Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer.
Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer.
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DOI：
10.1007/s10880-021-09797-x
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发表时间：
2022-03
影响因子：
2.2
通讯作者：
Gerhardt CA
中科院分区：
文献类型：
--
作者：
Kenney AE;Tutelman PR;Fisher RS;Lipak KG;Barrera M;Gilmer MJ;Fairclough D;Akard TF;Compas BE;Davies B;Hogan NS;Vannatta K;Gerhardt CA
研究临终 (EoL) 环境对失去亲人的兄弟姐妹的悲伤和内化症状的影响。在孩子因癌症死亡后 3-12 个月（M=11.57，SD=3.48），从三个地点招募了失去亲人的家庭 (N = 88)。每个家庭随机选择一名 8-17 岁的兄弟姐妹（M=12.41，SD=2.64）参与。家人完成了对兄弟姐妹悲伤和内化症状的测量，以及有关死亡周围情况的结构化访谈。母亲和兄弟姐妹对生命终止情况的报告总体上是一致的，除了母亲和孩子之间关于孩子是否预期兄弟姐妹死亡的问题存在差异（t（75）= 1.52，p=0.018）。母亲报告的兄弟姐妹内化症状高于正常平均值 (t(83) = 4.44，p≤0.001 (M = 56.01 ± 12.48)，其中 39% (n=33) 处于临界/临床范围。兄弟姐妹说再见的机会与更大的悲伤相关成长相关 (t(79) = -1.95，p = 0.05)。死亡和希望自己做了不同的事情都与更大的悲伤（分别为 t(80) = -2.08，p=0.04 和 t(80) = -2.24，p=0.028）和悲伤相关的成长（分别为 t(80) = -2.01，p=0.048 和 t(80) = -2.31，p=0.024）有关。兄弟姐妹报告，很少有母亲报告的影响。无论在生命结束时的情况如何，失去亲人的兄弟姐妹的调整可能会受到某些可改变的情况的影响，以提供更好的支持并优化他们的结果。
To examine the impact of end-of-life (EoL) circumstances on grief and internalizing symptoms among bereaved siblings. Bereaved families (N = 88) were recruited from three sites 3–12 months (M=11.57, SD=3.48) after their child’s death from cancer. One sibling per family aged 8–17 years (M=12.41, SD=2.64) was randomly selected to participate. Families completed measures of siblings’ grief and internalizing symptoms, as well as a structured interview about circumstances surrounding the death. Mother and sibling reports of EoL circumstances were generally concordant, except there was a discrepancy between mothers and children about whether or not children expected their sibling’s death (t(75) = 1.52, p=0.018). Mother-reports of sibling internalizing symptoms were above the normative mean (t(83) = 4.44, p≤0.001 (M = 56.01 ± 12.48), with 39% (n=33) in the borderline/clinical range. Sibling opportunity to say goodbye was associated with greater grief-related growth (t(79) = −1.95, p = 0.05). Presence at the death and wishing they had done something differently were both associated with greater grief (t(80) = −2.08, p=0.04 and t(80) = −2.24, p=0.028, respectively) and grief-related growth (t(80) = −2.01, p=0.048 and t(80) = −2.31, p=0.024, respectively). However, findings were primarily unique to sibling-report, with few mother-reported effects. The adjustment of bereaved siblings may be affected by certain modifiable circumstances surrounding the death of their brother or sister. A proportion of bereaved siblings had elevated internalizing symptoms irrespective of circumstances at EoL. Further work is needed to understand predictors of adjustment among bereaved siblings to provide better support and optimize their outcomes.
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影响因子：
1.1
作者：
Lemus-Riscanevo, Paula;Carreno-Moreno, Sonia;Arias-Rojas, Mauricio
通讯作者：
Arias-Rojas, Mauricio
影响因子：
2.6
作者：
Nolbris, Margaretha Jenholt;Enskar, Karin;Hellstrom, Anna-Lena
通讯作者：
Hellstrom, Anna-Lena
影响因子：
3.8
作者：
Hogan, NS;Schmidt, LA
通讯作者：
Schmidt, LA
影响因子：
1.7
作者：
Lovgren, Malin;Bylund-Grenklo, Tove;Kreicbergs, Ulrika
通讯作者：
Kreicbergs, Ulrika
影响因子：
3.6
作者：
Pohlkamp, Lilian;Kreicbergs, Ulrika;Sveen, Josefin
通讯作者：
Sveen, Josefin