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Mindfulness-Based Interventions for Bereavement: A Systematized Narrative Review.

Fabio D'Antoni1, Fabio Mattiussi2, Cristiano Crescentini3

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Summary

Mindfulness-based interventions (MBIs) show promise for grief and distress reduction in bereavement care. Further research is needed to confirm their effectiveness and optimal use alongside other therapies.

Keywords:
bereavementgriefmental healthmindfulness-based interventionsprolonged grief disorder

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health

Background:

  • Mindfulness-based interventions (MBIs) show potential in various psychiatric conditions.
  • Bereavement is a complex process, with some individuals developing prolonged grief disorder (PGD).
  • The role of MBIs in bereavement care requires further synthesis.

Purpose of the Study:

  • To synthesize the existing evidence on the effectiveness of MBIs in bereavement.
  • To understand how MBIs impact grief, psychological distress, and related mechanisms.
  • To inform clinical practice regarding MBIs for individuals experiencing bereavement.

Main Methods:

  • A systematized narrative review of empirical studies on MBIs for bereavement.
  • Literature search across major databases without restrictions on loss type, population, or intervention format.
  • Narrative synthesis and summarization of data; no meta-analysis was performed.

Main Results:

  • Seventeen studies were included, with Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) showing the most evidence.
  • MBIs improved grief distress, depressive symptoms, and well-being, reducing rumination and experiential avoidance.
  • Benefits included increased self-compassion and enhanced emotion regulation, though study limitations were noted.

Conclusions:

  • MBIs show promise as adjunctive treatments for bereavement, targeting acceptance, decentering, and self-compassion.
  • Current evidence is preliminary and limited by study methodologies.
  • High-quality randomized controlled trials are necessary to establish efficacy and clarify mechanisms.