The Prevalence of Complicated Grief Among Children Who Have Lost Loved Ones in Selected Public Primary Schools in Nairobi County, Kenya
Keywords:
Complicated grief, Prevalence, Children, loved oneAbstract
The inability of children to comprehend and process death due to factors like chronological age, attachment of the child to the deceased, nature of death, and family support, might lead to delayed or prolonged grief and consequently complicated grief (CG). Complicated grief in a child’s life can affect his/her social and cognitive functioning manifesting in antisocial behaviours. This study aimed to determine the prevalence of complicated grief among children who had lost loved ones in selected public primary schools in Nairobi County. This study was guided by Piaget’s Cognitive Development Theory. Multistage sampling, purposive sampling, inclusion, and exclusion criteria were used to select 259 pupils aged 10-13 years who had lost a loved one in the last year. Purposive sampling was also used to select 22 class teachers of the bereaved pupils who participated in the study. The study employed a convergent mixed-method design. Data was collected through self-administered questionnaires (SDQ, ICG, and STAB) and interviews. Quantitative data was analyzed through descriptive and inferential statistics using SPSS Version 25.0. The findings indicated that the prevalence of complicated grief was 26.1%. The study concluded that complicated grief was prevalent among children who had lost a loved one. Therefore, the study recommends that the Ministry of Education introduce a school-based counseling program incorporating grief intervention techniques in public primary schools. During grief, a child’s world changes unexpectedly from conversant, predictable, and safe, to chaotic and dreadful. Parents and caregivers are also implored to brace up and talk about death to children, and involve them during funeral preparations.
References
Abel, K. M., Heuvelman, H. P., Jorgensen, L., Magnusson, C., Wicks, S., Susser, E., Hallkvist,
J., & Dalman, C. (2014). Severe bereavement stress during the prenatal and childhood periods and risk of psychosis in later life: Population-based cohort study. British Medical Journal, 348(7942), 13. https://doi.org/10.1136/bmj.f7679
Akerman, R. & Statham, J. (2014). Bereavement in childhood: The impact on psychological and educational outcomes and the effectiveness of support services. Childhood Wellbeing Research Centre.
Brandoff, R. (2018). Complicated Grief and Art Therapy. Doctoral Dissertation, Lesley University. https://digitalcommons.lesley.edu/expressive_dissertations
Brook, S. L., & Miraglia, D. A. (2015). Using Creative Therapies to Cope with Grief and Loss. Charles C. Thoma, Publisher, LTD.
Carter, M. (2016). Helping Children and Adolescents Think about Death, Dying and Bereavement. Jessica Kingsley Publishers.
Burns, M., Griese, B., King, S., & Talmi, A. (2020). Childhood bereavement: Understanding prevalence and related adversity in the United States. American Journal of Orthopsychiatry, 90(4), 391–405. https://doi.org/10.1037/ort0000442
Corr, A. C., & Balk, E. D. (Eds). (2010). Children’s Encounters With Death, Bereavement, and Coping. Springer Publishing Company.
Doka, J. K. (2016). Grief is a journey. finding your path through loss. Atria Books.
Drenth, C., Herbst, A., & Strydom, H. (2012). A complicated grief intervention programme. (CGIP) for social workers. Southern African Journal of Social Work and Social
Development, 24(3), 309-339. https:// doi.org/10.25159/2415-5829/2256
Duffy, M., & Wild, J. (2023). Living with loss: A cognitive approach to prolonged grief
Disorder—Incorporating complicated, enduring, and traumatic grief. Behavioural and Cognitive Psychotherapy, 51(6), 645–658. https://doi.org/10.1017/S1352465822000674
Ener, L., & Ray, D. C. (2018). Exploring characteristics of children presenting to counseling for grief and loss. Journal of Child and Family Studies, 27(3), 860–871. https://doi.org/10.1007/s10826-017-0939-6
Enez, Ö. (2018). Komplike Yas: Epidemiyoloji, Klinik Özellikler, Değerlendirme ve Tanı. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, 10(3), 269–279. https://doi.org/10.18863/pgy.358110
Falk, M. W. (2020). Development and Evaluation of the Grief and Communication Family Support Intervention for Parentally Bereaved Families in Sweden. Ersta Sköndal Bräcke University College.
Flavell, J. H. (2011). The developmental psychology of Jean Piaget. D. Van Nostrand Company.
Gesi,C., Carmassi, C., Cerveri, G., Carpita, B., Cremone, M. I., & Dell’Osso, L. (2020). Complicated grief: what to expect after the coronavirus pandemic. Frontiers in Psychiatry, 11, 1–5. https://doi.org/10.3389/fpsyt.2020.00489
Gillibrand, R., Lam, V., & O'donnell, V. L. (2016). Developmental Psychology. Pearson.
Griese, B., Burns, M. R., Farro, S. A., Silvern, L., & Talmi, A. (2017). Comprehensive grief care for children and families: Policy and practice implications. American Journal of Orthopsychiatry, 87(5), 540-548. https://doi.org/10.1037/ort0000265
Harris, L. D., & Winokuer, R. H. (2016). Principles and Practice of Grief Counseling. Second Edition. Spring Publishing Company.
