Data_Sheet_1_Ritual in Therapy for Prolonged Grief: A Scoping Review of Ritual Elements in Evidence-Informed Grief Interventions.docx

The aim of this article of to analyze ritual in evidence-informed treatments for prolonged and traumatic grief. A scoping review is conducted in order to give an overview of existing literature on ritual and symbolic interventions in grief therapies for prolonged grief and the type of evidence supporting these interventions. The 22 studies reported in this review reveal a variety of ritual elements ranging from symbolic expression and interaction, writing assignments, dialogue with the deceased or an imaginary person, to farewell ceremonies at the end of the treatment. The interventions are studied within different populations (e.g., bereaved spouses, perinatal loss, grief after violent death, and genocide). Almost all studies show significant effects of the grief treatment, trauma and related symptoms. However, the effects are mostly measured for the entire treatment and not separately for the ritual intervention. In the discussion we focus on the role of ritual and culture in prolonged grief treatment.

本文旨在探讨基于实证的长期及创伤性哀悼治疗中的仪式。通过一项范围综述，旨在概述现有关于长期哀悼治疗中仪式与象征性干预的文献，以及支持这些干预措施的证据类型。综述中报告的22项研究揭示了多种仪式元素，这些元素涵盖了从象征性表达与互动、写作任务、与逝者或虚构人物的对话，到治疗结束时的告别仪式。这些干预措施在多个群体（例如，丧偶配偶、围产期丧失、暴力死亡后的哀悼以及种族灭绝）中进行了研究。几乎所有研究都表明哀悼治疗、创伤及相关症状具有显著效果。然而，这些效果主要是针对整个治疗过程进行测量的，而非单独针对仪式干预。在讨论部分，我们聚焦于仪式与文化在长期哀悼治疗中的作用。