The Effects of Bereavement Time on the Relationship Between Coping Strategies and Psychological Distress

The purpose of this study was to investigate the relationship between bereaved individuals' coping patterns, mental health, and time post-loss. A questionnaire using the Coping with Bereavement Scale (CBS) and the Kessler Psychological Distress Scale (K6) was completed by 173 family members of...

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Bibliographic Details
Published in:Journal of social work in end-of-life & palliative care 2022-07, Vol.18 (3), p.235-251
Main Authors: Uchida, Tomohiro, Satake, Noriaki, Takayama, Chiin, Uno, Akari, Nakaho, Toshimichi, Inoue, Akira, Saito, Hidemitsu
Format: Article
Language:English
Subjects:
Avoidance behavior
Bereavement
Cancer
Confirmatory factor analysis
Coping
Coping strategies
family caregivers
Grief
Measures
Mental health
period after bereavement
Psychological distress
Psychological research
Relatives
retaining ties
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Summary:The purpose of this study was to investigate the relationship between bereaved individuals' coping patterns, mental health, and time post-loss. A questionnaire using the Coping with Bereavement Scale (CBS) and the Kessler Psychological Distress Scale (K6) was completed by 173 family members of individuals who died from cancer between August 2013 and March 2016. Confirmatory factor analysis revealed a three-factor solution for the CBS comprised of "life orientation," "avoidance," and "retaining ties" with the deceased. Scores on retaining ties were significantly but weakly correlated with K6 scores; however, the intensity of this relationship increased with more time post-bereavement, and individuals who retained strong ties with the deceased for two years or more demonstrated poorer mental health. Although retaining ties with the deceased might be an adaptive psychological process following bereavement, in this study, long-term persistence with that coping strategy was associated with greater overall psychological distress. Further research is needed to identify optimal coping methods to address evolving needs during the bereavement process.
ISSN:1552-4256
1552-4264
DOI:10.1080/15524256.2022.2093315