Intimacy and Complicated Grief among Chinese Elders Having Lost their Spouses: Mediating Role of Meaning Making

Pan, Haimin; Cheung, Chau‐kiu; Hu, Jieyi

doi:10.1080/15325024.2018.1435367

Cited by 9 publications

(5 citation statements)

References 41 publications

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“…In particular, this study indicated that widowed adults who are older and who have experienced longer torture due to the chronic illness of their spouse for a longer period may face increased challenges. This finding is consistent with previous research that persons who experience bereavement following long‐term chronic illness might suffer from persistent caregiver burden, disrupted life meanings (Pan, Cheung, & Hu, ) and show more disabling emotional reactions (e.g., “anger‐out” response, frustration, loneliness) than those bereaved following acute or short‐term chronic illness. Thus they find it difficult to achieve bereavement adjustment (Sanders, ), particularly older persons.…”

Section: Discussionsupporting

confidence: 91%

“…Second, those experiencing bereavement following chronic disease had a high risk of relapse, due to unresolved issues or emotions from their caregiving experience (e.g., fatigue, burnout, guilt, self‐blame, and disrupted life meaning). They may benefit from additional supports to assist with their attempts in meaning making process of bereavement (Pan et al, ). Hence, a specific session focusing on these issues is needed for this group.…”

Section: Discussionmentioning

confidence: 99%

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Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

Xiu

Chow

Tang

2020

Clin Psychology and Psychoth

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This study aimed to delineate changes in the patterns of prolonged grief severity in widowed adults following group bereavement interventions and to identify the predictive factors impacting these patterns. We performed a secondary analysis of data from a randomized trial of 125 Chinese widowed older adults who participated in either LOGBI or DPGBI. Self-ratings of prolonged grief symptoms via Inventory of Complicated Grief (ICG) were subjected to latent class growth analysis to identify subgroups according to symptomatic changes among baseline, posttreatment, and 8-week follow-up. Multinomial regression analysis examined whether participant classification could be predicted by demographics, loss-related characteristics, and the relationship with the deceased and baseline symptom severity. In the results, intervention sample comprised 96 completers with an attendance greater than 60%. A three-class categorization yielded the best model fit for changes in prolonged grief severity for both randomized and intervention samples:improved class (41.6% in the randomized sample, 42.8% in the intervention sample), partial responded class (48.1%/45.5%), and relapse class (10.3%/11.8%). Older widowed adults experiencing a high level of grief at baseline and bereavement following chronic illness had an elevated risk of symptomatic relapse after the completion of intervention. These findings indicated that Chinese widowed adults experienced different changing patterns of prolonged grief severity following group bereavement interventions. Practically, widowed adults with a higher risk of symptomatic relapse might need more intensive or longer term intervention or follow-up support.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

Xiu

Chow

Tang

2020

Clin Psychology and Psychoth

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“…A strong negative relationship between PG-symptoms severity and meaning making has been reported in the previous literature and this study ( Pan et al, 2018 ; Rozalski et al, 2016 ; Zakarian et al, 2019 ). That is to say, people with more distress may be more difficult to make sense of and integrate the loss event.…”

Section: Discussionsupporting

confidence: 82%

“…Some empirical researches indicate a positive relationship between meaning making and PTG ( Boyraz & Efstathiou, 2011 ; Jin et al, 2014 ; Williams et al, 2020 ). Additionally, meaning making is associated with decreased PG symptoms both theoretically ( Park, 2010 ) and empirically ( Boyraz & Efstathiou, 2011 ; Holland et al, 2010 ; Milman et al, 2019 ; Pan et al, 2018 ; Zakarian et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Growing in Suffering: The Curvilinear Relationship Between Prolonged Grief and Post-traumatic Growth of Recently Bereaved Individual During the COVID-19 Pandemic

et al. 2022

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The outbreak of the COVID-19 pandemic brought new challenges to mourning and growth of bereaved. The purpose is to explore the relationship between the prolonged grief (PG) symptoms and the post-traumatic growth (PTG) of recently bereaved people during the COVID-19 period, and the mediating role of meaning making. 305 participants were recruited to complete the Posttraumatic Growth Inventory, Inventory of Complicated Grief, and Integration of Stressful Life Experiences Scale. Hierarchical multiple regression analyses and Medcurve in SPSS were adapted to test the hypotheses. The results revealed that there was a curvilinear relationship between PG and PTG and meaning making had a completely mediating effect on this relationship. Different intervention goals - whether alleviating distress or cultivating growth – should be set up according to the level of grief for recently bereaved individuals during COVID-19. More attention should be paid to the role of meaning making in the future clinical practice.

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“…It is said that older adults are more easily subject to CG compared with younger generation (Ott, Lueger, Kelber, & Prigerson, 2007). In the study conducted by Pan, Cheung, and Hu (2018), CG was found to be applicable among the sample of bereaved older adults in rural China. All in all, spousal bereavement could lead to severe psychological distress.…”

Section: Introductionmentioning

confidence: 98%

Grief Experience Patterns Among Older Adults in Rural China: A Latent Profile Analysis

Pan

2019

Omega (Westport)

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The present work sought to explore grief patterns among Chinese older people in rural areas as well as the factors influencing the diverse bereavement results. Participants were 352 older residents who lived in rural areas in China. Latent profile analysis was used to identify subtypes of class membership in combing complicated grief, depression, anxiety, and meaning in life. One-way analysis of variance, chi-square analysis, and multinomial regression analysis were performed together to examine the predictor best distinguishing between classes. The latent profile analysis model best fitting the data was a three-class solution comprised of adaptive ( n = 235; 66.8%), moderate maladaptive ( n = 83; 23.6%), and severe maladaptive groups ( n = 34; 9.7%). Compared to the severe maladaptive and moderate maladaptive groups, participants in the adaptive group had better physical functioning. Participants in the moderate maladaptive group had longer bereavement duration than those in the severe maladaptive group. Future replication is desirable for validating these subgroups.

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Intimacy and Complicated Grief among Chinese Elders Having Lost their Spouses: Mediating Role of Meaning Making

Cited by 9 publications

References 41 publications

Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

Growing in Suffering: The Curvilinear Relationship Between Prolonged Grief and Post-traumatic Growth of Recently Bereaved Individual During the COVID-19 Pandemic

Grief Experience Patterns Among Older Adults in Rural China: A Latent Profile Analysis

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