Experiências de luto real e simbólico durante a pandemia de COVID-19: uma revisão integrativa da literatura: A

Jaiana Morais; Gabriel Arruda; Cynthia de Freitas Melo; Clerton Martins

doi:10.31211/rpics.2024.10.2.340

Autores

Jaiana Morais Universidade de Fortaleza, Fortaleza, Brasil https://orcid.org/0000-0002-7152-8991
Gabriel Arruda Universidade de Fortaleza, Fortaleza, Brasil https://orcid.org/0000-0002-7716-1764
Cynthia de Freitas Melo Universidade de Fortaleza, Fortaleza, Brasil https://orcid.org/0000-0003-3162-7300
Clerton Martins Universidade de Fortaleza, Fortaleza, Brasil https://orcid.org/0000-0002-8229-0915

DOI:

https://doi.org/10.31211/rpics.2024.10.2.340

Palavras-chave:

Luto, COVID-19, Perdas Simbólicas, Saúde Mental, Estudo de Revisão

Resumo

Contexto: A pandemia de COVID-19 alterou profundamente as formas de vivenciar o luto, com restrições aos rituais fúnebres e isolamento social. Objetivo: Este estudo teve como objetivo analisar a produção científica sobre as experiências de luto por perdas reais e simbólicas durante a pandemia. Métodos: Realizou-se uma revisão integrativa da literatura, por meio de dois revisores, selecionando 65 artigos publicados na íntegra, entre 2020 e julho de 2023, em português, inglês ou espanhol, nas bases PubMed, SciELO, PePSIC, MEDLINE, LILACS e Index PSI, localizados a partir da combinação dos descritores “Luto”, “Grief”, “Bereavement”, “Aflicción” e “COVID-19”. Resultados: Os resultados mostraram a prevalência de estudos em inglês, qualitativos, realizados com familiares enlutados, publicados no terceiro ano de pandemia. Os dados qualitativos foram organizados em três categorias: 1) Experiências de Luto na COVID-19, que aborda as experiências de luto vividas em variadas culturas, sociedades, grupos profissionais e contextos de saúde durante a pandemia; 2) Implicações Socioculturais e para a Saúde da Supressão de Rituais, que discute as implicações socioculturais e para a saúde dos enlutados vividas em função da supressão dos rituais fúnebres e de despedida, e 3) Intervenções e Estratégias de Apoio, que examina estratégias utilizadas para apoiar familiares enlutados e reduzir danos à saúde mental. Conclusões: As mudanças impostas pela pandemia na vivência das experiências de luto impactaram a saúde mental dos enlutados. Estudos longitudinais são necessários para avaliar as consequências a longo prazo em diferentes culturas, e orientar ações de prevenção e cuidado.

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Referências

Adiukwu, F., Kamalzadeh, L., Costa, M. P., Ransing, R., Filippis, R., Pereira-Sanchez, V., Larnaout, A., Gonzalez-Diaz, J. M., Eid, M., Syarif, Z., Orsolini, L., Ramalho, R., Vadivel., & Shalbafan, M. (2022). The grief experience during the COVID‑19 pandemic across different cultures. General Psychiatry, 21(18), 1–4. https://doi.org/gs93w5

Aguiar, A., Pinto, M., & Duarte, R. (2022). A qualitative study on the impact of death during COVID-19: Thoughts and feelings of Portuguese bereaved adults. PLoS ONE 17(4), Artigo e0265284. https://doi.org/mqwp

Ansari, D. (2022). An accumulation of distress: Grief, loss, and isolation among healthcare providers during the COVID-19 pandemic. Mental Health, Artigo 100146. https://doi.org/grrqhs

Asgari, M., Ghasemzadeh, M., Alimohamadi, A., Sakhaei, S., Killikelly, C., & Nikfar, E. (2023). Investigation into grief experiences of the bereaved during the Covid-19 pandemic. Journal of Death and Dying, 1–22. https://doi.org/mqwq

Bardin, L. (2016). Análise de conteúdo. São Paulo: Edições.

