PERTANIKA JOURNAL OF SOCIAL SCIENCES AND HUMANITIES

 

e-ISSN 2231-8534
ISSN 0128-7702

Home / Regular Issue / JSSH Vol. 32 (S3) 2024 / JSSH(S)-1602-2024

 

Bereavement and Loss in Older Adulthood: Associations Between Meaning-Making, Spirituality and Grief

Chin Hui Sian, Asmah Ismail, Yusni Mohamad Yusop and Rahimah Ibrahim

Pertanika Journal of Social Science and Humanities, Volume 32, Issue S3, December 2024

DOI: https://doi.org/10.47836/pjssh.32.S3.03

Keywords: Bereavement, grief, meaning, older adults, spirituality

Published on: 16 July 2024

Losing a loved one in older adulthood affects one''s emotional well-being profoundly. The grief experienced by older adults, who may have shared significant experiences and memories with their loved ones, can be intensified by cumulative losses and is often not acknowledged by themselves or their caregivers. This study uses a descriptive quantitative cross-sectional design to determine the relationships between potential predictors and grief among older adults. This cross-sectional study uses purposive sampling and involves 134 older adults aged 60 years or above who had experienced significant loss within the past 60 months. A self-administered questionnaire assessed participants' demographic characteristics, loss experiences, grief, spirituality, and meaning-making. Multiple linear regression analysis was carried out to determine the significant predictors of meaning-making and spirituality regarding grief. The findings indicated significant negative associations between spirituality, meaning-making, and grief. This study emphasizes the importance of addressing the spiritual and meaning-making dimensions in supporting older adults in effectively managing grief-related distress. Future studies should consider longitudinal designs and further explore additional predictors to provide a more comprehensive understanding of the complex factors influencing grief and the healing process.

  • Barboza, J., Seedall, R., & Neimeyer, R. A. (2022). Meaning co-construction: Facilitating shared family meaning-making in bereavement. Family Process, 61(1), 7–24. https://doi.org/10.1111/famp.12671

  • Beasley, E. A., Scott, T. L., & Pachana, N. A. (2022). Making meaning of integrated care during a pandemic: Learning from older adults. Clinical Gerontologist, 45(1), 172–188. https://doi.org/10.1080/07317115.2021.1933291

  • Bufford, R. K., Paloutzian, R. F., & Ellison, C. W. (1991). Norms for the spiritual well-being scale. Journal of Psychology and Theology, 19(1), 56–70. https://doi.org/10.1177/009164719101900106

  • Chirico, F. (2021). Spirituality to cope with COVID-19 pandemic, climate change and future global challenges. Journal of Health and Social Sciences, 6(2), 151–158. https://doi.org/10.19204/2021/sprt2

  • Cohen, J. (2016). A power primer. In A. E. Kazdin (Ed.) Methodological issues and strategies in clinical research (pp. 279–284). American Psychological Association. https://doi.org/10.1037/14805-018

  • Gillies, J. M., Neimeyer, R. A., & Milman, E. (2015). The grief and meaning reconstruction inventory (GMRI): Initial validation of a new measure. Death Studies, 39(2), 61–74. https://doi.org/10.1080/07481187.2014.907089

  • Komischke-Konnerup, K. B., Zachariae, R., Johannsen, M., Nielsen, L. D., & O’Connor, M. (2021). Co-occurrence of prolonged grief symptoms and symptoms of depression, anxiety, and posttraumatic stress in bereaved adults: A systematic review and meta-analysis. Journal of Affective Disorders Reports, 4, 100140. https://doi.org/10.1016/j.jadr.2021.100140

  • Lepherd, L., Rogers, C., Egan, R., Towler, H., Graham, C., Nagle, A., & Hampton, I. (2020). Exploring spirituality with older people: (1) rich experiences. Journal of Religion, Spirituality & Ageing, 32(4), 306–340. https://doi.org/10.1080/15528030.2019.1651239

