Transitional objects of grief.


Journal

Comprehensive psychiatry
ISSN: 1532-8384
Titre abrégé: Compr Psychiatry
Pays: United States
ID NLM: 0372612

Informations de publication

Date de publication:
11 Jan 2020
Historique:
received: 13 08 2019
revised: 02 01 2020
accepted: 06 01 2020
pubmed: 25 1 2020
medline: 25 1 2020
entrez: 25 1 2020
Statut: aheadofprint

Résumé

Transitional objects provide security and symbolic connection with valued others when separated from them. Bereaved parents often keep, cherish and visit saved objects of their deceased child. This research examined the hypothesis that these objects behave as transitional objects of grief in bereaved mothers during three years following their infants' deaths from Sudden Infant Death Syndrome. Questionnaires were administered asking about the presence of kept objects and momentos from their deceased infant, and the frequency, location and emotions experienced during visits to them. Diagnostic criteria for Prolonged Grief Disorder (PGD) were assessed using the Parental Bereavement Questionnaire. 98.6% of the mothers reported having transitional objects of grief, and most visited them more frequently than once per week regardless of PGD status. Mothers with PGD reported significantly more distress when visiting the objects, especially those visiting them privately. Mothers with PGD who felt comforted by the objects had lower risk for finding life meaningless or finding discussion about the infant intolerable. Transitional objects of grief are common and associated with key aspects of grief. There is a need to understand the potential therapeutic uses of transitional objects in promoting bereavement adjustment.

Sections du résumé

BACKGROUND BACKGROUND
Transitional objects provide security and symbolic connection with valued others when separated from them. Bereaved parents often keep, cherish and visit saved objects of their deceased child. This research examined the hypothesis that these objects behave as transitional objects of grief in bereaved mothers during three years following their infants' deaths from Sudden Infant Death Syndrome.
METHODS METHODS
Questionnaires were administered asking about the presence of kept objects and momentos from their deceased infant, and the frequency, location and emotions experienced during visits to them. Diagnostic criteria for Prolonged Grief Disorder (PGD) were assessed using the Parental Bereavement Questionnaire.
RESULTS RESULTS
98.6% of the mothers reported having transitional objects of grief, and most visited them more frequently than once per week regardless of PGD status. Mothers with PGD reported significantly more distress when visiting the objects, especially those visiting them privately. Mothers with PGD who felt comforted by the objects had lower risk for finding life meaningless or finding discussion about the infant intolerable.
CONCLUSIONS CONCLUSIONS
Transitional objects of grief are common and associated with key aspects of grief. There is a need to understand the potential therapeutic uses of transitional objects in promoting bereavement adjustment.

Identifiants

pubmed: 31978784
pii: S0010-440X(20)30003-1
doi: 10.1016/j.comppsych.2020.152161
pmc: PMC7351592
mid: NIHMS1551528
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

152161

Subventions

Organisme : NICHD NIH HHS
ID : U01 HD055154
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD045991
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD045935
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01 AA016501
Pays : United States
Organisme : NICHD NIH HHS
ID : U01 HD055155
Pays : United States

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors have no conflicts of interest relevant to this article to disclose.

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Auteurs

Richard D Goldstein (RD)

Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. Electronic address: Richard.goldstein@childrens.harvard.edu.

Carter R Petty (CR)

Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA, USA.

Sue E Morris (SE)

Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.

Melanie Human (M)

Faculty of Medicine and Health Science, Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg, Cape Town, South Africa.

Hein Odendaal (H)

Faculty of Medicine and Health Science, Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg, Cape Town, South Africa.

Amy J Elliott (AJ)

Center for Pediaetric and Community Research, Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA.

Deborah Tobacco (D)

Center for Pediaetric and Community Research, Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA.

Jyoti Angal (J)

Center for Pediaetric and Community Research, Avera McKennan Hospital & University Health Center, Sioux Falls, SD, USA.

Lucy Brink (L)

Faculty of Medicine and Health Science, Department of Obstetrics and Gynaecology, Stellenbosch University, Tygerberg, Cape Town, South Africa.

Holly G Prigerson (HG)

Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, NY, USA.

Classifications MeSH