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School Aged Children’s Experiences 7 and 13 Months Following a Sibling’s Death

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Abstract

This study described 6-year to 12-year-old children’s responses 7 and 13 months after siblings’ NICU/PICU/ED death. Using semi-structured interviews, at 7 months, children were asked about events around their sibling’s death. At both 7 and 13 months, children were asked about their thoughts and feelings about the deceased, concerns or fears, and life changes since the death. Thirty one children (58% female), recruited from four South Florida hospitals and Florida obituaries, participated. Children’s mean age was 8.4 years; 64.5% were Black, 22.5% Hispanic, 13% White. Interviews were analyzed using conventional content analysis. Resulting themes: circumstances of the death, burial events, thinking about and talking to the deceased sibling, fears, and life changes. Most children knew their sibling’s cause of death, attended funeral/memorials, thought about and talked to their deceased sibling, reported changes in family and themselves over the 13 months. Fears (something happening to themselves, parents, other siblings—death, cancer, being snatched away) decreased from 7 to 13 months especially in 7-year to 9-year-olds. Seven-year to 9-year-olds reported the greatest change in themselves from 7 to 13 months. More Black children and girls thought about the deceased and reported more changes in themselves over the 13 months. School aged children thought about and talked with their deceased sibling, reported changes in themselves and their family and their fears decreased over the first 13 months after their sibling’s death

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References

  • Abdelnoor, A., & Hollins, S. (2004). The effect of childhood bereavement on secondary school performance. Educational Psychology Practice, 20(1), 43–54.

    Article  Google Scholar 

  • Avelin, P., Erlandsson, K., Hildingsson, I., & Rådestad, I. (2011). Swedish parents’ experiences of parenthood and the need for support to siblings when a baby is stillborn. Birth, 38(2), 150–158. doi:10.1111/j.1523-536X.2010.00457.x.

    Article  PubMed  Google Scholar 

  • Birenbaum, L. (2000). Assessing children’s and teenagers’ bereavement when a sibling dies from cancer: A secondary analysis. Child: Care, Health and Development, 26, 381–400. PMID: 10998002.

    Google Scholar 

  • Bowlby, J. (1961). Processes of mourning. International Journal of Psycho-Analysis, 42, 317–340.

    PubMed  Google Scholar 

  • Brent, S. B., Speece, M. W., Lin, C., Dong, Q., & Yang, C. (1996). The development of the concept of death among Chinese and US children 3-17 years of age: From binary to “fuzzy” concepts? Omega, 33, 67–83.

    Google Scholar 

  • Brooten, D., Youngblut, J. M., Charles, D., Roche, R., Hidalgo, I., & Malkawi, F. (2016). Death rituals reported by White, Black, and Hispanic parents following the ICU death of an infant or child. Journal of Pediatric Nursing, 31, 132–140. doi:10.1016/j.pedn.2015.10.017. PMC 4769949.

    Article  PubMed  Google Scholar 

  • Brooten, D., Youngblut, J. M., Seagrave, L., Caicedo, C., Hawthorne, D., Hidalgo, I., & Roche, R. (2013). Parent’s perceptions of health care providers’ actions around child ICU death: What helped, what did not. American Journal of Hospice and Palliative Medicine, 30(1), 40–49. doi:10.1177/1049909112444301. PMC3532561.

    Article  PubMed  Google Scholar 

  • Charles, D., & Charles, M. (2006). Sibling loss and attachment style. Psychoanalysis & Psychology, 26, 72–90. doi:10.1037/0736-9735.23.1.72.

    Article  Google Scholar 

  • Christ, G. H. (2000). Impact of development on children’s mourning. Cancer Practice, 8(2), 72–81. PMID: 11898180.

    Article  PubMed  Google Scholar 

  • Demmer, C., & Rothschild, N. (2011). Bereavement among South African adolescents following a sibling’s death from AIDS. African Journal of AIDS Research, 10(1), 15–24. doi:10.2989/16085906.2011.575544.

    Article  PubMed  PubMed Central  Google Scholar 

  • Erlandsson, K., Avelin, P., Säflund, K., Wredling, R., & Rådestad, I. (2010). Siblings’ farewell to a stillborn sister or brother and parents’ support to their older children: A questionnaire study from the parents’ perspective. Journal of Children’s Health Care, 14(2), 151–160. doi:10.1177/1367493509355621.

    Article  Google Scholar 

  • Fanos, J. H., Little, G. A., & Edwards, W. H. (2009). Candles in the snow: Ritual and memory for siblings of infants who died in the intensive care nursery. Journal of Pediatrics, 154(6), 849–853. doi:10.1016/j.jpeds.2008.11.053.

    Article  PubMed  Google Scholar 

  • Fontana, M. S., Farrell, C., Gauvin, F., Lacroix, J., & Janvier, A. (2013). Modes of death in pediatrics: Differences in the ethical approach in neonatal and pediatric patients. Journal of Pediatrics, 162(6), 1107–1111. doi:10.1016/j.jpeds.2012.12.008.

    Article  PubMed  Google Scholar 

  • Freud, A. (1960). Discussion of Mr. John Bowlby’s paper. Psychoanalytic Study of the Child, 15, 53–63.

    PubMed  Google Scholar 

  • Gerhardt, C. A., Fairclough, D. L., Grossenbacher, J. C., Barrera, M., Gilmer, M. J., Foster, T. L., Compas, B. E., Davies, B., Hogan, N. S., & Vannatta, K. (2012). Peer relationships of bereaved siblings and comparison classmates after a child’s death from cancer. Journal of Pediatric Psychology, 37(2), 209–219. doi:10.1093/jpepsy/jsr082.

