Lövgren Malin, Sveen Josefin, Steineck Gunnar, Wallin Alexandra Eilegård, Eilertsen Mary-Elizabeth B, Kreicbergs Ulrika
The Department of Caring Sciences, Ersta Sköndal Bräcke University College, Palliative Research Centre, Stockholm, Sweden.
The Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Palliat Support Care. 2019 Apr;17(2):138-142. doi: 10.1017/S1478951517001146. Epub 2017 Dec 20.
Many bereaved siblings have still not come to terms with their grief many years after the loss, but few studies have focused on what can help. The aims of this study were to identify cancer-bereaved adolescents' and young adults' ways of coping with grief after loss of a sibling, and examine whether these ways of coping were related to their experience of having worked through their grief.
This nationwide survey of 174 cancer-bereaved siblings (73% participation rate) is based on one open-ended question about coping with grief ("What has helped you to cope with your grief after your sibling's death?") and one closed-ended question about siblings' long-term grief ("Do you think you have worked through your grief over your sibling's death?"). The open-ended question was analyzed with content analysis; descriptive statistics and Fisher's exact test were used to examine the relation between type of coping and siblings' long-term grief.
The siblings described four ways of coping: (1) thinking of their dead brother/sister and feeling and expressing their grief; (2) distracting or occupying themselves; (3) engaging in spiritual and religious beliefs/activities; and (4) waiting for time to pass. One of these categories of coping with grief, namely, engaging in spiritual and religious beliefs and activities, was associated with siblings' experience of having worked through their grief two to nine years after the loss (p = 0.016).
Those siblings who had used spirituality, religious beliefs, and activities to cope were more likely to have worked through their grief than those who had not.
许多失去兄弟姐妹的人在多年后仍未从悲痛中走出来，但很少有研究关注哪些因素能有所帮助。本研究的目的是确定失去兄弟姐妹后，青少年和年轻成年人应对悲痛的方式，并检验这些应对方式是否与他们度过悲痛的经历有关。
这项对174名失去兄弟姐妹的癌症患者进行的全国性调查（参与率73%）基于一个关于应对悲痛的开放式问题（“在你的兄弟姐妹去世后，什么帮助你应对了悲痛？”）和一个关于兄弟姐妹长期悲痛的封闭式问题（“你认为你已经从兄弟姐妹去世的悲痛中走出来了吗？”）。对开放式问题采用内容分析法进行分析；使用描述性统计和费舍尔精确检验来检验应对方式类型与兄弟姐妹长期悲痛之间的关系。
这些兄弟姐妹描述了四种应对方式：（1）想起死去的兄弟姐妹，感受并表达自己的悲痛；（2）分散注意力或让自己忙碌起来；（3）参与精神和宗教信仰/活动；（4）等待时间流逝。其中一种应对悲痛的方式，即参与精神和宗教信仰及活动，与兄弟姐妹在失去亲人两到九年后度过悲痛的经历有关（p = 0.016）。
那些通过精神、宗教信仰和活动来应对悲痛的兄弟姐妹比那些没有这样做的人更有可能度过悲痛。