  • Lövgren, M., Sveen, J., Steineck, G., Wallin, A. E., Eilertsen, M. E. B., & Kreicbergs, U. (2019). Spirituality and religious coping are related to cancer-bereaved siblings’ long-term grief. Palliative and Supportive Care, 17(2), 138–142. https://doi.org/10.1017/S1478951517001146

  • Lundorff, M., Holmgren, H., Zachariae, R., Farver-Vestergaard, I., & O’Connor, M. (2017). Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of Affective Disorders, 212, 138–149. https://doi.org/10.1016/J.JAD.2017.01.030

  • Mason, T. M., Tofthagen, C. S., & Buck, H. G. (2020). Complicated grief: Risk factors, protective factors, and interventions. Journal of Social Work in End-of-Life & Palliative Care, 16(2), 151–174. https://doi.org/10.1080/15524256.2020.1745726

  • Meichsner, F., O’Connor, M., Skritskaya, N., & Shear, M. K. (2020). Grief before and after bereavement in the elderly: An approach to care. American Journal of Geriatric Psychiatry, 28(5), 560–569. https://doi.org/10.1016/j.jagp.2019.12.010

  • Pan, H., Cheung, C. K., & Hu, J. (2018). Intimacy and complicated grief among Chinese elders having lost their spouses: Mediating role of meaning making. Journal of Loss and Trauma, 23(3), 244–258. https://doi.org/10.1080/15325024.2018.1435367

  • Prigerson, H. G., Boelen, P. A., Xu, J., Smith, K. V, & Maciejewski, P. K. (2021). Validation of the newly proposed DSM criteria for prolonged grief disorder and the PG-13-Revised (PG-13-R) scale. World Psychiatry, 20(1), 96-106. https://doi.org/10.1002/wps.20823

  • Rozalski, V., Holland, J. M., & Neimeyer, R. A. (2017). Circumstances of death and complicated grief: Indirect associations through meaning made of loss. Journal of Loss and Trauma, 22(1), 11–23. https://doi.org/10.1080/15325024.2016.1161426

  • Salkind, N. J. (2012). Exploring research (8th ed.). Pearson Education.

  • Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., Reynolds, C., Lebowitz, B., Sung, S., Ghesquiere, A., Gorscak, B., Clayton, P., Ito, M., Nakajima, S., Konishi, T., Melhem, N., Meert, K., Schiff, M., O’Connor, M. F., … & Keshaviah, A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety, 28(2), 103–117. https://doi.org/10.1002/da.20780

  • Szuhany, K. L., Malgaroli, M., Miron, C. D., & Simon, N. M. (2021). Prolonged grief disorder: Course, diagnosis, assessment, and treatment. Focus, 19(2), 161-172. https://doi.org/10.1176/appi.focus.20200052

  • Testoni, I., Antonellini, M., Ronconi, L., Biancalani, G., & Neimeyer, R. A. (2021). Spirituality and meaning-making in bereavement: The role of social validation. Journal of Loss and Trauma, 27(4), 351–366. https://doi.org/10.1080/15325024.2021.1983304

  • Treml, J., Kaiser, J., Plexnies, A., & Kersting, A. (2020). Assessing prolonged grief disorder: A systematic review of assessment instruments. Journal of Affective Disorders, 274, 420–434. https://doi.org/10.1016/j.jad.2020.05.049

  • Worden, J. W. (2018). Grief counseling and grief therapy. A handbook for the mental health practitioner (5th ed.). Springer Publishing.

  • Zheng, Y., & Wuest, L. G. (2019). Assessing the impact of factors on parental grief among older Chinese parents. Death Studies, 45(2), 110–118. https://doi.org/10.1080/07481187.2019.1616854

ISSN 0128-7702

e-ISSN 2231-8534

Article ID

JSSH(S)-1602-2024

Download Full Article PDF

Share this article

Recent Articles