{"id":8772,"date":"2023-11-13T05:37:35","date_gmt":"2023-11-12T22:37:35","guid":{"rendered":"https:\/\/loudhdtv.com\/?p=8772"},"modified":"2023-11-13T05:37:35","modified_gmt":"2023-11-12T22:37:35","slug":"why-grief-can-cause-insomnia-and-how-to-deal","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=8772","title":{"rendered":"Why Grief Can Cause Insomnia, and How To Deal"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<div class=\"drop-cap text-big text-gray\"> <span class=\"drop-cap__first text-dropcap \">O<\/span>nce my younger daughter Alice turned two years old, everyone in my family finally slept through the night. That is, until eleven days after Alice\u2019s second birthday when, tragically, she did not wake up from her nap. No cause of death could be determined after an autopsy and thorough death investigation, making Alice one of the 400 children ages one to 18 whose deaths are classified as <a href=\"https:\/\/sudc.org\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/sudc.org\/\">Sudden Unexplained Death in Childhood (SUDC)<\/a> every year. My devastation felt life-threatening. But despite the profound exhaustion that accompanied my grief, I found myself unable to sleep, fighting off insomnia night after night.<\/div>\n<p>As a <a href=\"https:\/\/www.wellandgood.com\/traditional-chinese-medicine-wellness-brands\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/traditional-chinese-medicine-wellness-brands\/\">Traditional Chinese Medicine (TCM)<\/a> doctor and former medical researcher, I knew everything to do\u2014and not do\u2014when experiencing insomnia. I did not use screens or work in bed. I meditated before bed. I set aside at least eight hours of dedicated time for sleep each day. Unfortunately, none of it was working. I even tried sleep medications prescribed by my doctor to no avail. At work and with my family, I have always been a sleep proselytizer. I believe quality sleep is the foundation of health, but despite my passion and my efforts, I could not lay myself down to sleep after my daughter died in <em>her<\/em> sleep.<\/p>\n<div class=\"related-content \" style=\"\" data-module-init=\"related-content\" data-module-immediate=\"\" v-cloak=\"\">\n<div class=\"related-content__wrapper \" v-cloak=\"\" :class=\"{'is-loaded':isLoaded}\">\n<p> <span class=\"inline pr-6 text-seafoam-dark\">Related Stories<\/span> <\/p>\n<p> <related-content class=\"related-content__links\" parent-article-permalink=\"https:\/\/www.wellandgood.com\/grief-insomnia\/\" current-title=\"Too Sad To Sleep: How To Cope With Insomnia While Grieving a Loss\" current-image=\"https:\/\/www.wellandgood.com\/wp-content\/uploads\/2023\/11\/WG_Editorial_Grief-Insomnia_feature-425x285_418x278_true_70.webp\" v-on:parsely-posts-loaded=\"onPostsLoaded\" start-date=\"2023-05-12\" tag=\"div\" inline-template=\"\" url=\"https:\/\/www.wellandgood.com\/grief-insomnia\/\" secret=\"w5ztterVB03LGZJLfXS0hf3EvQBuFFIWew9hmVQxthU\" apikey=\"wellandgood.com\" limit=\"3\"> <\/p>\n<div>\n<div class=\"related-content__card mb-[10px] sm:mb-[20px]\" :class=\"{'related-content__card--full':posts.length === 1}\" v-for=\"(post, key) in posts\"> <a v-on:click.prevent=\"trackLinkGA($event, key)\" :href=\"https:\/\/www.wellandgood.com\/grief-insomnia\/post.url\" data-url-source=\"related-content\" class=\"related-content__link\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"\"> <\/p>\n<div class=\"related-content__card--image bg-tan\" :style=\"{ backgroundImage: 'url(' + post.image_url + ')' }\"> <img :src=\"https:\/\/www.wellandgood.com\/grief-insomnia\/post.image_url\" :alt=\"post.title\"\/> <\/div>\n<p> <\/a>  <\/div>\n<\/p><\/div>\n<p> <\/related-content> <\/div>\n<\/p><\/div>\n<p>It turns out I was far from alone in my grief insomnia. Although few studies examine <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1087079220300745\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1087079220300745\"><span>insomnia in bereaved parents<\/span><sup>1<\/sup><\/a>, specifically, a 2008 study exploring the effects of lingering grief in a nationally representative sample of more than 400 bereaved parents in Sweden found that nearly 40 percent of fathers and 33 percent of mothers who lost a child to cancer <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2645112\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2645112\/\"><span>reported regularly experiencing difficulties falling asleep<\/span><sup>2<\/sup><\/a> even several years later. I have met hundreds, if not thousands, of bereaved parents in the 10 years since Alice died, and the vast majority have experienced insomnia at some point after the death of their child.