Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: A longitudinal study.

Kristina Thomas, Peter Hudson, Thomas Trauer, Cheryl Remedios, David Clarke

Research output: Contribution to journalArticle

61 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)531-541
Number of pages11
JournalJournal of Pain and Symptom Management
Volume47
Issue number3
Early online date19 Aug 2013
DOIs
Publication statusPublished - Mar 2014

Fingerprint

Bereavement
Grief
Palliative Care
Caregivers
Longitudinal Studies
Neoplasms
Psychology
Appointments and Schedules

Cite this

Thomas, Kristina ; Hudson, Peter ; Trauer, Thomas ; Remedios, Cheryl ; Clarke, David . / Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: A longitudinal study. In: Journal of Pain and Symptom Management. 2014 ; Vol. 47, No. 3. pp. 531-541.
@article{90e5cfc987df46ba968879317f94507f,
title = "Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: A longitudinal study.",
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.",
author = "Kristina Thomas and Peter Hudson and Thomas Trauer and Cheryl Remedios and David Clarke",
year = "2014",
month = "3",
doi = "10.1016/j.jpainsymman.2013.05.022",
language = "English",
volume = "47",
pages = "531--541",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "3",

}

Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: A longitudinal study. / Thomas, Kristina; Hudson, Peter; Trauer, Thomas; Remedios, Cheryl; Clarke, David .

In: Journal of Pain and Symptom Management, Vol. 47, No. 3, 03.2014, p. 531-541.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Risk factors for developing prolonged grief during bereavement in family carers of cancer patients in palliative care: A longitudinal study.

AU - Thomas, Kristina

AU - Hudson, Peter

AU - Trauer, Thomas

AU - Remedios, Cheryl

AU - Clarke, David

PY - 2014/3

Y1 - 2014/3

N2 - 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.

AB - 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.

U2 - 10.1016/j.jpainsymman.2013.05.022

DO - 10.1016/j.jpainsymman.2013.05.022

M3 - Article

VL - 47

SP - 531

EP - 541

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 3

ER -