title: Life and death of a child with down syndrome and a congenital heart condition: experiences of six couples.
abstract: Individuals with Down syndrome are at increased risk of congenital heart conditions (CHCs), and mortality is higher in people with Down syndrome and a CHC than those without (J. C. Vis et al., 2009). As a consequence, parents of children with Down syndrome and a CHC are more likely to outlive their child. In this research, semistructured interviews were used to explore the experiences of 6 couples whose child with Down syndrome and a CHC had died. The interviews were analyzed qualitatively using interpretative phenomenological analysis (IPA), and 4 themes emerged: dilemmas associated with the dual diagnosis; treatment decisions during the life and the death of their child ("We had to make a decision"); ways couples coped when bereaved ("We weren't really going through it together"); and ripples from the child's life. There was a high degree of similarity of experience within couples. Differences between couples existed in their experiences of coping and supporting each other. Practical implications include the importance of considering the specific needs of couples, individuals, and fathers within partnerships.
authors.affiliation: School of Psychology, University of East London, London, UK. deirdre.reilly@gmail.com
authors.forename: Deirdre
authors.initials: D
authors.lastname: Reilly
authors.forename: Jaci
authors.initials: J
authors.lastname: Huws
authors.forename: Richard
authors.initials: R
authors.lastname: Hastings
authors.forename: Frances
authors.initials: F
authors.lastname: Vaughan
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001293:Attitude to Death; D001601:Bereavement; D002648:Child; D002675:Child, Preschool; D003657:Decision Making; D004314:Down Syndrome / Q000401:mortality* / Q000523:psychology* / Q000628:therapy; D005260:Female; D006117:Grief; D006330:Heart Defects, Congenital / Q000401:mortality* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D007206:Individuality; D008297:Male; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D012944:Social Support