Couple distress after sudden infant or perinatal death: A 30‐month follow up

John C. Vance · Frances M. Boyle · Jake Moses Najman · M. John Thearle

105 citations0/0 files storedJournal of Paediatrics and Child Health

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Grief, Bereavement, and Mental Health Infant Development and Preterm Care Maternal and Neonatal Healthcare

Abstract

OBJECTIVE: To examine, using a 30-month prospective study, patterns of anxiety, depression and alcohol use in couples following stillbirth, neonatal death or sudden infant death syndrome. METHODOLOGY: One hundred and thirty-eight bereaved and 156 non-bereaved couples completed standardized interviews at 2, 8, 15 and 30 months post-loss. RESULTS: At all interviews, bereaved couples were significantly more likely than non-bereaved couples to have at least one distressed partner. Rarely were both partners distressed in either group. For bereaved couples, 'mother only' distress declined from 21% to 10% during the study. 'Father only' distress ranged from 7% to 15%, peaking at 30 months. Bereaved mothers who were distressed at 2 months reported significantly lower marital satisfaction at 30 months. CONCLUSIONS: At the couple level, the experience of a baby's death is multifaceted. Gender differences are common and partners' needs may change over time. Early recognition of these differences may facilitate longer-term adjustment for both partners.

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1976Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads 1982Neurosis and the Social Environment 1999The accuracy of self-reported health behaviors and risk factors relating to cancer and cardiovascular disease in the general population 1970The Mourning Response of Parents to the Death of a Newborn Infant 1993Marital Discord and Dysphoria: For Whom does the Marital Relationship Predict Depressive Symptomatology?1995Gender Differences in Parental Psychological Distress Following Perinatal Death or Sudden Infant Death Syndrome

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