Restricted End-of-Life Care and Mourning During Covid-19
A Longitudinal Study on Grief, Mental Health, and Rumination
Bibliographic Data
| ID | 20959040 |
|---|---|
| Authors | Alexandra Coelho (0000-0002-2883-415X, University of Lisbon, corresponding author), Sara Albuquerque (0000-0003-2619-8556, Universidade Lusófona), Mayra Delalibera (0000-0002-7876-3222, University of Coimbra), João Batista (0000-0002-8830-0475, University of Trás-os-Montes and Alto Douro) |
| Year | 2026 |
| Pages | 302228261443784-302228261443784 |
| Publication date | 2026-05-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | OMEGA - Journal of Death and Dying (JOURNAL) |
| Journal identifiers | ISSN: 0030-2228 • E-ISSN: 1541-3764 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/00302228261443784 |
| PMID | 42082893 |
| OpenAlex | W7160328312 |
| Language | EN |
| References cited | 51 |
This longitudinal study examined the mental health impact of COVID-19 restrictions on individuals bereaved during the pandemic, focusing on the mediating role of grief-specific rumination. A total of 141 adults who lost a significant person during the COVID-19 pandemic completed questionnaires at two time points, assessing perceived restrictions, psychological impact, trauma, anxiety, depression, prolonged grief, and rumination. Results showed that high levels of restrictions’ psychological impact were associated with elevated symptoms of trauma, anxiety, depression, and prolonged grief. Although only 8.5% met criteria for Prolonged Grief Disorder (PGD), trauma symptoms remained prevalent in 70.9% nearly a year after the loss. Mediation analyses showed that grief-specific rumination statistically accounted for the association between the psychological impact of restrictions and prolonged grief symptoms. The findings underscore the disruptive effects of pandemic-related restrictions on grieving processes and suggest that interventions targeting rumination may reduce long-term psychological distress in bereaved individuals
Complicated grief · Distress · Grief · Longitudinal study · Mediation · Mental health · Psychological intervention · Rumination · COVID-19 and Mental Health · Family Support in Illness · Grief, Bereavement, and Mental Health
Diagnostic and Statistical Manual of Mental Disorders
How do Funeral Practices Impact Bereaved Relatives' Mental Health, Grief and Bereavement? A Mixed Methods Review with Implications for Covid-19
Prolonged Grief Disorder
Prevalence of prolonged grief disorder in adult bereavement
Prevalence of comorbidities and its effects in patients infected with Sars-CoV-2
The Brief Symptom Inventory
Prolonged grief during and beyond the pandemic
Managing Anticipatory Grief in Family and Partners
Who suffered most after deaths due to Covid-19? Prevalence and correlates of prolonged grief disorder in Covid-19 related bereaved adults
A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in Covid-19 bereaved adults
Prolonged grief related to Covid-19 deaths
Covid-19 and Disenfranchised Grief
Different Trajectories of Prolonged Grief in Bereaved Family Members After Terror
Understanding Differential Stress and Mental Health Reactions to Covid-19-Related Events
Mourning During Corona
Grief Rituals and Grief Reactions of Bereaved Individuals During the Covid-19 Pandemic
Depression, Complicated Grief, and Suicide Ideation Following Bereavement During the Covid-19 Pandemic
Help-Seeking Buffers the Impact of Grief on Quality of Life
Investigation into Grief Experiences of the Bereaved During the Covid-19 Pandemic
Death and Dying in a Digitalized World
Prolonged Grief in Times of Lockdown During the Covid-19 Pandemic
Losing a Loved One During the Covid-19 Pandemic
The End of Life Accompanied by Covid-19
Mourning in a Pandemic
The Many Faces of Grief
I can't believe they are dead. Death and mourning in the absence of goodbyes during the Covid‐19 pandemic
Internalized versus externalized continuing bonds
Supporting bereaved people
Utrecht grief rumination scale (UGRS)
Family grief during the Covid-19 pandemic
| Citation velocity | historical |
|---|---|
| Highly cited | No |