<\/p>\n<p>Besides the frustration of tossing and turning, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3972485\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3972485\/\"><span>chronic insomnia can lead to serious health problems<\/span><sup>3<\/sup><\/a> such as diabetes, hypertension and cardiovascular disease, anxiety, depression, and more. Coincidentally, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3384441\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3384441\/\"><span>grieving can cause many of those same problems<\/span><sup>4<\/sup><\/a>; therefore, I knew I needed to address the quantity and quality of my sleep to protect my health while grieving.<\/p>\n<h2>How grief can negatively impact sleep<\/h2>\n<p>\u201cI think people are surprised by the physicality that comes with grief and how much our bodies are affected,\u201d says grief therapist <a href=\"https:\/\/clairebidwellsmith.com\/about-claire\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/clairebidwellsmith.com\/about-claire\/\">Claire Bidwell Smith, LCPC<\/a>, author of <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fwww.amazon.com%2FAnxiety-Missing-Revolutionary-Approach-Understanding%2Fdp%2F073823477X%3Ftag%3Dwgtrx9829-20%26asc_refurl%3Dhttps%253A%252F%252Fwww.wellandgood.com%252Fgrief-insomnia%252F%26asc_source%3Ddirect%26asc_campaign%3Dno-campaign&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fgrief-insomnia%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.amazon.com\/Anxiety-Missing-Revolutionary-Approach-Understanding\/dp\/073823477X\" data-type=\"affiliateLink\" data-aff-intermediate=\"https:\/\/www.amazon.com\/Anxiety-Missing-Revolutionary-Approach-Understanding\/dp\/073823477X?tag=wgtrx9829-20&amp;asc_refurl=https%3A%2F%2Fwww.wellandgood.com%2Fgrief-insomnia%2F&amp;asc_source=direct&amp;asc_campaign=no-campaign\"><em>Anxiety: The Missing Stage of Grief<\/em><\/a><em>.<\/em> \u201cWe see sleep frequently altered in grief because of the stress hormones that build up during such a huge emotional experience. Our cortisol levels increase, which [negatively] affects sleep.\u201d<\/p>\n<blockquote>\n<p>\u201cWe see sleep frequently altered in grief because of the stress hormones that build up during such a huge emotional experience.\u201d \u2014Claire Bidwell Smith, LCPC, grief therapist<\/p>\n<\/blockquote>\n<p>A 2020 systematic <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jne.12887\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jne.12887\"><span>review of studies exploring the neuroendocrine mechanisms of grief<\/span><sup>5<\/sup><\/a> and bereavement found that cortisol levels are indeed elevated in times of grief, with higher levels of self-reported grief and lower levels of social support associated with especially high cortisol levels, which have been <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4688585\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4688585\/\"><span>implicated as both a cause and consequence of insomnia<\/span><sup>6<\/sup><\/a>.<\/p>\n<p>But grief\u2019s impact on sleep is not solely hormonal. \u201cOur brains are learning to be in the world in a new way [when grieving],\u201d says Smith. \u201cOur entire view of the world often changes when we go through a big loss. Sometimes, we have never gone through such a huge loss before. On some level, we never really believed something so terrible could happen&#8230;our brain is mapping a new landscape, which can lead to many changes&#8230;and sleep is definitely one of them.\u201d<\/p>\n<p>Beyond dealing with neuroendocrine and worldview changes, the bereaved are often not granted enough time and space to grieve; in the United States, the <a href=\"https:\/\/fortune.com\/2023\/09\/11\/grief-bereavement-leave-hr-policies\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/fortune.com\/2023\/09\/11\/grief-bereavement-leave-hr-policies\/\">average company allows only three days for bereavement leave<\/a>, which is often insufficient time to make logistical arrangements, much less grieve. Many bereaved people do not have the resources to take extended leave or get grief counseling, and not everyone has adequate social support\u2014all of which can force the difficult process of grieving to take over what little time is set aside for sleep.