Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Bereavement and Loss

  • Pui Yan Flora LauEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-69892-2_505-1
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Synonyms

Definition

Bereavement refers to the period during which a person adjusts to the death of a significant loved one (Stroebe et al. 2007; Perng and Renz 2018). Given the irreversible nature of death, bereavement is painful and disruptive. There are different types of bereavement, and the death of a spouse is often considered one of the most stressful but inevitable life transitions. It imposes psychosocial, emotional, and physical challenges on the bereaved (Shin et al. 2018).

Overview

Bereavement, Loss, and Grief

Emotionally, a bereaved person undergoes normal grief in the early stage of bereavement, where emotions fluctuate in an “oscillating” manner (Zisook et al. 2014). There are two forms of grief: acute grief and integrated grief (See “Emotion”). Acute grief is a preoccupying experience in which the bereaved can develop feelings of disbelief, yearning, longing, and sadness in addition to a full range of other dysphoric emotions such...

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References

  1. Alibhai SM, Greenwood C, Payette H (2005) An approach to the management of unintentional weight loss in elderly people. Can Med Assoc J 172(6):773–780.  https://doi.org/10.1503/cmaj.1031527CrossRefGoogle Scholar
  2. Berkman LF, Glass T (2000) Social integration, social networks, social support, and health. In: Berkman LF, Kawachi I (eds) Social epidemiology. Oxford University Press, Oxford, UK, pp 137–173Google Scholar
  3. Blazer DG (2003) Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci 58(3): 249–265.  https://doi.org/10.1093/gerona/58.3.m249CrossRefGoogle Scholar
  4. Bratt A, Stenstrom U, Rennemark M (2016) Exploring the most important negative life events in older adults bereaved of child, spouse, or both. Omega (Westport) 76(3):227–236.  https://doi.org/10.1177/0030222816642453CrossRefGoogle Scholar
  5. Bratt A, Stenstrom U, Rennemark M (2017) Effects on life satisfaction of older adults after child and spouse bereavement. Aging Ment Health 21(6):602–608.  https://doi.org/10.1080/13607863.2015.1135874CrossRefGoogle Scholar
  6. Cacioppo JT, Hawkley LC, Thisted RA (2010) Perceived social isolation makes me sad. 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago health, aging and social relations study. Psychol Aging 25(2):453–463.  https://doi.org/10.1037/a0017216
  7. Choi NG, Bohman TM (2007) Predicting the changes in depressive symptomatology in later life: how much do changes in health status, marital and caregiving status, work and volunteering, and health-related behavior contribute? J Aging Health 19(1):152–177.  https://doi.org/10.1177/0898264306297602CrossRefGoogle Scholar
  8. Chow AYM, Caserta M, Lund D et al (2019) Dual-process bereavement group intervention (DPBGI) for widowed older adults. Gerontologist 59(5):983–994.  https://doi.org/10.1093/geront/gny095CrossRefGoogle Scholar
  9. Cornwell B (2011) Independence through social networks: bridging potential among older women and men. J Gerontol B Psychol Sci Soc Sci 66(6):782–794.  https://doi.org/10.1093/geronb/gbr111CrossRefGoogle Scholar
  10. Dahlberg L, Agahi N, Lennartsson C (2018) Lonelier than ever? Loneliness of older people over two decades. Arch Gerontol Geriatr 75:96–103.  https://doi.org/10.1016/j.archger.2017.11.004CrossRefGoogle Scholar
  11. Durayappah A (2011) The 3P model: a general theory of subjective well-being. J Happiness Stud 12(4): 681–716.  https://doi.org/10.1007/s10902-010-9223-9CrossRefGoogle Scholar
  12. Forster F, Stein J, Lobner M et al (2018) Loss experiences in old age and their impact on the social network and depression – results of the Leipzig Longitudinal Study of the Aged (LEILA 75+). J Affect Disord 241:94–102.  https://doi.org/10.1016/j.jad.2018.07.070CrossRefGoogle Scholar
  13. Glaser R, Kiecolt-Glaser JK (2005) Stress-induced immune dysfunction: implications for health. Nat Rev Immunol 5(3):243–251.  https://doi.org/10.1038/nri1571CrossRefGoogle Scholar
  14. Glass TA, De Leon CF, Bassuk SS et al (2006) Social engagement and depressive symptoms in late life: longitudinal findings. J Aging Health 18(4):604–628.  https://doi.org/10.1177/0898264306291017CrossRefGoogle Scholar
  15. Hansson RO, Stroebe MS (eds) (2007) Bereavement in late life: coping, adaptation, and developmental influences. American Psychological Association, Washington, DCGoogle Scholar
  16. Hauksdottir A, Steineck G, Furst CJ et al (2010) Long-term harm of low preparedness for a wife’s death from cancer – a population-based study of widowers 4–5 years after the loss. Am J Epidemiol 172(4): 389–396.  https://doi.org/10.1093/aje/kwq147CrossRefGoogle Scholar
  17. Hong SI, Hasche L, Bowland S (2009) Structural relationships between social activities and longitudinal trajectories of depression among older adults. Gerontologist 49:1–11.  https://doi.org/10.1093/geront/gnp006CrossRefGoogle Scholar
