Mourners' Dissatisfaction with Funerals May Influence Their Subsequent Medical/Welfare Expenses-A Nationwide Survey in Japan.

Mourners' Dissatisfaction with Funerals May Influence Their Subsequent Medical/Welfare Expenses-A Nationwide Survey in Japan.
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DOI:
10.3390/ijerph19010486
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发表时间:
2022-01-02
影响因子:
--
通讯作者:
Yamamoto K
Yamamoto K
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Becker CB;Taniyama Y;Sasaki N;Kondo-Arita M;Yamada S;Yamamoto K

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日本的超高龄死亡率每年夺去数百万人的生命,威胁着这些人的心理健康。先前的研究表明,参加令人满意的葬礼仪式可以保护或改善丧亲人群的健康,但大流行的限制威胁到传统的葬礼集会。为了确定丧葬如何影响丧亲哀悼者的心理健康,以及随之而来的对医疗、药物或社会服务的依赖,以及丧葬最可能引起满意或不满意的方面,我们在日本全国范围内进行了一项匿名调查。共有1078名日本遗属回复;我们通过比较106名对葬礼不满意的受访者和972名没有不满意的受访者来分析他们的回答。对葬礼最满意的人群往往是年长的寡妇或失去孩子的父母;与不满意的人相比,他们表现出更大的悲伤,但在医疗、药品或社会服务方面的支出更少。相反,哀悼者对他们与殡仪馆馆长和佛教僧侣的互动最不满意,他们倾向于在丧亲之后花更多的钱在医疗、药品或社会服务上。我们的结论是,通过培训或教育来改善牧师和殡仪馆馆长之间的互动,可能会减少人们对葬礼的不满,从而潜在地降低日本迅速增长的丧亲人口在医疗、医药或社会服务方面的后续成本。
Japan’s super-aged mortality rate bereaves millions of people annually, threatening the mental health of the bereaved population. Previous research suggests that participation in satisfying funeral rituals can protect or improve the health of a bereaved population—but pandemic restrictions threaten traditional funeral assemblies. To determine how bereaved mourners’ mental health—and consequent dependence upon medical, pharmaceutical, or social services—are affected by funerals and the aspects of funerals most likely to cause satisfaction or dissatisfaction, we conducted an anonymous nationwide survey across Japan. In total, 1078 bereaved Japanese responded; we analyzed their responses by comparing the 106 citing funeral dissatisfaction with the 972 citing no dissatisfaction. The cohort showing greatest satisfaction with funerals tended to be older widows or parents who lost children; they showed greater grief but spent less on medical, pharmaceutical, or social services thereafter than the dissatisfied. Conversely, mourners with the greatest dissatisfaction toward their interactions with funeral directors and Buddhist priests tended to spend more on medical, pharmaceutical, or social services after bereavement. We conclude that training or education to improve priests’ and funeral directors’ interactions may reduce dissatisfaction with funerals, potentially reducing subsequent costs of medical, pharmaceutical, or social services for the rapidly growing population of bereaved Japanese.
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