    Article  PubMed  Google Scholar 

  • Gibbons, M. B. (1992). A child dies, a child survives: The impact of sibling loss. Journal of Pediatric Health Care, 6(2), 65–72. PMID: 1573530.

    Article  PubMed  Google Scholar 

  • Girard, G. A., & Silber, T. J. (2011). The aftermath of adolescent suicide: Clinical, ethical, and spiritual issues. Adolescent Medicine, 22, 229–239. PMID: 22106737.

    Google Scholar 

  • Heron, M. (2011). Deaths: Leading causes for 2007. National Vital Statistics Report, 59(8). Hyattsville, MD: National Center for Health Statistics.

  • Kübler-Ross, E. (1969). On death and dying. New York: Scribner.

    Google Scholar 

  • Lancaster, J. (2011). Developmental stages, grief, and a child’s response to death. Pediatric Annals, 40(5), 227–281. doi:10.3928/00904481-20110412-09.

    Article  Google Scholar 

  • Lobar, S. L., Youngblut, J. M., & Brooten, D. (2006). Cross-cultural beliefs, ceremonies, and rituals surrounding death of a loved one. Pediatric Nursing, 32, 44–50. PMID: 16572538.

    PubMed  Google Scholar 

  • Lohan, J., & Murphy, S. (2001-2002). Parents’ perceptions of adolescent sibling grief responses after an adolescent or young adult child’s sudden, violent death. Omega, 44, 77–95.

  • McCown, D., & Davies, B. (1995). Patterns of grief in young children following the death of a sibling. Death Studies, 19, 41–53.

    Article  Google Scholar 

  • Nolbris, M., & Hellström, A. (2005). Sibling’s needs and issues when a brother or sister dies of cancer. Journal of Pediatric Oncology Nursing, 22, 227–233. doi:10.1177/1043454205274722.

    Article  PubMed  Google Scholar 

  • Packman, W., Horsley, H., Davies, B., & Kramer, R. (2006). Sibling bereavement and continuing bonds. Death Studies, 30, 817–841. doi:10.1080/07481180600886603.

    Article  PubMed  Google Scholar 

  • Price, S. K. (2007). Social work, siblings and SIDS: Conceptual and case based guidance for family system intervention. Journal of Social Work in End-of-Life & Palliative Care, 3(3), 81–100. doi:10.1300/J457v03n03_07.

    Article  Google Scholar 

  • Roche, R., Brooten, D., & Youngblut, J. M. (2016). Comparison of parent and sibling perceptions of surviving sibling’s health following ICU death of a brother or sister. International Journal of Nursing and Clinical Practices, 3, 185–191. doi:10.15344/2394-4978/2016/185. Epub 7 Jun PMC 5036584.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sood, A. B., Razdan, A., Weller, E. B., & Weller, R. A. (2006). Children’s reactions to parental and sibling death. Current Psychiatry Reports, 8(2), 115–120. PMID: 16539886.

    Article  PubMed  Google Scholar 

  • Warland, J., O’Leary, J., & McCutcheon, H. (2011). Born after infant loss: The experiences of subsequent children. Midwifery, 27, 628–633. doi:10.1016/j.midw.2010.06.019.

    Article  PubMed  Google Scholar 

  • Wood, J. D., & Milo, E. (2001). Fathers’ grief when a disabled child dies. Death Studies, 25, 635–661. doi:10.1080/713769895.

    Article  PubMed  Google Scholar 

  • Worden, J., Davies, B., & McCown, D. (1999). Comparing parent loss with sibling loss. Death Studies, 23, 1–15. doi:10.1080/074811899201163.

    Article  PubMed  Google Scholar 

  • Youngblut, J.M., & Brooten, D. (2010-2016). Children’s responses to sibling death in the NICU/PICU in 3 racial/ethnic groups. National Institute of Nursing Research, NIH, R01 NR012675.

  • Youngblut, J. M., & Brooten, D. (2012). Perinatal and pediatric issues in palliative and end-of-life care from the 2011 summit on compassionate care. Nursing Outlook, 60, 343–350. doi:10.1016/j.outlook.2012.08.007. PMC 3514406.

    Article  PubMed  PubMed Central  Google Scholar 

  • Youngblut, J. M., & Brooten, D. (2013). Parent report of child response to sibling death in a neonatal or pediatric ICU. American Journal of Critical Care, 13, 474–481. doi:10.4037/ajcc2013790.. PMC 3881261.

    Article  Google Scholar 

  • Youngblut, J. M., Brooten, D., Cantwell, G. P., del Moral, T., & Totapally, B. (2013). Parent health and functioning 13 months after infant or child NICU/PICU death. Pediatrics, 132(5), e1295–e1301. doi:10.1542/peds.2013-1194. Epub 7 Oct. PMC 3813397.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The study was funded by grant R01 NR012675 from the National Institutes of Health, National Institute of Nursing Research. The research reported does not reflect the views of the NIH or NINR.

Author Contributions

Both authors are principal investigators on the grant; participated in the concept and design, analysis and interpretation of data, and drafting of the manuscript; and have approved the manuscript as submitted. Neither of the authors has any competing financial interests or conflicts of interest in relation to this work.

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Authors and Affiliations

  1. Nicole Wertheim College of Nursing & Health Sciences, Florida International University, Miami, FL, USA

    Dorothy Brooten & JoAnne M. Youngblut

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  1. Dorothy Brooten
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  2. JoAnne M. Youngblut
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Correspondence to Dorothy Brooten.

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Brooten, D., Youngblut, J.M. School Aged Children’s Experiences 7 and 13 Months Following a Sibling’s Death. J Child Fam Stud 26, 1112–1123 (2017). https://doi.org/10.1007/s10826-016-0647-7

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  • DOI: https://doi.org/10.1007/s10826-016-0647-7

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