Couples at Risk Following the Death of Their Child: Predictors of Grief Versus Depression.

This longitudinal study examined the relative impact of major variables for predicting adjustment (in terms of both grief and depression) among bereaved parents following the death of their child. Couples (N = 219) participated 6, 13, and 20 months postloss. Use of multilevel regression analyses enabled assessment of the impact of several predictors and facilitated analysis of factors that were either shared by parents or individual. Grief was predicted mainly by shared parent factors: child's age, cause and unexpectedness of death, and number of remaining children. By contrast, depression was predicted by individual parent factors: gender, religious affiliation, and professional help seeking. Theoretical implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Continuing bonds and adjustment at 5 years after the death of a spouse.

Thirty-nine bereaved individuals completed the Continuing Bonds Scale (CBS), assessing various aspects of the ongoing attachment to the deceased, at 60 months postloss in a longitudinal conjugal bereavement study. They also completed symptom measures at 6, 14, 25, and 60 months postloss. Higher CBS scores were associated with a more elevated grief-specific symptom pattern over the 5-year postloss period. Moreover, those who expressed greater helplessness and less blame toward the deceased during a monologue role-play involving their deceased spouse at 6 months postloss had higher CBS scores. Finally, greater satisfaction in the past relationship with the spouse was predictive of higher CBS scores. The results were discussed in relation to existing literature on the adaptiveness of continuing bonds. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term effects of the family bereavement program on multiple indicators of grief in parentally bereaved children and adolescents.

Objectives: This article reports on results from a randomized experimental trial of the effects of the Family Bereavement Program (FBP) on multiple measures of grief experienced by parentally bereaved children and adolescents over a 6-year period. Method: Participants were 244 youths (ages 8–16, mean age = 11.4 years) from 156 families that had experienced the death of a parent. The sample consisted of 53% boys and 47% girls; ethnicity was 67% non-Hispanic White and 33% ethnic minority. Families were randomly assigned to the FBP (N = 135) or a literature control condition (N = 109). Two grief measures, the Texas Revised Inventory of Grief and the Intrusive Grief Thoughts Scale (IGTS) were administered at 4 times over 6 years: pretest, posttest, and 11-month and 6-year follow-ups. A 3rd measure, an adaptation of the Inventory of Traumatic Grief (ITG) was administered only at the 6-year follow-up. Results: Compared with the control group, the FBP group showed a greater reduction in their level of problematic grief (IGTS) at posttest and 6-year follow-up and in the percentage at clinical levels of problematic grief at the posttest. The FBP also reduced scores on a dimension of the ITG, Social Detachment/Insecurity, at 6-year follow-up for 3 subgroups: those who experienced lower levels of grief at program entry, older youths, and boys. Conclusion: These are the first findings from a randomized trial with long-term follow-up of the effects of a program to reduce problematic levels of grief of parentally bereaved youths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Domestic violence, emotion coaching, and child adjustment.

This article addresses the question of whether parents in domestically violent homes have difficulty talking to and helping their children manage their emotions-what has been referred to as emotion coaching. Emotion coaching as a moderator in the relationship between domestic violence (DV) and children's behavior problems was also examined. Results indicated that DV was not associated with a general deficit in emotion coaching but that DV was associated with less coaching of anger and fear depending on whether the parent was the perpetrator or victim of DV. Emotion coaching also moderated the relationship between DV and children's behavior problems. Implications for the development of an intervention program to improve parental coaching of emotion in domestically violent homes is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Characteristics of the first child predict the parents' probability of having another child.

In a sample of 7,695 families in the prospective, nationally representative British Millennium Cohort Study, this study examined whether characteristics of the 1st-born child predicted parents' timing and probability of having another child within 5 years after the 1st child's birth. Infant temperament was assessed with the Carey Infant Temperament Scale (Carey, 1972; Carey & McDevitt, 1978) at age 9 months, childhood socioemotional and behavioral characteristics with the Strengths and Difficulties Questionnaire (Goodman, 2001), and childhood cognitive ability with the Bracken School Readiness Assessment (Bracken, 2002) test at age 3 years. Survival analysis modeling indicated that the 1st child's low reactivity to novelty in infancy, high prosociality, low conduct problems, and high cognitive ability in childhood were associated with increased probability of parents having another child. Except for reactivity to novelty, these associations became stronger with time. High emotional symptoms were also positively associated with childbearing, but this was likely to reflect reverse causality—that is, the effect of sibling birth on the 1st child's adjustment. The results suggest that child effects, particularly those related to the child's cognitive ability, adaptability to novelty, and prosocial behavior, may be relevant to parents' future childbearing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Understanding gender differences in bereavement following the death of an infant: Implications of or treatment.

