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A longitudinal study of bereavement phenomena in recently widowed elderly men

Published online by Cambridge University Press:  09 July 2009

G. J. A. Byrne  and
B. Raphael
G. J. A. Byrne*
Affiliation:
Department of Psychiatry, University of Queensland, Australia
B. Raphael
Affiliation:
Department of Psychiatry, University of Queensland, Australia
*
1 Address for correspondence: Dr Gerard Byrne, Department of Psychiatry, The University of Queensland, Room E15, Clinical Sciences Building, Royal Brisbane Hospital, Herston, Queensland, 4029, Australia
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Synopsis

A three-phase longitudinal design was used to study bereavement phenomena in a cohort (N = 78) of recently widowed elderly Australian men. One group of 57 widowers was compared with a second group of 21 widowers on a waiting list. A brief, interviewer-administered, structured questionnaire was used to rate the frequency of 22 self-reported bereavement phenomena. The prevalence and temporal evolution of these phenomena are described. Half of a subgroup of elderly widowers reporting high levels of bereavement phenomena at 6 weeks post-bereavement went on to exhibit persistent or chronic grief at 13 months post-bereavement. The prevalence of persistent or chronic grief throughout the first 13 months post-bereavement was 8·8%. Income, education and expectedness of the death were all negatively correlated with frequency of self-reported bereavement phenomena at 6 weeks post-bereavement. In a multiple regression analysis only expectedness of the death contributed significantly to prediction of the frequency of bereavement phenomena at 6 weeks post-bereavement. Widowers who were unable to anticipate their wife's death, even when their wife had suffered a long final illness, had a more severe bereavement reaction.

Type
Original Articles
Information
Psychological Medicine , Volume 24 , Issue 2 , May 1994 , pp. 411 - 421
Copyright
Copyright © Cambridge University Press 1994

