Unresolved Grief in a National Sample of Bereaved Parents: Impaired Mental and Physical Health 4 to 9 Years Later

Lannen, Patrizia; Wolfe, Joanne; Prigerson, Holly G.; Onelöv, Erik; Kreicbergs, Ulrika

doi:10.1200/jco.2007.14.6738

Cited by 210 publications

(157 citation statements)

References 30 publications

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“…Those two studies found that 26% of the parents had not worked through their grief, and they were more likely to report symptoms of anxiety and depression than parents who had resolved their grief 4-9 years after the loss [49]. Kreicbergs et al also reported that social support facilitated the grieving process [48].…”

Section: Discussionmentioning

confidence: 96%

“…The present study's primary research question has previously been posed to parents who had lost a child to cancer 4 -9 years earlier [48,49]. Those two studies found that 26% of the parents had not worked through their grief, and they were more likely to report symptoms of anxiety and depression than parents who had resolved their grief 4-9 years after the loss [49].…”

Section: Discussionmentioning

confidence: 99%

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They still grieve—a nationwide follow‐up of young adults 2–9 years after losing a sibling to cancer

et al. 2013

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Objectives: The aims of this study were to assess the prevalence of unresolved grief in bereaved young adult siblings and examine possible contributing factors.Methods: The study was a Swedish population-based study of young adults who had lost a brother or sister to cancer, 2-9 years earlier. Of 240 eligible siblings, 174 (73%) completed a study-specific questionnaire. This study focused on whether the respondents had worked through their grief over the sibling's death and to what extent.Results: A majority (54%) of siblings stated that they had worked through their grief either 'not at all' or 'to some extent' at the time of investigation. In multiple regression analyses with unresolved grief as the dependent variable, 21% of the variance was explained by lack of social support and shorter time since loss.Conclusion: The majority of bereaved young adults had not worked through their grief over the sibling's death. A small group of siblings reported that they had not worked through their grief at all, which may be an indicator of prolonged grief. Lack of social support and more recent loss were associated with not having worked through the grief over the sibling's death.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

They still grieve—a nationwide follow‐up of young adults 2–9 years after losing a sibling to cancer

et al. 2013

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“…Previous research has found that bereaved parents may experience mental health disorders such as depression, anxiety, insomnia, prolonged grief disorder (PGD), post-traumatic stress disorder (PTSD) and suicidal behaviours (Harper, O’Connor, & O’Carroll, 2014; Lannen, Wolfe, Prigerson, Onelov, & Kreicbergs, 2008; Rogers, Floyd, Seltzer, Greenberg, & Hong, 2008). The loss of a child is also associated with worse physical health problems in the long term (Lannen et al, 2008). In China, many families have only one child.…”

Section: Introductionmentioning

confidence: 99%

Latent profiles of physical and psychological outcomes of bereaved parents in China who lost their only child

Zhou

Huang

et al. 2018

European Journal of Psychotraumatology

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Background: Along with the implementation of the one-child policy in China, a special group of bereaved parents called ‘shiduer’ (失独者), meaning parents bereaved by the loss of their only child, emerged. Although previous research has examined the physical and psychological health of this population, individual differences in physical and psychological outcomes are still not well understood.Objective: This study aimed to identify heterogenous subgroups of Chinese bereaved parents who lost their only child based on the physical and psychological health of this population as well as the predictive factors of each subgroup.Method: Latent profile analysis was used to explore underlying patterns of physical and psychological indicators including subjective physical health, negative psychological outcomes (i.e. depression, post-traumatic stress disorder and prolonged grief disorder) and positive psychological outcomes (i.e. post-traumatic growth) among a sample of Chinese bereaved parents who lost their only child (N = 536). A three-step approach was used to examine the effects of covariates including quality of spousal relationship and recruitment channels on psychological and physical outcomes.Results: A three-profile model identified severity-based groupings of a ‘resilient’ subgroup (n = 153), a ‘coping’ subgroup (n = 338) and a ‘dysfunctional’ subgroup (n = 45). Less satisfaction with spousal relationship and recruitment from institutions in the community and online self-help groups (vs. offline support groups) are associated with the membership of the ‘coping’ or ‘dysfunctional’ subgroup compared to the ‘resilient’ subgroup.Conclusions: There is heterogeneity regarding the physical and psychological health of Chinese parents after losing their only child. The predictive effects of the quality of spousal relationship and the recruitment channels could provide directions for professional intervention.

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“…However, Swanson et al's (2007) sample had a higher proportion of mothers with other perinatal losses and also reported no association between this variable and self-reported grief distress one year postmiscarriage. While some mothers may find the presence of living children assists them in managing their grief (Toedter, Lasker, & Alhadeff, 1988), having to support the siblings after the death may contribute to emotional distress in others (Lannen et al, 2008). However, the presence of other children has been found by some researchers to have had no impact on the grief of the women who experienced miscarriage (Swanson et al, 2007).…”

Section: Predictors Of Complicated Griefmentioning

confidence: 91%

“…& Kreicbergs, 2008) and interventions designed for individuals affected by perinatal bereavement need to be tailored to address these challenges (Koopmans et al, 2013).…”

mentioning

confidence: 99%

The presence and predictors of complicated grief symptoms in perinatally bereaved mothers from a bereavement support organization

et al. 2016

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Unresolved Grief in a National Sample of Bereaved Parents: Impaired Mental and Physical Health 4 to 9 Years Later

Abstract: Parents who have not worked through their grief are at increased risk of long-term mental and physical morbidity, increased health service use, and increased sick leave.

Cited by 210 publications

References 30 publications

They still grieve—a nationwide follow‐up of young adults 2–9 years after losing a sibling to cancer

They still grieve—a nationwide follow‐up of young adults 2–9 years after losing a sibling to cancer

Latent profiles of physical and psychological outcomes of bereaved parents in China who lost their only child

The presence and predictors of complicated grief symptoms in perinatally bereaved mothers from a bereavement support organization

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