Effect of having a subsequent child on the mental health of women who lost a child in the 2008 Sichuan earthquake: a cross-sectional study

Xu, Yao; Herrman, Helen; Bentley, Rebecca; Tsutsumi, Atsuro; Fisher, Jane

doi:10.2471/blt.13.124677

Cited by 37 publications

(29 citation statements)

References 21 publications

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“…Grief was measured by the 19 item Inventory of Complicated Grief (ICG;Prigerson, et al, 1995), which describes bereavement-related thoughts and behaviors (e.g., "preoccupation with the person who died"). A score of 30 has been suggested as cutoff for high risk for lossrelated impairment in functioning (Shear, Jackson, Essock, Donahue, & Felton, 2006).This scale has been used to measure prolonged grief in the Chinese population (Chiu et al, 2010;Xu et al, 2014). Cronbach'salpha (α) was .88 in the present study.…”

Section: Methodsmentioning

confidence: 99%

Resilience and vulnerability: prolonged grief in the bereaved spouses of marital partners who died of AIDS

Chan

Zhang

et al. 2015

AIDS Care

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Spousal bereavement is closely linked to prolonged grief, that is, significant adjustment symptoms that last for more than six months after the loss. This article focused on potential risk and protective factors that may influence bereavement outcomes. Participants in this study were surviving spouses of individuals who died of acquired immune deficiency syndrome (AIDS). These participants were themselves living with human immunodeficiency syndrome. In this cross-sectional study, 120 bereaved participants completed measures of grief, quality of dying and death of the deceased, negative conceptions of death resulting from AIDS, death attitudes, and personal resilience. The results showed that one-third (35.0%) of the bereaved participants reported grief levels above the prolonged grief cut-off scores, and can be categorized as the "prolonged grief" group. Although quality of dying and death was not associated with the intensity of grief, negative conceptions of death from AIDS, fear of death and resilience independently predicted grief symptoms in the regression models. Our findings provide insight into the grief process for the surviving spouse of AIDS victims in rural China. Since resilience is malleable, developing resilience interventions to enhance adjustment to bereavement may be a promising direction in grief counselling and therapies.

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Section: Methodsmentioning

confidence: 99%

Resilience and vulnerability: prolonged grief in the bereaved spouses of marital partners who died of AIDS

Chan

Zhang

et al. 2015

AIDS Care

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“…The results of several studies have suggested that the state of grief of Chinese shiduers is more severe than that of other parents who lose their child. A survey of 226 Chinese women who became shiduers due to earthquakes found that the state of prolonged grief amongst the 116 women who did not give birth again was more severe than that amongst the 110 women who had given birth again ( Xu et al, 2014 ). Furthermore, a cross-cultural study of shiduers in China and parents who lost their child in Switzerland found that those in China scored significantly higher on the prolonged grief scale ( Xiu et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study on the Grief of People Who Lose Their Only Child: From the Perspective of Familism Culture

Zhang

Jia

2018

Front. Psychol.

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Shidu is the Chinese transliteration for ‘losing an only child,’ which indicates the death of the only child in the family. Shidu is a unique social phenomenon resulting from the One-Child Policy implemented in China for several decades. Shiduers are parents who have lost their only child. The grief research scholar Neimeyer (2012) argued that grief research should consider the role of different cultures in the grieving process. Familism culture is a collectivist culture that has a profound effect on Chinese society and is likely to produce a significant effect on the grieving process of shiduers; however, this effect has not yet received systematic attention in research. To explore the effect of familism culture on the grief of shiduers, we conducted semi-structured personal interviews in Beijing, China, with seven shiduers. The study results show that the effect of familism culture on the grief of shiduers includes three levels: cognition, emotion, and behavior. These levels are reflected in a variety of relationships, including relationships with ancestors, the deceased child, the spouse, relatives, Tong Ming Ren (the Chinese transliteration of ‘people who share the same fate’), and the country. The first four types of relationships are reflections of ‘direct familism culture,’ and the latter two types of relationships are reflections of ‘extended familism culture’. The relationships with the deceased child, relatives, and Tong Ming Ren are mainly supportive; the relationship with ancestors is mainly stressful; the relationship with the spouse has a dual nature; and the relationship with the country is contradictory. Over time, shiduers have abandoned the concept of familism culture and have moved toward reducing stress and increasing supportiveness. Psychological professionals, social workers, and government staff may refer to the results of this study to help shiduers obtain support and reduce stress from the described relationships. Specific suggestions are provided in the text.

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“…As they grow older, shidu parents face not only declining health but also nancial di culties. The income of some old parents was not stable, and the cost of aged care, medical care, funeral, and other expenses have been increased signi cantly [43]. When the only child died, the old parents virtually had no other reliable sources for aged care, and shidu parents' rights to subsistence would be at risk without a stable source of income [14].…”

Section: Mediation Analyses Resultsmentioning

confidence: 99%

The mediating effect of social support on the relationship between perceived stress and quality of life among shidu parents in China

Lin¹,

Ma²,

Wang³

2020

Preprint

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Background: “Loss-of-only-child family” refers to the family in which the only child died and the mother has passed her child-bearing age. The parents who are unable to reproduce or do not foster other children are known as “shidu parents” in China. This study aimed to estimate the quality of life (QOL) and the mediating role of social support between perceived stress and QOL in Chinese shidu parents.Methods: 502 shidu parents were recruited in Shenyang city. Shidu parents were asked to complete a questionnaire including the MOS item short from health survey (SF-36), the Perceived Stress Scale-10 (PSS-10) and the Functional Social Support Questionnaire (FSSQ). Hierarchical linear regression was performed to assess the associations among perceived stress, social support and QOL. Asymptotic and resampling strategies were used to explore the mediating role of social support.Results: The mean score of PCS and MCS was 64.83 ± 22.66 and 59.36 ± 21.83, respectively. Perceived stress was found to be negatively associated with both PCS (β=-0.21, p < 0.001) and MCS (β=-0.28, p < 0.001), while social support was positively associated with both PCS (β = 0.32, p < 0.001) and MCS (β = 0.32, p < 0.001). For shidu parents, the proportion of mediation of social support between perceived stress and QOL was 36.85% for PCS and 29.45% for MCS, respectively.Conclusions: Perceived stress was associated with QOL and social support had a partially mediating effect between perceived stress and QOL in Chinese shidu parents. Low PCS and MCS of shidu parents highlight the need of timely developing interventions to reduce stress and reinforce social support to further improve their QOL.

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Effect of having a subsequent child on the mental health of women who lost a child in the 2008 Sichuan earthquake: a cross-sectional study

Cited by 37 publications

References 21 publications

Resilience and vulnerability: prolonged grief in the bereaved spouses of marital partners who died of AIDS

Resilience and vulnerability: prolonged grief in the bereaved spouses of marital partners who died of AIDS

A Qualitative Study on the Grief of People Who Lose Their Only Child: From the Perspective of Familism Culture

The mediating effect of social support on the relationship between perceived stress and quality of life among shidu parents in China

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