We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Implications of Parental Bereavement and Other Family Adversities for Preventive and Health Promotion Pediatric Services

Irwin Sandler, PhD; Thomas F. Boat, MD
Arch Pediatr Adolesc Med. 2008;162(5):487-488. doi:10.1001/archpedi.162.5.487.
Text Size: A A A
Published online


The article by Melhem and coworkers “Antecedents and Sequelae of Sudden Parental Death in Offspring and Surviving Caregivers”1 is the most methodologically rigorous study to date of mental health disorders of parentally bereaved children. Their findings that sudden parental death is associated with an increased risk for child mental health problems as well as increased mental health problems for the surviving parent have significant implications for pediatric practice. Before considering implications it should be noted that the current findings on parental bereavement add to growing evidence from epidemiologic studies that other family adversities, such as parental divorce2 or parental psychiatric or substance abuse disorder,3,4 are also associated with elevated rates of disorder of children so that the implications for pediatric practice should include a wider range of childhood adversities. The findings on the relations between family adversities, including parental bereavement, and children's mental health confront us with 2 issues. (1) What are the implications for current pediatric practice? (2) How might these findings optimally be integrated into future pediatric practice?

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections