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Effects of Satisfaction with Social Support on Complicated Grief in Bereaved Dementia Caregivers

Effects of Satisfaction with Social Support on Complicated Grief in Bereaved Dementia Caregivers

Article information

Korean J Health Promot. 2014;14(2):43-49
Publication date (electronic) : 2014 January 20
doi : https://doi.org/10.15384/kjhp.2014.14.2.43
1Hallym University Institute of Aging, Chuncheon, Korea
2Department of Social Welfare, Graduate School of Hallym University, Chuncheon, Korea
■ Corresponding author:Dhawoon Hyun, MSW Department of Social Welfare, Graduate School of Hallym University, 1 Hallymdaehak-gil, Chuncheon 200-702, Korea Tel: +82-10-5797-1957, Fax: +82-33-248-3095 E-mail: tree333h@hanmail.net
Received 2013 December 02; Accepted 2014 June 10.

Abstract

Abstract

Background

While complicated grief can lead to adverse health outcomes, social support has been shown to be an important protective factor of its negative effects. The present study investigated the relationship between social support including satisfaction with support, received support, and negative interactions and complicated grief in the transitional context from caregiving to bereavement.

Methods

Bereaved caregivers (n=221) who participated in a multi-site study of dementia caregiving were assessed for complicated grief. Social support measured before and after death were used to examine the longitudinal associations among social support and complicated grief.

Results

We found that caregivers reporting greater increase in satisfaction with social support were likely to experience lower levels of complicated grief, while the amount of received social support did not significantly impact complicated grief. Negative social interaction was significantly associated with the level of complicated grief after the death of the care recipient.

Conclusions

The relationship between social support and complicated grief suggests that satisfaction with social support may be associated with lower levels of complicated grief. Study findings point to the importance of the type of social support for reducing the level of complicated grief.

Demographic characteristics, social support, and caregiving characteristics

Correlations for complicated grief and social support constructsa

Regression results on relationships between satisfaction with social support and complicated griefa

References

1. Schulz R, Boerner K, Shear K, Zhang S, Gitlin LN. Predictors of complicated grief among dementia caregivers: a prospective study of bereavement. Am J Geriatr Psychiatry 2006;14(8):650–8.
2. Prigerson HG, Horowitz MJ, Jacobs SC, Parkes CM, Aslan M, Goodkin K, et al. Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med 2009;6(8)): e1000121.
3. Simon NM, Pollack MH, Fischmann D, Perlman CA, Muriel AC, Moore CW, et al. Complicated grief and its correlates in patients with bipolar disorder. J Clin Psychiatry 2005;66(9):1105–10.
4. Prigerson HG, Bierhals AJ, Kasl SV, Reynolds CF 3rd, Shear MK, Day N, et al. Traumatic grief as a risk factor for mental and physical morbidity. Am J Psychiatry 1997;154(5):616–23.
5. Germain A, Caroff K, Buysse DJ, Shear MK. Sleep quality in complicated grief. J Trauma Stress 2005;18(4):343–6.
6. Maytal G, Zalta AK, Thompson E, Chow CW, Perlman C, Ostacher MJ, et al. Complicated grief and impaired sleep in patients with bipolar disorder. Bipolar Disord 2007;9(8):913–7.
7. Burke LA, Neimeyer RA, McDevitt-Murphy ME. African American homicide bereavement: aspects of social support that predict complicated grief, PTSD, and depression. Omega (Westport) 2010;61(1):1–24.
8. Macias C, Jones D, Harvey J, Barreira P, Harding C, Rodican C. Bereavement in the context of serious mental illness. Psychiatr Serv 2004;55(4):421–6.
9. Ogrodniczuk JS, Joyce AS, Piper WE. Changes in perceived social support after group therapy for complicated grief. J Nerv Ment Dis 2003;191(8):524–30.
10. Vanderwerker LC, Prigerson HG. Social support and technological connectedness as protective factors in bereavement. J Loss Trauma 2004;9(1):45–57.
11. Hogan DP, Eggebeen DJ. Sources of emergency help and routine assistance in old age. Soc Forces 1995;73(3):917–36.
12. Gallagher SK, Gerstel N. Kinkeeping and friend keeping among older women: the effect of marriage. Gerontologist 1993;33(5):675–81.
13. Wilsey SA, Shear K. Descriptions of social support in treatment narratives of complicated grievers. Death Stud 2007;31(9):801–19.
14. White DL, Walker AJ, Richards LN. Intergenerational family support following infant death. Int J Aging Hum Dev 2008;67(3):187–208.
15. Bedard M, Raney D, Molloy DW, Lever J, Pedlar D, Dubois S. The experience of primary and secondary caregivers caring for the same adult with Alzheimer's disease. J Ment Health Aging 2001;7(2):287–96.
16. Litwin H, Landau R. Social network type and social support among the old-old. J Aging Stud 2000;14(2):213–28.
17. Mitrani VB, Czaja SJ. Family-based therapy for dementia caregivers: clinical observations. Aging Ment Health 2000;4(3):200–9.
18. Krause N, Markides K. Measuring social support among older adults. In J Aging Hum Dev 1990;30(1):37–53.
19. Somhlaba NZ, Wait JW. Psychological adjustment to conjugal bereavement: do social networks aid coping following spousal death? Omega (Westport) 2008;57(4):341–66.
20. Hebert RS, Dang Q, Schulz R. Preparedness for the death of a loved one and mental health in bereaved caregivers of patents with dementia: findings from the REACH study. J Palliat Med 2006;9(3):683–93.

