The Melbourne Family Grief Study, I: Perceptions of family functioning in bereavement

Am J Psychiatry. 1996 May;153(5):650-8. doi: 10.1176/ajp.153.5.650.

Abstract

Objective: The aim of this study was to identify patterns of family functioning in adult families after the death of a parent.

Method: One hundred fifteen families completed measures of family functioning, grief, psychological state, and social adjustment 6 weeks (time 1), 6 months (time 2), and 13 months (time 3) after the death of a parent (a total of 670 individual responses). Cluster analytic methods were applied to develop a typology of perceptions of family functioning during bereavement.

Results: Five types of families emerged from dimensions of cohesiveness, conflict, and expressiveness on the Family Environment Scale. Thirty-six percent of the families were considered supportive because of their high cohesiveness, and another 23% resolved conflict effectively. Two types were dysfunctional: hostile families, distinguished by high conflict, low cohesiveness, and poor expressiveness, and sullen families, who had more moderate limitations in these three areas; they declined in frequency from 30% at time 1 to 15% at time 3. The remaining type (26%), termed intermediate, exhibited midrange cohesiveness, low control, and low achievement orientation. The typology at time 1 predicted typologies at time 2 and time 3. There were no age or gender differences among the family types, but offspring, as compared with spouses, were overrepresented in the hostile families.

Conclusions: Family types can be identified, allowing at-risk families to be helped to prevent complications of grief. Screening with the family relationship index of the Family Environment Scale would facilitate such a family-centered approach.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological* / classification
  • Adult
  • Analysis of Variance
  • Australia
  • Bereavement*
  • Cluster Analysis
  • Family*
  • Female
  • Follow-Up Studies
  • Hostility
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Personality Inventory
  • Risk Factors
  • Sex Factors
  • Social Adjustment
  • Widowhood