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Cited by 147Grief, Bereavement, and Mental HealthPalliative Care and End-of-Life IssuesPalliative and Oncologic Care

The DOI matches its Crossref record; 48 of the 52 references it cites were found in a registry or an index.

Risk Factors for Developing Prolonged Grief During Bereavement in Family Carers of Cancer Patients in Palliative Care: A Longitudinal Study

Open access
Thomas, Kristina, Hudson, Peter, Trauer, Thomas, Remedios, Cheryl, Clarke, David·2014·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2013.05.022
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Abstract

Context Family carers of palliative care patients report high levels of psychological distress throughout the caregiving phase and during bereavement. Palliative care providers are required to provide psychosocial support to family carers; however, determining which carers are more likely to develop prolonged grief (PG) is currently unclear.Objectives To ascertain whether family carers reporting high levels of PG symptoms and those who develop PG disorder (PGD) by six and 13 months postdeath can be predicted from predeath information.Methods A longitudinal study of 301 carers of patients receiving palliative care was conducted across three palliative care services. Data were collected on entry to palliative care (T1) on a variety of sociodemographic variables, carer-related factors, and psychological distress measures. The measures of psychological distress were then readministered at six (T2; n=167) and 13 months postdeath (T3; n=143).Results The PG symptoms at T1 were a strong predictor of both PG symptoms and PGD at T2 and T3. Greater bereavement dependency, a spousal relationship to the patient, greater impact of caring on schedule, poor family functioning, and low levels of optimism also were risk factors for PG symptoms.Conclusion Screening family carers on entry to palliative care seems to be the most effective way of identifying who has a higher risk of developing PG. We recommend screening carers six months after the death of their relative to identify most carers with PG.

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  1. Weathers F, Litz B, Herman D, Huska J, Keane T. The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the 9th Annual Conference of the ISTSS, San Antonio, TX, 1993.

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Metadata

Authors
Thomas, K., Hudson, P., Trauer, T., Remedios, C., & Clarke, D.
Affiliations
  • The University of Melbourne (AU)
  • Queen's University Belfast (GB)
  • Monash University (AU)
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2014-03
Volume
47
Issue
3
Pages
531-541
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2013.05.022
OpenAlex
W2086868640
Semantic Scholar
24cbf4cef040c213a5cd92796ef59866cc82dd53
Cited by
147
References
52
Citations by year
2026: 7 · 2025: 13 · 2024: 5 · 2023: 8 · 2022: 14 · 2021: 18 · 2020: 15 · 2019: 13 · 2018: 12 · 2017: 19 · 2016: 11 · 2015: 7 · 2014: 4
FWCI
8.52
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion)
Funders
Beyondblue: The Depression Initiative
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
prolonged grief disorder, bereavement, family caregivers, palliative care, cancer patients, risk factors, psychological distress, marital relationships, family functioning, optimism, screening, psychosocial support
MeSH terms
Bereavement, Family, Female, Grief, Humans, Longitudinal Studies, Male, Neoplasms, Palliative Care, Personality, Psychiatric Status Rating Scales, Risk Factors, Socioeconomic Factors, Time Factors, Caregivers, Spouses

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