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The mental health of Australians bereaved during the first two years of the COVID-19 pandemic: a latent class analysis.
Maccallum, F; Breen, L J; Phillips, J L; Agar, M R; Hosie, A; Tieman, J; DiGiacomo, M; Luckett, T; Philip, J; Ivynian, S; Chang, S; Dadich, A; Grossman, C H; Gilmore, I; Harlum, J; Kinchin, I; Glasgow, N; Lobb, E A.
Afiliação
  • Maccallum F; School of Psychology, University of Queensland, Brisbane, QLD, Australia.
  • Breen LJ; School of Population Health and enAble Institute, Curtin University, Perth, WA, Australia.
  • Phillips JL; Faculty of Health and Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia.
  • Agar MR; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Hosie A; School of Nursing & Midwifery, University of Notre Dame Australia and St Vincent's Health Network Sydney, Australia.
  • Tieman J; Research Centre for Palliative Care, Death and Dying, Flinders University, Adelaide, SA, Australia.
  • DiGiacomo M; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Luckett T; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Philip J; Department of Medicine, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, Australia.
  • Ivynian S; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Chang S; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Dadich A; School of Business, Western Sydney University, Penrith, NSW, Australia.
  • Grossman CH; Calvary Health Care Bethlehem, Caulfield South, VIC, Australia.
  • Gilmore I; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
  • Harlum J; District Palliative Care Service, Liverpool Hospital, Liverpool, NSW, Australia.
  • Kinchin I; Centre for Health Policy and Management, Trinity College, the University of Dublin, Dublin, Ireland.
  • Glasgow N; Australian National University College of Health and Medicine, Canberra, ACT, Australia.
  • Lobb EA; Faculty of Health, IMPACCT Centre, University of Technology Sydney, Ultimo, NSW, Australia.
Psychol Med ; 54(7): 1361-1372, 2024 May.
Article em En | MEDLINE | ID: mdl-38179660
ABSTRACT

BACKGROUND:

The COVID-19 pandemic disrupted many areas of life, including culturally accepted practices at end-of-life care, funeral rites, and access to social, community, and professional support. This survey investigated the mental health outcomes of Australians bereaved during this time to determine how these factors might have impacted bereavement outcomes.

METHODS:

An online survey indexing pandemic and bereavement experiences, levels of grief, depression, anxiety, and health, work, and social impairment. Latent class analysis (LCA) was used to identify groups of individuals who shared similar symptom patterns. Multinomial regressions identified pandemic-related, loss-related, and sociodemographic correlates of class membership.

RESULTS:

1911 Australian adults completed the survey. The LCA identified four classes low symptoms (46.8%), grief (17.3%), depression/anxiety (17.7%), and grief/depression/anxiety (18.2%). The latter group reported the highest levels of health, work, and social impairment. The death of a child or partner and an inability to care for the deceased due to COVID-19 public health measures were correlated with grief symptoms (with or without depression and anxiety). Preparedness for the person's death and levels of pandemic-related loneliness and social isolation differentiated all four classes. Unemployment was associated with depression/anxiety (with or without grief).

CONCLUSIONS:

COVID-19 had profound impacts for the way we lived and died, with effects that are likely to ricochet through society into the foreseeable future. These lessons learned must inform policymakers and healthcare professionals to improve bereavement care and ensure preparedness during and following future predicted pandemics to prevent negative impacts.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Luto / COVID-19 / População Australasiana Tipo de estudo: Prognostic_studies Limite: Adult / Humans País/Região como assunto: Oceania Idioma: En Revista: Psychol Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Austrália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Luto / COVID-19 / População Australasiana Tipo de estudo: Prognostic_studies Limite: Adult / Humans País/Região como assunto: Oceania Idioma: En Revista: Psychol Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Austrália