There is great variation in individual's adjustments to the death of a loved one form an illness. Some recently bereaved individuals show marked declines in physical and emotional health, whereas others do not. The proposed study in designed to investigate the influence of several psychosocial factors on individual's emotional and physical health following the death of a loved one. The subjects in this study will be individuals who have a terminally ill loved one, and who are associated with local hospices. Our choice of the variables we believed will predict which individuals show long term physical and emotional illness has been based on general psychosocial models of the relationship between stress and health. According to these models, persons who are at highest risk for long-term physical and emotional disturbance following stress are characterized by a maladaptive, pessimistic style of explaining the events in their lives, poor social supports, and inactive, emotion-focused coping styles. Thus, we shall assess these characteristics in subjects before the death of their loved one, and then use them to predict which subjects will show the poorest physical and emotional health at one, six, thirteen, and eighteen months following the death. In addition, we shall assess several other variables that may mediate subjects' abilities to adjust to bereavement. These include the financial resources available to subjects and the financial burden incurred as a result of the patient's illness and death, the amount of responsibility each subject had for the care of the ill patient, the number of other stressors experienced around the time of the death, and pre- existing physical or emotional illness in the subjects. Each of these factors should contribute to subjects' subjective experience of stress, but the effects of these factors on emotional and physical health outcomes should be mediated by social supports, coping styles, and explanatory styles.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH043760-02
Application #
3383087
Study Section
Life Course and Prevention Research Review Committee (LCR)
Project Start
1989-04-01
Project End
1992-06-30
Budget Start
1990-07-01
Budget End
1991-06-30
Support Year
2
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Stanford University
Department
Type
Schools of Arts and Sciences
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
Torges, Cynthia M; Stewart, Abigail J; Nolen-Hoeksema, Susan (2008) Regret resolution, aging, and adapting to loss. Psychol Aging 23:169-80
Nolen-Hoeksema, S; Larson, J; Bishop, M (2000) Predictors of family members' satisfaction with hospice. Hosp J 15:29-48
Nolen-Hoeksema, S; Davis, C G (1999) ""Thanks for sharing that"": ruminators and their social support networks. J Pers Soc Psychol 77:801-14
Nolen-Hoeksema, S; McBride, A; Larson, J (1997) Rumination and psychological distress among bereaved partners. J Pers Soc Psychol 72:855-62
Lyubomirsky, S; Nolen-Hoeksema, S (1993) Self-perpetuating properties of dysphoric rumination. J Pers Soc Psychol 65:339-49
Nolen-Hoeksema, S (1991) Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol 100:569-82