Abstract
To date, researchers exploring childhood bereavement have largely relied on unstandardized assessment instruments and/or have independently evaluated specific constructs rather than factoring in the dimensionality of loss. The purpose of this study was to utilize psychometrically established instruments to examine the multivariate shared relationship between characteristics of bereaved children referred for counseling--their ages, genders, ethnicities, types of loss, and life stressors—and their behavioral manifestations as well as the relationship between these characteristics and levels of parent-child relational stress. Utilizing archival clinical files, we examined these characteristics from bereaved children (N = 98) whose parents sought counseling services from two university-based counseling clinics. Two canonical correlational analyses (CCA) were conducted to examine the following: (1) relationship between characteristics of bereaved children and their subsequent behavioral manifestations, (2) relationship between characteristics of bereaved children and levels of parent-child relational stress. Correlational findings from this study provided insight into bereaved children’s manifestations of loss and levels of parent-child relational stress as contingent upon these specific characteristics. Specifically, results indicated a strong relationship between age and bereaved children’s behavioral manifestations. This finding reinforced the importance for clinicians to understand developmental implications when working with bereaved children. Furthermore, caregivers who reported minimal overall external stressors also reported less parent-child relational interference. This finding further emphasizes the importance for caregivers to maintain utmost stability for bereaved children.
Similar content being viewed by others
References
Abidin, R. R. (1995). Parenting Stress Index (3rd ed.). Lutz, FL: PAR.
Abidin, R. R. (2012). Parenting Stress Index (4th ed.). Lutz, FL: PAR.
Achenbach, T. M., & Rescorla, L. (2000). Manual for the ASEBA Preschool Forms and Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Berger, K. S. (2011). The developing person: Through childhood and adolescents (6th ed.). New York, NY: Worth.
Bowlby, J. (1980). Attachment and loss: Vol. III: Loss, sadness, and depression. New York, NY: Basic.
Burris, J. (2008). Understanding children’s reactions to loss: A holistic approach. In F. Yuen (Ed.), Social work practice with children and families: A family health approach. New York, NY: Routledge.
Cain, A., Fast, I., & Erickson, M. (1964). Children’s disturbed reactions to the death of a sibling. American Journal of Orthopsychiatry, 34, 741–745.
Cerel, J., Fristad, M. A., Weller, E. B., & Weller, R. A. (2000). Suicide-bereaved children and adolescents: II. Parental and family functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 39(4), 437–444.
Cerniglia, L., Cimino, S., Ballarotto, G., & Monnielo, G. (2014). Parental loss during xhildhood and outcomes on adolescents’ psychological profiles: A longitudinal study. Current Psychology, 33(4), 545–556.
Christian, L. G. (1997). Children and death. Young Children, 52(4), 76–80.
Di Ciacco, J. A. (2008). The colors of grief: Understanding a child’s journey through loss from birth to adulthood. Philadelphia, PA: Jessica Kingsley.
Dowdney, L. (2000). Annotation: Childhood bereavement following parental death. Journal of Child Psychology and Psychiatry, 41(7), 819–830.
Dyregrov, A., & Dyregrov, K. (2012). Complicated grief in children. In M. Stroebe, H. Schut, J. van den Bout & P. Boelen (Eds.), Complicated grief: Scientific foundations for health care professionals (pp. 68–81). London, UK: Routledge.
Edgar-Bailey, M., & Kress, V. E. (2010). Resolving child and adolescent traumatic grief: Creative techniques and interventions. Journal of Creativity in Mental Health, 5, 158–176.
Emick, M., & Hayslip, B. (1996). Custodial grandparenting: New roles for middle aged and older adults. International Journal of Aging and Human Development, 43, 135–154.
Freud, A. (1966/1989). Normality and pathology in childhood: Assessments of development. London, England: Karnac. Originally published in 1966.
Freud, S. (1915/1991). The unconscious. In P. Rieff (Ed.), General psychological theory: Papers on metapsychology (pp. 116–150). New York, NY: Simon & Schuster.
Freud, S. (1917/1957). Mourning and melancholia. In J. Strachey (Ed., & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 14, pp. 237–260). London, England: Hogarth. Originally published in 1917.
Furman, E. (1974). A child’s parent dies. New Haven, CT: Yale University.
Goldman, L. (2004). Grief counseling with children in contemporary society. Journal of Mental Health Counseling, 26, 168–187.
Greenspan, S. I., & Greenspan, N. T. (1989). First feelings: Milestones in the emotional development of your baby and child. New York, NY: Penguin.
Hansen, A. (2004). Responding to loss: A resource for caregivers. Amityville, NY: Baywood.
Heppner, P. P., Wampold, B. E., & Kivlighan, D. M. (2008). Research design in counseling. Belmont, CA: Thompson Brooks/Cole.
Hope, R. M., & Hodge, D. M. (2006). Factors affecting children’s adjustment to the death of a parent: The social work professional’s viewpoint. Child and Adolescent Social Work Journal, 23(1), 107–126.
Horst, P. (1941). The prediction of personnel adjustment. Social Science Research and Council Bulletin, 48, 431–436.
Hunter, S., & Smith, D. (2008). Predictors of children’s understanding of death: Age, cognitive ability, death experience and maternal communicative competence. Omega, 57, 143–162.
Krupnick, J. L. (1984). Bereavement in childhood education and adolescence. In M. Osterweiss, F. Solomon & M. Green (Eds.), Bereavement reactions, consequences, and care (pp. 99–141). Washington, DC: National Academy.
