Mothers Coping With Bereavement in the 2008 China Earthquake: A Dual Process Model Analysis

Chen, Lin; Fu, Fangmeng; Wang, Sha; Chan, Cecilia L. W.; Chow, Amy Y. M.

doi:10.1177/0030222817725181

Cited by 16 publications

(15 citation statements)

References 30 publications

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“…Strobe & Schut (1999) [22] 1. loss-oriented coping 2. restoration-oriented coping this model focused on the two coping strategies for stressors related to grief the mourners recover from grief by oscillating between the two coping strategies in daily life some studies have attempted to validate this model. Chen et al [26] supported the importance of this model in their study on disaster survivors rstb.royalsocietypublishing.org Phil. Trans.…”

Section: Normal Grief and The Mourning Processmentioning

confidence: 84%

“…Therefore, the bereaved lower their distress levels through adaptive avoidance, similar to protective exclusion and reappraisal of the meaning of death, while oscillating between avoidance and confrontation. Validity of the dual model process in different contexts with various types of bereavement has been addressed in several studies [26,31,32]. Chen et al [26] reported that six mothers who lost their children in the 2008 China earthquake primarily coped with loss-oriented stressors and shifted their focus to restoration-oriented stressors to deal with the situation over time.…”

Section: Normal Grief and The Mourning Processmentioning

confidence: 99%

“…Validity of the dual model process in different contexts with various types of bereavement has been addressed in several studies [26,31,32]. Chen et al [26] reported that six mothers who lost their children in the 2008 China earthquake primarily coped with loss-oriented stressors and shifted their focus to restoration-oriented stressors to deal with the situation over time.…”

Section: Normal Grief and The Mourning Processmentioning

confidence: 99%

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Complicated grief: recent developments in diagnostic criteria and treatment

Nakajima

2018

Phil. Trans. R. Soc. B

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Although grief is a natural response to loss among human beings, some people have a severe and prolonged course of grief. In the 1990s, unusual grief persisting with a high level of acute symptoms became known as 'complicated grief (CG)'. Many studies have shown that people who suffer from CG are at risk of long-term mental and physical health impairments and suicidal behaviours; it is considered a pathological state, which requires clinical intervention and treatment. DSM-5 (2013 , 5th edn) proposed 'persistent complex bereavement disorder' as a psychiatric disorder; it is similar to CG in that it is a trauma- and stress-related disorder. In recent years, there has been considerable research on the treatment of CG. Randomized controlled trials have suggested the efficacy of cognitive behavioural therapy including an exposure component that is targeted for CG. However, experts disagree about the terminology and diagnostic criteria for CG. The ICD-11 (, 11th revision) beta draft proposed prolonged grief disorder as a condition that differs from persistent complex bereavement disorder with respect to terminology and the duration of symptoms. This divergence has arisen from insufficient evidence for a set of core symptoms and the biological basis of CG. Future studies including biological studies are needed to reach consensus about the diagnostic criteria for CG.This article is part of the theme issue 'Evolutionary thanatology: impacts of the dead on the living in humans and other animals'.

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Section: Normal Grief and The Mourning Processmentioning

confidence: 84%

Section: Normal Grief and The Mourning Processmentioning

confidence: 99%

Section: Normal Grief and The Mourning Processmentioning

confidence: 99%

See 1 more Smart Citation

Complicated grief: recent developments in diagnostic criteria and treatment

Nakajima

2018

Phil. Trans. R. Soc. B

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“…On the other hand, emotional help and care from family members, friends, and neighbours can alleviate depressive symptoms, especially in rural China, where the relationship between neighbours may be closer than that of distant relatives (Fan et al, 2018). More evidence-based grief work with a focus on the Dual Process Theory (Stroebe & Schut, 2010), meaning-making (Neimeyer, Klass, & Dennis, 2014), and increased awareness of the challenges of disenfranchised grief (Doka, 2002) are needed to help Shidu parents adapt to the changes in their lives and establish new meaning (Chen, Fu, Sha, Chan, & Chow, 2019).…”

Section: Discussionmentioning

confidence: 99%

Culture-related grief beliefs and social support influence depressive symptoms of Shidu parents in rural China

