The number of parents who have lost their only child (PLOCs) has increased annually with the implementation of the birth control policy in mainland China. This study aimed to investigate the mental health status of PLOCs and the influence of social support and resilience. Study 1 recruited 100 PLOCs and 88 nonbereaved parents, and compared differences in depression, anxiety, and loneliness. Study 2 investigated the influence of social support and resilience on the mental health of PLOCs via a mediating model. Results indicate that PLOCs reported more anxiety and depression symptoms than nonbereaved counterparts. Perceived close family support, objective support, and resilience negatively predicted anxiety and depression. In addition, perceived close family support was found to influence mental health via resilience. The current findings reveal that losing an only child has long-term negative impacts on the mental health of PLOCs. However, perceived close family support and objective support can protect their mental health either directly or indirectly via resilience.
AlbuquerqueS.PereiraM.NarcisoI. (2015) Couple’s relationship after the death of a child: A systematic review. Journal of Child and Family Studies25(1): 30–53.
2.
AntonucciT. C.AkiyamaH.TakahashiK. (2004) Attachment and close relationships across the life span. Attachment & Human Development6(4): 353–370.
BernabeM.BotiaJ. M. (2016) Resilience as a mediator in emotional social support’s relationship with occupational psychology health in firefighters. Journal of Health Psychology21(8): 1778–1786.
5.
BeutelM. E.GlaesmerH.WiltinkJ.MarianH.BrählerE. (2010) Life satisfaction, anxiety, depression and resilience across the life span of men. The Aging Male13(1): 32–39.
6.
BlockJ.KremenA. M. (1996) IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology70(2): 349–61.
7.
BonannoG. A. (2004) Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely adverse events?American Psychologist59(1): 20–28.
8.
BonannoG. A.MoskowitzJ. T.PapaA.FolkmanS. (2005) Resilience to loss in bereaved spouses, bereaved parents, and bereaved gay men. Journal of Personality and Social Psychology88(5): 827–843.
9.
BonannoG. A.WestphalM.ManciniA. D. (2011) Resilience to loss and potential trauma. Annual Review of Clinical Psychology7: 511–535.
10.
BrattA. S.StenströmU.RennemarkM. (2016) Effects on life satisfaction of older adults after child and spouse bereavement. Aging & Mental Health21(6): 602–608.
11.
Broese van GroenouM. I.de BoerA.IedemaJ. (2013) Positive and negative evaluation of caregiving among three different types of informal care relationships. European Journal of Ageing10(4): 301–311.
12.
CohenS.WillsT. A. (1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin98(2): 310–357.
13.
ConnorK. M.DavidsonJ. R. T. (2003) Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety18(2): 76–82.
14.
EndoK.YonemotoN.YamadaM. (2015) Interventions for bereaved parents following a child’s death: A systematic review. Palliative Medicine29(7): 590–604.
15.
FrableD. E. S.PlattL.HoeyS. (1998) Concealable stigmas and positive self-perceptions: Feeling better around similar others. Journal of Personality and Social Psychology74(4): 909.
16.
GableS. L.HaidtJ. (2005) What (and why) is positive psychology?Review of General Psychology9(2): 103–110.
17.
GearR. (2014) Bereaved parents’ perspectives on informal social support: “What worked for you?”. Journal of Loss and Trauma19(2): 173–188.
18.
GomezV.Aparicio-perezF.Sanchez-avilaA.TollerP. W.BraithwaiteD. O. (2009) Grieving together and apart: Bereaved parents’ contradictions of marital interaction. Journal of Applied Communication Research37(3): 257–277.
19.
HaberM. G.CohenJ. L.LucasT.BaltesB. B. (2007) The relationship between self-reported received and perceived social support: A meta-analytic review. American Journal of Community Psychology39(1–2): 133–144.
20.
HarperM.O’ConnorR. C.O’CarrollR. E. (2014) Factors associated with grief and depression following the loss of a child: A multivariate analysis. Psychology, Health & Medicine19(3): 247–52.
21.
HasuiC.IgarashiH.ShikaiN.ShonoM.NagataT.KitamuraT. (2009) The resilience scale: A duplication study in Japan. Open Family Studies Journal2: 15–22.
22.
HjemdalO.VogelP. A.SolemS.HagenK.StilesT. C. (2011) The relationship between resilience and levels of anxiety, depression, and obsessive-compulsive symptoms in adolescents. Clinical Psychology & Psychotherapy18(4): 314–321.
23.
Van Der HouwenK.StroebeM. S.StroebeW.SchutH.Van Den BoutJ.MeijL. W.-D. (2010) Risk factors for bereavement outcome: A multivariate approach. Death Studies34(3): 195–220.
24.
HwangK.-K. (1999) Filial piety and loyalty: Two types of social identification in Confucianism. Asian Journal of Social Psychology2(1): 163–183.
25.
KoelmelE.HughesA. J.AlschulerK. N.EhdeD. M. (2016) Resilience mediates the longitudinal relationships between social support and mental health outcomes in multiple sclerosis. Archives of Physical Medicine & Rehabilitation98(6): 1139–1148.
