The Relationships Among Grief Experience,Problem-Solving Appraisal,and Depression: An Exploratory Study

Abstract

Research has consistently shown a relationship between problem-solving appraisal and depressive symptoms. This study expands that research by including grief symptomatology as a variable. A college student sample completed the Problem-Solving inventory, the Beck Depression Inventory, and the Revised Grief Experience Inventory. Consistent with hypotheses, those individuals who had experienced the death of a close loved one within the previous 5 years reported significantly higher levels of grief and depression than those who had not experienced such a loss. However, the group that had experienced the death of a close loved one did not report significantly worse problem-solving scores than the group that did not. This study also examined the relationships among problem-solving appraisal, depressive symptoms, and grief symptoms within the subsample that had experienced the loss of a close loved one within the previous 5 years. Consistent with predictions, grief symptoms were associated with depressive symptoms and self-appraised ineffective problem solving. The results of this study extend the research on grief and mourning. Also, the results expand our understanding of the grief process by providing preliminary evidence for the role of problem solving in this process     

Meaning Reconstruction in Bereaved Mothers: A Pilot Study Using the Biographical Grid Method

In this study, a constructivist data collection technique, the biographical grid method (BGM), was modified to accommodate the specific needs of mothers who had experienced the death of a child from cancer, and for the purpose of exploring meaning reconstruction and posttraumatic growth (PTG) in this population. Contrasting cases studies of two bereaved mothers are used to illustrate the research and clinical potential of the BGM in examining meaning reconstruction and PTG following the death of a child.     

The Relationship of Purpose in Life to Coping Strategies and Time Since the Death of a Significant Other

The authors investigated the relationship of experienced purpose in life to strategies used to cope with a loss resulting from death and the amount of time since the loss. Forty undergraduates who had suffered the death of a significant other completed an information sheet, the Purpose in Life Test, and the revised Ways of Coping Checklist. People who experienced low purpose in life reported using more emotion-focused coping strategies than did individuals with high purpose. These results are linked to the literature on emotion-focused coping and depression and are discussed in terms of the assessment and preventive treatment of bereaved clients.     

Family Violence and Health Among Elderly in Croatia

This article presents the research carried out on a sample of 303 elderly men and women. In the last year they reported experiencing violence in the family as follows: psychological abuse (24.1%), financial exploitation (6.4%), physical abuse (4.4%), and sexual abuse (2.1%). The abusers were most often husbands (30.15%), sons (16.64%), daughters (14.01%), and wives (9.21%). In the partner relationship, 44%?of the women and 35%?of the men had experienced at least some form of violence. The results showed that elderly men and women who were victims of family abuse had poorer psychological health than those without such experiences. Elderly who had experienced partner violence consumed alcohol more often than those who had experienced violence by other household members.     

Posttraumatic stress symptoms in a population of rural children in South Africa

The purpose of the study was to identify exposure to experiences such as violence and the consequences for health in children in a rural South African community. The stratified random sample included 148 children below 17 yr., which comprised 68 (46%) boys and 80 (54%) girls in the age range of 6 to 16 years (M = 12.1 yr., SD = 3.1). Their ethnicity was Northern Sotho. The interviews included the Children's Posttraumatic Stress Disorder Inventory and the Reporting Questionnaire for Children. The experiences could be grouped into either traumatic or other events. 99 (67%) had directly or vicariously experienced a traumatic event which included witnessing someone killed or seriously injured, serious accident, violent or very unexpected death or suicide of loved one, sexual abuse or rape of relative or friend, violent crime, child abuse, and other life-threatening situations. Scores on the Children's Posttraumatic Stress Disorder Inventory of 17 (8.4%) fulfilled the criterion for posttraumatic stress disorder. 71% had more than one score and 53% had more than four scores on the Reporting Questionnaire for Children. Posttraumatic stress symptoms were significantly related to age and experiences such as those mentioned above.     

Survivors of suicide do grieve differently: empirical support for a common sense proposition.

