This study examined mental health outcomes for widowed Tamil women in Sri Lanka to identify any associations between type of spousal loss and several outcomes, including internalized stigma as a result of widowhood, anxiety symptoms, depressive symptoms, and posttraumatic stress symptoms. A sample of 381 Tamil female widows living in Eastern Sri Lanka were surveyed in 2016 to understand their experiences in a post-disaster and post-war context. Type of spousal loss was separated into seven categories: war-related death, death as a result of tsunami, illness-related deaths, accidental death, suicide, disappearance, and other. Path analysis was used to assess whether type of spousal loss predicts variations in symptom outcomes, controlling for time they have been bereaved, number of children, social problems, and perceived sense of community. The Conservation of Resources (COR) theory (Hobfoll, 1989) was used to conceptualize how spousal loss is connected to distress symptoms and to explain the findings. Analysis revealed that the only types of spousal loss which associated with significant variation in symptom distress were spousal loss as a result of accident and "other" causes. Specifically, accidental causes of spousal death were associated with lower levels of depression, and "other" causes of death were associated with lower levels of depression and anxiety as compared to all other causes of death. In addition, the control variables of sense of community and social problems predicted significant variation in symptom distress such that higher levels of sense of community were associated with lower levels of depression, anxiety, and posttraumatic stress symptoms, and social problems were associated with higher levels of all measured types of mental health distress symptoms.

This study applies bereavement and media use theoretical perspectives to examine how survivors use media to cope with spousal loss during the first two years. Specifically, this study explores whether survivors’ television use is associated with grief intensity. Potential associations between television use and grief intensity are explored using an online survey. A media use for coping scale is developed. The relationship between television oscillation (i.e., equal use of television for respite, and to cope with primary and secondary stressors) and grief intensity is also explored, and ten specific moderators of this relationship are examined: recency of loss, type of loss, social support, family proximity and contact, marital relationship quality, economic stability, pre-existing physical and mental health issues, and change in television use. Results were collected from 356 spousal survivors and indicate that television use to cope is associated with grief intensity. Survivors that report high television use in general are using more television for relaxation, companionship, acceptance, positive reinterpretation and growth, and emotional and instrumental support. The most dramatic effects are observed with television use for relaxation and companionship, and the smallest effects with television use for emotional and instrumental support. However, there was no association between television use for respite, or to cope with primary and secondary stressors and grief intensity. Results support the value of social support, family contact at the time of loss, fewer physical health issues, and decreasing general television use in promoting more positive bereavement outcomes. Results support television oscillation as a predictor of grief intensity, but only under certain circumstances. Four of the models show significant moderator effects between television oscillation and grief intensity: social support at the time of loss, family contact at the time of loss, pre-existing physical health issues, and change in television use since the loss. When survivors have less social support at the time of loss, television oscillation is associated with less grief intensity as predicted. However, when survivors have more social support, television oscillation is marginally associated with more grief intensity. Likewise, when survivors have less family contact, television oscillation is associated with less grief intensity as predicted. Conversely, when survivors have more family contact, television oscillation is associated with more grief intensity. When survivors have more pre-existing physical health issues, television oscillation is not associated with grief intensity as predicted. For survivors with fewer pre-existing physical health issues, television oscillation is associated with less grief intensity. When survivors decrease television use by approximately one hour, television oscillation is marginally associated with less grief intensity. On the other hand, when survivors increase television use, television oscillation is not associated with grief intensity. Current general television use was a highly significant control variable in all moderator analyses indicating more television use to cope is associated with more grief intensity. Recency, type of loss, marital relationship quality, family proximity, economic stability, and pre-existing mental health issues did not significantly moderate the relationship between television oscillation and grief intensity. This study extends previous work by merging the bereavement and media use literatures, and in the development of a media use for coping scale. Moreover, it provides important empirical evidence on theoretical models about bereavement. This expands the potential for discussions about the association of individual vulnerabilities with more positive bereavement outcomes.