Blanckenburg, P. V., Seifart, C, Ramaswamy, A., Berthold, D., & Volberg, C. (2023). Prolonged grief in times of lockdown during the COVID-19 pandemic. Journal of Death and Dying, 1–19. https://doi.org/mqwr

Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G, Haring, M., Sonnega, J., Carr, D., & Nesse, R. M. (2002). Resilience to loss and chronic grief: A prospective study from preloss to 18-months postloss. Journal of Personality and Social, 83(5), 1150–1164. https://doi.org/fw6dx5

Borghi, L., Menichetti, J., Vegni, E., & The Early Bereavement Psychological Intervention Working Group. (2021). A phone-based early psychological intervention for supporting bereaved families in the time of COVID-19. Public Health, 9, Artigo 625691. https://doi.org/mqws

Burrell, A., & Selman, L. E. (2022). How do funeral practices impact bereaved relatives' mental health, grief and bereavement? A mixed methods review with implications for COVID-19. Journal of Death and Dying, 85(2), 345–383. https://doi.org/ghgq4v

Braz, M. S., & Franco, M. H. P. (2017). Profissionais paliativistas e suas contribuições na prevenção de luto complicado. Psicologia: Ciência e Profissão, 37(1), 90–105. https://doi.org/k7kb

Cardoso, E. A. O., Silva, B. C. A., Santos, J. H., Lotério, L. S., Accoroni, A. G., & Santos, M. A. (2020). Efeitos da supressão de rituais fúnebres durante a pandemia de COVID-19 em familiares enlutados. Revista Latino-Americana de Enfermagem, 28, Artigo e3361. https://doi.org/gs5gfr

Casellato, G. (2020). Luto por perdas não legitimadas na atualidade. Summus.

Corona, A. G. L., Chin, J., No, P., & Tom, J. (2022). The virulence of grief in the pandemic: Bereavement overload during COVID. American Journal of Hospice & Palliative Medicine, 39(10), 1244–1249. https://doi.org/mqwt

Crepaldi, M. A., Schmidt, B., Noal, D. S., Bolze, S. D. A., & Gabarra, L. M. (2020). Terminalidade, morte e luto na pandemia de COVID-19: Demandas psicológicas emergentes e implicações práticas. Estudos de Psicologia (Campinas), 37, Artigo e200090. https://doi.org/ggx6bs

Dantas, C. R., Azevedo, R. C. S., Vieira, L. C., Côrtes, M. T. F., Federmann, A. L. P., Cucco, L. M., Rodrigues, L. R., Domingues, J. F. R., Dantas, J. E., Portella, I. P & Cassorla, R. M. S. (2020). O luto nos tempos da COVID-19: Desafios do cuidado durante a pandemia. Revista Latinoamericana de Psicopatologia Fundamental, 23(3), 509–533. https://doi.org/mqwv

Delor, J. P. M., Borghi, L., Marco, E. C. S., Fossati, I., & Vegni, E. (2021). Phone follow up to families of COVID-19 patients who died at the hospital: Families' grief reactions and clinical psychologists' roles. International Journal of Psychology. https://doi.org/h7q4

Dennis, B., Vanstone, M., Swinton, M., Vegas, D. B., Dionne, J. C., Cheung, A., Clarke, F. J., Hoad, N., Boyle, A., Huynh, J., Toledo, F., Soth, M., Neville, T. H., Fiest, K., & Cook, D. J. (2022). Sacrifice and solidarity: A qualitative study of family experiences of death and bereavement in critical care settings during the pandemic. BMJ Open, 12, Artigo e058768. https://doi.org/gqqxd8

Dew, R., Heath, L., & Egan, R. (2022). Narratives of loss: The impact of COVID-19 lockdown on experiences of loss, grief, and bereavement. Primary Health Care, 14(4), 345–351. https://doi.org/mqww

Downar, J. Parsons, H. A., Cohen, L., Besserer, E., Adeli, S., Gratton, V., Murphy, R., Warmels, G., Bruni, A., Bhimji, K., Dyason, C., Enright, P., Desjardins, I., Wooller, K., Kabir, M., Noel, C., Heidinger, B., Anderson, K., Arsenault-Mehta, K., Lapenskie, … & Lawlor, P. (2022). Bereavement outcomes in family members of those who died in acute care hospitals before and during the first wave of COVID-19: A cohort study. Palliative Medicine, 36(8), 1305–1312. https://doi.org/gs3z7m