<\/p>\n<p>\u201cWe often feel unable to fully grieve for many different reasons, whether we\u2019re not feeling supported by our family or culture, or we\u2019re afraid of all of the big emotions that come up, and so we go about our day doing our best to get through, often shoving the grief away, trying to tamp down the emotions that come up,\u201d says Smith. \u201cThen suddenly, it all bubbles up at 3 a.m.\u201d<\/p>\n<p>Often entangled with grief are deep feelings of anxiety: \u201cA terrible loss can make <em>anything<\/em> seem possible,\u201d says Smith. The result is a kind of hypervigilance that can be a significant contributor to grief insomnia. \u201cYou\u2019re hyper-attuned to your environment as a protective mechanism, and you\u2019re trying to [prevent] any other horrific outcome, so the brain won\u2019t rest,\u201d says Smith.<\/p>\n<p>The resulting sleep loss can also harm your mental state, worsening the grieving process. Indeed, a 2021 study found that people who experienced chronic sleep issues before a loss were also <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0022395621001205?via%3Dihub\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0022395621001205?via%3Dihub\"><span>more likely to develop complicated grief following a loss<\/span><sup>7<\/sup><\/a> (which is defined as intense grief that subsists a year or more after the loss and which impairs daily functioning).<\/p>\n<blockquote>\n<p>\u201cGrief can cause sleep disturbances due to the heightened&#8230;stress, and poor sleep can exacerbate grief by reducing emotional resilience and cognitive processing.\u201d \u2014Chester Wu, MD, psychiatrist and sleep specialist<\/p>\n<\/blockquote>\n<p>This bidirectional relationship between grief and insomnia can lead to a vicious cycle. \u201cGrief can cause sleep disturbances due to the heightened emotional and physiological stress, and conversely, poor sleep can exacerbate grief by reducing emotional resilience and cognitive processing,\u201d says board-certified psychiatrist and sleep medicine specialist <a href=\"https:\/\/www.chesterwumd.com\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.chesterwumd.com\/\">Chester Wu, MD<\/a>.<\/p>\n<p>At a brain level, that\u2019s because any kind of emotional distress (like that from grief) \u201ccan activate the amygdala, which is the brain region involved in emotional processing,\u201d says Dr. Wu, \u201cand an overactive amygdala can lead to increased arousal and sleep disruption.\u201d The less restorative sleep you get, the more sensitized the amygdala can become, \u201cwhich just amplifies emotional reactions, perpetuating the cycle of distress and sleep disturbance,\u201d he says.<\/p>\n<p>Fortunately, in much the same way that sleep loss can play into the cycle that is grief insomnia, improving your sleep can also help with the experience of grief. Below, find expert-backed ways to actually get some shut-eye when dealing with insomnia in the wake of a loss.<\/p>\n<h2>6 tips for dealing with grief insomnia<\/h2>\n<h3>1. Actively prioritize sleep<\/h3>\n<p>After a significant loss, one of the most important things you can do for your health is set aside intentional time and space for sleep. \u201cPrioritizing sleep during the grieving process is a keystone to overall well-being and emotional resilience,\u201d says Dr. Wu. \u201cBy addressing and improving sleep, individuals can better navigate and process their feelings of loss.\u201d<\/p>\n<p>This is often easier said than done, as in my case. One thing that worked for me was setting a regular bedtime and <a href=\"https:\/\/www.wellandgood.com\/waking-up-same-time-every-morning\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/waking-up-same-time-every-morning\/\">wake-up time<\/a>, allowing for at least nine or 10 hours of sleep time in between, so I could hopefully clock eight hours total even if I <a href=\"https:\/\/www.wellandgood.com\/waking-up-middle-of-night\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/waking-up-middle-of-night\/\">awakened in the middle of the night<\/a>. I also made sure to walk outside every day to get exposure to sunlight, which can help <a href=\"https:\/\/www.wellandgood.com\/reset-circadian-rhythm\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/reset-circadian-rhythm\/\">reset your circadian rhythm<\/a>. I also stopped all work\u2014household or otherwise\u2014an hour before bed and used that time to decompress as best as I could with a bath, journaling, or meditation.