Support Received and Provided by Older Adults who Lost a Child: A Qualitative Content Analysis
Abstract
Background: Despite the vulnerability of older adults and the importance of social support following the death of a child, little research has been conducted on the Iranian older population. This study aimed to explore perceived support among older adults after the death of a child.
Materials and Methods: This study was carried out in Iran in 2020‑2021 using a qualitative content analysis method. Semi‑structured interviews with older adults who had experienced child death were used to collect data. To ensure the data’s trustworthiness, Guba and Lincoln’s criteria were applied. The Graneheim and Lundman method was used to analyze the data. Results: The participants’ mean age was 70.41 years. The findings were organized into one theme, two main categories, and five subcategories based on 352 initial codes. Two main categories emerged from the participants’ experiences: “supporting networks” and “giving support to others” with the theme of “healing emotional pain.” Following the death of a child, the older parents perceived support as recuperation from their hurt feelings.
Conclusions: Receiving support from family, entourages, and society, as well as providing support to the family and parents with the same experience were protective factors against the effects of child death among older parents. To reduce the consequences of child death, older parents’ health should be monitored through home care provided by nurses.
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Cesena FH. Lifestyle in the very elderly matters. Arq Bras Cardiol 2020;115:882 884.
Sharif Nia H, She L, Rasiah R, Khoshnavay Fomani F, Kaveh O, Pahlevan Sharif S, et al. Psychometrics of Persian Version of the Ageism Survey Among an Iranian Older Adult Population During COVID-19 Pandemic. Front Public Health 2021;9:683291.
Gijzen S, L’Hoir MP, Boere Boonekamp MM, Need A. How do parents experience support after the death of their child? BMC Pediatr 2016;7;16:204.
Jaul E, Barron J. Age related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health 2017;5:335.
Zhang Y, Jia X. A qualitative study on the grief of people who lose their only child: From the perspective of familism culture. Front Psychol 2018;9:869.
Mughal S, Azhar Y, Siddiqui WJ. Grief Reaction. Treasure Island (FL): StatPearls Publishing; 2021.
Zhai S, Zhuang Q, Wang Z. Study on the relationship between social support and mental health of the elderly in China: A case study of Xi’an city, Shaanxi province. J Ment Health 2019;28:119 24.
Tengku Mohd TA, Yunus RM, Hairi F, Hairi NN, Choo WY. Social support and depression among community dwelling older adults in Asia: A systematic review. BMJ Open 2019;9:e026667.
Piccinelli C, Clerici CA, Veneroni L, Ferrari A, Proserpio T. Hope in severe disease: A review of the literature on the construct and the tools for assessing hope in the psycho oncologic setting. Tumori 2015;101:491 500.
Scott HR, Pitman A, Kozhuharova P, Lloyd Evans B. A systematic review of studies describing the influence of informal social support on psychological wellbeing in people bereaved by sudden or violent causes of death. BMC Psychiatry 2020;20:265.
Jacobson NC, Lord KA, Newman MG. Perceived emotional social support in bereaved spouses mediates the relationship between anxiety and depression. J Affect Disord 2017;211:83 91.
Jaaniste T, Coombs S, Donnelly TJ, Kelk N, Beston D. Risk and resilience factors related to parental bereavement following the death of a child with a life limiting condition. Children (Basel) 2017;4:96.
Bratt AS, Stenström U, Rennemark M. Effects on life satisfaction of older adults after child and spouse bereavement. Aging Ment Health 2017;21:602 8.
Wang N, Hu Q. “It is not simply the loss of a child”: The challenges facing parents who have lost their only child in post reproductive age in China. Death Stud 2021;45:209 218.
Dutta O, Tan Ho G, Choo PY, Ho AH. Lived experience of a child’s chronic illness and death: A qualitative systematic review of the parental bereavement trajectory. Death Stud 2019;43:547 61.
Tseng YF, Hsu MT, Hsieh YT, Cheng HR. The meaning of rituals after a stillbirth: A qualitative study of mothers with a stillborn baby. J Clin Nurs 2018;27:1134–42.
Ogińska Bulik N, Kobylarczyk M. The experience of trauma resulting from the loss of a child and posttraumatic growth the mediating role of coping strategies (Loss of a Child, PTG, and Coping). Omega (Westport) 2019;80:104 19.
Aoun SM, Breen LJ, White I, Rumbold B, Kellehear A. What sources of bereavement support are perceived helpful by bereaved people and why? Empirical evidence for the compassionate communities approach. Palliat Med 2018;32:1378 88.
Price JE, Jones AM. Living through the life altering loss of a child: A narrative review. Issues Compr Pediatr Nurs 2015;38:222 40.
Safa A, Adib Hajbaghery M, Rezaei M, Araban M. The meaning of losing a child in older adults: A qualitative study. BMC Geriatr 2021;21:652.
Streubert HJ, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Imperative. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105 12.
Mehri N, Messkoub M, Kunkel S. Trends, determinants and the implications of population aging in Iran. Ageing Int 2020;45:327 43.
Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: Exploring its conceptualization and operationalization. Qual Quant 2018;52:1893 907.
Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: Striving to meet the trustworthiness criteria. Int J Qual Methods 2017;16:1 13.
Wang E, Helou H, He Y, Xu Y. Can social support matter? The relationship between social support and mental health among bereaved parents in an only child society: Evidence from China. Health Soc Care Community 2021;29:476 86.
Floyd FJ, Mailick Seltzer M, Greenberg JS, Song J. Parental bereavement during mid to later life: Pre to postbereavement functioning and intrapersonal resources for coping. Psychol Aging 2013;28:402 13.
Gualano MR, Voglino G, Bert F, Thomas R, Camussi E, Siliquini R. The impact of intergenerational programs on children and older adults: A review. Int Psychogeriatr 2018;30:451 68.
Hung M, Voss MW, Bounsanga J, Graff T, Birmingham WC. Assessing spousal support and health in an aging population: Support and strain amidst changing social dynamics. Soc Work Health Care 2019;58:345 67.
Ryan LH, Wan WH, Smith J. Spousal social support and strain: Impacts on health in older couples. J Behav Med 2014;37:1108 17.
Lee C, Glei DA, Weinstein M, Goldman N. Death of a child and parental wellbeing in old age: Evidence from Taiwan. Soc Sci Med 2014;101:166 73.
Chen Y, Hicks A, While AE. Loneliness and social support of older people in China: A systematic literature review. Health Soc Care Community 2014;22:113 23.
Schonfeld D, Quackenbush M, Demaria T. Grief across cultures: Awareness for schools. NASN Sch Nurse 2015;30:350–2.
Lotfalinezhad E, Abolfathi Momtaz Y, Nazaripanah NS, Honarvar MR, Arab Ameri F, Azimi MS. Effectiveness of integrated and comprehensive geriatric care program of Ministry of Health on physical and mental health of older adults in Golestan province. Iran J Ageing 2021;16:438-451.
Nikbakht Nasrabadi A, Shabany Hamedan M. Providing healthcare services at home A necessity in Iran: A narrative review article. Iran J Public Health 2016;45:867 74.
Cacciatore J, Thieleman K, Fretts R, Jackson LB. What is good grief support? Exploring the actors and actions in social support after traumatic grief. PLoS One 2021;16:e0252324.
Li C, Jiang S, Zhang X. Intergenerational relationship, family social support, and depression among Chinese elderly: A structural equation modeling analysis. J Affect Disord 2019;248:73 80.
Bartone PT, Bartone JV, Violanti JM, Gileno ZM. Peer support services for bereaved survivors: A systematic review. Omega (Westport) 2019;80:137 66.
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