Abstract
Background
Many young children experience the death of a family member and they may be at risk for developing psychological and behavioral problems, but not much is known about how to help young children cope with such a stressful and painful experience.
Objective
The purposes of this study are to identify the interventions for bereaved young children and examine the effectiveness of the interventions.
Methods
A systematic review of the literature was performed to investigate the effects of interventions for preschool-age children (3–5 years) who experience the death of a family member.
Results
Seventeen studies that met the inclusion criteria for the purpose of this review were identified. All of the studies involved a small sample, and majority of the studies mixed preschool children with other older children in the sample. Play-based therapies were the most common interventions for grieving young children. Involving parents in the interventions, regardless of their therapeutic orientation, was a critical ingredient.
Conclusions
Limited empirical evidence of positive intervention outcomes for preschool-age bereaved children was available. Surviving parents were seen as an important agent to help young children grieve and cope with the experience of loss. Implications for school mental health practice and research are provided.
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References
Baggerly, J., & Abugideiri, S. E. (2010). Grief counseling for Muslim preschool and elementary school children. Journal of Multicultural Counseling and Development, 38, 112–124. https://doi.org/10.1002/j.2161-1912.2010.tb00119.x.
Baker, J. E., Sedney, M. A., & Gross, E. (1992). Psychological tasks for bereaved children. American Journal of Orthopsychiatry, 62, 105–116. https://doi.org/10.1037/h0079310.
Birenbaum, L. K. (2000). Assessing children’s and teenagers’ bereavement when a sibling dies from cancer: A secondary analysis. Child: Care, Health and Development, 26, 381–400. https://doi.org/10.1046/j.1365-2214.2000.00150.x.
Black, D. (1978). The bereaved child. Child Psychology & Psychiatry & Allied Disciplines, 19, 287–292. https://doi.org/10.1111/j.1469-7610.1978.tb00471.x.
Black, D., & Urbanowicz, M. A. (1987). Family intervention with bereaved children. Child Psychology & Psychiatry & Allied Disciplines, 28, 467–476. https://doi.org/10.1111/j.14697610.1987.tb01767.x.
Bowlby, J. (1973). Attachment and loss, Vol. 2. Separation. New York: Basic Books.
Bowlby, J. (1980). Attachment and loss, Vol. 3. Loss, sadness and depression. New York: Basic Books.
Braiden, H. J., McCann, M., Barry, H., & Lindsay, C. (2009). Piloting a therapeutic residential for children, young people and families bereaved through suicide in Northern Ireland. Child Care in Practice, 15, 81–93. https://doi.org/10.1080/13575270802685344.
Brown, E. J., Pearlman, M. Y., & Goodman, R. F. (2004). Facing fears and sadness: Cognitive-behavioral therapy for childhood traumatic grief. Harvard Review of Psychiatry, 12, 187–198. https://doi.org/10.1080/10673220490509516.
Bugge, K. E., Darbyshire, P., Rokholt, E. G., Haugstvedt, K. T. S., & Helseth, S. (2014). Young children’s grief: Parents’ understanding and coping. Death Studies, 38, 36–43. https://doi.org/10.1080/07481187.2012.718037.
Chilcote, R. L. (2007). Art therapy with child tsunami survivors in Sri Lanka. Art Therapy, 24(4), 156–162. https://doi.org/10.1080/07421656.2007.10129475.
Cohen, J. A., & Mannarino, A. P. (2011). Supporting children with traumatic grief: What educators need to know. School Psychology International, 32, 117–131. https://doi.org/10.1177/0143034311400827.
Curtis, K., & Newman, T. (2001). Do community-based support services benefit bereaved children? A review of empirical evidence. Child: Care, Health and Development, 27, 487–495. https://doi.org/10.1046/j.1365-2214.2001.00232.x.
D’Antonio, J. (2011). Grief and loss of a caregiver in children: A developmental perspective. Journal of Psychosocial Nursing, 49, 17–20. https://doi.org/10.3928/02793695-20110802-03.
Davies, B. (1991). Long-term outcomes of adolescent sibling bereavement. Journal of Adolescent Research, 6, 83–96. https://doi.org/10.1177/074355489161007.