<\/p>\n<p>\u201cIt\u2019s important to prioritize sleep because how are you supposed to attend to the huge transitions [of grief] when you\u2019re exhausted?\u201d says Smith. \u201cYou\u2019re taking on new roles and responsibilities&#8230;it\u2019s imperative to be well-slept [enough to] show up for those things.\u201d<\/p>\n<h3>2. Practice good sleep hygiene<\/h3>\n<p>Once you are committed to prioritizing sleep, Dr. Wu recommends taking a few steps to brush up on your sleep hygiene. In addition to maintaining a regular bedtime and wake-up time, as noted above, he suggests minimizing naps (<a href=\"https:\/\/www.wellandgood.com\/napping-before-bed\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/napping-before-bed\/\">particularly avoiding long naps later in the day<\/a>) and <a href=\"https:\/\/www.wellandgood.com\/tips-for-sleep-difficulties\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/tips-for-sleep-difficulties\/\">only going to bed when you\u2019re truly sleepy<\/a>. \u201cIf you wake up in the middle of the night and can\u2019t fall back asleep within about 20 minutes, I recommend leaving the bedroom, engaging in a calming and distracting activity, and only returning to bed once you feel genuinely sleepy in order to reinforce the association between the bed and restful sleep,\u201d says Dr. Wu.<\/p>\n<h3>3. Meditate before bed<\/h3>\n<p>Smith recommends all her clients embrace meditation before bed as a way to prepare the mind and body for sleep. \u201cMeditation is useful for learning to step away from your thoughts,\u201d she says. \u201cIt\u2019s not necessarily about achieving this peaceful nirvana; it\u2019s about learning to notice a thought and not going with it, which can be helpful if you wake up in the middle of the night, and these big thoughts and emotions arise.\u201d<\/p>\n<p>In this instance, flipping on a <a href=\"https:\/\/www.wellandgood.com\/free-meditation-apps\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/free-meditation-apps\/\">guided meditation from a meditation app<\/a> can help you mentally distance yourself from those emotions. \u201cWhen we\u2019re grieving, we\u2019re spending a lot of time in the past reflecting on our person and a lot of time in the future, often feeling anxious about what life will be like without them,\u201d says Smith. Where meditation can come into play is by helping us learn to orient back to the present, she adds, where we can heal.<\/p>\n<h3>4. Journal<\/h3>\n<p>Because you may not have the time or space to fully grieve during the day, you could find that those feelings bubble up at night, disrupting your sleep. \u201cJournaling is one of the best ways to release some of the stuff running through your mind that makes it difficult to sleep,\u201d says Smith.<\/p>\n<p>In my personal experience, writing about my experience and the memories of Alice made an enormous difference to my mental health. It provided a safe space for processing big feelings during the day, thus reducing my sleep disruption at night.<\/p>\n<h3>5. Seek out social support<\/h3>\n<p>Not only did journaling and blogging provide a sanctuary and structure for my evolving emotional landscape, but because I shared my writing with loved ones, it brought me immense social support, which also allowed me to rest easier.<\/p>\n<p>As noted above, the more you are supported and allowed to express your grief during the day, the less of a chance there is that it will wake you up at night. Friends and family do not always know what to say or do, and it may be tough for you to find the words, too, but anything you do share can help eradicate the invisible divide between you and your supporters. \u201cBecause a <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/07481187.2020.1824203\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" class=\"no-underline citation\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/07481187.2020.1824203\"><span>lack of social support can prolong grief<\/span><sup>8<\/sup><\/a> [and potentially worsen grief insomnia], it\u2019s important for your health to continue to seek social support and connection,\u201d says Dr. Wu.