Eisma, M. C., & Tamminga, A. (2020). Grief before and during the COVID-19 pandemic: Multiple group comparisons. Journal of Pain and Symptom Management, 60(6), E1–E4. https://doi.org/h62n

Estrela, F. M., Silva, A. F., Oliveira, A. C. B., Magalhães, J. R. F., Soares, C. F. S., Peixoto, T. M., & Oliveira, M. A. S. (2021). Enfrentamento do luto por perda familiar pela Covid-19: Estratégias de curto e longo prazo. Persona y Bioética, 25(1), Artigo e2513. https://doi.org/mqwx

Feder, S., Smith, D., Griffin, H., Shreve, S. T., Kinder, D., Kutney-Lee, A., & Ersek, M. (2021). "Why couldn't I go in to see him?" Bereaved families' perceptions of end-of-life communication during COVID-19. Journal of the American Geriatrics Society, 69(3), 587–592. https://doi.org/gnt6wc

Félix-Silva, A. V., Gomes, C. B. S., & Araújo, J. L. S. (2021). Luto e sobrevivência: A luta das comunidades tradicionais pesqueiras nos contextos da pandemia da Covid-19. Estudos de Psicologia, 26(3), 286–297. http://bit.ly/3VV0FGz

Fernandez, O., & Gonzalez-Gonzalez, M. (2020). The dead with no wake, grieving with no closure: Illness and death in the days of coronavirus in Spain. Journal of Religion and Health, 61, 703–721. https://doi.org/gk7khw

Franco, M. H. P. (2021). O luto no século 21: Uma compreensão abrangente do fenômeno. Summus Editorial.

Gabay, G., & Tarabeih, M. (2022). Death from COVID-19, Muslim death rituals and disenfranchised grief – A patient-centered care perspective. Journal of Death and Dying, 89(4), 1–22. https://doi.org/gqdwhg

Garrido, R. G., & Garrido, F. D. S. R. G. (2020). COVID-19: Um panorama com ênfase em medidas restritivas de contato interpessoal. Interfaces Científicas-Saúde e Ambiente, 8(2), 127–141. https://doi.org/nkcs

Giamattey, M. E. P., Frutuoso, J. T., Bellaguarda, M. L. R., & Luna, I. J. (2022). Rituais fúnebres na pandemia de COVID-19 e luto: possíveis reverberações. Escola Anna Nery - Revista de Enfermagem, 26, Artigo e20210208. https://doi.org/mqwz

Guité-Verret, A., Vachon, M., Ummel, D., Lessard, E., & Francoeur-Carron, C. (2021). Expressing grief through metaphors: Family caregivers' experience of care and grief during the Covid-19 pandemic, International Journal of Qualitative Studies on Health and Well-being, 16(1), Artigo 1996872. https://doi.org/h7qv

Harrop, E., Goss, S., Farnell, D., Longo, M., Byrne, A., Barawi, K., Torrens-Burton, A., Nelson, A., Seddon, K., Machin, L., Sutton, E., Roulston, A., Finucane, A., Penny, A., Smith, K. V., Sivell, S., & Selman, L. E. (2021). Support needs and barriers to accessing support: Baseline results of a mixed-methods national survey of people bereaved during the COVID-19 pandemic. Palliative Medicine, 35(10) 1985–1997. https://doi.org/gng2g8

Harrop, E., Goss, S., Longo, M., Seddon, K., Torrens-Burton, A., Sutton, E., Farnell, D. J. J., Penny, A., Nelson, A., Byrne, A., & Selman, L. E. (2022). Parental perspectives on the grief and support needs of children and young people bereaved during the COVID-19 pandemic: Qualitative findings from a national survey. BMC Palliative Care, 21(177), 1–10. https://doi.org/mqw2

Helton, G., Wolfe, J., & Snaman, J. M. (2020). Definitely mixed feelings: The effect of COVID-19 on bereavement in parents of children who died of cancer. Journal of Pain and Symptom Management, 60(5), 15–20. https://doi.org/gmzzv7

