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Cognitive Schemata and Processing Among Parents Bereaved by Infant Death

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Abstract

The present prospective study examined cognitive schemata and processing among 93 parents bereaved by infant death. The Trauma Constellation Identification Scale (TCIS) was used to assess maladaptive cognitive schemata associated with the loss. The impact of pre-, peri-, and post-trauma factors on the TCIS scores was assessed. Compared to parents who had not lost an infant, bereaved parents displayed significantly higher TCIS scores. High TCIS scores were significantly associated with PTSD as well as general symptomatology. Although interesting gender differences were found, the variables most strongly related to TCIS scores were posttraumatic emotional coping and cognitive processing.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual. (4th ed.). Washington, DC: Author.

  • Bach, M. (2003). En empirisk belysning og analyse af “Emotional Numbing” som eventuel selvstændig faktor i PTSD. [An empirical illumination and analysis of emotional numbing as an independent factor in PTSD]. Psykologisk Studieskriftserie, 6, 1–199.

    Google Scholar 

  • Bartone, P. T., Ursano, R. J., Wright, K. M., & Ingraham, L. H. (1989). The impact of a military air disaster on the health of assistance workers: A prospective study. Journal of Nervous and Mental Disease, 177, 317–328.

    Article  CAS  PubMed  Google Scholar 

  • Black, A. E., & Pearlman, L. A. (1997). Self-esteem as a mediator between beliefs about self and beliefs about others. Journal of Social and Clinical Psychology, 1, 57–76.

    Google Scholar 

  • Bödvarsdóttir, I., & Elklit, A. (2004). Psychological reactions in Icelandic earthquake survivors. Scandinavian Journal of Psychology, 45, 3–13.

    Article  PubMed  Google Scholar 

  • Briere, J., & Runtz, M. (1989). Trauma Symptom Checklist. (TSC-33). Journal of Interpersonal Violence, 4, 151–163.

    Article  Google Scholar 

  • Burgess, A. W., & Holmstrom, L. L. (1974). Rape trauma syndrome. American Journal of Psychiatry, 131, 981–986.

    CAS  PubMed  Google Scholar 

  • Calhoun, L. G., Cann, A., Tedeschi, R. G., & McMillan, J. (1998). Traumatic events and generational differences in assumptions about a just world. Journal of Social Psychology, 6, 789–791.

    Article  Google Scholar 

  • Dansky, B. S., Roth, S., & Kronenberger, W. G. (1990). The trauma constellation identification scale: A measure of the psychological impact of a stressful life event. Journal of Traumatic Stress, 3, 557–572.

    Article  Google Scholar 

  • Dekel, R., Solomon, Z., Elklit, A., & Ginzburg, K. (2004). World assumptions and combat-related posttraumatic stress disorder. Journal of Social Psychology, 144, 407–420.

    Article  PubMed  Google Scholar 

  • Elklit, A. (1996). Coping Styles Questionnaire: A contribution to the validation of a scale for measuring coping strategies. Personality and Individual Differences, 21, 809–812.

    Article  Google Scholar 

  • Elklit, A., Pedersen, S., & Jind, L. (2001). The Crisis Support Scale: Psychometric qualities and further validation. Personality and Individual Differences, 31, 1291–1302.

    Article  Google Scholar 

  • Epstein, S. (1991). The self-concept, the traumatic neurosis, and the structure of personality. In D. Ozer, J. M. Healy Jr., & A. J. Stewart (Eds.), Perspectives of personality (Vol. 3, pp. 63–98). London: Jessica Kingsley.

    Google Scholar 

  • Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The Posttraumatic Cognitions Inventory (PTCI): Development and validation. Psychological Assessment, 11, 303–314.

    Article  Google Scholar 

  • Franklin, K. M., Janoff-Bulman, R., & Roberts, J. E. (1990). Long-impact of parental divorce on optimism and trust: Changes in general assumptions or narrow beliefs? Journal of Personality and Social Psychology, 59, 743–755.

    Article  CAS  PubMed  Google Scholar 

  • Goodman, L. A., & Dutton, M. A. (1996). The relationship between victimization and cognitive schemata among episodically homeless, seriously mentally ill women. Violence and Victims, 11, 159–174.

    CAS  PubMed  Google Scholar 

  • Harrison, C. A., & Kinner, S. A. (1998). Correlates of psychological distress following armed robbery. Journal of Traumatic Stress, 11(4), 787–798.

    Article  CAS  PubMed  Google Scholar 

  • Horowitz, M. J. (1976). Stress response syndromes. New York: Jason Aronson, Inc.

    Google Scholar 

  • Janoff-Bulman, R. (1992). Shattered assumptions. New York: The Free Press.

    Google Scholar 

  • Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social Cognition, 7, 113–136.

