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Open Access 01-12-2021 | Research

Acute and long-term grief reactions and experiences in parentally cancer-bereaved teenagers

Authors: Tove Bylund-Grenklo, Dröfn Birgisdóttir, Kim Beernaert, Tommy Nyberg, Viktor Skokic, Jimmie Kristensson, Gunnar Steineck, Carl Johan Fürst, Ulrika Kreicbergs

Published in: BMC Palliative Care | Issue 1/2021

Abstract

Background

Previous research shows that many cancer-bereaved youths report unresolved grief several years after the death of a parent. Grief work hypothesis suggests that, in order to heal, the bereaved needs to process the pain of grief in some way. This study explored acute grief experiences and reactions in the first 6 months post-loss among cancer-bereaved teenagers. We further explored long-term grief resolution and potential predictors of having had “an okay way to grieve” in the first months post-loss.

Methods

We used a population-based nationwide, study-specific survey to investigate acute and long-term grief experiences in 622 (73% response rate) bereaved young adults (age > 18) who, 6–9 years earlier, at ages 13–16 years, had lost a parent to cancer. Associations were assessed using bivariable and multivariable logistic regression.

Results

Fifty-seven per cent of the participants reported that they did not have a way to grieve that felt okay during the first 6 months after the death of their parent. This was associated with increased risk for long-term unresolved grief (odds ratio (OR): 4.32, 95% confidence interval (CI): 2.99–6.28). An association with long-term unresolved grief was also found for those who reported to have been numbing and postponing (42%, OR: 1.73, 95% CI: 1.22–2.47), overwhelmed by grief (24%, OR: 2.02, 95% CI: 1.35–3.04) and discouraged from grieving (15%, OR: 2.68, 95% CI: 1.62–4.56) or to have concealed their grief to protect the other parent (24%, OR: 1.83, 95% CI: 1.23–2.73). Predictors of having had an okay way to grieve included being male, having had good family cohesion, and having talked about what was important with the dying parent.

Conclusion

More than half of the cancer-bereaved teenagers did not find a way to grieve that felt okay during the first 6 months after the death of their parent and the acute grief experiences and reaction were associated with their grief resolution long-term, i.e. 6–9 years post-loss. Facilitating a last conversation with their dying parent, good family cohesion, and providing teenagers with knowledge about common grief experiences may help to prevent long-term unresolved grief.

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Title: Acute and long-term grief reactions and experiences in parentally cancer-bereaved teenagers
Authors: Tove Bylund-Grenklo
Dröfn Birgisdóttir
Kim Beernaert
Tommy Nyberg
Viktor Skokic
Jimmie Kristensson
Gunnar Steineck
Carl Johan Fürst
Ulrika Kreicbergs
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: BMC Palliative Care / Issue 1/2021
Electronic ISSN: 1472-684X
DOI: https://doi.org/10.1186/s12904-021-00758-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acute and long-term grief reactions and experiences in parentally cancer-bereaved teenagers

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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