Parents' Coping and Communication following Their Infant'S Death

Abstract

The purpose of this study was: 1) to examine whether mothers and fathers utilize similar or different coping strategies to deal with the death of their infant, and 2) to explore whether discordant parental coping was associated with communication difficulties. Twenty-seven couples who had experienced a stillbirth, neonatal death, or Sudden Infant Death within the previous six to twenty-seven months were asked to participate. Two constructs were measured: (a) Coping was assessed with the Ways of Coping Checklist and the Coping with the Death of a Child instrument and (b) Communication was measured with the Marital Communication Inventory. Mothers and fathers independently completed these three questionnaires. Mothers and fathers differed in their use of only three of the fourteen coping strategies examined. Thus, mothers' and fathers' coping strategies, six to twenty-seven months post-loss, were more concordant than discordant. Mothers used seeking social support, escape-avoidance strategies, and preoccupation to a significantly greater extent than did fathers. Important predictors of mothers' coping strategies were the infant's age and time since the death, while for fathers the important predictors were the infant's gender and the family income level. For couples whose coping was discordant, mothers perceived higher levels of conflict in their communication with their spouses as compared to couples whose coping was concordant.