Predictors of prolonged grief disorder in Chinese elderly shidu parents: The role of perceived stigma and perceived stress

Zhao, Shuang; Ren, Longfei; Wang, Qiong; Long, Meijun; Wu, Hui; Wang, Yang

doi:10.1111/appy.12489

Cited by 8 publications

(12 citation statements)

References 60 publications

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Section: Methodsmentioning

confidence: 99%

“…This can also be scored as a continuous measure by summing the symptom items and excluding the two duration and functional impairment items. 18 Total scores range from 11 to 55; a preliminary cutoff score of 35 has been proposed for bereaved parents. 19 association between parental social functioning T-score and independent variables (ie, depressive symptoms sum score, gender, and decisional regret).…”

Section: Prolonged Griefmentioning

confidence: 99%

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Early Bereavement Psychosocial Outcomes in Parents of Children Who Died of Cancer With a Focus on Social Functioning

Snaman

Mazzola

Helton

et al. 2023

JCO Oncology Practice

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PURPOSE: The early grief experience of parents of children who died of cancer remains understudied. Understanding psychosocial symptomology and functioning of parents early in their bereavement is essential to developing supportive interventions aimed at offsetting poor mental and physical outcomes. METHODS: Parents of children from two centers who died of cancer 6 to 24 months before were mailed a survey that included validated tools and additional Likert scale-based questions. We used correlation and univariate and multiple regression analyses to assess the associations between psychosocial and grief outcomes and parental social functioning. RESULTS: One hundred twenty-five parents representing 88 children completed the survey. Most respondents identified as female (63%), White (84%), and non-Hispanic (91%). The mean time since child's death was 14.7 (range, 8-26) months. Bereaved parents' mean score for social functioning was only slightly below normative values, and most parents indicated post-traumatic growth and adaptive coping. Parents had high symptom levels for depression, anxiety, post-traumatic stress, and prolonged grief, with those identifying as female having significantly higher symptom scores. Using multivariate analysis, parental scores for resilience and continuing bonds were associated with higher social functioning scores and parental scores for depressive symptoms and prolonged grief were associated with lower social functioning scores. CONCLUSION: Although bereaved parents exhibit resilience and positive coping, they also show high levels of psychosocial distress in the first 2 years after their child's death, which may reflect the typical parental bereavement experience. Screening for low parental social functioning may identify parents who would benefit from additional support early in bereavement.

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Section: Methodsmentioning

confidence: 99%

Section: Prolonged Griefmentioning

confidence: 99%

Early Bereavement Psychosocial Outcomes in Parents of Children Who Died of Cancer With a Focus on Social Functioning

Snaman

Mazzola

Helton

et al. 2023

JCO Oncology Practice

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“…The results of the present study also highlight a relationship between family members' perceived nervousness and stress during ongoing palliative care and prolonged grief symptom severity 1 year after the patient's death. To our knowledge, perceived stress and prolonged grief symptoms have not been studied with a longitudinal design before, although an association between perceived stress and prolonged grief in elderly parents losing their only child has been shown previously (Zhao et al 2022).…”

Section: Discussionmentioning

confidence: 94%

Family members’ long-term grief management: A prospective study of factors during ongoing palliative care and bereavement

2022

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Objectives Up to 10% of bereaved individuals can develop prolonged grief disorder. Several risk factors for prolonged grief symptom severity in family members have been identified, but there is a lack of knowledge regarding the multivariable effects between family members coping with loss and patient-related factors for prolonged grief symptom severity during bereavement. The aim was to identify risk factors for prolonged grief symptom severity in family members 1 year after patient death in relation to (1) the family member and the patient during ongoing palliative care and (2) the family member during bereavement. Methods The participants consisted of family members (n = 99) of patients admitted to palliative home care in Sweden. The participants completed a survey during ongoing palliative care and at a follow-up 1 year after the patient’s death. Results The model selection chose 4 demographic and 4 preloss variables: family member’s nervousness and stress, the patient’s sense of security during palliative care, family members’ sense of security during palliative care, and a family member attachment security anxiety dimension. Two postloss variables were positively associated with prolonged grief symptom severity: family members’ continuing bond – internalized and continuing bond – externalized. Significance of results How family members coped depended on (i) variables linked to the family members themselves, (ii) the relationship to the patient, and (iii) some patient-specific variables. There was also a link between preloss variables and postloss prolonged grief symptom severity. Hence, it should be possible to identify family members with a heightened risk for longer-term prolonged grief symptoms.

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“…Another meta‐analysis showed that the PGD prevalence of 49% in individuals bereaved due to unnatural death causes (Djelantik et al, 2020). However, for the PGD study of Chinese Shidu parents, scholars have followed the current international diagnostic criteria (Zhang et al, 2020; Zhao et al, 2022), but for this group, there may be more suitable diagnostic criteria. Due to the influence of traditional Chinese culture, Shidu parents may grieve more than other bereaved population, and may take longer to recover.…”

Section: Discussionmentioning

confidence: 99%

The relationship between culture‐related grief beliefs, prolonged grief disorder and suicide ideation among Shidu parents in rural China

Zhao

Long

et al. 2022

Clin Psychology and Psychoth

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Background There are many one‐child families in China due to the one‐child policy. Parents who have lost their only child and are unable to conceive another child or unwilling to adopt a child are called Shidu parents in China. The death of an only child puts Shidu parents at the risk of mental illness and even suicide. Few studies have explored the influence of cultural beliefs and prolonged grief disorder on suicide ideation. Methods This study involved rural Shidu parents from Sujiatun district of Shenyang, China. Questionnaires consisted of the Prolonged Grief questionnaire – 13 (PG‐13), the Culture‐related Grief Beliefs of Shidu Parents Questionnaire (CBSQ), one question from the baseline National Comorbidity Survey (NCS) to measure suicide ideation and demographic and bereavement‐related information. Bivariate logistic regression analyses were conducted to explore associated factors of suicide ideation. Results Sixty‐nine (28.8%) of the 240 Shidu parents reported having suicide ideation. Having chronic disease (OR = 5.509, p < 0.01), having religious belief (OR = 3.923, p < 0.05) and having a grandchild (OR = 2.552, p < 0.05) were associated with an increased risk of suicide ideation. Destiny belief (a subscale of CBSQ) was negatively associated with suicide ideation (OR = 0.818, p < 0.05). Prolonged grief disorder (OR = 9.280, p < 0.01) and perceived stigma (a subscale of CBSQ) (OR = 1.200, p < 0.05) was positively associated with suicide ideation after adjusting for controlling variables. Conclusions Suicide ideation is prevalent in rural Shidu parents. Reducing perceived stigma and alleviating prolonged grief disorder may decrease the risk of suicide among rural Shidu parents.

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Predictors of prolonged grief disorder in Chinese elderly shidu parents: The role of perceived stigma and perceived stress

Cited by 8 publications

References 60 publications

Early Bereavement Psychosocial Outcomes in Parents of Children Who Died of Cancer With a Focus on Social Functioning

Early Bereavement Psychosocial Outcomes in Parents of Children Who Died of Cancer With a Focus on Social Functioning

Family members’ long-term grief management: A prospective study of factors during ongoing palliative care and bereavement

The relationship between culture‐related grief beliefs, prolonged grief disorder and suicide ideation among Shidu parents in rural China

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