Journal Article

The prevalence of severe grief reactions after bereavement and their associations with mental health, physical health, and health service utilization: a population-based study

Kristoffersen, Agnete Egilsdatter, Ringberg, Unni, Thimm, Jens C.

2020

Overview

Background: Previous research has shown that bereaved individuals are at risk of developing physical and mental health problems. However, knowledge is scarce about the associations between severe grief reactions after bereavement and physical and mental health problems and the use of health services. Objectives: The present study sought to investigate the prevalence of severe grief reactions and to study the associations of severe grief reactions with mental and physical health and health care utilization. Method: The sample comprised 20,453 adults aged 40 and above (mean age = 57.2 years, SD = 11.3 years, 52.4% female) who participated in the seventh wave of the Tromsø study. Severe grief was assessed with one question asking whether the respondent has experienced the death of a loved one and currently has difficulty accepting the loss, yearns for the deceased, and experiences intense emotional pain related to the loss. Furthermore, participants answered questions about their current physical health, mental health (Hopkins Symptom Checklist - 10), and the use of health services in the past year. Results: Overall, 5.2% of the participants reported severe grief after a loss in childhood, 25.9% after bereavement in adulthood and 4.1% after bereavement in the previous year. Female gender, higher age, living without a partner, non-Norwegian ethnicity, and lower socio-economic status were associated with severe grief. Severe grief reactions were negatively related to self-reported health, predicted positively current levels of depression and anxiety, and were positively associated with the use of health services. Effect sizes were small. Gender differences in the use of health services were observed. Conclusion: Severe grief reactions are common in individuals aged 40 and older and associated with self-reported physical and mental health problems as well as increased use of health services. Health service providers should be attentive to possible severe grief in connection with health complaints. * In a population-based study of adults aged 40 and older, approximately one third reported that they experience severe grief after the loss of a loved one.  * Grief was associated with physical and mental health problems and increased use of health services.

• Publisher: Taylor & Francis,Taylor & Francis Ltd,Taylor & Francis Group
• Subject: Basic / bereavement / estudio basado en la población / Grief / Health services / health services use / Health services utilization / Mental health / physical health / Population-based studies / population-based study / pérdida de un ser querido / reacciones severas de duelo / salud física / salud mental / Severe grief reactions / uso de los servicios de salud / 严重 哀伤 反应 / 丧亲 / 健康 服务 使用 / 基于 人群 的 研究 / 心理 健康 / 身体 健康