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Mourning in the time of coronavirus: Examining how grief differs in those who lost loved ones to COVID-19 vs. natural causes in Iran

Published online by Cambridge University Press:  27 March 2024

Hajar Aliyaki ,
Fereshteh Momeni ,
Behrouz Dolatshahi ,
Samaneh Hosseinzadeh ,
Shahab Yousefi Open the ORCID record for Shahab Yousefi [Opens in a new window]  and
Fatemeh Abdoli
Hajar Aliyaki
Affiliation:
Department of Clinical Psychology, University of Social Welfare and Rehabilitation, Tehran, Iran
Fereshteh Momeni
Affiliation:
Department of Psychology, University of Social Welfare and Rehabilitation, Tehran, Iran
Behrouz Dolatshahi
Affiliation:
Department of Psychology, University of Social Welfare and Rehabilitation, Tehran, Iran
Samaneh Hosseinzadeh
Affiliation:
Department of Biostatistics, University of Social Welfare and Rehabilitation, Tehran, Iran
Shahab Yousefi*
Affiliation:
Department of Clinical Psychology, School of Behavioral Science and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Science, Tehran, Iran
Fatemeh Abdoli
Affiliation:
Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
*
Corresponding author: Shahab Yousefi; Email: shahabyousefin@gmail.com
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Abstract

Objectives

Our study aimed to analyze and compare the grief experiences of individuals in Iran who lost family members to COVID-19 and those who lost loved ones to other natural causes.

Methods

In this study, telephone interviews were conducted with 640 first-degree relatives, and finally, a total of 395 people remained in the research. Participants answered the Prolonged Grief Questionnaire (PG-13-R) and Grief Experience Questionnaire.

Results

The results showed that the most common symptoms and features of grief were feeling guilt, searching for an explanation, somatic reactions, and rejection, with no significant difference observed between the 2 death groups. However, the average scores for these symptoms were higher in the COVID-19 death group. Moreover, the majority of bereaved reported signs and symptoms of prolonged grief, with a higher percentage in the COVID-19 death group, although there was no significant difference between the 2 death groups in terms of the distribution of symptoms and signs of prolonged grief. These findings suggest that the bereavement process can be challenging, and losing a loved one to COVID-19 may lead to more intense experiences of grief.

Significance of results

The study reveals high levels of guilt, searching for meaning, somatic reactions, and rejection among COVID-19 grievers. Losing loved ones to the pandemic appears linked to more intense, prolonged grief symptoms.

Keywords

Prolonged grief disorderDSM-5-TRCOVID-19bereavementgrief experience
Type
Original Article
Information
Palliative & Supportive Care , First View , pp. 1 - 10
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Copyright
© The Author(s), 2024. Published by Cambridge University Press.

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