The death of an infant confronts parents with a multitude of difficult challenges. Bereaved parents often experience a grief that is unexpectedly pervasive, intense and enduring. Support from family, friends, and medical professionals is often limited, and most parents rely predominantly on their partner or spouse for sustained support and understanding over time, partners often experience increased difficulties in supporting each other due to gender differences in grief and coping, strained communication, and characteristic patterns of misunderstandings. This article discusses research findings regarding gender similarities and differences in grief and coping following perinatal loss or loss from sudden infant death syndrome (SIDS), and regarding marital difficulties associated with incongruent grieving. Also discussed are the impact of social support on the experience of bereavement, typical patterns of misunderstandings underlying many grief-related marital difficulties, and treatment recommendations for psychotherapists working with individual clients or bereaved couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of parent death and an intervention on the adjustment of adolescents whose parents have HIV/AIDS.

The impact of parental death and the efficacy of a coping-skills intervention were examined on the adjustment of 211 adolescent children of parents with HIV/AIDS (PWH) over a 2-year period. During the follow-up period, 35% of the PWH died. Using longitudinal structural equation model, controlling for prior measures of adjustment at baseline, the authors found that children of deceased PWH reported significantly more emotional distress and problem behaviors 2 years later. Youth randomized with their parent to a coping-skills intervention reported significantly fewer problem behaviors and sexual partners 2 years later. Also, adolescents were better-adjusted 2 years later when their parents had reported less emotional distress and less severe physical health symptoms at baseline. Female adolescents reported more emotional distress at baseline and at 2 years than males; male adolescents reported more problem behaviors at baseline than the females. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The mediating role of parenting stress in the relation between intimate partner violence and child adjustment.

This study examined the role of maternal parenting stress in the relation between intimate partner violence (IPV) and children's emotional and behavioral problems among 139 African American children between the ages of 8 and 12 years. Structural equation modeling was used to investigate a mediational model examining maternal reports of IPV and parenting stress and both mother and child reports of child adjustment. Results suggest that parenting stress helps explain the link between IPV and child emotional and behavioral problems. Findings from this study highlight the importance of parenting stress in outcomes of children from low-income African American families who experience IPV. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The specificity of maternal parenting behavior and child adjustment difficulties: A study of inner-city African American families.

The specificity of the association between 2 parenting behaviors (warmth and supervision) and 2 indicators, aggressive behavior and depressive symptoms, of major child outcomes (externalizing problems and internalizing problems) was examined among 196 inner-city African American mothers and their school age children. Given the growing number of African American families affected by HIV/AIDS and demonstrated compromises in parenting associated with maternal infection, the moderating role of maternal HIV/AIDS was also examined. Findings from longitudinal analyses supported the specificity of maternal warmth but not of maternal supervision. Maternal warmth was a stronger predictor of decreases in child aggressive behavior than of decreases in depressive symptoms. In addition, maternal warmth was a stronger predictor of decreases in aggressive behavior than was maternal supervision. Parenting specificity was not moderated by maternal HIV/AIDS. Clinical implications and future research directions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Grief—The mourning after.

Reviews the book, Grief—The mourning after by Catherine M. Sanders (see record 1989-97503-000). This book is a respectable addition to the grief and bereavement literature. Much of its contents are derived from an important two-year longitudinal study of 115 bereaved persons who incurred the death of a close family member. The author's appreciation of standardized and well-normed instruments (e.g., Grief Experience Inventory) and appropriate research methodology gives credence to the abundance of anecdotal material. Rather than simply being repetitive of earlier contributors such as Raphael, Parkes, Rando and others, the book, for the most part, reads as a fresh contribution. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal relations between marital conflict and child adjustment: Vagal regulation as a protective factor.

