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Being there: A scoping review on psychosocial challenges faced by adolescents during bereavement in the Southern African Development Community

Namoonga Chilwalo, Katlego Rantho, Miriam Hasheela, Frans Matlakala

Article ID: 2188
Vol 9, Issue 3, 2024, Article identifier:

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Abstract

Background information: Bereavement enhances adolescent’s chances of suffering from psychosocial problems globally and adolescents in the Southern African Development Community (SADC) are not an exception. Due to the mourning condition, some of the adolescents become susceptible to multiple mental disorders, stigmatization and social rejection leading to maladaptive coping mechanisms such as substance abuse. Purpose: This study aimed to synthesize the existing literature on the psychological challenges faced by adolescents during bereavement in SADC. Methods: We opted for a scoping review due to its ability to rapidly map the existing literature sourced from international databases (JSTOR, and PubMed), local databases (Sabinet African Journal) and performed hand-search using Google Scholar. We made use of operators and techniques such as Boolean operators, truncations and MeSH terms. The inclusion of the study was limited to adolescents aged 10–26 years within SADC, primary studies (qualitative, quantitative and mixed methods) and a 10-year projection of studies conducted from 2013 to 2023 in SADC. Results: The findings of the study revealed that adolescents in SADC experience feelings of hopelessness, low self-esteem, anger, grief overload, suicidal thoughts, shock and confusion as a result of bereavement. They are also battling with poor academic performance and abuse due to being socially stigmatized and rejected. To cope with this ordeal, some of the adolescents’ resort to dropping out of school, social isolation and substance abuse. Conclusions and recommendations: Our research has revealed that bereavement in adolescents is closely linked with psychological challenges. In addition to psychological distress, our research has unveiled profound social challenges faced by bereaved adolescents. Adolescents frequently encounter the risk of abuse within their families and experience financial hardships following the loss of loved ones. Thus, recommends a constructive active plan for offering support services to bereaved adolescents and, the adoption and promotion of bereavement programs within families, communities and social welfare centres to address risk factors of maladaptive coping.


Keywords

adolescents; bereavement; mental health; psychosocial; SADC; scoping review

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References

1. Buglass E. Grief and bereavement theories. Nursing Standard. 2010, 24(41): 44-47. doi: 10.7748/ns2010.06.24.41.44.c7834

2. Simon NM, Hoeppner SS, Lubin RE, et al. Understanding the impact of complicated grief on combat related posttraumatic stress disorder, guilt, suicide, and functional impairment in a clinical trial of post‐9/11 service members and veterans. Depression and Anxiety. 2020, 37(1): 63-72. doi: 10.1002/da.22911

3. Skantharajah N, Barrie C, Baxter S, et al. The Grief and Bereavement Experiences of Informal Caregivers: A Scoping Review of the North American Literature. Journal of Palliative Care. 2021, 37(2): 242-258. doi: 10.1177/08258597211052269

4. Ismail A, Dekel R. Competing aspects of the rural Arab mothers’ bereavement experience. Journal of Community Psychology. 2023, 51(5): 2261-2275. doi: 10.1002/jcop.23026

5. Bonanno GA. The other side of sadness: What the new science of bereavement tells us about life after loss. Hachette UK; 2019.

6. Cleiren M. Bereavement and adaptation: A comparative study of the aftermath of death. Taylor & Francis; 2019. doi: 10.4324/9781315793092

7. Tsolekile LP, Puoane T, Schneider H, et al. The roles of community health workers in management of non-communicable diseases in an urban township. African Journal of Primary Health Care & Family Medicine. 2014, 6(1). doi: 10.4102/phcfm.v6i1.693

8. Burrell A, Selman LE. How do Funeral Practices Impact Bereaved Relatives’ Mental Health, Grief and Bereavement? A Mixed Methods Review with Implications for COVID-19. OMEGA-Journal of Death and Dying. 2020, 85(2): 345-383. doi: 10.1177/0030222820941296

9. Manala M. African traditional widowhood rites and their benefits and/or detrimental effects on widows in a context of African Christianity. HTS Teologiese Studies/Theological Studies. 2015, 71(3). doi: 10.4102/hts.v71i3.2913

10. Wagner AJ. Do not click “like” when somebody has died: The role of norms for mourning practices in social media. Social Media + Society. 2018, 4(1): 2056305117744392.

