Palliative Medicine

 

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Palliative Medicine, Vol. 21, No. 3, 207-217 (2007)
DOI: 10.1177/0269216307077327


Reviews

Do religious or spiritual beliefs influence bereavement? A systematic review

Gerhild Becker

Department of Internal Medicine, University Hospital of Freiburg, Freiburg, Germany, becker{at}med1.ukl.uni-freiburg.de

Carola J. Xander

Department of Internal Medicine, University Hospital of Freiburg, Freiburg, Germany

Hubert E. Blum

Department of Internal Medicine, University Hospital of Freiburg, Freiburg, Germany

Johannes Lutterbach

Department of Radiotherapy, University Hospital of Freiburg, Freiburg, Germany

Felix Momm

Department of Radiotherapy, University Hospital of Freiburg, Freiburg, Germany

Marjolein Gysels

Department of Palliative Care and Policy, King's College London, London, UK

Irene J Higginson

Department of Palliative Care and Policy, King's College London, London, UK

Background: Responses to bereavement may be influenced by characteristics such as age or gender, but also by factors like culture and religion. Aim: A systematic review was undertaken to assess whether spiritual or religious beliefs alter the process of grief and/or bereavement. Methods: Fifteen computerized databases were searched. Thirty-two studies met the inclusion criteria. Evidence was graded according to the standard grading system of the Clinical Outcomes Group and by the SIGNAL score. Results: In total, 5715 persons were examined: 69% women, 87% white, 83% protestant. Ninety-four percent of studies show some positive effects of religious/spiritual beliefs on bereavement, but there was a great heterogeneity regarding included populations and outcome measurements. Conclusion: Available data do not allow for a definite answer on whether religious/spiritual beliefs effectively influence bereavement as most studies suffer from weaknesses in design and methodological flaws. Further research is needed. Recommendations for further research are given. Palliative Medicine 2007; 21: 207—217

Key Words: bereavement • coping • religion • spirituality • systematic review


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