Kübler-Ross, E. (1969). On death and dying. New York, NY: Macmillan.
Lewis, P. G., & Lippman, J. G. (2004). Helping children cope with the death of a parent: A guide to the first year. Westport, CT: Praeger.
Lindemann, E. (1944). Symptomatology and management of acute grief. American Journal of Psychiatry, 38(4), 347–355.
McCown, D. E., & Davies, B. (1995). Patterns of grief in young children following the death of a sibling. Death Studies, 19, 41–53.
Melhem, N., Moritz, G., Walker, M., & Shear, K. (2007). Phenomenology and correlates of complicated grief in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 493–499.
Murray-Parkes, C. (2008). Love and loss. London, England: Taylor and Francis.
Nagy, M. (1948). The child’s theories concerning death. The Journal of Genetic Psychology, 72, 3–27.
Peretz, D. (1970). Reaction to loss. In B. Schoenberg (Ed.), Loss and grief (pp. 20–50). New York, NY: Columbia University.
Putnick, D. L., Bornstein, M. H., Hendricks, C., Painter, K. M., Suwalsky, J. T. D., & Collins, W. A. (2010). Stability, continuity, and similarity of parenting stress in European American mothers and fathers across their child’s transition to adolescence. Parenting, science and practice, 10, 60–77.
Raphael, B. (1983). The anatomy of bereavement. New York, NY: Basic.
Rubin, A., & Bellamy, J. (2012). Practitioner’s guide to using research for evidenced-based practice (2nd ed.). Hoboken, NJ: John Wiley & Sons.
Sanchez, L., Fristad, M., Weller, R. A., Weller, E. B., & Moye, J. (1994). Anxiety in acutely bereaved prepubertal children. Annals of Clinical Psychiatry, 6(1), 39–43.
Schreiber, J. K., Sands, D. C., & Jordan, J. R. (2017). The perceived experience of children bereaved by parental suicide. OMEGA—Journal of Death and Dying, 75(2), 184–206.
Sherry, A., & Henson, R. K. (2005). Conducting and interpreting canonical correlation analysis in personality research: A user-friendly primer. Journal of Personality Assessment, 84(1), 37–48.
Siegel, K., Karus, D., & Raveis, V. H. (1996). Adjustment of children facing the death of a parent due to cancer. Journal of American Academic Child and Adolescent Psychiatry, 35, 442–450.
Silverman, P. R. (2000). Children as part of the family drama: An integrated view of childhood bereavement. In R. Malkinson, S. S. Rubin & E. Witztum (Eds.), Traumatic and non-traumatic loss and bereavement: Clinical theory and practice (pp. 67–90). Madison, CT: Psychological.
Silverman, P. R., & Worden, J. W. (1992). Children’s reactions in the early months after the death of a parent. American Journal of Orthopsychiatry, 62, 93–104.
Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: A decade on. OMEGA—Journal of Death and Dying, 61(4), 273–289.
Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: rationale and description. Death Studies, 23, 197–224.
Thompson, B. (1984). Canonical correlation analysis: Uses and interpretation. Beverly Hills, CA: Sage.
Thomson, B. (2000). Canonical correlational analysis. In L. Grimm & P. Yarnold (Eds.), Reading and understanding more multivariate statistics (pp. 207–226). Washington, DC: American Psychological Association.
Van Eerdewegh, M. M., Bieri, M. D., Parilla, R. H., & Clayton, P. J. (1982). The bereaved child. British Journal of Psychiatry, 140, 23–29.
Webb, N. B. (2011). Helping bereaved children: A handbook for practitioners (3rd ed.). New York, NY: Guilford.
Webb, N. B. (2015). Family and community contexts of children and adolescents facing crisis or trauma. In N. B. Webb’s (Ed.), Play therapy with children and adolescents in crisis (4th ed.). (pp. 3–21). New York, NY: Guildford.
Weller, R. A., Weller, E. B., Fristad, M. A., & Bowes, J. M. (1991). Depression in recently bereaved prepubertal children. American Journal of Psychiatry, 148(11), 1536–1540.
Williford, A. P., Calkin, S. D., & Keane, S. P. (2007). Predicting change in parenting stress across early childhood: Child and maternal factors. Journal of Abnormal Child Psychology, 35, 251–263.
Wolfelt, A. (2007). Companioning the bereaved: A soulful guide for caregivers. Fort Collins, CO: Companion.
Wolfelt, A. (1996). Helping the bereaved child: Grief gardening, growth through grief and other touchstones for caregivers. New York, NY: Routledge.
Wolfelt, A. D. (2013). Finding the words: How to talk with children and teens about death, suicide, funerals, homicide, cremation, and other end-of-life matters. Fort Collins, CO: Companion.
Wolfenstein, M., & Kliman, G. (1965). Children and the death of a president: Multi-disciplinary studies. Garden City, NY: Doubleday.
Worden, J. W. (1982/2002). Grief counseling and grief therapy (3rd ed.). New York, NY: Springer.
Worden, J. W., & Silverman, P. R. (1996). Parental death and the adjustment of school-age children. Omega, 33(2), 91–102.
Author Contributions
LE: designed and executed the study, conducted and interpreted data analysis, and was the primary author for the manuscript. DCR: collaborated with the design of the study and assisted with writing and editing the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no competing interests.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Ener, L., Ray, D.C. Exploring Characteristics of Children Presenting to Counseling for Grief and Loss. J Child Fam Stud 27, 860–871 (2018). https://doi.org/10.1007/s10826-017-0939-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-017-0939-6