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Children (Basel). 2017 Nov 9;4(11). pii: E96. doi: 10.3390/children4110096.

Risk and Resilience Factors Related to Parental Bereavement Following the Death of a Child with a Life-Limiting Condition.

Author information

1
Department of Pain and Palliative Care, Sydney Children's Hospital, Randwick NSW 2031, Australia. Tiina.Jaaniste@health.nsw.gov.au.
2
School of Women's and Children's Health, University of New South Wales, Kensington, NSW 2052, Australia. Tiina.Jaaniste@health.nsw.gov.au.
3
Department of Pain and Palliative Care, Sydney Children's Hospital, Randwick NSW 2031, Australia. Sandra.Coombs@health.nsw.gov.au.
4
Department of Pain and Palliative Care, Sydney Children's Hospital, Randwick NSW 2031, Australia. TheresaJDonnelly@gmail.com.
5
Department of Pain and Palliative Care, Sydney Children's Hospital, Randwick NSW 2031, Australia. Norm.Kelk@health.nsw.gov.au.
6
Department of Pain and Palliative Care, Sydney Children's Hospital, Randwick NSW 2031, Australia. Danielle.Beston@health.nsw.gov.au.

Abstract

This paper reviews the theoretical and empirical literature on risk and resilience factors impacting on parental bereavement outcomes following the death of a child with a life-limiting condition. Over the past few decades, bereavement research has focussed primarily on a risk-based approach. In light of advances in the literature on resilience, the authors propose a Risk and Resilience Model of Parental Bereavement, thus endeavouring to give more holistic consideration to a range of potential influences on parental bereavement outcomes. The literature will be reviewed with regard to the role of: (i) loss-oriented stressors (e.g., circumstances surrounding the death and multiple losses); (ii) inter-personal factors (e.g., marital factors, social support, and religious practices); (iii) intra-personal factors (e.g., neuroticism, trait optimism, psychological flexibility, attachment style, and gender); and (iv) coping and appraisal, on parental bereavement outcomes. Challenges facing this area of research are discussed, and research and clinical implications considered.

KEYWORDS:

bereavement; palliative care; parents; resilience factors; risk factors

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