Although associations between marital conflict and children's adjustment problems are established, less is known about child individual differences that can have an impact on these relations. The authors examined longitudinal relations between marital conflict and children's adjustment using a community sample of elementary school-age children and young adolescents and assessed the role of children's vagal regulation in moderating the conflict-child problems link. Elevated marital conflict was predictive of negative child outcomes, and greater vagal suppression to a simulated argument was protective against internalizing problems associated with marital conflict. Findings are supportive of the value of a biopsychosocial perspective and illustrate that child vagal regulation can contribute to the aggregation or amelioration of risk for maladjustment in the context of exposure to marital conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Observed and perceived parental overprotection in relation to psychosocial adjustment in preadolescents with a physical disability: The mediational role of behavioral autonomy.

The purpose of this study was to test a mediational model of associations between parental overprotectiveness (OP), behavioral autonomy, and psychosocial adjustment in 68 families with 8- and 9-year-old preadolescents with spina bifida and a demographically matched sample of 68 families with able-bodied children. Measures included questionnaire and observational assessments of parental OP; parent and child reports of behavioral autonomy; and parent, child, and teacher reports of preadolescent adjustment. On the basis of both questionnaire and observational measures of OP, mothers and fathers of children with spina bifida were significantly more overprotective than their counterparts in the able-bodied sample, although this group difference was partially mediated by children's cognitive ability. Both questionnaire and observational measures of parental OP were associated with lower levels of preadolescent decision-making autonomy as well as with parents being less willing to grant autonomy to their offspring in the future. For the questionnaire measure of OP, and only for the spina bifida sample, the mediational model was supported such that parental OP was associated with less behavioral autonomy, which was, in turn, associated with more externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential susceptibility to parenting and quality child care.

Research on differential susceptibility to rearing suggests that infants with difficult temperaments are disproportionately affected by parenting and child care quality, but a major U.S. child care study raises questions as to whether quality of care influences social adjustment. One thousand three hundred sixty-four American children from reasonably diverse backgrounds were followed from 1 month to 11 years with repeated observational assessments of parenting and child care quality, as well as teacher report and standardized assessments of children’s cognitive-academic and social functioning, to determine whether those with histories of difficult temperament proved more susceptible to early rearing effects at ages 10 and 11. Evidence for such differential susceptibility emerges in the case of both parenting and child care quality and with respect to both cognitive-academic and social functioning. Differential susceptibility to parenting and child care quality extends to late middle childhood. J. Belsky, D. L. Vandell, et al.’s (2007) failure to consider such temperament-moderated rearing effects in their evaluation of long-term child care effects misestimates effects of child care quality on social adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fathering in family context and child adjustment: A longitudinal analysis.

This study focuses on relations between fathers’ behavior in family context and children’s adjustment, including the roles of paternal depressive symptoms, paternal marital conflict behaviors, paternal parenting, and children’s emotional security. Participants included 235 families with a six-year-old child, with families followed longitudinally each year for three years. In terms of fathers’ adjustment, paternal problem drinking was related to paternal negative marital conflict behaviors and decreased positive parenting, which was associated with children’s externalizing and internalizing problems. Fathers’ depressive symptoms were directly related with children’s internalizing problems. Children’s emotional security was an intervening variable in relations between father’s behavior in family context and children’s development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal pathways from marital hostility to child anger during toddlerhood: Genetic susceptibility and indirect effects via harsh parenting.

We examined direct and indirect pathways from marital hostility to toddler anger/frustration via harsh parenting and parental depressive symptoms, with an additional focus on the moderating role of genetic influences as inferred from birth parent anger/frustration. Participants were 361 linked triads of birth mothers, adoptive parents, and adopted children who were 9 (T1) and 18 (T2) months old across the study period. Results indicated an indirect effect from T1 marital hostility to T2 toddler anger/frustration via T2 parental harsh discipline. Results also indicated that the association between marital hostility and toddler anger was moderated by birth mother anger/frustration. For children whose birth mothers reported high levels of anger/frustration, adoptive parents' marital hostility at T1 predicted toddler anger/frustration at T2. This relation did not hold for children whose birth mothers reported low levels of anger/frustration. The results suggest that children whose birth mothers report elevated frustration might inherit an emotional lability that makes them more sensitive to the effects of marital hostility. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Coping with client death: Using a case study to discuss the effects of accidental, undetermined, and suicidal deaths on therapists.