Previous empirical investigations have produced mixed results on the question of whether mode of death differentially affects grief. To further investigate the influence of suicide on grief, 350 previously bereaved university students completed a questionnaire package consisting of several standardized measures. Participants were separated into four groups based on the mode of death experienced as either survivors of suicide (n = 34), accident (n = 57), unanticipated natural (n = 102), or anticipated natural (n = 157) deaths. Hierarchical multiple regression analyses indicated that suicide survivors, compared against the other groups, experienced more frequent feelings of rejection, responsibility, "unique" reactions, and more total grief reactions. Trends indicating increased levels of shame and perceived stigmatization were also evident. Aggregate factors of death "naturalness" and "expectedness" showed less influence than mode of death in influencing grief. Overall, results support previous clinical and research findings and intuitive logic in demonstrating that the grief experienced by suicide survivors includes elements that are less frequently seen in the case of nonsuicidal deaths.     

Sudden Death of the Therapist: The Effects on the Patient

While the termination phase of psychoanalytic psychotherapy has been discussed in the literature, the effects on the patient of a forced termination following the therapist's death have seldom been investigated. In this paper, two groups of patients (N = 35) were compared: those who experienced a planned termination and those who experienced a sudden termination as a result of their therapist's death. Data were gathered by means of detailed questionnaire and formal psychological assessment (i.e., the Grief Experience Inventory). Responses were also solicited from therapists who treated patients subsequent to the original therapist's death. Results indicate that patients forced to terminate due to the therapist's unexpected demise experienced significantly more intense grief reactions with regard to feelings of anger, despair, depersonalization, and somatization. The nature of the transference relationship with the original therapist at the time of the latter's death appeared to influence the subsequent therapeutic relationship as well. The authors present recommendations and practical guidelines concerning therapists' responsibility to their analytic patients to make reasonable accommodations in the event of their unexpected death.     

Parental Bereavement After Suicide and Accident: A Comparative Study

In what way is the bereavement process following suicide different from other types of bereavement? The participants were 30 survivors of suicide and 30 survivors of car accidents who were interviewed twice at an average of six months, and the second measure was taken at an average of nine months after the death, with standardized questionnaires to measure depression and grief reaction. Measures of shame, social support, family adaptation, psychological distress, and prior losses were also obtained during the second interview. All survivors were parents who had lost a son aged between 18 and 35 years. The results indicate that suicide survivors were more depressed than accident survivors at the first measure but this difference disappeared at the second measure. Survivors of suicide experienced greater feelings of shame and had experienced more life events after the death than did accident survivors. There was also a greater history of loss in parents bereaved by suicide. Parental bereavement after suicide appears to differ in several ways from other types of bereavement and appears to happen more often in vulnerable families.     

Childhood Parental Death and Lifetime Suicide Attempt of the Opposite‐Gender Offspring in a Nationwide Community Sample of Korea

Although previous studies have shown that childhood parental death influences suicide attempts of their offspring, few studies have examined influence of gender and age at exposure. Koreans show the third highest suicide rate in the world, and many children and adolescents lost their parents during and after the Korean War. A total of 12,532 adults, randomly selected through a one‐person‐per‐household method, completed the Korean version of the Composite International Diagnostic Interview and questionnaire for suicidal ideation, plan, and attempt (response rate 80.2%). A total of 2,332 subjects experienced biological parental death in childhood (18.6%). Male suicide attempts were associated with age of exposure to maternal death from 0 to 4 years (adjusted OR = 4.48, 95% CI 1.32–15.18) and from 5 to 9 years (adjusted OR = 5.52, 95% CI 1.97–16.46), but not with paternal death, after adjusting for age, education years, marital status, monthly income, and psychiatric comorbidities. Female suicide attempts were associated with paternal death from 5 to 9 years (adjusted OR = 2.20, 95% CI 1.13–4.27), but not with maternal death. Childhood parental death is significantly associated with lifetime suicide attempt in the opposite‐gender offspring, especially when exposure occurs before age 10.     

Parents’ adjustment following the death of their child: Resilience is multidimensional and differs across outcomes examined

We examine whether the previously reported commonness of resilience to significant adversity extends to parents’ death of a child. To examine our research questions, we apply growth mixture models to longitudinal data from 461 parents in the HILDA study who had experienced child loss. The proportion of parents manifesting resilience were 44%, 56%, 21%, 32%, and 16% for life satisfaction, negative affect, positive affect, general health, and physical functioning, respectively. Only 5% were resilient across all five indices, whereas 28% did not show a resilient trajectory across all outcomes. Social connectedness, anticipating comfort when distressed, and everyday role functioning were the strongest predictors of resilient adaptation. Findings underscore that resilience is not a unidimensional construct.Words: 115.     