Huynh, H. V., Limber, S. P., Gray, C. L., Thompson, M. P., Wasonga, A. I., Vann, V., Itemba, D., Eticha, M., Madan, I., & Whetten, K. (2019). Factors affecting the psychosocial well-being of orphan and separated children in five low- and middle-income countries: Which is more important, quality of care or care setting? PLoS ONE, 14(6), 1–12. https://doi.org/10.1371/journal.pone.0218100
Jackson, K. (2015). How Children Grieve — Persistent myths may stand in the way of appropriate care and support for children. Social Work Today, 15(2), 20.
Kersting, A., Brähler, E., Glaesmer, H., & Wagner, B. (2011). Prevalence of complicated grief in a representative population-based sample. Journal of Affective Disorders, 131(1–3), 339–343. https://doi.org/10.1016/j.jad.2010.11.032
Maciejewski, P. K., Maercker, A., Boelen, P. A., & Prigerson, H. G. (2016). “Prolonged grief disorder” and “persistent complex bereavement disorder,” but not “complicated grief," are one and the same diagnostic entity: An analysis of data from the Yale Bereavement Study. World Psychiatry, 15(3), 266–275. https://doi.org/10.1002/wps.20348
McCoyd, M., L., J., & Walter, A. C. (2016). Grief and loss across the lifespan (2nd ed.). Springer Publishing Company.
Melhem, N. M., Porta, G., Payne, M. W., & Brent, D. A. (2013). Identifying prolonged grief reactions in children: Dimensional and diagnostic approaches. Journal of the American Academy of Child and Adolescent Psychiatry, 52(6), 599-607.e7. https://doi.org/10.1016/j.jaac.2013.02.015
Miller, H. P. (2016). Theories of Developmental Psychology (6th ed.). Worth Publishers.
Nakajima, S. (2018). Complicated grief: Recent developments in diagnostic criteria and treatment. Philosophical Transactions of the Royal Society B: Biological Sciences, 373(1754). https://doi.org/10.1098/rstb.2017.0273.
Ngesa, M. O., Tuikong, S., & Ongaro, K. (2020a). Prevalence and Correlates of Complicated Grief among Parentally Bereaved Children in Siaya County, Kenya. African Journal of Clinical Psychology, 02(03).
Ngesa, M. O., Tuikong, S., & Ongaro, K. (2020b). Treating Complicated Grief among Orphaned Children in Kenya: Effectiveness of Complicated Grief Therapy. Open Journal of Social Sciences, 08(04), 461–478. https://doi.org/10.4236/jss.2020.84034
Pop-Jordanova N. (2021). Grief: Aetiology, Symptoms and Management. Pril (Makedon Akad Nauk Umet Odd Med Nauki),42(2),9-18. https:/doi.org/10.2478/prilozi-2021-0014.
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F. III, Shear, M. K., Newsom, J. T., & Jacobs, S. (1996). Complicated grief as a disorder distinct from bereavement-related depression and anxiety: A replication study. The American Journal of Psychiatry, 153(11), 1484–1486. https://doi.org/10.1176/ajp.153.11.1484
Prigerson, H.G., Shear, M.K., Jacobs, S.C., Reynolds, C.F., Maciejewski, P.K., Davidson, J.R.,
Rosenheck, R., Pilkonis, P.A., Wortman, C.B., Williams, J.B., Widiger,T.A., Frank ,E., Kupfer, D.J., & Zisook, S. (1999). Consensus criteria for traumatic grief. A preliminary empirical test. British Journal of Psychiatry,174(1),67-73. https:/doi.org/ 10.1192/bjp.174.1.67.
Rabindran, R., & Madanagopal, D. (2020). Piaget’s theory and stages of cognitive
development—an overview. Scholars Journal of Applied Medical Sciences, 8(9), 2152-2157. https://doi.org/10.36347/sjams.2020.v08i09.034
Rachamim, L. (2017). Feasibility and effectiveness of dyadic prolonged exposure intervention for preventing posttraumatic grief in young children: a case report of two siblings. Clinical Perspective, 1-10. https://doi.org/10.1002/imhj.21659
Revet, A., Laifer, L., Raynaud, JP. (2018). Grief Reactions in Children and Adolescents. In: E, Bui (eds) Clinical Handbook of Bereavement and Grief Reactions. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-65241-2_4
Sanghvi, P. (2020). Piaget’s theory of cognitive development: a review. Indian Journal of
Mental Health, 7(2), 90-96. https://doi.org/10.30877/IJMH.7.2.2020.90-96
Shaffer, D. R., & Kipp, K. (2014). Developmental Psychology: Childhood and Adolescence (9th ed.). Wadsworth.
Shear, M. K. (2015). Complicated Grief. The New England Journal of Medicine, 153–160. https://doi.org/10.1056/NEJMcp1315618
Smith, K. V., Rankin, H. & Ehlers, A. (2020). A qualitative analysis of loss-related memorie after cancer loss: a comparison of bereaved people with and without prolonged grief disorder. European Journal of Psychotraumatology, 11(1). https://doi.org/10.1080/20008198.2020.1789325
Stevenson, G. R., & Cox, R. G. (Eds). (2017). Children, adolescents and death: Questions and answers. Routledge.
Therivel, J., & McLuckey, L. (2018). Quick lesson about grief in children. Cinahl Information Systems.
Walsh, K. (2011). Grief and loss: theories and skills for the helping professions (2nd ed.). Pearson.
Worden, J. W. (2018). Grief Counseling and Grief Therapy. Fifth Edition. A Handbook for the Mental Health Practitioner. Spring Publishing Company.
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