Hernandez-Fernandez, C., & Meneses-Falcon, C. (2022). I can't believe they are dead. Death and mourning in the absence of goodbyes during the COVID-19 pandemic. Health & Social Care Community, 30, 1220–1232. https://doi.org/h7qz

Hinkson, G. M., Huggins, C. L., & Doyle, M. (2022). Transnational caregiving and grief: An autobiographical case study of loss and love during the COVID-19 pandemic. Journal of Death and Dying, 90(1) 1–16. https://doi.org/mqw3

Jose, K. M. C. S., Navarro, A. J., Pomida, A. N., & Hechanova-Alampay, M. R. (2023). Bereaved in me: Understanding the vicarious grief experiences among helping professionals during the COVID-19 pandemic. Journal of Death and Dying, 1–21, (online first). https://doi.org/mqw4

Kastrinos, A., Bacharz, K., Mroz, E. L., Fisher, C. L., Applebaum, A. J. (2023). A mixed-method examination of emerging and young adult cancer caregivers' experiences during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 20(8), Artigo 5537. https://doi.org/mqw5

Kentish-Barnes, N., Cohen-Solal, Z., Morin, L., Souppart, V., Pochard, F., & Azoulay, E. (2021). Lived experiences of family members of patients with severe COVID-19 who died in intensive care units in France. JAMA Network Open, 4(6), Artigo e2113355. https://doi.org/h7q2

Kgatle, M. S., & Segalo, P. (2021). Grieving during a pandemic: A psycho-theological response. Verbum et Ecclesia, 42(1), Artigo a2260. https://doi.org/mqw6

Liang, N., Becker, T. D., & Rice, T. (2022). Preparing for the COVID-19 pediatric mental health crisis: A focus on youth reactions to caretaker death. Clinical Child Psychology and Psychiatry, 27(1), 228–237. https://doi.org/k3x3

Lockwood C., Porrit K., Munn Z., Rittenmeyer L., Salmond S., Bjerrum M., Loveday H., Carrier J., & Stannard D. (2020). Systematic reviews of qualitative evidence. Em E. Aromataris & Z. Munn. (Eds), JBI manual for evidence synthesis. JBI. https://doi.org/mqw7

Lopes, F. G., Lima, M. J. V., Arrais, R. H, & Amaral, N. D. (2021). A dor que não pode calar: Reflexões sobre o luto em tempos de Covid-19. Psicologia USP, 32, Artigo e210112. https://doi.org/mqw8

Magalhães, J. R. F., Soares, C. F. S, Peixoto, T. M., Estrela, F. M., Oliveira, A. C. B., Silva, A. F., & Gomes, N. P. (2020). Implicações sociais e de saúde que acometem pessoas enlutadas pela morte de familiares por COVID-19. Revista Baiana de Enfermagem, 34, Artigo e37007. https://doi.org/mqw9

Mayland, C. R., Hughes, R., Lane, S., McGlinchey, T., Donnellan, W., Bennett, K., Hanna, J., Rapa, E., Dalton, L., & Mason, S. R. (2021). Are public health measures and individualised care compatible in the face of a pandemic? A national observational study of bereaved relatives' experiences during the COVID-19 pandemic. Palliative Medicine, 35(8), 1480–1491. https://doi.org/gng2fs

Melo, C. F., & Sena, J. G. M. (2021). A experiência de morte e luto durante a pandemia de COVID-19. Em J. C. O. Matins, C. F. Melo, & F. W. S. Barbosa Junior (Eds.), Ensaios da pandemia: o isolamento social entre caos e recriação da vida (pp. 293–308). Appris.