Near-death experiences precipitated by suicide attempt: Lack of influence of psychopathology,religion, and expectations

Near-death experiences (NDEs), transcendental or mystical events experienced on the threshold of death, have been speculated to arise from psychopathology or from pre-existing expectations of the dying process, although such speculations have never been tested. Sixty-one consecutive suicide attempters were interviewed in this empirical study of persons who would be expected to have a high rate of both psychopathology and coming close to death; 16 (26%) reported near-death experiences (NDEs) as a result of the attempt. The group reporting NDEs and the group not reporting NDEs did not differ from each other in any parameters measuring psychopathology, religious background, or expectations of death and dying.At the time of this study, he was Assistant Professor of Psychiatry at the University of Michigan Medical School.     

Oscillatory functions affecting outcome of coronary heart disease: The hazard of too much or too little stability

The objective was to identify physiological and behavioral indicators predictive of sudden arrhythmic death in patients who had experienced myocardial infarction in the past. In a 10-year prospective study of 79 patients, 59 men and 20 women aged 36 to 76 who had suffered a well-documented myocardial infarction (MI) at some time in the past (6 weeks–5 years) were individually matched with healthy controls for age, sex, race, height, weight, educational background and type of job. Both patients and controls were reexamined and retested at intervals of 6-8 weeks throughout the first 7 years of the study. Fifty-three patients died, 7 of noncardiac disorders, 2 died of suicide. Forty-four, 31 men and 13 women died suddenly of apparent MI. Thirty-one, or 70% of them were autopsied. Eleven were found to have experienced a recent MI and 20 had only an old scar. Age was not a determinant of cardiac mortality among the patients. The average age of those who died was 56 and of survivors 53. Neither was the level of serum cholesterol concentration, the LDL/HDL ratio, or the treadmill test a significant determinant of death. The measured physiological data that did significantly correlate to the cardiac deaths at the 0.01 level of confidence were low RR variability or wide mean RR variation month to month, prolonged QT interval or wide mean QT variability month to month. The findings support the view that proper physiological balance requires some degree of instability, but not too little or too much. Walter Cannon in his first paper on homeostasis (Cannon, 1926), credited Charles Richet with this perception “The living being is stable. . . . In a sense it is stable because it is modifiable—the slight instability is the necessary condition for the true stability of the organism” (Richet, 1900).     

PATTERNS OF VIOLENCE AGAINST ENGAGED ARAB WOMEN FROM ISRAEL AND SOME PSYCHOLOGICAL IMPLICATIONS

The present study focused on 1,111 engaged Arab women in Israel, examining the different patterns of abuse and battering they experienced by their fiancés. The results revealed that between 8% and 48% of the respondents had experienced psychological aggression by their partners and between 1% to 10% had experienced physical aggression. Moreover, between 5% and 11% of the respondents had experienced acts of sexual abuse at least once during the engagement period. In addition, some mental health consequences of these experiences were examined. Analysis of variance revealed that, when negotiation tactics were not used to resolve conflicts and when respondents had experienced different patterns of abuse and battering by their fiancés, they also expressed relatively low levels of self-esteem and relatively high levels of depression, anxiety, and stress. Regression and multiple regression analyses revealed that the main predictors of the study explained larger amounts of the variance in mental health than did some of the background variables. Finally, the article discusses the limitations of the study and implications for future research, as well as recommendations for prevention and intervention activities.     

Sticks,Stones, or Words? Counting the Prevalence of Different Types of Intimate Partner Violence Reported by New Zealand Women

This study documents the lifetime and 12-month prevalence and overlap of psychological/emotional, physical, and sexual intimate partner violence (IPV) reported by a representative sample of New Zealand women. Use of controlling behaviors by women's current or most recent intimate partner was also explored. The results indicated that 55% of ever-partnered women had experienced any IPV in their lifetime: 33% had experienced more than one type of IPV (usually psychological/emotional violence and physical and/or sexual violence), and 22% had experienced one type of IPV. Use of controlling behaviors by the woman's current or most recent partner was associated with partner's use of physical or sexual violence. Implications are discussed at the population level, for service providers, and for future studies.     