11. Maschi T, Viola D, Morgen K, et al. Trauma, stress, grief, loss, and separation among older adults in prison: the protective role of coping resources on physical and mental well-being. Journal of Crime and Justice. 2013, 38(1): 113-136. doi: 10.1080/0735648x.2013.808853

12. Butler AE, Hall H, Copnell B. Bereaved parents’ experiences of research participation. BMC Palliative Care. 2018, 17(1). doi: 10.1186/s12904-018-0375-4

13. Dyregrov K, Dyregrov A, Kristensen P. In What Ways Do Bereaved Parents After Terror Go on With Their Lives, and What Seems to Inhibit or Promote Adaptation During Their Grieving Process? A Qualitative Study. OMEGA—Journal of Death and Dying. 2016, 73(4): 374-399. doi: 10.1177/0030222816653851

14. Aoun SM, Breen LJ, Howting DA, et al. Who Needs Bereavement Support? A Population Based Survey of Bereavement Risk and Support Need. PLoS One. 2015, 10(3): e0121101. doi: 10.1371/journal.pone.0121101

15. McNeil MJ, Namisango E, Hunt J, et al. Grief and Bereavement in Parents After the Death of a Child in Low- and Middle-Income Countries. Children. 2020, 7(5): 39. doi: 10.3390/children7050039

16. SADC. Member States: Southern African Development Community. Available online: https://www.sadc.int/member-states (accessed on 25 November 2023).

17. Breslau N, Peterson EL, Poisson LM, Schultz LR, Lucia VC. Estimating post-traumatic stress disorder in the community: lifetime perspective and the impact of typical traumatic events. Psychological medicine. 2004, 34(5): 889-898. doi: 10.1017/s0033291703001612

18. Kaplow JB, Saunders J, Angold A, et al. Psychiatric Symptoms in Bereaved Versus Nonbereaved Youth and Young Adults. Journal of the American Academy of Child & Adolescent Psychiatry. 2010, 49(11): 1145-1154. doi: 10.1097/00004583-201011000-00008

19. Unicef. Trends in maternal mortality: 1990 to 2013. Geneva: World Health Organization; 2014.

20. Pynoos RS, Steinberg AM, Layne CM, et al. Modeling constellations of trauma exposure in the National Child Traumatic Stress Network Core Data Set. Psychological Trauma: Theory, Research, Practice, and Policy. 2014, 6(Suppl 1): S9-S17. doi: 10.1037/a0037767

21. McChesney GC, Adamson G, Shevlin M. A latent class analysis of trauma based on a nationally representative sample of US adolescents. Social Psychiatry and Psychiatric Epidemiology. 2015, 50(8): 1207-1217. doi: 10.1007/s00127-015-1075-5

22. McChesney GC, Adamson G, Shevlin M. Service use patterns and mental health symptoms among adolescents exposed to multiple types of trauma. Journal of Adolescence. 2015, 40(1): 1-10. doi: 10.1016/j.adolescence.2015.01.003

23. Layne CM, Kaplow JB, Youngstrom EA. Applying Evidence-Based Assessment to Childhood Trauma and Bereavement: Concepts, Principles, and Practices. Evidence-Based Treatments for Trauma Related Disorders in Children and Adolescents. 2017, 67-96. doi: 10.1007/978-3-319-46138-0_4

24. Bartik W, Maple M, Edwards H, et al. Adolescent Survivors After Suicide: Crisis. 2013, 34(3): 211-217. doi: 10.1027/0227-5910/a000185

