6 research outputs found
Couple’s Relationship After the Death of a Child: a Systematic Review
When a child dies, the parents must address the
changes in their relationship as well as the way that these
changes affect their individual adjustment. These two
perspectives are addressed in this systematic review. Five
databases were systematically searched for papers published
in English between January 2000 and February
2014. Of the 646 publications, 24 papers met the inclusion
criteria. The results suggest that a child’s death can cause
cohesive as well as detrimental effects on a couple’s relationship.
Variables that may produce differential outcomes
for the marital relationship include situational factors, such
as the cause and type of death and the child’s age at the
time of death; dyad-level factors, such as surviving children,
the pre-death characteristics of the relationship,
communication and incongruent grieving; and individuallevel
factors, such as the family of origin’s processing of
trauma, social support, religious affiliation and finding
meaning. Aspects such as marital quality and the couple’s
interdependence were found to influence each parent’s individual
adjustment. Larger, prospective, ethically conducted
studies should be implemented to consolidate these
findings. Mental health professionals may benefit from a
deeper understanding of the risk and protective factors
regarding marital adjustment after a child’s death
Care at End of Life Influences Grief: A Nationwide Long-Term Follow-Up among Young Adults Who Lost a Brother or Sister to Childhood Cancer.
BACKGROUND: A majority of cancer-bereaved siblings report long-term unresolved grief, thus it is important to identify factors that may contribute to resolving their grief. OBJECTIVE: To identify modifiable or avoidable family and care-related factors associated with unresolved grief among siblings two to nine years post loss. DESIGN: This is a nationwide Swedish postal survey. MEASUREMENTS: Study-specific questions and the standardized instrument Hospital Anxiety and Depression Scale. Primary outcome was unresolved grief, and family and care-related factors were used as predictors. SETTING/PARTICIPANTS: Cancer-bereaved sibling (N = 174) who lost a brother/sister to childhood cancer during 2000-2007 in Sweden (participation rate 73%). Seventy-three were males and 101 females. The age of the siblings at time of loss was 12-25 years and at the time of the survey between 19 and 33 years. RESULTS: Several predictors for unresolved grief were identified: siblings' perception that it was not a peaceful death [odds ratio (OR): 9.86, 95% confidence interval (CI): 2.39-40.65], limited information given to siblings the last month of life (OR: 5.96, 95% CI: 1.87-13.68), information about the impending death communicated the day before it occurred (OR: 2.73, 95% CI: 1.02-7.33), siblings' avoidance of the doctors (OR: 3.22, 95% CI: 0.75-13.76), and lack of communication with family (OR: 2.86, 95% CI: 1.01-8.04) and people outside the family about death (OR: 5.07, 95% CI: 1.64-15.70). Depressive symptoms (OR: 1.27, 95% CI: 1.12-1.45) and time since loss (two to four years: OR: 10.36, 95% CI: 2.87-37.48 and five to seven years: OR: 8.36, 95% CI: 2.36-29.57) also predicted unresolved grief. Together, these predictors explained 54% of the variance of unresolved grief. CONCLUSION: Siblings' perception that it was not a peaceful death and poor communication with family, friends, and healthcare increased the risk for unresolved grief among the siblings