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- Title
Grief and Post-Traumatic Growth in Parents 2–6 Years after the Death of Their Extremely Premature Baby.
- Authors
Stefan Büchi; Hanspeter Mörgeli; Ulrich Schnyder; Josef Jenewein; Urs Hepp; Eveline Jina; Rachel Neuhaus; Jean-Claude Fauchère; Hans Ulrich Bucher; Tom Sensky
- Abstract
AbstractObjective: To assess grief and post-traumatic growth in parents 2–6 years after the death of a premature baby (24–26 weeks’ gestation) and to evaluate Pictorial Representation of Illness and Self-Measure (PRISM) in the assessment of bereavement. Method: Fifty-four parents were assessed for their experiences during hospitalization and by questionnaires regarding grief (MTS), post-traumatic growth, affective symptoms and the visual representation of the baby and the self of the parents (PRISM). Results: Even 2–6 years after the loss of their extremely preterm infant the parents still suffer a lot from their bereavement, mothers more so than fathers (Mann-Whitney U test, U = 230.5, p < 0.05). Having another child reduced the level of grief (U = 119.0, p < 0.05). Mothers showed more post-traumatic growth than fathers (U = 140.5, p < 0.001). For all parents a shorter distance between the baby and the self (PRISM) correlated with greater grief (ρ = –0.62, p < 0.001); in multiple regression analysis MTS explained 38% of the SBS-variance. Conclusions: Clinicians should be aware that the death of an extremely premature infant triggers not only a painful long-term process of mourning but also of individual personal growth. Adaptation processes after the death differ depending on gender, with mothers experiencing more intense grief but also more growth than fathers. The modified PRISM test is recommended as a visual, non-verbal and easy-to-use instrument to assess bereavement.Copyright © 2007 S. Karger AG, Basel
- Subjects
POST-traumatic stress; PSYCHOLOGICAL stress; DEATH &; psychology; PARENT-infant relationships; PSYCHOLOGY
- Publication
Psychotherapy & Psychosomatics, 2007, Vol 76, Issue 2, p106
- ISSN
0033-3190
- Publication type
Article
- DOI
10.1159/000097969