Mortality after Parental Death in Childhood: a Nationwide Cohort Study from Three Nordic Countries.

Li, J.; Vestergaard, Mogens; Cnattingius, Sven; Gissler, Mika; Bech, Bodil Hammer; Obel, Carsten; Olsen, Jørn

doi:10.1093/ije/dyv097.049

Cited by 24 publications

(35 citation statements)

References 40 publications

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“…Children and adolescents who experience early parental loss are at greater risk for such negative outcomes as depression, anxiety, poor academic performance, and somatic complaints (Cerel et al, 2006;Dowdney, 2000;Tyrka et al 2008;Worden, 1996). Having a parent die before a child turns 18 years old is also associated with early mortality (Li et al, 2014). Compounding their bereavement, families often experience other major stressors: diminished financial resources, a change in residence, additional responsibilities within the home, and changes in parent-child relationship dynamics (see Wolchik et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Overlooked and underserved: Widowed fathers with dependent-age children

et al. 2014

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Objective: Widowed fathers and their children are at heightened risk for poor coping and maladaptive psychosocial outcomes. This exploratory study is the first to explicitly examine the psychological characteristics of this population of fathers.Method: Some 259 fathers (mean age ¼ 46.81; 90% Caucasian) with dependent-age children and whose wives had died from cancer within the previous five years completed a web-based survey that consisted of demographic questions, the Center for Epidemiologic Studies Depression Scale (CES -D), the Texas Inventory of Grief -Revised (TRIG -R), the Psychological Adaptation Scale (PAS), the Kansas Parental Satisfaction Scale (KPSS), and items assessing perceived parental efficacy.Results: Fathers were found to have elevated depressive (CES -D mean ¼ 22.6) and grief (TRIG -R mean ¼ 70.3) symptomatology, low adaptation (PAS mean ¼ 3.2), and high levels of stress related to their parenting role. They reported being satisfied with their parenting (KPSS mean ¼ 15.8) and having met their own parental expectations. Multivariate analyses revealed an association between father's age and depression ( p ¼ ,0.01), with younger fathers reporting greater depressive symptoms. Psychological adaptation was positively correlated with being in a romantic relationship ( p ¼ 0.02) and age of oldest child ( p ¼ 0.02).Significance of results: The results of our exploratory study suggest that, while widowed fathers perceive themselves as meeting their parental responsibilities, it comes at a substantial psychological cost, with particularly high stress related to being a sole parent. These findings may help guide interventions for this neglected population and underscore the importance of developing targeted therapies and research protocols to address their needs.

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Section: Introductionmentioning

confidence: 99%

Overlooked and underserved: Widowed fathers with dependent-age children

et al. 2014

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“…Other prospective cohort studies in Asia, Africa, and Europe have confirmed a statistically significant association between maternal and child mortality (Table 1). 7 That this correlation has been described in low-income and high-income countries alike suggests the global nature of this phenomenon. 7 That this correlation has been described in low-income and high-income countries alike suggests the global nature of this phenomenon.…”

Section: Introductionmentioning

confidence: 96%

“…6 A novel finding of that cohort study was its demonstration that a mother's death from any cause, before the child reached age 10 years, was significantly associated with increased child mortality. [6][7][8][9][10] Li et al describe this association until the child reaches age 18 years in Denmark and Sweden, 2 countries with similar publically financed national health systems. [6][7][8][9][10] Li et al describe this association until the child reaches age 18 years in Denmark and Sweden, 2 countries with similar publically financed national health systems.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9][10] Li et al describe this association until the child reaches age 18 years in Denmark and Sweden, 2 countries with similar publically financed national health systems. However, the strength of this association appears to differ between countries, [6][7][8][9][10] and most studies are limited to particular causes of death or to a limited age range (ie, infancy and early childhood). However, the strength of this association appears to differ between countries, [6][7][8][9][10] and most studies are limited to particular causes of death or to a limited age range (ie, infancy and early childhood).…”

Section: Introductionmentioning

confidence: 99%

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Estimating child mortality associated with maternal mortality from breast and cervical cancer

Vega

Balogun

Ishaq

et al. 2018

Cancer

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BACKGROUND: Large-scale population studies demonstrate an association between mothers' deaths and child mortality in both lower and higher income countries. The authors estimated children's deaths in association with mothers' deaths from breast or cervical cancer, 2 common cancers in low-income and middle-income countries affecting women of reproductive age, to develop a comprehensive assessment of the death burden of these cancers. METHODS: A Monte Carlo simulation model was devised whereby women were at risk of dying from breast cancer, cervical cancer, or another cause. Compared with children who have living mothers, children of women who die before they reached age 10 years have an elevated risk of death from all causes. Therefore, simulations were conducted, and the impact of mothers' deaths from cervical and breast cancer on associated child mortality was quantified for Bangladesh, Burkina Faso, and Denmark (benchmark analysis), then the analyses were extended to all African countries. RESULTS: Benchmark estimates of child deaths associated with mothers' deaths from breast and cervical cancer resulted in an increment in cancer-related mortality of approximately 2% in Bangladesh, 14% in Burkina Faso, and less than 1% in Denmark. The model predicted an increment in comprehensive cancer deaths when including child death estimates by as high as 30% in certain African countries. CONCLUSIONS: To the authors' knowledge, this is the first study to estimate the impact of a mother's death from cancer on child mortality. The model's estimates call for further investigation into this correlation and underscore the relevance of adequate access to prevention and treatment among women of childbearing age. Cancer 2019;125:109-117.

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“…2, 3,4 The death of a parent in childhood and adolescence can result in psychological and social difficulties 4,5,6 that may persist and extend into adulthood. 7,8 On-going struggles with depression, self-injury 9 and posttraumatic stress symptoms 10 are common. Less is known about the effects of the traumatic stress due to exposure to living with a dying parent, perhaps due to the belief that children are generally adaptable.…”

Section: Introductionmentioning

confidence: 99%

An Examination of Interactions Between Hospice Health Care Providers and Adolescents With a Parent in Hospice

Mayo

Sheehan

Hansen

et al. 2016

Journal of Hospice & Palliative Nursing

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Interviews conducted with adolescents living with a dying parent were examined to identify the type of interactions the adolescents had with members of a hospice healthcare team. Four types of interactions were identified: No Interactions, In-passing Interactions, Engaged Interactions, and Formal Interactions. Results indicated that most of the adolescents had no contact with the hospice healthcare team or interacted with providers only briefly. Some adolescents reported more engagement with one or more hospice healthcare team members, and a few received formal counseling services from the hospice healthcare team or outside provider. Overall, limited contact occurred because of logistics or because the teens perceived that hospice services were exclusively targeted to dying patients, not their families. Based on these findings, strategies to increase engagement between adolescents and hospice healthcare team are discussed.

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Mortality after Parental Death in Childhood: a Nationwide Cohort Study from Three Nordic Countries.

Cited by 24 publications

References 40 publications

Overlooked and underserved: Widowed fathers with dependent-age children

Overlooked and underserved: Widowed fathers with dependent-age children

Estimating child mortality associated with maternal mortality from breast and cervical cancer

An Examination of Interactions Between Hospice Health Care Providers and Adolescents With a Parent in Hospice

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