Breaking the silence: A systematic review of methodology and findings of studies on bereavement among adults with intellectual and developmental disabilities.

This study systematically reviewed the methodology and findings of 28 peer-reviewed studies on the experiences of loss, grief, and bereavement among adults with intellectual & developmental disabilities (IDD). Of these studies, five included quantitative data, 11 were qualitative studies, and 12 uti...

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Published in:Death Studies Vol. 50; no. 9; pp. 1768 - 1789
Main Authors: Garcini, Luz M., Gonzalez, Kathryn O., DeBellis, Ling, Mulford, Sam, Kodavatikanti, Eesha, Buchwald, Elizabeth, Edwards, Allison P., Olson-Salas, Donna, Reat, Cristen, Oyeleye, Omobola, Jeter, Cameron
Format: Article
Published: Taylor & Francis Ltd 2026
Subjects:
Online Access:View this record in EBSCOhost
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      dt: 2026
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        10.1080/07481187.2025.2537972
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        atl: Breaking the silence: A systematic review of methodology and findings of studies on bereavement among adults with intellectual and developmental disabilities.
      aug:
        au:
          Garcini, Luz M.
          Gonzalez, Kathryn O.
          DeBellis, Ling
          Mulford, Sam
          Kodavatikanti, Eesha
          Buchwald, Elizabeth
          Edwards, Allison P.
          Olson-Salas, Donna
          Reat, Cristen
          Oyeleye, Omobola
          Jeter, Cameron
        affil:
          Department of Psychological Sciences, Rice University, Houston, Texas, USA
          Kinder Institute for Urban Research, Rice University, Houston, Texas, USA
          Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas, USA
          Bo's Place, Houston, Texas, USA
          The Harris Center for Mental Health and IDD, Houston, Texas, USA
          Easter Seals Greater Houston, Houston, Texas, USA
          Kansas College of Osteopathic Medicine, Kansas Health Science University, Wichita, Kansas, USA
          The University of Texas Health Science Center at Houston School of Dentistry, Houston, Texas, USA
      su:
        Psychological adaptation
        Bereavement
        Developmental disabilities
        Experience
        Caregivers
        Social support
        Grief
        Risk assessment
        Psychological resilience
        Research funding
        Descriptive statistics
        Systematic reviews
        MEDLINE
        Thematic analysis
        Cognition disorders
        Inferential statistics
        Online information services
        Data analysis software
        Psychology information storage & retrieval systems
        ERIC (Information retrieval system)
      sug:
        subj:
          Psychological adaptation
          Bereavement
          Developmental disabilities
          Experience
          Caregivers
          Social support
          Grief
          Other Individual and Family Services
          Risk assessment
          Psychological resilience
          Research funding
          Descriptive statistics
          Systematic reviews
          MEDLINE
          Thematic analysis
          Cognition disorders
          Inferential statistics
          Online information services
          Data analysis software
          Psychology information storage & retrieval systems
          ERIC (Information retrieval system)
      ab: This study systematically reviewed the methodology and findings of 28 peer-reviewed studies on the experiences of loss, grief, and bereavement among adults with intellectual & developmental disabilities (IDD). Of these studies, five included quantitative data, 11 were qualitative studies, and 12 utilized mixed methods. Furthermore, eight of the included studies were interventions, focused on understanding grief among adults with IDD, including identifying risk- and protective-factors in the face of bereavement. Overall, results showed significant gaps in knowledge about the bereavement process among adults with IDD, and the need for more inclusive studies with increased methodological rigor. Significant themes from the studies included the relevance of understanding the concept of death, communicating about loss/death, symptoms of bereavement, coping strategies, sources of support for adults with IDD, and improving bereavement training for caregivers and staff to adults with IDD. Risk factors associated with diminished health outcomes in the face of bereavement included greater cognitive impairment and exclusion from: (a) funerals and loss rituals, (b) conversations regarding loss and death, and (c) advanced planning and end of life decisions. Effective bereavement coping strategies identified included: (a) spending time with and talking to family or friends, (b) engaging in relaxing activities, such as breathing exercises, listening to music, and/or spiritual engagement, and (c) engaging in creative activities, such as painting, drawing, or storytelling. This review highlights areas for future research to fill existing gaps in knowledge, which is needed to support the health and well-being of adults with IDD when they experience loss.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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