Zhao

Long

Diao

et al. 2021

European Journal of Psychotraumatology

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Background: Parents who have lost their only child are known as Shidu parents in China. Losing an only child is an enormous tragedy for parents that can trigger severe depressive symptoms. Few studies have explored the influence of cultural beliefs and social support on depressive symptoms. Objective: This study aimed to explore the relationship between culture-related grief beliefs, social support and depressive symptoms among Shidu parents in rural China. Method: This cross-sectional study was conducted in Sujiatun district of Shenyang, China. Data were collected from November 2019 to February 2020 from 228 rural Shidu parents. Questionnaires consisted of the Center for Epidemiologic Studies Depression Scales (CES-D), the Culture-related Grief Beliefs of Shidu Parents Questionnaire (CBSQ), the Social Support Rating Scale (SSRS), and demographic and bereavement-related information. Hierarchical multiple linear regression analysis was conducted to examine the associations among culturerelated grief beliefs, social support and depressive symptoms. Results: Of the 228 Shidu parents, 87.0% reported depressive symptoms (CES-D ≥ 16). The mean age of the participants was 62.91 years, ranging from 50 to 86. Regression analysis indicated that parents' younger age, lower education level and debts were prominent risk factors for depressive symptoms. Perceived stigma (a subscale of CBSQ) was positively associated with depressive symptoms. Social support was negatively associated with depressive symptoms. Conclusions: Given the high prevalence of depressive symptoms in rural Shidu parents, there is a critical need to reduce perceived stigma and increase social support to alleviate depressive symptoms among Shidu parents in rural China. Las creencias de duelo relacionadas con la cultura y el apoyo social influyen en los síntomas depresivos de los padres Shidu en las zonas rurales de ChinaAntecedentes: Los padres que han perdido a su único hijo se conocen como padres Shidu en China. Perder un hijo único es una tragedia enorme para los padres que puede desencadenar síntomas depresivos graves. Pocos estudios han explorado la influencia de las creencias culturales y el apoyo social sobre los síntomas depresivos. Objetivo: Este estudio tuvo como objetivo explorar la relación entre las creencias de duelo relacionadas con la cultura, el apoyo social y los síntomas depresivos en padres Shidu de las zonas rurales de China. Método: Este estudio transversal se realizó en el distrito Sujiatun de Shenyang, China. Los datos se recopilaron desde noviembre de 2019 hasta febrero de 2020 en 228 padres Shidu rurales. Los cuestionarios consistieron en las Escalas de Depresión del Centro de Estudios Epidemiológicos (CES-D por su sigla en inglés), el Cuestionario de Creencias de Duelo relacionadas con la Cultura de los Padres Shidu (CBSQ por su sigla en inglés), la Escala de Calificación de Apoyo Social (SSRS por su sigla en inglés) e información demográfica y relacionada con el duelo. Se realizó un análisis de regresión lineal multiple jerárquica...

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“…In the first stage of severe grief, a good spousal relationship was a protective factor for intensive loneliness. Couples’ dyadic coping (constructive communication, emotion sharing, and joint problem-solving) was critical when they felt stigmatized and reluctant to socialize or receive external support (Bergstraesser et al, 2015; L. Chen, Fu, et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Loneliness Trajectories: Evidence for Staged Intervention Among Chinese Bereaved Parents

Wang

2020

J Appl Gerontol

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Losing an only child affects the mental health of many older adults in China, placing them at a higher risk of loneliness. However, few studies explore the long-term effects of losing an only child on loneliness trajectories among older Chinese bereaved parents. Adopting a qualitative, grounded theory approach, this study investigates how experiences of loneliness among bereaved parents evolve and the implications for staged intervention. Twenty-seven in-depth interviews were conducted with people who lost their only child in Shanghai and Wuhan. A multistep data analysis technique was used to analyze the data. The findings indicate that trajectories of perceived loneliness have three distinct stages and follow a U-shape in their frequency and intensity. Interventions of psychological consultation, social network restoration, and improved old-age support should be emphasized at each stage.

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Mothers Coping With Bereavement in the 2008 China Earthquake: A Dual Process Model Analysis

Cited by 16 publications

References 30 publications

Complicated grief: recent developments in diagnostic criteria and treatment

Complicated grief: recent developments in diagnostic criteria and treatment

Culture-related grief beliefs and social support influence depressive symptoms of Shidu parents in rural China

Loneliness Trajectories: Evidence for Staged Intervention Among Chinese Bereaved Parents

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