The first year of grief and bereavement in close family members to individuals who have died of cancer

Abstract

Using a systematic and standardized method this longitudinal study examines changes in grief reactions in a sample of close family members (n=183) to individuals who had died of cancer. The respondents were followed for 1 year after the loss. The study sample originated from a cluster randomized trial evaluating comprehensive palliative care (intervention) against conventional care (control). Hence, we also compared grief reactions among close family members to the patients in the intervention and control groups. Overall, the family members' grief reactions, as measured by the second part of the Texas Revised Inventory of Grief (TRIG), showed a significant decline over the period studied. However, we found no significant differences in grief reactions between the family members to the intervention and control patients at any point in time, and the pattern of change did not differ significantly for the two groups.

Keywords

grief reactions close family members (bereaved)cancer victims randomized study TRIG

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References

Holmes TH , Rahe RH . The Social Readjustment Rating Scale. J Psychosom Res 1967; 11: 213–218.

Parkes CM . Bereavement as a psychosocial transition: Process of adaptation to change. In: Stroebe MS , Stroebe W , Hansson RO eds. Handbook of bereavement. Theory, research and intervention. New York: Cambridge University Press, 1993: 91–101.

Parkes CM . The first year of bereavement. A longitudinal study of the reaction of London widows to the death of their husbands. Psychiatry 1971; 33: 444–467.

Parkes CM . Bereavement. The Tavistock Institute of Human Relations. London: Tavistock Publications Limited, 1972.

Maddison D , Viola A . The health of widows in the year following bereavement. J Psychosom Res 1968; 12: 297–306.

Stroebe W , Stroebe MS , Domittner G . Individual and situational differences in recovery from bereavement: a risk group identified. J Social Issues 1988; 44: 143–158.

Vachon MLS , Sheldon AR , Lancee WJ , Lyall WA , Rogers J , Freeman SJJ . Correlates of enduring distress patterns following bereavement: social network, life situation and personality. Psychol Med 1982; 12: 783–788.

Berkman LF , Syme L . Social networks, host resistance, and mortality: A nine-year follow-up study of Alamada County residents. Am J Epidemiol 1979; 109: 186–204.

House JS , Umberson D , Landis KR . Structures and processes of social support. Ann Rev Sociol 1988; 14: 293–318.

10.

Young M , Benjamin B , Wallis C . Mortality of widowers. Lancet 1963; ii: 454–456.

11.

Parkes CM , Benjamin B , Fitzgerald RG . Broken heart: a statistical study of increased mortality among widowers. Br Med J 1969; 1: 740–743.

12.

Stroebe MS , Stroebe W . The mortality of bereavement. A review. In: Stroebe MS , Stroebe W , Hansson RO eds. Handbook of bereavement. Theory, research and intervention. New York: Cambridge University Press, 1993: 175–195.

13.

Jacobs S , Ostfeld A . An epidemiological review of the mortality of bereavement. Psychosom Med 1977; 39: 344–357.

14.

Klerman GL , Izen JE . The effects of bereavement and grief on physical health and general well-being. Adv Psychosom Med 1977; 9: 63–104.

15.

Stroebe W , Stroebe MS . Bereavement and health. The psychological and physical consequences of partner loss. New York: Cambridge University Press, 1987: 7–25.

16.

Averill JR . The function of grief. In: Izard C ed. Emotions in personality and psychopathology. New York: Plenum, 1979: 339–369.

17.

Lindemann E . Symptomatology and management of acute grief. Am J Psychiatry 1944; 101: 141–148.

18.

Parkes CM , Weiss RS . Recovery from bereavement. New York: Basic Books, 1983: 1–22.

19.

Bowlby J . Processes of mourning. Int J Psychoanal 1961; XLII: 317–340.

20.

Clayton P , Desmarais L , Winokur L . A study of normal bereavement. Am J Psychiatry 1968; 125: 168–178.

21.