  18. Huffman GB (2002) Evaluating and treating unintentional weight loss in the elderly. Am Fam Physician 65(4): 640–650Google Scholar
  19. Mercan MA, Barlin H, Cebeci AF (2016) Late-life bereavement: association between familial death and weight loss among elderly in the United States. Omega (Westport) 74(1):3–15.  https://doi.org/10.1177/0030222816649082CrossRefGoogle Scholar
  20. Monserud M, Wong R (2015) Depressive symptoms among older Mexicans: the role of widowhood, gender, and social integration. Res Aging 37(8):856–886.  https://doi.org/10.1177/0164027514568104CrossRefGoogle Scholar
  21. Moon JR, Kondo N, Glymour MM et al (2011) Widowhood and mortality: a meta-analysis. PLoS One 6(8):e23465.  https://doi.org/10.1371/journal.pone.0023465CrossRefGoogle Scholar
  22. Moss MS, Moss SZ (2012) Meaning of the death of an elderly father: two sisters’ perspective. Omega (Westport) 66(3):195–213.  https://doi.org/10.2190/OM/66.3.aCrossRefGoogle Scholar
  23. Perng A, Renz S (2018) Identifying and treating complicated grief in older adults. J Nurse Pract 14(4): 289–295.  https://doi.org/10.1016/j.nurpra.2017.12.001CrossRefGoogle Scholar
  24. Richardson VE, Bennett K, Carr D et al (2013) How does bereavement get under the skin? The effects of late-life spousal loss on cortisol levels. J Gerontol B Psychol Sci Soc Sci 70(3):341–347.  https://doi.org/10.1093/geronb/gbt116CrossRefGoogle Scholar
  25. Schaan B (2013) Widowhood and depression among older Europeans – the role of gender, caregiving, marital quality, and regional context. J Gerontol B Psychol Sci Soc Sci 68(3):431–442.  https://doi.org/10.1093/geronb/gbt015CrossRefGoogle Scholar
  26. Shear K, Shair H (2005) Attachment, loss, and complicated grief. Dev Psychobiol 47(3):253–267.  https://doi.org/10.1002/dev.20091CrossRefGoogle Scholar
  27. Shin SH, Kim G, Park SB (2018) Widowhood status as a risk factor for cognitive decline among older adults. Am J Geriatr Psychiatry 26(7):778–787.  https://doi.org/10.1016/j/jagp.2018.03.013CrossRefGoogle Scholar
  28. Shor E, Roelfs DJ, Curreli M et al (2012) Widowhood and mortality: a meta-analysis and meta-regression. Demography 49(2):575–606.  https://doi.org/10.1007/s13524-012-0096-xCrossRefGoogle Scholar
  29. Simon NM (2015) Increasing support for the treatment of complicated grief in adults of all ages. JAMA 313(21):2172–2173.  https://doi.org/10.1001/jama.2015.105CrossRefGoogle Scholar
  30. Stroebe M, Schut H, Stroebe W (2007) Health outcomes of bereavement. Lancet 370(9603):1960–1973.  https://doi.org/10.1016/S0140-6736(07)61816-9CrossRefGoogle Scholar
  31. Szabo A, Stephens C, Allen J (2016) Construct validation of Wenger’s support network typology. J Gerontol B gbw126.  https://doi.org/10.1093/geronb/gbw126
  32. Utz RL, Swenson KL, Caserta M et al (2014) Feeling lonely versus being alone: loneliness and social support among recently bereaved persons. J Gerontol B Psychol Sci Soc Sci 69B(1):85–94.  https://doi.org/10.1093/geronb/gbt075CrossRefGoogle Scholar
  33. Vable A, Subramanian SV, Rist P et al (2015) Does the “widowhood effect” precede spousal bereavement? Results from a Nationality Representative Sample of Older Adults. Am J Geriatr Psychiatry 23(3):283–292.  https://doi.org/10.1016/j.jagp.2014.05.004CrossRefGoogle Scholar
  34. Van den Berg GJ, Lindeboom M, Portrait F (2011) Conjugal bereavement effects on health and mortality at advanced ages. J Health Econ 30(4):774–794.  https://doi.org/10.1016/j.jhealeco.2011.05.011CrossRefGoogle Scholar
  35. Vitlic A, Lord JM, Carroll D et al (2015) Increased risk of infection in bereaved older adults: from broken heart to broken immune system. Adv Neuroimmune Biol 6(1):25–30.  https://doi.org/10.3233/NIB-150106CrossRefGoogle Scholar
  36. Vogelzangs N, Beekman AT, Milaneschi Y et al (2010) Urinary cortisol and six-year risk of all-cause and cardiovascular mortality. J Clin Endocrinol Metab 95(11):4959–4964.  https://doi.org/10.1210/jc.2010-0192CrossRefGoogle Scholar
  37. Wolff K, Wortman C (2006) Psychological consequences of spousal loss among older adults: understanding the diversity of responses. In: Carr D, Nesse R, Wortman C (eds) Spousal bereavement in late life. Springer, New York, pp 81–115Google Scholar
  38. Zisook S, Shear K (2009) Grief and bereavement: what psychiatrists need to know. World Psychiatry 8(2): 67–74CrossRefGoogle Scholar
  39. Zisook S, Simon NM, Reynolds CF et al (2010) Bereavement, complicated grief, and DSM, part 2: complicated grief. J Clin Psychiatry 71(8):1097–1098.  https://doi.org/10.4088/JCP.10ac06391bluCrossRefGoogle Scholar
  40. Zisook S, Iglewicz A, Avanzino J et al (2014) Bereavement: course, consequences, and care. Curr Psychiatry Rep 16:482.  https://doi.org/10.1007/s11920-014-0482-8CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of SociologyHong Kong Shue Yan UniversityHong KongHong Kong

Section editors and affiliations

  • Joonmo Son
    • 1
  1. 1.Department of SociologyNational University of SingaporeSingaporeSingapore