    Article  Google Scholar 

  • Jind, L. (2001). Do traumatic events influence cognitive schemata? Scandinavian Journal of Psychology, 42, 113–120.

    Article  CAS  PubMed  Google Scholar 

  • Joseph, S., Andrews, B., Williams, R., & Yule, W. (1992). Crises support and psychiatric symptomatology in adult survivors of the Jupiter cruise ship disaster. British Journal of Clinical Psychology, 31, 63–73.

    PubMed  Google Scholar 

  • Jurk, I. H., Ekert, H., & Jones, H. J. (1981). Family responses and mechanisms of adjustment following death of children with cancer. Australian Paediatric Journal, 17, 85–88.

    CAS  PubMed  Google Scholar 

  • Krog, T., & Duel, M. (2003). Trauma Symptom Checklist (TSC). En validering og revidering. Psykologisk Skriftserie, 6, 1–162.

    Google Scholar 

  • Magwaza, A. S. (1999). Assumptive world of traumatized South African adults. Journal of Social Psychology, 139, 622–630.

    Article  CAS  PubMed  Google Scholar 

  • Matthews, L. T., & Marwit, S. J. (2003–2004). Examining the assumptive world views of parents bereaved by accident, murder, and illness. Omega: Journal of Death and Dying, 48, 115–136.

    Google Scholar 

  • McCann, L., & Pearlman, L. A. (1990). Psychological trauma and the adult survivor. New York: Brunner/Mazel, Inc.

    Google Scholar 

  • McIntosh, D. N., Silver, R. C., & Wortman, C. B. (1993). Religion’s role in adjustment to a negative life event: Coping with the loss of a child. Journal of Personality and Social Psychology, 65, 812–821.

    Article  CAS  PubMed  Google Scholar 

  • Mollica, R. F., Caspi-Yavin, Y., Bollini, P., Troung, T., Tor, S., & Lavelle, J. (1992). The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease, 180, 111–116.

    Article  CAS  PubMed  Google Scholar 

  • Newman, E., Riggs, D. S., & Roth, S. (1997). Thematic resolution, PTSD and complex PTSD: The relationship between meaning and trauma-related diagnosis. Journal of Traumatic Stress, 10, 197–213.

    CAS  PubMed  Google Scholar 

  • Nicol, M. T., Tompkins, J. R., Campbell, N. A., & Syme, G. J. (1986). Maternal grieving response after perinatal death. Medical Journal of Australia, 144, 287–289.

    CAS  PubMed  Google Scholar 

  • Pakenham, K. I., Dadds, M. R., & Terry, D. J. (1994). Relationships between adjustment to HIV and both social support and coping. Journal of Consulting and Clinical Psychology, 62, 1194–1203.

    Article  CAS  PubMed  Google Scholar 

  • Pyevich, C. M., Newman, E., & Daleiden, E. (2003). The relationship among cognitive schemas, job-related traumatic exposure, and post-traumatic stress disorder in journalists. Journal of Traumatic Stress, 16, 325–328.

    Article  PubMed  Google Scholar 

  • Roger, D., Jarvis, G., & Najarian, B. (1993). Detachment and coping: The construction and validation of a new scale for measuring coping strategies. Personality and Individual Differences, 15, 619–629.

    Article  Google Scholar 

  • Roth, S., & Lebowitz, L. (1988). The experience of sexual trauma. Journal of Traumatic Stress, 1, 79–107.

    Article  Google Scholar 

  • Solomon, Z., Iancu, I., & Tyano, S. (1997). World assumptions following disaster. Journal of Applied Social Psychology, 27, 1785–1798.

    Article  Google Scholar 

  • Toedter, L. J., Lasker, J. N., & Alhadeff, J. M. (1988). The Perinatal Grief Scale: Development and initial validation. American Journal of Orthopsychiatry, 58, 435–449.

    Article  CAS  PubMed  Google Scholar 

  • Tudehope, D. I., Iredell, J., Rodger, D., & Gunn, A. (1986). Neonatal death: Grieving families. Medical Journal of Australia, 144, 290–292.

    CAS  PubMed  Google Scholar 

  • Wilson, A. L., Fenton, L. J., Stevens, D. C., & Soulse, D. J. (1982). The death of a newborn twin: An analysis of parental bereavement. Pediatrics, 70, 587–591.

    CAS  PubMed  Google Scholar 

  • Zeanah, C. H. (1989). Adaptation following perinatal loss: A critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 467–480.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

We would like to thank the staff at the maternity and the neo-natal wards at Aarhus University Hospital and Aalborg Hospital North in Denmark for their assistance in data collection.

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Correspondence to Ask Elklit.

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Jind, L., Elklit, A. & Christiansen, D. Cognitive Schemata and Processing Among Parents Bereaved by Infant Death. J Clin Psychol Med Settings 17, 366–377 (2010). https://doi.org/10.1007/s10880-010-9216-1

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