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References

Bass, D. M. & Bowman, K. (1990). The transition from caregiving to bereavement: the relationship of care-related strain and adjustment to death. Gerontologist 30, 35–42.CrossRefGoogle ScholarPubMed
Blazer, D. G., Bachar, J. R. & Manton, K. G. (1986). Suicide in late life. Review and commentary. Journal of the American Geriatrics Society 34, 519–525.CrossRefGoogle Scholar
Bowling, A. & Benjamin, B. (1985). Mortality after bereavement: a follow-up study of a sample of elderly widowed people. Biology and Society 2, 197–203.Google Scholar
Bruce, M. L., Kim, K., Leaf, P. J. & Jacobs, S. (1990). Depressive episodes and dysphoria resulting from conjugal bereavement in a prospective community sample. American Journal of Psychiatry 147, 608–611.Google Scholar
Caserta, M. S., Lund, D. A. & Dimond, M. F. (1985). Assessing interviewer effects in a longitudinal study of bereaved elderly adults. Journal of Gerontology 40, 637–640.CrossRefGoogle Scholar
Clayton, P. J., Halikas, J. A., Maurice, W. L. & Robins, E. (1973). Anticipatory grief and widowhood. British Journal of Psychiatry 122, 47–51.CrossRefGoogle ScholarPubMed
Daniel, A. (1984). The measurement of social class. Community Health Studies 8, 218–222.CrossRefGoogle ScholarPubMed
Emmerson, J. P., Burvill, P. W., Finlay-Jones, R. & Hall, W. (1989). Life events, life difficulties and confiding relationships in the depressed elderly. British Journal of Psychiatry 155, 787–792.CrossRefGoogle ScholarPubMed
Feinson, M. C. (1986). Aging widows and widowers: are there mental health differences? International Journal of Aging and Human Development 23, 241–255.CrossRefGoogle ScholarPubMed
Fleiss, J. L. (1981). Statistical Methods for Rates and Proportions. John Wiley & Sons: New York.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). ‘Mini-Mental State’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189–198.CrossRefGoogle Scholar
Gallagher, D., Lovett, S., Hanley-Dunn, P. & Thompson, L. W. (1989). Use of select coping strategies during later-life spousal bereavement. In Older Bereaved Spouses (ed. Lund, D. A.), pp. 111–121. Hemisphere Publishing Corporation: New York.Google Scholar
Gallagher, D. E., Thompson, L. W. & Peterson, J. A. (1981). Psychosocial factors affecting adaptation to bereavement in the elderly. International Journal of Aging and Human Development 14, 79–95.CrossRefGoogle ScholarPubMed
Gass, K. A. & Chang, A. S. (1989). Appraisals of bereavement, coping, resources, and psychosocial health dysfunction in widows and widowers. Nursing Research 38, 31–36.CrossRefGoogle ScholarPubMed
Gerber, I., Rusalem, R., Hannon, N., Battin, D. & Arkin, A. (1975). Anticipatory grief and aged widows and widowers. Journal of Gerontology 30, 225–229.CrossRefGoogle ScholarPubMed
Goldberg, E. L., Comstock, G. W. & Harlow, S. D. (1988). Emotional problems and widowhood. Journal of Gerontology 43, 206–208.CrossRefGoogle ScholarPubMed
Heyman, D. K. & Gianturco, D. T. (1973). Long-term adaptation by the elderly to bereavement. Journal of Gerontology 28, 359–362.CrossRefGoogle ScholarPubMed
Hill, D. C., Thompson, L. W. & Gallagher, D. (1988). The role of anticipatory bereavement in older women's adjustment to widowhood. Gerontologist 28, 792–796.CrossRefGoogle ScholarPubMed
Irwin, M. & Weiner, H. (1987). Depressive symptoms and immune function during bereavement. In Biopsychosocial Aspects of Bereavement (ed. Zisook, S.), pp. 159–174. American Psychiatric Press, Inc.: Washington, DC.Google Scholar
Jacobs, S. & Ostfeld, A. (1977). An epidemiological review of the mortality of bereavement. Psychosomatic Medicine 39, 344–357.CrossRefGoogle ScholarPubMed
Jacobs, S., Kasl, S., Ostfeld, A., Berkman, L. & Charpentier, P. (1986). The measurement of grief: age and sex variation. British Journal of Medical Psychology 59, 305–310.CrossRefGoogle ScholarPubMed
Kim, K. & Jacobs, S. (1991). Pathologic grief and its relationship to other psychiatric disorders. Journal of Affective Disorders 21, 257–263.CrossRefGoogle ScholarPubMed
Lund, D. A., Dimond, M. F., Caserta, M. S., Johnson, R. J., Poulton, J. L. & Connelly, J. R. (1985). Identifying elderly with coping difficulties after two years of bereavement. Omega 16, 213–224.CrossRefGoogle Scholar
Lund, D. A., Caserta, M. S. & Dimond, M. F. (1986). Gender differences through two years of bereavement among the elderly. Gerontologist 26, 314–320.CrossRefGoogle ScholarPubMed
Middleton, W., Moylan, A., Burnett, P. & Martinek, N. (1993). An international perspective on bereavement related concepts. Australia and New Zealand Journal of Psychiatry 27, 457–463.CrossRefGoogle ScholarPubMed
Moylan, A., Byrne, G. J. A. & Middleton, W. (1993). Psychometric properties of a questionnaire to measure bereavement phenomena. (Unpublished manuscript.) Department of Psychiatry, University of Queensland, Brisbane, Australia.Google Scholar
Murrell, S. A., Himmelfarb, S. & Phifer, J. F. (1988). Effects of bereavement/loss and pre-event status on subsequent physical health in older adults. International Journal of Aging and Human Development 27, 89–107.CrossRefGoogle ScholarPubMed
Niemi, T. (1979). The mortality of male old-age pensioners following spouse's death. Scandinavian Journal of Social Medicine 7, 115–117.CrossRefGoogle ScholarPubMed
Norusis, M. J. (1990). SPSS/ PC + 4.0 Base Manual. SPSS Inc.: Chicago.Google Scholar
Parkes, C. M. & Brown, R. J. (1972). Health after bereavement. A controlled study of young Boston widows and widowers. Psychosomatic Medicine 34, 449–461.CrossRefGoogle ScholarPubMed
Raphael, B. & Middleton, W. (1989). Phenomenology of adult bereavement. (Unpublished manuscript.) Department of Psychiatry, University of Queensland, Brisbane, Australia.Google Scholar
Sheldon, A. R., Cochrane, J., Vachon, M. L. S., Lyall, W. A. L., Rogers, J. & Freeman, S. J. J. (1981). A psychosocial analysis of risk of psychological, impairment following bereavement. Journal of Nervous and Mental Disease 169, 253–255.CrossRefGoogle ScholarPubMed
Shulman, K. (1978). Suicide and parasuicide in old age: a review. Age and Ageing 7, 201–209.CrossRefGoogle ScholarPubMed
Stein, Z. & Susser, M. (1969). Widowhood and mental illness. British Journal of Preventive and Social Medicine 23, 106–110.Google ScholarPubMed
Stroebe, M. S. & Stroebe, W. (1989). Who participates in bereavement research? A review and empirical study. Omega 20, 1–29.Google Scholar
Stroebe, W. & Stroebe, M. S. (1987). Bereavement and Health. The Psychological and Physical Consequences of Partner Loss. Cambridge University Press: Cambridge.CrossRefGoogle Scholar
Vachon, M. L. S., Rogers, J., Lyall, W. A., Lancee, W. L., Sheldon, A. R. & Freeman, S. J. J. (1982). Predictors and correlates of adaptation to conjugal bereavement. American Journal of Psychiatry 139, 998–1002.Google ScholarPubMed
Van Zandt, S., Mou, R. & Abbott, D. (1989). Mental and physical health of rural bereaved and nonbereaved elders: a longitudinal study. In Older Bereaved Spouses (ed. Lund, D. A.), pp. 25–35. Hemisphere Publishing Corporation: New York.Google Scholar
Zisook, S., Schucter, S. R. & Lyons, L. E. (1987 a). Predictors of psychological reactions during the early stages of widowhood. Psychiatric Clinics of North America 10, 355–368.CrossRefGoogle ScholarPubMed
Zisook, S., Schucter, S. R. & Lyons, L. E. (1987 b). Adjustment to widowhood. In Biopsychosocial Aspects of Bereavement (ed. Zisook, S.), pp. 51–74. American Psychiatric Press: Washington, DC.Google Scholar