Donovan, L. M., Balas, A., & Shapiro, T. (1995). A three-year-old’s mother dies: Facilitating a complicated bereavement with psychotherapy. Journal of Psychotherapy Practice and Research, 4, 68–82.
Dowdney, L. (2000). Childhood bereavement following parental death. Journal of Child Psychology and Psychiatry, 41, 819–830. https://doi.org/10.1017/S0021963099006216.
Dyson, P. (2015). The traumatic aftermath of parental abandonment, separation, and divorce: Play and family therapy to deal with ongoing crises. In N. B. Webb (Ed.), Play therapy with children and adolescents in crisis (4th ed., pp. 179–195). New York, NY: Guilford Press.
Ginsburg, K. R. (2007). The important of play in promoting healthy child development and maintaining strong parent–child bonds. Pediatrics, 119, 182–191. https://doi.org/10.1542/peds.2006-2697.
Glazer, H. R. (1998). Expressions of children’s grief: A qualitative study. International Journal of Play Therapy, 7(2), 51–65. https://doi.org/10.1037/h0089423.
Glazer, H. R., & Clark, M. D. (1999). A family-centered intervention for grieving preschool children. Journal of Child and Adolescent Group Therapy, 9(4), 161–167. https://doi.org/10.1023/A:1022962623917.
Griffith, T. (2003). Assisting with the “big hurts, little tears” of the youngest grievers: Working with three-, four-, and five-year-olds who have experienced loss and grief because of death. Illness, Crisis, & Loss, 11, 217–225. https://doi.org/10.1177/1054137303011003003.
Heath, M. A., & Cole, B. V. (2011). Strengthening classroom emotional support for children following a family member’s death. School Psychology International, 33, 243–262. https://doi.org/10.1177/0143034311415800.
Holland, J. (2008). How schools can support children who experience loss and death. British Journal of Guidance & Counseling, 36, 411–424. https://doi.org/10.1080/03069880802364569.
Johnson, M. N. (2014). The impact of group play therapy on reducing symptoms of grief in bereaved children (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses database. (UMI No. AAI3608732).
Landreth, G. L. (2012). Play therapy: The art of relationship (3rd ed.). New York: Routledge.
Masterman, S. H., & Reams, R. (1988). Support groups for bereaved preschool and school-age children. American Journal of Orthopsychiatry, 58, 562–570.
McCubbin, H. I., & Figley, C. R. (1983). Bridging normative and catastrophic family stress. In H. I. McCubbin & C. R. Figley (Eds.), Stress and the family: Volume I: Coping with normative stress (pp. 221–228). New York: Brunner/Mazel.
Melvin, D., & Lukeman, D. (2000). Bereavement: A framework for those working with children. Clinical Child Psychology and Psychiatry, 5, 521–539. https://doi.org/10.1177/1359104500005004007.
Miller, J. S. (2010). ‘Over the rainbow’ a prevention group for bereaved children and families in a rural area. Dissertation Abstracts International, 70(8-B), 5175. (UMI No. AAI3369988).
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097.
Muir, E., Speirs, A., & Tod, G. (1988). Family intervention and parental involvement in the facilitation of mourning in a 4-year-old boy. The Psychoanalytic Study of the Child, 43, 367–383.
Nagy, M. (1948). The child’s theories concerning death. The Pedagogical Seminary and Journal of Genetic Psychology, 73, 3–27. https://doi.org/10.1080/08856559.1948.10533458.
Norris-Shortle, C., Young, P. A., & Williams, M. A. (1993). Understanding death and grief for children three and younger. Social Work, 38, 736–742.
Owens, D. A. (2008). Recognizing the needs of bereaved children in palliative care. Journal of Hospice & Palliative Nursing, 10, 14–16. https://doi.org/10.1097/01.NJH.0000306709.20045.8f.
Perez, L. M., & Sundheim, C. J. (2015). An integrated analysis of clinical practices that treat early relational trauma. Journal of Infant, Child and Adolescent Psychotherapy, 14, 174–187. https://doi.org/10.1080/15289168.2015.1014988.
Rosen, H. (1984–1985). Prohibitions against mourning in childhood sibling loss. Omega: Journal of Death and Dying, 15, 307–316. doi:https://doi.org/10.2190/DPFA-URA4-CH2K-UMQ5.
