“There Is Nothing I Can’t Face Now”: Coping With Child Loss Among Bereaved Parents in Ghana

Abstract

Coping resources play a critical role in parents’ recovery from the trauma associated with child loss. In Ghana, little is known about how parents cope with child loss despite the relatively high prevalence of child loss in the country. This study, therefore, sought to map out coping strategies bereaved parents adopt in response to child loss. Twenty Ghanaian parents were purposively sampled and their accounts were thematically analyzed. Findings from the study show that bereaved parents adopted both cognitive and behavioral coping mechanisms. Religion and social support also emerged as useful coping resources for bereaved parents. Additionally, bereaved parents showed evidence of posttraumatic growth following child loss. The findings underscore the need for practitioners to develop programs around adaptive coping methods that bereaved parents are familiar with to enhance their chances of developing progressive outcomes in the course of managing the distress associated with child loss.

Keywords

child loss bereavement coping posttraumatic growth Ghana

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References

Aho

L. A.

Tarkka

M. T.

Åstedt-Kurki

Kaunonen

(2009). Fathers’ experience of social support after the death of a child. American Journal of Men's Health, 3(2), 93–103. https://doi.org/10.1177/1557988307302094

Asare

G. O.

Annor

Yendork

J. S.

(2020). “It is not something you can easily forget”: Ghanaian parents’ experiences of child loss. OMEGA-Journal of Death and Dying, 2020, Article 0030222820981230. https://doi.org/10.1177/0030222820981230

Attig

(2004). Disenfranchised grief revisited: Discounting hope and love. OMEGA-Journal of Death and Dying, 49(3), 197–215. https://doi.org/10.2190/p4tt-j3bf-kfdr-5jb1

Baker

J. P.

Berenbaum

(2007). Emotional approach and problem-focused coping: A comparison of potentially adaptive strategies. Cognitive and Emotion, 21(1), 95–118. https://doi.org/10.1080/02699930600562276

Bonanno

G. A.

Kaltman

(2001). The varieties of grief experience. Clinical Psychology Review, 21(5), 705–734. https://doi.org/10.1016/s0272-7358(00)00062-3

Bradshaw

Atkinson

Doody

(2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4, 1–8. https://doi.org/10.1177/2333393617742282

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. DOI:10.1191/1478088706qp063oa.

Cao

Yang

Wang

(2020). The impact on mental health of losing an only child and the influence of social support and resilience. OMEGA - Journal of Death and Dying, 80(4), 666–684. https://doi.org/10.1177/0030222818755284

Currier

J.M.

Holland

J.M.

Neimeyer

R. A.

(2006). Sense-making, grief and the experience of violent loss: Toward a mediational model. Death Studies, 30(5). 403–428. https://doi.org/10.1080/07481180600614351

10.

Folkman

(2001). Revised coping theory and the process of bereavement.

11.

Folkman

Lazarus

R. S.

(1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219–239. https://doi.org/10.2307/2136617

12.

Ghana Statistical Service (2014). 2010 population and housing census report: Mortality. Author.

13.

Gillies

Neimeyer

R. A.

(2006). Loss, grief, and the search for significance: Toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology, 19(1), 31–65. https://doi.org/10.1080/10720530500311182

14.

Gomez

McLaren

(2006). The association of avoidance coping style, and perceived mother and father support with anxiety/depression among late adolescents: Applicability of resiliency models. Personality and Individual Differences, 40(6), 1165–1176. https://doi.org/10.1016/j.paid.2005.11.009

15.

Heffer

Willoughby

(2017). A count of coping strategies: A longitudinal study investigating an alternative method to understanding coping and adjustment. Plos One, 12(10), Article e0186057. https://doi.org/10.1371/journal.pone.0186057

16.

Janoff-Bulman

(1992). Happystance. PsycCRITIQUES, 37(2), 162–163.

17.

Jong

J. D.

Reis

(2013). Collective trauma processing: Dissociation as a way of processing postwar traumatic stress in Guinea Bissau. Transcultural Psychiatry, 50(5), 644–661. https://doi.org/10.1177/1363461513500517

18.

Kreicbergs

U. C.

Lannen

Onelov

Wolfe

(2007). Parental grief after losing a child to cancer: Impact of professional and social support on long-term outcomes. Journal of Clinical Oncology, 25(22), 3307–3312. https://doi.org/10.1200/jco.2006.10.0743

19.

