Study Reveals if Spirituality, Religion Help Parents Cope After Losing a Child

Newswise — Nothing is more devastating for a parent than the death of a child. The overwhelming and painful experience of enduring a child’s admission to a neonatal intensive care unit (NICU) or pediatric intensive care unit (PICU) and their eventual death throws them into a crisis. Many also are faced with the difficult decision to limit treatment or withdraw life support. Yet, few studies have examined parents’ mental health and personal growth, especially in black and Hispanic parents, following their child’s death in the NICU or PICU.

Researchers from the Christine E. Lynn College of Nursing at Florida Atlantic University and collaborators conducted a longitudinal study with a racially and ethnically diverse sample to look at the relationships between spiritual and religious coping strategies, and grief, mental health, including depression and post-traumatic stress disorder (PTSD), and personal growth for parents at one and three months following the death of their child in a NICU or PICU.

“Losing a child and the resulting stress disrupts parents’ mental and physical health, and can occur during the early phase of grieving and continue for years afterward,” said Dawn M. Hawthorne, Ph.D., R.N., first author of the study and an assistant professor in FAU’s College of Nursing. “We wanted to better understand if spiritual coping strategies would be helpful to parents at this time of very high stress.”

For the study, the researchers measured variables of grief including hopelessness, sadness and loneliness as well as depression and PTSD. They also measured spiritual coping, which included religious activities and spiritual activities such as self-reflection and confiding in family and friends.

Results of the study, which are published in the Journal of Pediatric Nursing, suggest that mothers’ and fathers’ spiritual activities at one month post-death resulted in less severe symptoms of grief at both one and three months. Use of religious activities was helpful in reducing fathers’ grief at one month, but not at three months; yet these activities were not related to mothers’ grief at either time point. This suggests that spiritual activities may assist bereaved mothers to reduce their symptoms of grief, depression, PTSD and increase personal growth over a longer period of time than religious activities.

“Our findings suggest that fathers may find more solace in religious activities than mothers,” said Hawthorne. “If so, then use of both religious and spiritual activities may help fathers move through their grieving process faster, allowing them to return to their previous routines such as getting back to work earlier than bereaved mothers.”

The findings also showed that mothers’ use of spiritual activities, but not religious activities, was related to less severe symptoms of depression and PTSD at one and three months. Bereaved mothers valued the social support from family and friends and used non-religious activities to relieve feelings of hopelessness, sadness and loneliness. Non-religious activities helped mothers to connect with their inner self, to acknowledge their strengths, and to ultimately find peace.

“Bereaved mothers need to talk more about the death of their child than bereaved fathers, whereas bereaved fathers were found to cope with their grief by isolating themselves from family and friends,” said Hawthorne. “While religious activities might be helpful in the first month after a child’s death, maybe religious activities come into play later when their anger with God has diminished. The use of spiritual activities such as self-reflection, confiding in others, and cultivating friendships may be more helpful to parents over time.”

The study provides evidence for health care professionals about the importance of spiritual coping activities for bereaved mothers and fathers. Hawthorne expects that dissemination of this information in the clinical areas to nurses and other health care team members will enable bereaved parents to receive relevant and appropriate support following the death of their child.

Study collaborators include JoAnne M. Youngblut, Ph.D., R.N. and Dorothy Brooten, Ph.D., R.N., Nicole Wertheim College of Nursing and Health Sciences at Florida International University.

FAU’s College of Nursing is internationally known for its commitment to nursing as a discipline focused on nurturing the wholeness of persons and the environment through Caring. The College advances Caring knowledge through education, practice, research and scholarship to transform care locally, nationally and globally. Currently, the College of Nursing offers bachelor’s, master’s, DNP and Ph.D. degree programs with approximately 1,600 nursing students enrolled in its programs. For more information, visit www.nursing.fau.edu.

- FAU -

About Florida Atlantic University:Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University, with an annual economic impact of $6.3 billion, serves more than 30,000 undergraduate and graduate students at sites throughout its six-county service region in southeast Florida. FAU’s world-class teaching and research faculty serves students through 10 colleges: the Dorothy F. Schmidt College of Arts and Letters, the College of Business, the College for Design and Social Inquiry, the College of Education, the College of Engineering and Computer Science, the Graduate College, the Harriet L. Wilkes Honors College, the Charles E. Schmidt College of Medicine, the Christine E. Lynn College of Nursing and the Charles E. Schmidt College of Science. FAU is ranked as a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. The University is placing special focus on the rapid development of critical areas that form the basis of its strategic plan: Healthy aging, biotech, coastal and marine issues, neuroscience, regenerative medicine, informatics, lifespan and the environment. These areas provide opportunities for faculty and students to build upon FAU’s existing strengths in research and scholarship. For more information, visit www.fau.edu.