Dissertation: Tomarken 2009

Tomarken, Alexis (9/09) Prolonged grief and resilience in young bereaved spouses and partners (Gary Kose, Ph.D.; Rhiannon Allen, Ph.D.; Paul Michael Ramirez, Ph.D.; Christian Nelson, Ph.D.).

In normal grief, bereaved individuals begin to accept the reality of the loss, see the future as hopeful for satisfying experiences, and are able to begin meaningful work and activities approximately six months after the loss. However, prior research estimates that between 10-20% of bereaved survivors experience a state of prolonged grief, characterized by unrelenting and unmediated grief that can persist for years. Importantly, prolonged grief has been found to be associated with physical and psychological problems yet an underutilization of health services is common in this population. Despite the importance of this phenomenon, research examining factors that contribute to it is relatively new. The purpose of this study was to determine the associations between prolonged grief and the following variables: personality styles (specifically, narcissistic, histrionic, and obsessive), trauma history, and the perceived meaning of the loss in 56 young adults (under the 50 years old) who lost their partners/spouses to cancer six months to three years prior to the study. The perceived meaning of the loss and the frequency of traumatic events were the only variables significantly correlated with prolonged grief. Exploratory analyses revealed that negative meaning of the loss was the only strong predictor to prolonged grief and that many other personality styles that were not part of the hypotheses for this study were significantly correlated with prolonged grief. An elevated prolonged grief level was also found compared to previously published studies examining prolonged grief levels. It is possible that this population (young bereaved spouses) is not as flexible in reconstructing their view of the world as other age groups due to the death invalidating their previous held beliefs about how the world and life should work. Without being able to use previously held constructions to make sense of this loss, these individuals are left paralyzed in their grief.