Pantke Renate, Slade Pauline
Sheffield Care Trust, UK, University of Sheffield, UK.
Psychol Psychother. 2006 Mar;79(Pt 1):69-81. doi: 10.1348/147608305X52667.
Pre-, peri-, or postnatal childloss can have devastating consequences for bereaved families. This study explored the long-term sequelae of these experiences for the young adult siblings' psychological well-being and the perceived quality of parenting received during participants' first 16 years of life.
A bereaved group of young adult siblings was compared to a non-bereaved group on the Parent Bonding Instrument, the Rosenberg Self-esteem Scale and the Mental Health Index-5.
The loss group reported their mothers, but not their fathers, to have been more protective/controlling than non-bereaved participants. No differences between the loss group and the comparison group were found for parental care, their own mental health or self-esteem. Those participants whose siblings died during the peri/post-natal period perceived their parents as more controlling than the miscarriage group as well as the non-bereaved group. Higher protection scores were evident among those born subsequent to the loss than those who were born before. Lower levels of protection were associated with better mental health across all groups. In the non-bereaved group lower levels of protection were associated with better self-esteem, but in the bereaved group a different even opposite pattern was shown.
Young adults who lost a sibling when they themselves were under 5 recall their mothers as more protective/controlling than non-bereaved groups, although they do not report less care nor differ in mental health nor self-esteem. Higher levels of parental protection/control were found where the child was born subsequent to loss and for peri/post-natal loss rather than miscarriage. While high protection was associated with poorer mental health regardless of loss this may not be necessarily disadvantageous to the child's self-esteem. Differences with regard to parent gender were found.
产前、围产期或产后子女夭折会给失去亲人的家庭带来毁灭性后果。本研究探讨了这些经历对年轻成年兄弟姐妹心理健康的长期影响,以及参与者在生命最初16年中所感受到的养育质量。
在父母关系量表、罗森伯格自尊量表和心理健康指数-5上,将一组失去亲人的年轻成年兄弟姐妹与非失去亲人的组进行比较。
失去亲人的组报告称,他们的母亲(而非父亲)比未失去亲人的参与者更具保护性/控制性。在父母关怀、自身心理健康或自尊方面,失去亲人的组与对照组之间未发现差异。那些兄弟姐妹在围产期/产后死亡的参与者认为他们的父母比流产组以及未失去亲人的组更具控制性。与那些在失去亲人之前出生的人相比,在失去亲人之后出生的人表现出更高的保护得分。在所有组中,较低水平的保护与更好的心理健康相关。在未失去亲人的组中,较低水平的保护与更好的自尊相关,但在失去亲人的组中则呈现出不同甚至相反的模式。
那些在5岁之前失去兄弟姐妹的年轻人回忆起他们的母亲比未失去亲人的组更具保护性/控制性,尽管他们并未报告得到的关怀更少,心理健康和自尊也没有差异。在孩子在失去亲人之后出生以及围产期/产后失去亲人而非流产的情况下,发现父母的保护/控制水平更高。虽然无论是否失去亲人,高保护都与较差的心理健康相关,但这不一定对孩子的自尊不利。还发现了父母性别方面的差异。