{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:14:33Z","timestamp":1747282473735,"version":"3.40.5"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T00:00:00Z","timestamp":1419292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To report an analysis of the concept of grief in mothers of children with an addiction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The concept of grief in this context is poorly understood and often synonymously used with concepts depression, loss and chronic sorrow. In the<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>, the core concept grief has been recently revised by both<jats:styled-content style=\"fixed-case\">NANDA<\/jats:styled-content>and the<jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u2010V in efforts to better understand and characterize the concept. The plethora of literature on grief worldwide often characterizes grief as a response to a death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Concept analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data sources<\/jats:title><jats:p>Search terms \u2018parental grief\u2019 and \u2018substance abuse\u2019 yielded 30 articles. A second review using terms \u2018grief\u2019 and \u2018substance abuse\u2019 yielded 323 articles, in PsychInfo,<jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content>, PubMed databases from 1980\u20132013. Limits for articles in English and for the terms \u2018death\u2019 and \u2018child\u2019 yielded 13 usable articles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The hybrid model of concept analysis, using a theoretical phase, an empirical phase and a final phase when a clarified definition of grief emerged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Definitions in the literature and defining characteristics of grief outline bio\u2010psycho\u2010social aspects of the concept. For one mother grief was accompanied by recurring feelings of sadness across time, while for the other mother grief was seen as coping, after having passed through a variety of stages of grief. For both, grief was seen to fall on a continuum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Grief is a universal concept and has a trajectory. Case study data have been essential in clarifying understandings of grief as experienced by mothers of addicted children and will provide direction for meaningful and tailored interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12591","type":"journal-article","created":{"date-parts":[[2014,12,23]],"date-time":"2014-12-23T07:41:41Z","timestamp":1419320501000},"page":"751-767","source":"Crossref","is-referenced-by-count":3,"title":["Concept clarification of grief in mothers of children with an addiction"],"prefix":"10.1111","volume":"71","author":[{"given":"Donna M.","family":"Zucker","sequence":"first","affiliation":[{"name":"University of Massachusetts Amherst Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Dion","sequence":"additional","affiliation":[{"name":"University of Massachusetts Amherst Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanna P.","family":"McKeever","sequence":"additional","affiliation":[{"name":"Fairview Ridges Hospital Burnsville Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,23]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1176\/appi.psychotherapy.2001.55.2.283","article-title":"Resilience in ambiguous loss","volume":"55","author":"Abrams M.S.","year":"2001","journal-title":"American Journal of Psychotherapy"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01580.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.8.1137"},{"volume-title":"Grief and the Healing Arts","year":"1999","author":"Bertman S.","key":"e_1_2_11_6_1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481189208252572"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/0968763042000275308"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2005.0091"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1545-5300.1986.00005.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.1996.tb02669.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770140206"},{"key":"e_1_2_11_13_1","first-page":"93","volume-title":"Concept Development in Nursing Foundations, Techniques and Applications","author":"Cowles K.V.","year":"1993"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20671"},{"key":"e_1_2_11_15_1","unstructured":"DHHS(2013)Substance use and disability. 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