Mitima-Verloop, H. B., Mooren, T. T. M., Kritikou, M. E., & Boelen, P. A. (2022). Restricted mourning: Impact of the COVID-19 pandemic on funeral services, grief rituals, and prolonged grief symptoms. Frontiers in Psychiatry, 13, Artigo 878818. https://doi.org/mqxb

Mohammadi, F., Oshvandi, K., Shamsaei, F., Cheraghi, F., Khodaveisi, M., & Bijani, M. (2021). The mental health crises of the families of COVID-19 victims: A qualitative study. BMC Family Practice, 22(94), 1–7. https://doi.org/gk6s7x

Nohesara, S., Saeidi, M., Mosavari, H., Ghalichi, L., & Alebouyeh, M. R. (2022). Grief experience among ICU staff with loss of family members during COVID-19 outbreak in Iran: A qualitative study. Frontiers in Psychiatry, 13, Artigo 904760. https://doi.org/mqxc

Oleque, G., Pereira, V. G., Halpern, S. C, Bandinelli, L. P., Bastos, T. M., & Ornell, F. (2021). Aspects of grief in family members of the dead as a result of Covid-19. Brazilian Journal of Psychotherapy, 23(3), 121–133. https://bit.ly/3ZMeGbA

Oliveira, E. N., Ximenes Neto, F. R. G., Moreira, R. M. M., Lima, G. F., Santos, F. D., Freire, M. A., Viana, L. S., & Campos, M. P. (2020). “Aquele adeus, não pude dar”: Luto e sofrimento em tempos de COVID-19. Revista Enfermagem em Foco, 11, 55–61. https://doi.org/nkfs

Ostadhashemi, L., Alipour, F., Ahmadi, S., Khoshnami, M. S., Arshi, M., & Javadi, S. M. H. (2022). Complicated grief: The lived experiences of those bereaved by COVID-19. Journal of Death and Dying, 1–14. https://doi.org/mqxd

Pereira, S. M., & Pires, E. F. (2018). As experiências de perdas e luto na contemporaneidade: Um estudo bibliográfico. Revista Educação, 13(1), 200–217. https://bit.ly/3ZJKU7e

Power, A., Atkinson, S., & Noonan, M. (2022). "Stranger in a mask" midwives' experiences of providing perinatal bereavement care to parents during the COVID-19 pandemic in Ireland: A qualitative descriptive study. Midwifery, (111), Artigo e103356. https://doi.org/gq839g

Rabow, M. W., Huang, C. S., White-Hammond, E., & Tucker, R. O. (2021). Witnesses and victims both: Healthcare workers and grief in the time of COVID-19. Journal of Pain and Symptom Management, 62(3), 647–656. https://doi.org/gmggxb

Rahmani, F., Hosseinzadeh, M., & Gholiadeh, L. (2023). Complicated grief and related factors among nursing staff during the Covid‑19 pandemic: A cross‑sectional study. BMC Psychiatry, 23(73), 1–10. https://doi.org/mqxf

Rocha, T. A. B., Souza, V. F., Silva, V. F. D., & Almeida, A. C. O. (2022). A vivência do luto em familiares de pacientes internados pela COVID-19. Revista da Sociedade Brasileira de Psicologia Hospitalar, 25(2), 3–16. https://doi.org/mqxg

Sangay, M. S., Medina, A. D., Graciliano, E. C., Turpo, J. A., & Guerra, R. M. R. (2023). Duelo y resiliencia en adultos peruanos ante la pérdida de un ser querido por el COVID-19. Revista Eugenio Espejo, 7(2), 46–56. https://doi.org/mqxh

Selman, L. E., Farnell, D., Longo, M., Goss, S., Seddon, K., Torrens-Burton, A., Mayland, C. R., Wakefield, D., Johnston, B., Byrne, A., & Harrop, E. (2022). Risk factors associated with poorer experiences of end-of-life care and challenges in early bereavement: Results of a national online survey of people bereaved during the COVID-19 pandemic. Palliative Medicine, 36(4), 717–729. https://doi.org/mqxj

Shahini, N., Abbassani, S., Ghasemzadeh, M., Nikfar, E., Heydari-Yazdi, A. S., Charkazi, A., & Derakhshanpour, F. (2022). Grief experience after deaths: Comparison of Covid-19 and non-Covid-19 causes. Journal of Patient Experience, 9, 1–6. https://doi.org/mqxk

Shuman, C. J., Morgan, M. E., Chiangong, J., Pareddy, N., Veliz, P., Peahl, A. F., & Dalton, V. K. (2022). "Mourning the experience of what should have been": Experiences of peripartum women during the COVID-19 pandemic. Maternal and Child Health Journal, 26, 102–109. https://doi.org/mqxm

Silva, A. C. de O. (2014). Conceituando o luto. Em F. S. Santos (Ed.), Tratado brasileiro sobre perdas e luto (pp. 71–78). Ateneu.

