations to be with their loved ones at their deathbeds or to hold funerals. This qualitative study examined bereavement experiences among family members, how they processed their grief, and how they used social networks in particular by uploading photographs during the working-through of bereavement. The sample was composed of 40 individuals aged 23-63 (80% women) from different Italian cities severely impacted by the virus, including a subgroup from the province of Bergamo, which was the city with the highest mortality rate during that time. All interviews were conducted by phone, Skype, or Zoom. Then, the transcriptions underwent a thematic analysis using Atlas.ti. The main themes that emerged were: abandonment anger and guilt, dehumanized disappeared, derealization and constant rumination, and social support and the importance of sharing photos on Facebook. Importantly, the use of social networks proved to be a valuable source of support and photographs were a powerful tool in facilitating the process of mourning by encouraging narration and sharing. Grief had a complex profile: on the one hand, it was traumatic and characterized by all the risk factors causing mourners to experience prolonged grief, but on the other, some features were similar to ambiguous loss (that occurs without closure and clear understanding) because of the impossibility to be with their relatives in their final moments. The possible relationships between ambiguous loss, the use of internet, and the risk of prolonged grief are discussed.
Identifiants
pubmed: 34025466
doi: 10.3389/fpsyt.2021.620583
pmc: PMC8138554
doi:
Types de publication
Journal Article
Langues
eng
Pagination
620583Informations de copyright
Copyright © 2021 Testoni, Azzola, Tribbia, Biancalani, Iacona, Orkibi and Azoulay.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Death Stud. 1998;22(2):121-40
pubmed: 10182422
Psychol Trauma. 2020 Aug;12(S1):S94-S95
pubmed: 32525367
Front Psychol. 2020 Feb 05;11:68
pubmed: 32116898
PLoS One. 2019 Feb 19;14(2):e0212575
pubmed: 30779787
Psychol Trauma. 2020 Aug;12(S1):S55-S57
pubmed: 32551762
Front Psychol. 2020 Sep 24;11:2229
pubmed: 33101106
Front Psychiatry. 2020 Sep 23;11:552450
pubmed: 33173507
Eur Heart J. 2020 May 14;41(19):1783-1784
pubmed: 32255476
Proc Natl Acad Sci U S A. 2020 Apr 28;117(17):9241-9243
pubmed: 32269081
J Pain Symptom Manage. 2020 Aug;60(2):e33-e39
pubmed: 32416233
Behav Sci (Basel). 2020 May 28;10(6):
pubmed: 32481496
Health Psychol Open. 2018 Nov 19;5(2):2055102918809759
pubmed: 30479826
Lancet Glob Health. 2020 May;8(5):e641-e642
pubmed: 32199072
Int J Psychol. 2019 Aug;54(4):454-461
pubmed: 29508381
Am J Geriatr Psychiatry. 2020 Oct;28(10):1119-1125
pubmed: 32709542
J Pain Symptom Manage. 2017 Sep;54(3):273-279
pubmed: 28711756
Clin Psychol Psychother. 2017 Nov;24(6):O1455-O1463
pubmed: 28653318
Basic Clin Neurosci. 2020 Mar-Apr;11(2):225-232
pubmed: 32855782
Behav Sci (Basel). 2020 May 11;10(5):
pubmed: 32403378
Front Psychol. 2020 May 12;11:966
pubmed: 32477229
Depress Anxiety. 2020 Jun;37(6):505-509
pubmed: 32421214
Behav Sci (Basel). 2020 Jul 06;10(7):
pubmed: 32640528
Asian J Psychiatr. 2020 Jun;51:102085
pubmed: 32413616
Am J Psychiatry. 2014 Aug;171(8):864-71
pubmed: 24832609
Omega (Westport). 2015;72(2):119-50
pubmed: 27132379
Lancet. 2007 Dec 8;370(9603):1960-73
pubmed: 18068517
Depress Anxiety. 2020 Jan;37(1):35-44
pubmed: 30339302