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Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study

OBJECTIVE: Research on homicidal bereavement has focused on postloss impact and coping. Less is known about how individuals perceive their adjustment posthomicide. Adverse experiences are likely to leave individuals with an increased risk of developing severe psychological difficulties, such as depr...

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Autores principales: Alves-Costa, Filipa, Hamilton-Giachritsis, Catherine, Christie, Hope, Halligan, Sarah L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078228/
https://www.ncbi.nlm.nih.gov/pubmed/30082343
http://dx.doi.org/10.1136/bmjopen-2017-020443
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author Alves-Costa, Filipa
Hamilton-Giachritsis, Catherine
Christie, Hope
Halligan, Sarah L
author_facet Alves-Costa, Filipa
Hamilton-Giachritsis, Catherine
Christie, Hope
Halligan, Sarah L
author_sort Alves-Costa, Filipa
collection PubMed
description OBJECTIVE: Research on homicidal bereavement has focused on postloss impact and coping. Less is known about how individuals perceive their adjustment posthomicide. Adverse experiences are likely to leave individuals with an increased risk of developing severe psychological difficulties, such as depression, Post-traumatic stress (PTSD), anxiety and complicated grief. This study aimed to explore how individuals perceive their change and progression posthomicide and post-psychoeducational intervention. DESIGN: Semistructured qualitative interviews were conducted both as part of a prospective study and retrospectively to allow for a longer follow-up period. SETTING: Homicidally bereaved individuals who participated in a residential psychoeducational intervention offered by a national charity (Escaping Victimhood (EV)). PARTICIPANTS: Twenty-nine individuals (mainly females) took part: 14 as part of a 6–9-month follow-up (short-term trajectory group (STG) individuals—mean age 45.25) and 15 individuals (long-term trajectory group (LTG) individuals—mean age 48.50), retrospectively, 2 to 5 years postintervention. RESULTS: Interviews were analysed using an inductive Thematic Analysis method. Three main themes and nine subthemes emerged, and applied to both groups, as follows: (1) actual changes perceived by the participants (increased understanding, improved coping strategies and positive self-change), (2) barriers to recovery (severe psychological difficulties over time, need for further support, reminders and close relationships with both victim and perpetrator), and finally perceived future progression (living day by day, hope and hopelessness). The only significant differences between the two groups related to the reported self-growth among LTG individuals and the perceived increased informal support among STG individuals by keeping in touch in other EV participants. CONCLUSION: This unique study provides insight into how homicidally bereaved individuals perceive their bereavement paths and helped to identify elements that appear to contribute for their adjustment. Importantly, it has highlighted that positive changes can also be an outcome.
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spelling pubmed-60782282018-08-09 Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study Alves-Costa, Filipa Hamilton-Giachritsis, Catherine Christie, Hope Halligan, Sarah L BMJ Open Mental Health OBJECTIVE: Research on homicidal bereavement has focused on postloss impact and coping. Less is known about how individuals perceive their adjustment posthomicide. Adverse experiences are likely to leave individuals with an increased risk of developing severe psychological difficulties, such as depression, Post-traumatic stress (PTSD), anxiety and complicated grief. This study aimed to explore how individuals perceive their change and progression posthomicide and post-psychoeducational intervention. DESIGN: Semistructured qualitative interviews were conducted both as part of a prospective study and retrospectively to allow for a longer follow-up period. SETTING: Homicidally bereaved individuals who participated in a residential psychoeducational intervention offered by a national charity (Escaping Victimhood (EV)). PARTICIPANTS: Twenty-nine individuals (mainly females) took part: 14 as part of a 6–9-month follow-up (short-term trajectory group (STG) individuals—mean age 45.25) and 15 individuals (long-term trajectory group (LTG) individuals—mean age 48.50), retrospectively, 2 to 5 years postintervention. RESULTS: Interviews were analysed using an inductive Thematic Analysis method. Three main themes and nine subthemes emerged, and applied to both groups, as follows: (1) actual changes perceived by the participants (increased understanding, improved coping strategies and positive self-change), (2) barriers to recovery (severe psychological difficulties over time, need for further support, reminders and close relationships with both victim and perpetrator), and finally perceived future progression (living day by day, hope and hopelessness). The only significant differences between the two groups related to the reported self-growth among LTG individuals and the perceived increased informal support among STG individuals by keeping in touch in other EV participants. CONCLUSION: This unique study provides insight into how homicidally bereaved individuals perceive their bereavement paths and helped to identify elements that appear to contribute for their adjustment. Importantly, it has highlighted that positive changes can also be an outcome. BMJ Publishing Group 2018-08-05 /pmc/articles/PMC6078228/ /pubmed/30082343 http://dx.doi.org/10.1136/bmjopen-2017-020443 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Mental Health
Alves-Costa, Filipa
Hamilton-Giachritsis, Catherine
Christie, Hope
Halligan, Sarah L
Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title_full Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title_fullStr Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title_full_unstemmed Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title_short Self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a UK longitudinal qualitative study
title_sort self-perception of adaptation among homicidally bereaved individuals following a psychoeducational intervention: a uk longitudinal qualitative study
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078228/
https://www.ncbi.nlm.nih.gov/pubmed/30082343
http://dx.doi.org/10.1136/bmjopen-2017-020443
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