Over one-quarter of psychologists and psychiatrists will lose a client to suicide, and the impact of suicide on therapists is profound. Therapists report both personal (e.g., emotional) and professional (e.g., fears of litigation, doubts about competency) reactions to client suicide, and these reactions are thought to be pronounced for therapists-in-training. However, little is known about the effect of nonsuicidal client deaths on therapists, especially how the experience of a client suicide might compare with other forms of unanticipated client death, such as accidental injuries (e.g., car accidents) or deaths of undetermined intent. The current article reviews family members' bereavement responses based on differential death classification, as well as therapist reactions to suicidal deaths. A case study of undetermined death will be described in light of the extant literature on therapists' coping responses to suicide, including reflections on emotional and professional implications to a nonsuicidal death. A recent social psychological model of adaptation to emotional experiences (Wilson & Gilbert, 2008) will be used as a theoretical framework to discuss how death by suicide may be construed in comparison to undifferentiated and/or accidental deaths, with a focus on informing sorely needed future research in this area. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Commentary: Some focus and process considerations regarding effects of parental depression on children.

Six main questions are considered: How does depression affect parent-child interaction? Are the effects of parental depression uniform? Do they stem specifically from depressions as such? Do the risks derive from alterations in parent-child interaction? Which psychological functions in the child are affected? and Why do children differ in their responses to parental depression? The main challenges include the need (a) to study aspects of parenting that extend beyond styles of immediate interaction, (b) to differentiate varieties of parental psychopathology, (c) to consider the extent to which effects on children derive from parental depression per se rather than associated risk factors, (d) to differentiate between varied types of psychological dysfunction in the children, (e) to consider genetic as well as environmental transmission, (f) to examine mediating risk and protective mechanisms, and (g) to investigate the processes involved in individual differences in children's responses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term effects of educational and peer discussion group interventions on adjustment to breast cancer.

The authors report a 3-year follow-up of the effects of 8-week support group interventions on the quality of life of women with early stage breast cancer. Shortly after diagnosis, women were randomly assigned to 1 of 4 conditions: control, education, peer discussion, and education plus peer discussion. The education group intervention focused on providing information to enhance control over the illness experience, whereas the peer discussion group intervention focused on providing emotional support through the expression of feelings. Consistent with the results that emerged 6 months after the interventions (V. S. Helgeson, S. Cohen, R. Schulz & J. Yasko, 1999), the authors found that the benefits of the education intervention were maintained over a 3-year period N?=?252) although effects dissipated with time. The authors continued to find no benefits of the peer discussion intervention, either alone or in combination with education. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A genetically informed study of associations between family functioning and child psychosocial adjustment.

Research has documented associations between family functioning and offspring psychosocial adjustment, but questions remain regarding whether these associations are partly due to confounding genetic factors and other environmental factors. The current study used a genetically informed approach, the Children of Twins design, to explore the associations between family functioning (family conflict, marital quality, and agreement about parenting) and offspring psychopathology. Participants were 867 twin pairs (388 monozygotic; 479 dizygotic) from the Twin and Offspring Study in Sweden, their spouses, and children (51.7% female; M = 15.75 years). The results suggested associations between exposure to family conflict (assessed by the mother, father, and child) and child adjustment were independent of genetic factors and other environmental factors. However, when family conflict was assessed using only children's reports, the results indicated that genetic factors also influenced these associations. In addition, the analyses indicated that exposure to low marital quality and agreement about parenting was associated with children's internalizing and externalizing problems and that genetic factors also contributed to the associations of marital quality and agreement about parenting with offspring externalizing problems. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Effects of paternal and maternal depressive symptoms on child internalizing symptoms and asthma disease activity: Mediation by interparental negativity and parenting.

This study tested a hypothesized model of the relationships among parental depressive symptoms, family process (interparental negativity and negative parenting behavior), child internalizing symptoms, and asthma disease activity. A total of 106 children with asthma, aged 7 to 17, participated with their fathers and mothers. Parental depressive symptoms were assessed by self-report. Interparental and parenting behaviors were observed and rated during family discussion tasks. Child internalizing symptoms were assessed by self-report and by clinician interview and rating. Asthma disease activity was assessed according to National Heart, Lung and Blood Institute guidelines. Results of structural equation modeling generally supported interparental negativity and negative parenting behavior as mediators linking parental depressive symptoms and child emotional and physical dysfunction. However, paternal and maternal depressive symptoms play their role through different pathways of negative family process. (PsycINFO Database Record (c) 2011 APA, all rights reserved)