In the Final Analysis: More Wisdom From People Who Have Faced Death

Seventeen adults who experienced a life‐threatening situation were interviewed to ascertain what they had learned about life from their confrontation with death. Interview questions focused on participants' philosophies of life, their personal regrets and priorities, and their advice to others. Interviews were analyzed using qualitative grounded theory and discovery‐oriented techniques. Among the most common themes, the participants advocated less materialism, more spirituality, and more caring for and serving of others. After their confrontation with death they worried less about mundane issues and became more optimistic about the future of humankind. Implications for research and practice are discussed.     

Suicide bereavement and recovery patterns compared with nonsuicide bereavement patterns

This study compared bereavement experiences of suicide survivors with those of other survivors. The primary focus of investigation was upon grief reactions suggested to be unique to suicide bereavement and upon quality of grief resolution 2-4 years after death. Fifty-seven women and men, between the ages of 24 and 48, who had experienced the death of a marital partner were interviewed. Subjects were assigned to one of four groups by mode of death (suicide, accident, unanticipated natural, and expected natural). Analyses of variance and Scheffe procedures indicated no significant differences among survivors on frequencies of grief reactions considered common to all bereavements. The suicide survivors were significantly different from all others on certain grief measures, including rejection and unique grief reactions. On various other grief measures, significant differences were indicated among the groups of survivors. Four primary conclusions, implications of the findings, and limitations of the study are discussed.     

Anxiety and vulnerability in parents following the death of an infant

Empirical data on the subjectively reported anxiety reactions of 117 parents who lost an infant at birth or daring the first year of life are presented. From a retrospective survey conducted 1 to 4 years after the death it was evident that parents experienced a great deal of anxiety following the death of their child. Parents who experienced a sudden death in the home reported the strongest anxiety, but other parents who lost their child in hospital at birth or thereafter also experienced strong anxiety. The anxiety for surviving children and later-born children was extensive. In all areas mothers experienced more anxiety than fathers. More intense and longer grief in one's partner, the perceived lack of support from others, being older, and being a female were significantly correlated with anxiety. The results are interpreted as a confirmation that parents who lose their children experience a fundamental change in their beliefs about their family's future security. Better training of health personnel is required to secure an adequate follow up of families that lose a child.     

Attribution of control and teenage pregnancy

In rural Appalachia in Tennessee, data on 13 female adolescents who had experienced a pregnancy (mean age=16 years, 7 months) were compared with those on 38 female adolescents who had not experienced a pregnancy (mean age-16 years, 4 months) to test the hypothesis that teenagers who experience a pregnancy have external attributions of control over their life events. The Nowicki-Strickland Locus of Control Scale for Children was administered to determine their beliefs about causes of events in their lives. All the girls were white and matched for socioeconomic status, housing, and cultural background. The mean attribution of control to external agents score stood at 14.5 for girls who had experienced a pregnancy compared with 12.7 for those who had not experienced a pregnancy, but the difference was not significant (p=.08).54% of the cases exhibited external attributional orientation compared with 16% of the controls (p.02). This finding concurred with that of earlier studies. The fact that not all the girls who had experienced a pregnancy had external attributional orientation suggested that it is not the only factor linked to adolescent pregnancy. Studies have not identified whether external attributional orientation is a causal factor or consequence of adolescent pregnancy. A 1980 study found that women who had shown more external locus of control scores during pregnancy and tended to castigate themselves had a high probability of postpartum depression. Another study indicated that rises in depression among adolescents were linked to prechange orientations toward external attributions of control. Practitioners should selectively pay attention to teenagers who have extreme attributional orientations since many teenagers carry their pregnancies to term and choose to rear their infants. These orientations appear to pose risks for the adolescent mother and her children.     

Poisoned Waters: Sexual Harassment and the College Climate

This study of 369 undergraduate students (59%female and 41% male, 4.7% African-American, 2%Latino/a-American, 3.6% International, and 88%White-American) found that both women and men weresexually harassed by faculty and other students with a similarlyhigh frequency. More subtle forms of sexually harassingbehaviors were experienced than were the more severebehaviors from both faculty and students. A greater tolerance for sexually harassing behaviors fromfaculty than peers was found. While more women than menused the label sexual harassment, few students of eithergender who experienced specific harassing behaviors said they had experiencedinappropriate behavior, and of those who said they hadexperienced inappropriate behavior, a very lowpercentage said they had experienced sexual harassment.It is hypothesized that the frequency of these behaviors is partlyresponsible for the lack of labeling.