DeVaul RA , Zisook S , Faschingbauer TR . Clinical aspects of grief and bereavement. Primary Care 1979; 6: 391–402.

22.

Shuchter SR , Zisook S . The course of normal grief. In: Stroebe MS , Stroebe W , Hansson RO eds. Handbook of bereavement. Theory, research and intervention. New York: Cambridge University Press, 1993: 23–43.

23.

Klass D , Silverman PR , Nickman S . Continuing bonds: new understanding of grief. Washington, DC: Taylor & Francis, 1996: 349–355.

24.

Parkes CM . Book review. Continuing bonds: new understanding of grief. Br J Clin Psychol 1997; 36: 458–459.

25.

Stroebe M , Schut H . The dual process model of coping with bereavement: rationale and description. Death Stud 1999; 23: 197–224.

26.

Faschingbauer TR , Devaul RA , Zisook S . Development of the Texas Inventory of Grief. Am J Psychiatry 1977; 134: 696–698.

27.

Parkes CM . Coping with loss. Bereavement in adult life. Br Med J 1998; 316: 856–859.

28.

Pasternak RE , Reynolds C , Schlernitzauer M et al. Acute open-trial nortriptyline therapy of bereavement-related depression in late life. J Clin Psychiatry 1991; 52: 307–310.

29.

Zisook S , Devaul RA , Click MA . Measuring symptoms of grief and bereavement. Am J Psychiatry 1982; 139: 1590–1593.

30.

Zisook S , Shuchter S . The first four years of widowhood. Psychiatr Ann 1986; 16: 288–294.

31.

Goin MK , Burgoyne RW , Goin JM . Timeless attachment to a dead relative. Am J Psychiatry 1979; 136: 988–989.

32.

Faschingbauer TR , Zisook S , DeVaul R . The Texas Revised Inventory of Grief. In: Zisook S ed. Biopsychosocial aspects of bereavement. Progression in Psychiatry. Washington, DC: American Psychiatric Press, 1987: 109–124.

33.

Zisook S , DeVaul RA . Grief, unresolved grief, and depression. Psychosomatics 1983; 24: 247–256.

34.

Summers J , Zisook S , Atkinson JH et al. Psychiatric morbidity associated with acquired immune deficiency syndrome-related grief resolution. J Nervous Mental Dis 1995; 183: 384–389.

35.

Miller F , Dworkin J , Ward M , Barone D . A preliminary study of unresolved grief in families of seriously mentally ill patients. Hosp Commun Psychiatry 1990; 41: 1321–1325.

36.

Rynearson EK , McCreery JM . Bereavement after homicide: A synergism of trauma and loss. Am J Psychiatry 1993; 150: 258–261.

37.

Cameron J , Parkes CM . Terminal care: evaluation of effect on surviving family of care before and after bereavement. Postgrad Med J 1983; 59: 73–78.

38.

Vachon MLS , Lyall WAL , Rogers J , Freedman-Letofsky K , Freeman SJJ . A controlled study of self-help intervention for widows. Am J Psychiatry 1980; 137: 1380–1384.

39.

Jordhøy MS , Kaasa S , Fayers P , Øvreness T , Underland G , Ahlner-Elmquist M . Challenges in palliative care research; recruitement, attrition and compliance: experience from a randomized controlled trial. Palliat Med 1999; 13: 299–310.

40.

Bornstein PE , Clayton PJ . The anniversary reaction. Dis Nerv Syst 1972; 33: 470–472.

41.

Sijtsma K , Debets P , Molenaar IW . Mokken scale analysis for polychotomous items: theory, a computer program and an empirical application. Qual Quant 1990; 24: 173–188.

42.

Molenaar IW , Debets P , Sijtsma K , Hemker BT . MSP user's manual. A program for Mokken scale analysis for polychotomous items. Version 3.0. Groningen, The Netherlands: iec. ProGAMMA, 1994.