26.
KreicbergsU.LannenP.OnelovE.WolfeJ. (2007) Parental grief after losing a child to cancer: Impact of professional and social support on long-term outcomes. Journal of Clinical Oncology25(22): 3307–3312.
27.
KreicbergsU.ValdimarsdóttirU.OnelövE.HenterJ.-I.SteineckG. (2004) Anxiety and depression in parents 4-9 years after the loss of a child owing to a malignancy: A population-based follow-up. Psychological Medicine34(8): 1431–1441.
28.
LeahyJ. M. (1995) A comparison of depression in women bereaved of a spouse, child, or a parent. OMEGA-Journal of Death and Dying26(3): 207–217.
29.
LiangB.ChengC. (2012) Psychological health diathesis assessment system: The development of resilient trait scale for Chinese adults. Studies of Psychology and Behavior10(4): 269–277.
30.
LichtenthalW. G.CornerG. W.SweeneyC. R.WienerL.RobertsK. E.BaserR. E.PrigersonH. G. (2015) Mental health services for parents who lost a child to cancer: If we build them, will they come?Journal of Clinical Oncology33(20): 2246–2253.
31.
LiuW.LiuH.WeiD.SunJ.YangJ.MengJ.QiuJ. (2015) Abnormal degree centrality of functional hubs associated with negative coping in older Chinese adults who lost their only child. Biological Psychology112: 46–55.
32.
LutharS. S.CicchettiD.BeckerB. (2000) The construct of resilience: A critical evaluation and guidelines for future work. Child Development71(3): 543–562.
33.
MuthénB. O. (1989) Latent variable modeling in heterogeneous populations. Psychometrika54(4): 557–585.
34.
NybergT.Hed MyrbergI.OmerovP.SteineckG.NybergU. (2016) Depression among parents two to six years following the loss of a child by suicide: A novel prediction model. Plos One11(10): e0164091.
35.
OzbayF.FitterlingH.CharneyD.SouthwickS. (2008) Social support and resilience to stress across the life span: A neurobiologic framework. Current Psychiatry Reports10(4): 304–310.
36.
PanX.LiuJ.LiL. W.KwokJ. (2016) Posttraumatic growth in aging individuals who have lost their only child in China. Death Studies40(7): 395–404.
37.
PinkertonJ.DolanP. (2007) Family support, social capital, resilience and adolescent coping. Child & Family Social Work12(3): 219–228.
38.
PreacherK. J.HayesA. F. (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods40(3): 879–891.
39.
SchutH.StroebeM. S.Van den BoutJ.TerheggenM. (2001) The efficacy of bereavement interventions: Determining who benefits. In: StroebeM. S.HanssonR. O.StroebeW.SchutH. (eds) Handbook of bereavement research: Consequences, coping, and care, Washington, DC: American Psychological Association, pp. 705–737.
40.
ShenY.YeattsD. E. (2013) Social support and life satisfaction among older adults in China: Family-based support versus community-based support. The International Journal of Aging and Human Development77(3): 189–209.
41.
Song, J., Floyd, F. J., Seltzer, M. M., Greenberg, J. S., & Hong, J. (2010). Long–term effects of child death on parents' health–related quality of life: A dyadic analysis. Family Relations, 59(3), 269–282.
42.
StroebeM. S.FolkmanS.HanssonR. O.SchutH. (2006) The prediction of bereavement outcome: Development of an integrative risk factor framework. Social Science & Medicine63(9): 2440–2451.
43.
WangL.ShiJ. (2008) Social support and mental health of the empty-nest elderly people in urban area. Chinese Mental Health Journal22(2): 118–122.
44.
WangX.WangX.MaH. (1999) Rating scales for mental health, Beijing, China: Chinese Mental Health Journal.
45.
XiaoY.YangG. (2014) The endowment dilemma analysis and the corresponding measures of elderly people who lost their only child under the strengths perspective. Population & Development20: 107–112.
46.
YanL.WuS. (2013) Health care for older Chinese people who lose their only child. Lancet381(9866): 536.
47.
YanY.XinT.WangD.TangD. (2014) Application of the Geriatric Anxiety Inventory-Chinese Version (GAI-CV) to older people in Beijing communities. International Psychogeriatrics26(3): 517–523.
48.
ZhengY.LawsonT. R. (2015) Identity reconstruction as Shiduers: Narratives from Chinese older adults who lost their only child. International Journal of Social Welfare24(4): 399–406.
49.
ZhengY.LawsonT. R.HeadB. A. (2015) “Our only child das died”-A study of bereaved older Chinese parents. OMEGA-Journal of Death and Dying74(4): 410–425.
50.
ZhouW.MiH. (2013) Quantitative estimates on families lost only child and social assistant to them. Chinese Journal of Population Science5: 2–9.
51.
ZimmerZ.KwongJ. (2003) Family size and support of older adults in urban and rural China: Current effects and future implications. Demography40(1): 23–44.
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