Kübler-Ross

Kessler

(2001). Life lessons. Two experts on death and dying teach us about the mysteries of life and living. Touchstone.

20.

Kübler-Ross

Kessler

(2005). On grief and grieving: Finding the meaning of grief through the five stages of loss. Simon & Schuster.

21.

Lichtenthal

W. G.

Burke

L. A.

Neimeyer

R. A.

(2011). Religious coping and meaning-making following the loss of a loved one. Counseling and Spirituality, 30(2), 113–135.

22.

Luszczynska

Benight

C. C.

Cieslak

(2009). Self-efficacy and health-related outcomes of collective trauma: A systematic review. European Psychologist, 14(1), 51–62. https://doi.org/10.1027/1016-9040.14.1.51

23.

Machado

(2010). Diagnosis of brain death. Neurology International, 2(1), 7–13. https://doi.org/10.4081/ni.2010.e2

24.

McIntosh

D. N.

Silver

R. C.

Wortman

C. B.

(1993). Religion's role in adjustment to a negative life event: Coping with the loss of a child. Journal of Personality and Social Psychology, 65(4), 812–821. https://doi.org/10.1037/0022-3514.65.4.812

25.

Meyer

A. C.

Opoku

Gold

K. J.

(2018). “They say I should not think about it:”: A qualitative study exploring the experience of infant loss for bereaved mothers in Kumasi, Ghana. OMEGA - Journal of Death and Dying, 77(3), 267–279. https://doi.org/10.1177/0030222816629165

26.

Nolen-Hoeksema

(1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843x.100.4.569

27.

Osei-Mensah

(1999). Women’s roles in the mourning rituals of the Akan of Ghana. Ethnology, 38(3), 257–271. https://doi.org/10.2307/3773817

28.

Ravaldi

Levi

Angeli

Romeo

Biffino

Bonaiuti

Vannacci

(2018). Stillbirth and perinatal care: Are professionals trained to address parents’ needs? Midwifery, 64, 53–59.

29.

Roser

Ritchie

Dadonaite

(2013). Child and infant mortality. Our world in data. https://ourworldindata.org/child-mortality

30.

Salifu Yendork

J. S.

Somhlaba

N. Z.

(2017). “I am happy because of God”: Religion and spirituality for well-being in Ghanaian orphanage-placed children. Psychology of Religion and Spirituality, 9(Suppl 1), S32–S39. https://doi.org/10.1037/rel0000094

31.

Sandelowski

(2000). Focus on research methods: Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098-Stroebe&Schut

32.

Shenton

A. K.

(2004). Strategies for ensuring trustworthiness in qualitative research projects. Education for Information, 22(2), 63–75. https://doi.org/10.3233/efi-2004-22201

33.

Stroebe

(1991). Coping with bereavement: A review of the grief work hypothesis. Journal of Death and Dying, 26(26), 1–42. https://doi.org/10.2190/tb6u-4qqc-hr3m-v9ft

34.

Stroebe

Schut

(2010). The dual-process model of coping with bereavement: A decade on. OMEGA-Journal of Death and Dying, 61(4), 273–289. https://doi.org/10.2190/om.61.4.b

35.

Thompson

M. P.

Vardaman

P. J.

(1997). The role of religion in coping with the loss of a family member to homicide. Journal for Scientific Study of Religion, 38(1), 44–51. https://doi.org/10.2307/1387881

36.

Thuen

(1997). Social support after the loss of an infant child: A long-term perspective. Scandinavian Journal of Psychology, 38(2), 103–110. https://doi.org/10.1111/1467-9450.00015

37.

Volgsten

Jansson

Svanberg

A. S.

Darj

Stavreus-Evers

(2018). A longitudinal study of emotional experiences, grief and depressive symptoms in women and men after miscarriage. Midwifery, 64, 23–28. https://doi.org/10.1016/j.midw.2018.05.003

38.

Wardlaw

You

Hug

Amouzou

Newby

(2014). UNICEF Report: Enormous progress in child survival but greater focus on newborns urgently needed. Reproductive Health, 11(1), 1–4. https://doi.org/10.1186/1742-4755-11-82

39.

Yoon

Cederbaum

J. A.

Schwartz

(2018). Childhood sexual abuse and current suicidal ideation among adolescents: Problem-focused and emotion-focused coping skills. Journal of Adolescence, 67(1), 120–128. https://doi.org/10.1016/j.adolescence.2018.06.009