Silva, D. F. L. P., Pereira, J. A., & Medeiros, G. G. (2022). As consequências da pandemia do coronavírus e o luto na enfermagem. REVISA, 11(1), 5–15. https://doi.org/mqxn

Silverio, S. A, Easter, A., Storey, C., Jurkovic, D., Sandall, J., & the PUDDLES Global Collaboration. (2021). Preliminary findings on the experiences of care for parents who suffered perinatal bereavement during the COVID-19 pandemic. BMC Pregnancy and Childbirth, 21(840), 2–13. https://doi.org/mqxp

Sirrine, E. H., Kliner, O., & Gollery, T. J. (2023). College student experiences of grief and loss amid the COVID-19 global pandemic. Journal of Death and Dying, 87(3), 745–764. https://doi.org/gp86mp

Snyder, M., Alburez-Gutierrez, D., Williams, I., & Zagheni, E. (2022). Estimates from 31 countries show the significant impact of COVID-19 excess mortality on the incidence of Family bereavement. Proceedings of the National Academy of Sciences, 119(26), Artigo e2202686119. https://doi.org/mqxq

Soares, J. B. S., & Rodrigues, P. M. (2020). A exigência psíquica dos rituais de despedida diante da morte em uma UTI da COVID-19 (Sars-CoV-2). Revista aSEPHallus de Orientação Lacaniana, 15(29), 103–117. https://bit.ly/3TLcQE0

Sola, P., Garcia, J., Santos, J., Santos, M. A., & Oliveira-Cardoso, E. (2022a). Grupo online para familiares enlutados durante a pandemia no contexto brasileiro. Revista Psicologia, Saúde & Doenças, 23(2), 390–397. https://doi.org/mqxr

Sola, P., Santos, J., Santos, M. A., & Oliveira-Cardoso, E. (2022b). Fatores complicadores do luto durante a pandemia: Perspectivas de familiares enlutados. Revista Psicologia, Saúde & Doenças, 23(2), 516–523. https://doi.org/mqxs

Souza, J. B., Brum, C. N., Zuge, S. S., Zenevicz, L. T., Maestri, E., Lima, L. J., & Beckert, R. A. T. (2022). Significados do luto para pessoas que enfrentaram a morte de um familiar por COVID-19. Revista Baiana de Enfermagem, 36, Artigo e47489. https://doi.org/mqxt

Spurio, M. G. (2021). Mourning from COVID-19 and post traumatic stress disorder: New therapeutic tools in the treatment of pathological bereavement. Psychiatria Danubina. 33(9), 102–107. https://bit.ly/3Bqlbqo

Tang, S., & Xiang, Z. (2021). Who suffered most after deaths due to COVID-19? Prevalence and correlates of prolonged grief disorder in COVID-19 related bereaved adults. Globalization and Health, 17(19), 1–9. https://doi.org/gktmsk

Tao, X., Yu, C. C., & Low, J. (2022). Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies. Annals Singapore, 51(10), 619–628. https://doi.org/mqxv

Testoni, I., Zanellato, S., Iacona, E., Marogna, C., Cottone, P., & Bingaman, K. (2021) Mourning and management of the COVID-19 health emergency in the Priestly community: Qualitative research in a region of Northern Italy severely affected by the pandemic. Public Health, 9(622592), 1-8. https://doi.org/gp23m6

Walsh, F. (2020). Loss and resilience in the time of COVID-19: Meaning making, hope, and transcendence. Family Process, 59(3), 898-911. https://doi.org/gktmsd

Wang, H., Verdery, A. M., Margolis, R., & Smith-Greenaway, E. (2022). Bereavement From COVID-19, Gender, and Reports of Depression Among Older Adults in Europe. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 77(7), 142–149. https://doi.org/gskr2v