<\/p>\n<h3>6. Get professional help from a therapist who practices CBT-I<\/h3>\n<p>Grief therapy can provide a safe outlet for big emotions and social support, thus improving sleep quality. But if your insomnia persists, you may want to seek out therapy geared specifically toward sleep issues, like cognitive behavioral therapy for insomnia (CBT-I), suggests Dr. Wu. \u201cThis approach addresses the cognitive components contributing to insomnia and the behavioral factors that can perpetuate it,\u201d he says, and it typically includes support for implementing some of the best practices for sleep hygiene noted above. Perelman School of Medicine at the University of Pennsylvania maintains an online <a href=\"https:\/\/cbti.directory\/index.php\/search-for-a-provider\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/cbti.directory\/index.php\/search-for-a-provider\">directory of CBT-I therapists here<\/a>.<\/p>\n<div class=\"block-thin post-citations mt-[40px] mb-[30px]\" data-module-init=\"main-2020\/post-citations\" data-module-immediate=\"true\">\n<hr class=\"!border-seafoam-dark mb-[24px]\"\/>\n<div class=\"post-citations-content flex flex-col gap-[24px]\">\n<p>Well+Good articles reference scientific, reliable, recent, robust studies to back up the information we share. You can trust us along your wellness journey.<\/p>\n<div>\n<ol class=\"!ml-[18px] !mt-0\">\n<li>\n              Lancel, Marike et al. \u201cSleep disturbances in bereavement: A systematic review.\u201d\u00a0<i>Sleep medicine reviews<\/i>\u00a0vol. 53 (2020): 101331. doi:10.1016\/j.smrv.2020.101331            <\/li>\n<li>\n              Lannen, Patrizia K et al. \u201cUnresolved grief in a national sample of bereaved parents: impaired mental and physical health 4 to 9 years later.\u201d\u00a0<i>Journal of clinical oncology : official journal of the American Society of Clinical Oncology<\/i>\u00a0vol. 26,36 (2008): 5870-6. doi:10.1200\/JCO.2007.14.6738            <\/li>\n<li>\n              Fernandez-Mendoza, Julio, and Alexandros N Vgontzas. \u201cInsomnia and its impact on physical and mental health.\u201d\u00a0<i>Current psychiatry reports<\/i>\u00a0vol. 15,12 (2013): 418. doi:10.1007\/s11920-013-0418-8            <\/li>\n<li>\n              Buckley, Thomas et al. \u201cPhysiological correlates of bereavement and the impact of bereavement interventions.\u201d\u00a0<i>Dialogues in clinical neuroscience<\/i> vol. 14,2 (2012): 129-39. doi:10.31887\/DCNS.2012.14.2            <\/li>\n<li>\n              Hopf, Dora et al. \u201cNeuroendocrine mechanisms of grief and bereavement: A systematic review and implications for future interventions.\u201d\u00a0<i>Journal of neuroendocrinology<\/i>\u00a0vol. 32,8 (2020): e12887. doi:10.1111\/jne.12887            <\/li>\n<li>\n              Hirotsu, Camila et al. \u201cInteractions between sleep, stress, and metabolism: From physiological to pathological conditions.\u201d\u00a0<i>Sleep science (Sao Paulo, Brazil)<\/i>\u00a0vol. 8,3 (2015): 143-52. doi:10.1016\/j.slsci.2015.09.002            <\/li>\n<li>\n              de Feijter, Maud et al. \u201cThe longitudinal association of actigraphy-estimated sleep with grief in middle-aged and elderly persons.\u201d\u00a0<i>Journal of psychiatric research<\/i>\u00a0vol. 137 (2021): 66-72. doi:10.1016\/j.jpsychires.2021.02.042            <\/li>\n<li>\n              Treml, Julia et al. \u201cLoss and grief in elderly people: Results from the LIFE-Adult-Study.\u201d\u00a0<i>Death studies<\/i>\u00a0vol. 46,7 (2022): 1621-1630. doi:10.1080\/07481187.2020.1824203            <\/li>\n<\/ol><\/div>\n<\/p><\/div>\n<hr class=\"!border-seafoam-dark mt-[24px]\"\/>\n  <\/div>\n<div class=\"disclaimers__after_content mb-[18px] mt-[16px] pt-[16px]\">\n<div class=\"outline-earmark relative mt-[8px] pt-[10px] pl-[20px]\">\n<p>\n            Our editors independently select these products. Making a purchase through our links may earn Well+Good a commission.          <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Once my younger daughter Alice turned two years old, everyone in my family finally slept through the night. That is, until eleven days after Alice\u2019s second birthday when, tragically, she did not wake up from her nap. No cause of death could be determined after an autopsy and thorough death investigation, making Alice one of &hellip;<\/p>\n","protected":false},"author":3,"featured_media":8773,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-8772","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/8772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8772"}],"version-history":[{"count":0,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/posts\/8772\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=\/wp\/v2\/media\/8773"}],"wp:attachment":[{"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/loudhdtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}