Article information Continued

Table 1.

Demographic characteristics, social support, and caregiving characteristics

  Mean SD
Outcome and main predictors    
Complicated grief 18.51 12.81
Satisfaction with social support    
 Before death 5.40 2.30
 After death 6.58 2.22
 Change 1.18 2.19
Received social support    
 Before death 13.00 6.55
 After death 9.95 8.04
 Change –3.05 8.29
Negative social interaction    
 Before death 2.69 2.64
 After death 2.27 2.15
 Change –0.42 2.17
Continuous covariates    
Care recipient age, y 80.91 7.64
Caregiver age, y 64.76 13.47
Time since loss, d 107.87 70.25
Years of caregiving for care recipient 4.38 4.43
Hours per day spent caregiving 13.12 6.69
  N %
Categorical covariates    
Caregiver gender    
 Female 186 84.16
 Male 35 15.84
Care-recipient gender    
Female 103 46.61
 Male 118 53.39
Caregiver race/ethnicity    
 Caucasian 146 66.06
 African American 45 20.36
 Hispanic/Latino 30 13.58
Caregiver education    
 Did not complete high school 52 23.53
 High school graduate 80 36.20
 College graduate 89 40.27
Relationship with care-recipient    
 Non spouse 112 50.68
 Spouse 109 49.32
Intervention assignment    
 Control group 80 36.20
 Intervention group 141 63.80
Antidepressant use    
 No 176 79.64
 Yes 45 20.36

Table 2.

Correlations for complicated grief and social support constructsa

  Correlation coefficient Pa
Satisfaction with social support
 Before death ‐0.10 0.071
 After death ‐0.26 <0.001
 Change ‐0.16 0.031
Received social support    
 Before death 0.02 0.142
 After death 0.12 0.065
 Change 0.10 0.072
Negative social interaction    
 Before death 0.12 0.065
 After death 0.21 0.003
 Change 0.06 0.105
a

Assessed by zero-order correlation analysis.

Table 3.

Regression results on relationships between satisfaction with social support and complicated griefa

  B SE Pa
Change in satisfaction with social support –0.783 0.391 0.041
Caregiver's age –0.052 0.071 0.471
Care-recipient's age –0.264 0.112 0.033
Female –3.591 2.361 0.132
Race (ref group: White)
 Black 1.791 2.193 0.412
 Hispanic 0.262 2.794 0.934
Caregiver education (ref group: <high school)
 High school graduate –2.564 2.264 0.261
 College graduate –4.734 2.271 0.042
Time since loss 0.023 0.013 0.123
REACH intervention assignment –1.872 1.774 0.292
Antidepressant use 5.611 2.092 0.011
Years of caregiving for care-recipient –0.017 0.201 0.934
Hours per day spent caregiving –0.041 0.131 0.774
a

Assessed by multiple regression analysis.