Rosner, R., Kruse, J., & Hagl, M. (2010). A meta-analysis of interventions for bereaved children and adolescents. Death Studies, 34, 99–136. https://doi.org/10.1080/07481180903492422.
Rutter, M. (1966). Children of sick parents. Oxford: Oxford University Press.
Schonfeld, D. J. (1989). Crisis intervention for bereavement support: A Model of intervention in the Children’s school. Clinical Pediatrics, 28, 27–33. https://doi.org/10.1177/000992288902800105.
Siddaway, A. P., Wood, A. M., Schulz, J., & Trickey, D. (2015). Evaluation of the CHUMS child bereavement group: A pilot study examining statistical and clinical change. Death Studies, 39, 99–110. https://doi.org/10.1080/07481187.2014.913085.
Silverman, P. R., Baker, J., Cait, C. A., & Boerner, K. (2003). The effects of negative legacies on the adjustment of parentally bereaved children and adolescents. Omega: Journal of Death and Dying, 46, 335–352. doi:https://doi.org/10.2190/AC8P-7CAY-LF55-YXKR.
Silverman, P. R., & Worden, W. (1992). Children’s reactions in the early months after the death of a parent. American Journal of Orthopsychiatry, 62, 93–104. https://doi.org/10.1037/h0079304.
Smith, I. (1991). Preschool children ‘play’ out their grief. Death Studies, 15, 169–176. https://doi.org/10.1080/07481189108252421.
Sood, A. B., Razdan, A., Weller, E. B., & Weller, R. A. (2006). Children’s reactions to parental and sibling death. Current Psychiatry Report, 8, 115–120. https://doi.org/10.1007/s11920-006-0008-0.
Stern, K., Malkin, J., & Densen, A. (2010). Groundbreaking survey of childhood loss finds. Retrieved from http://www.hellogrief.org/wpcontent/uploads/2010/03/Gender-Release-Revised1.pdf.
Stubenbort, K., Donnelly, G. R., & Cohen, J. A. (2001). Cognitive-behavioral group therapy for bereaved adults and children following an air disaster. Group Dynamics: Theory, Research, and Practice, 5, 261–276. https://doi.org/10.1037/1089-2699.5.4.261.
U.S. Bureau of Census. (2001). One-parent family groups with own children under 18, by marital status, and race and Hispanic origin of the reference person. Washington, DC: Author.
Vargas-Irwin, M. (1999). Evaluation of a bereavement group for children (Doctoral dissertation). Dissertation Abstracts International, 60(2-B), 0846.
Webb, N. B. (2003). Play and expressive therapies to help bereaved children: Individual, family, and group treatment. Smith College Studies in Social Work, 73, 405–422. https://doi.org/10.1080/00377310309517694.
Webb-Ferebee, K. L. (2003). Expressive arts therapy with bereaved families. Dissertations Abstracts International, 63(9), 3119A. (UMI No. 3065563).
Wilson, D. L. (1995). An outcome study of a time-limited group intervention program for bereaved children (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses database. (UMI No. AAM9512796).
Wolchik, S. A., Tein, J., Sandler, I. R., & Ayers, T. S. (2006). Stressors, quality of the child-caregiver relationship, and children’s mental health problems after parental death: The mediating role of self-system beliefs. Journal of Abnormal Child Psychology, 34, 212–229. https://doi.org/10.1007/s10802-005-9016-5.
Zeanah, C. H., & Burk, G. S. (1984). A young child who witnessed her mother’s murder: Therapeutic and legal considerations. American Journal of Psychotherapy, 38, 132–145.
Zelenko, M. A., & Benham, A. (2002). Attachment theory, loss and trauma: A case study. Clinical Child Psychology and Psychiatry, 7, 199–209. https://doi.org/10.1177/1359104502007002007.
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Chen, C.YC., Panebianco, A. Interventions for Young Bereaved Children: A Systematic Review and Implications for School Mental Health Providers. Child Youth Care Forum 47, 151–171 (2018). https://doi.org/10.1007/s10566-017-9426-x
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DOI: https://doi.org/10.1007/s10566-017-9426-x