The Relationship Between Post-Stroke Depression and Disenfranchised Grief

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Brunsdale, Donna
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Disenfranchised grief is grief that occurs when a loss is not socially recognized; this prevents an individual from processing their loss. Disenfranchised grief as a factor in post-stroke depression (PSD) has received minimal attention, although it is common. The purpose of this paper is to examine the relationship between disenfranchised grief and PSD, and the related implications for counselling. A literature review was conducted by searching PsychInfo, Google Scholar and PubMed for relevant research studies. Findings revealed that PSD is a common outcome for stroke survivors and has an impact on long-term recovery, quality of life, and mortality. Post-stroke physical and cognitive disabilities interfere with evaluation and treatment of PSD. The losses that follow a stroke result in feelings of grief that go unrecognized by others and can contribute to PSD. In order to counsel stroke survivors, the counsellor benefits from understanding the relationship between disenfranchised grief and post-stroke depression, and being familiar with therapeutic interventions that accommodate stroke-related disabilities. Further research is needed on predictors and effects of PSD, and on creating effective assessment tools and interventions for treating PSD related to disenfranchised grief.
stroke , counselling , post-stroke depression , disenfranchised grief
Attribution-NonCommercial-NoDerivs 3.0 United States , openAccess