25. Bartik W, Maple M, Edwards H, et al. The psychological impact of losing a friend to suicide. Australasian Psychiatry. 2013, 21(6): 545-549. doi: 10.1177/1039856213497986

26. Hoffmann WA, Myburgh C, Poggenpoel M. The lived experiences of late-adolescent female suicide survivors: ‘A part of me died.’ Health SA Gesondheid. 2010, 15(1). doi: 10.4102/hsag.v15i1.493

27. Dyregrov K, Dyregrov A. Siblings After Suicide—”The Forgotten Bereaved.” Suicide and Life-Threatening Behavior. 2005, 35(6): 714-724. doi: 10.1521/suli.2005.35.6.714

28. Cerel J, Roberts TA. Suicidal behavior in the family and adolescent risk behavior. Journal of Adolescent Health. 2005, 36(4): 352.e8-352.e14. doi: 10.1016/j.jadohealth.2004.08.010

29. Cerel J, Roberts TA, Nilsen WJ. Peer Suicidal Behavior and Adolescent Risk Behavior. Journal of Nervous & Mental Disease. 2005, 193(4): 237-243. doi: 10.1097/01.nmd.0000158377.45920.0a

30. Feigelman W, Gorman BS. Assessing the Effects of Peer Suicide on Youth Suicide. Suicide and Life-Threatening Behavior. 2008, 38(2): 181-194. doi: 10.1521/suli.2008.38.2.181

31. Muñiz-Cohen M, Melhem NM, Brent DA. Health Risk Behaviors in Parentally Bereaved Youth. Archives of Pediatrics & Adolescent Medicine. 2010, 164(7). doi: 10.1001/archpediatrics.2010.101

32. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005, 8(1): 19-32. doi: 10.1080/1364557032000119616

33. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implementation Science. 2010, 5(1). doi: 10.1186/1748-5908-5-69

34. Sawyer SM, Azzopardi PS, Wickremarathne D, et al. The age of adolescence. The Lancet Child & Adolescent Health. 2018, 2(3): 223-228. doi: 10.1016/s2352-4642(18)30022-1

35. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery. 2010, 8(5): 336-341. doi: 10.1016/j.ijsu.2010.02.007

36. Weyers M. The Theory and Practice of Community Work: A Southern African Perspective, 2nd ed. Keurkopie; 2011.

37. Jacobides MG, Cennamo C, Gawer A. Towards a theory of ecosystems. Strategic Management Journal. 2018, 39(8): 2255-2276. doi: 10.1002/smj.2904

38. Agere LM, Tanga PT. A critical examination of the nexus between psychosocial challenges and resilience of child headed households: A case of Zola, Soweto. Child abuse research in South Africa. 2017, 18(2): 59–67.

39. Woollett N, Black V, Cluver L, et al. Reticence in disclosure of HIV infection and reasons for bereavement: impact on perinatally infected adolescents’ mental health and understanding of HIV treatment and prevention in Johannesburg, South Africa. African Journal of AIDS Research. 2017, 16(2): 175-184. doi: 10.2989/16085906.2017.1337646

40. Mohale NF. The burden of grandparenting: caring for AIDS-orphaned grandchildren in Lephalale, South Africa. University of Limpopo; 2013.

41. Nabunya P, Ssewamala FM. The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter? Children and Youth Services Review. 2014, 43: 131-137. doi: 10.1016/j.childyouth.2014.05.011

42. Ntuli B, Sebola E, Madiba S. Responding to Maternal Loss: A Phenomenological Study of Older Orphans in Youth-Headed Households in Impoverished Areas of South Africa. Healthcare. 2020, 8(3): 259. doi: 10.3390/healthcare8030259


DOI: https://doi.org/10.54517/esp.v9i3.2188
(166 Abstract Views, 124 PDF Downloads)

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Copyright (c) 2024 Namoonga Chilwalo, Katlego Rantho, Miriam Hasheela, Frans Matlakala

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