scholarly journals Predictors in Complicated Grief: Supporting Families in Palliative Care Dealing with Grief

10.5772/30873 ◽  
2012 ◽  
Author(s):  
Pilar Barreto-Martn ◽  
Marin Prez-Marn ◽  
Patricia Yi
Keyword(s):  
Palliative Care ◽  
Complicated Grief

Bereavement

2021 ◽  
pp. 773-784
Author(s):  
David W. Kissane
Keyword(s):  
Palliative Care ◽  
Complicated Grief ◽  
Anticipatory Grief ◽  
Desirable Outcome ◽  
Bereaved Children ◽  
Cognitive Behavioural ◽  
Pathological Grief ◽  
Post Traumatic ◽  
Traumatic Distress ◽  
Special Circumstances

The phenomena and trajectory of mourning as a normal adaptive process are differentiated from clinical depression, avoidant and complicated grief, post-traumatic distress disorder, and other forms of pathological grief. Anticipatory grief can be a particular challenge during palliative care. The family is recognized as the major source of social support and the environment in which grief is shared with others. Key risk factors for pathological bereavement outcomes can be identified on admission to palliative care, permitting preventive models of psychological care to be used through palliative care into bereavement. Models of therapy include supportive-expressive, interpersonal, cognitive behavioural, family focused, and specific therapy for complicated grief. Pharmacotherapy can judiciously accompany psychotherapy. Life-cycle issues include bereaved children, siblings, parents, and grief for the very elderly. Grief can be stigmatized and ambiguous in special circumstances, yet positive growth is a desirable outcome from any loss.

End-of-life discussions with advanced cancer patients and their effects on bereaved families’ mental health.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 3-3
Author(s):  
Takashi Yamaguchi ◽  
Isseki Maeda ◽  
Yutaka Hatano ◽  
Masanori Mori ◽  
Yasuo Shima ◽  
...  
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
End Of Life ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Complicated Grief ◽  
Advanced Cancer Patients ◽  
Palliative Care Teams ◽  
Prevalence Of Depression

3 Background: End-of-life (EOL) discussions are important for providing appropriate care to patients with advanced cancer at the end of their life. To explore the relationship between EOL discussions and bereaved families’ mental health, as well as the quality of the patient’s death and quality of care at the end of life. Methods: This was a nationwide questionnaire survey of bereaved families of deceased cancer patients who died at 75 sites (20 inpatient palliative care teams in acute hospitals, 33 palliative care units/inpatient hospices, and 22 outpatient clinics that provide home palliative care service) in Japan. 13,711 bereaved family members of cancer patients who died before January 2014 in each of the participating institutions were potential participants. We evaluated the prevalence and details of EOL discussions which were defined as “a discussion with physicians about the preferred place of death or resuscitation”. We also evaluated the prevalence of depression (defined as the Patient Health Questionnaire-9 ≥ 10) and complicated grief (defined as the Brief Grief Questionnaire ≥ 8) in bereaved families. Results: 9123 questionnaires returned (response rate 67%). Of those, 80.6% had EOL discussions. After propensity score weighted adjustment, bereaved families with EOL discussion less frequently developed depression (17.3% and 21.6% ; P < 0.001) and complicated grief (13.7% and 15.9% ; P = 0.03) than without. There were significant differences in the trend test among families without and in those with EOL discussions < 1, 1–3, and > 3 months before the patient’s death, for the prevalence of depression (21.6%, 20.6%, 16.8%, and 15.5%, respectively; P trend < 0.001) and complicated grief (15.9%, 16.4%, 12.8%, and 12.9%, respectively; P trend < 0.001). Conclusions: EOL discussions may contribute to decrease depression and complicated grief in bereaved families. EOL discussions should be initiated with advanced cancer patients when physicians expect a patient’s prognosis is limited to several months.

scholarly journals Comparison of two measures for Complicated Grief: Brief Grief Questionnaire (BGQ) and Inventory of Complicated Grief (ICG)

2020 ◽  
Author(s):  
Naoko Igarashi ◽  
Maho Aoyama ◽  
Masaya Ito ◽  
Satomi Nakajima ◽  
Yukihiro Sakaguchi ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Diagnostic Criteria ◽  
Correlation Coefficient ◽  
Multiple Scales ◽  
Complicated Grief ◽  
Cutoff Score ◽  
Palliative Care Units ◽  
Two Measures ◽  
Spearman’S Correlation

Abstract Objective No prior studies have used a single sample of bereaved families of cancer patients to compare multiple scales for assessing Complicated Grief. Here, we compare the two measures. Methods We sent a questionnaire to the bereaved families of cancer patients who had died at 71 palliative care units nationwide. Results The analysis included 3173 returned questionnaires. Prevalence of Complicated Grief was 7.8% by Brief Grief Questionnaire (with a cutoff score of 8) and 15.5% for Inventory of Complicated Grief (with a cutoff score of 26). The Spearman’s correlation coefficient between the Brief Grief Questionnaire and the Inventory of Complicated Grief was 0.79, and a ceiling effect was seen for the distribution of the Brief Grief Questionnaire scores. Although 6.4% of respondents scored both 8 or higher on the Brief Grief Questionnaire and 26 or higher on the Inventory of Complicated Grief, only 1.4% scored both 8 or higher on the Brief Grief Questionnaire and &lt;26 on the Inventory of Complicated Grief. In contrast, 9.1% scored &lt;8 on the Brief Grief Questionnaire but 26 or higher on the Inventory of Complicated Grief. Conclusion The prevalence of Complicated Grief was estimated to be higher by the Inventory of Complicated Grief than by the Brief Grief Questionnaire in this sample. Patients with severe Complicated Grief might be difficult to discriminate their intensity of grief by the Brief Grief Questionnaire. Once the diagnostic criteria of Complicated Grief are established, further research, such as optimization of cutoff points and calculations of sensitivity and specificity, will be necessary.

scholarly journals Complicated grief, depressive symptoms, and suicidial ideation among the bereaved whose family member died at palliative care units

2013 ◽  
Vol 8 (2) ◽  
pp. 203-210 ◽  
Author(s):  
Yukihiro Sakaguchi ◽  
Mitsunori Miyashita ◽  
Tatsuya Morita ◽  
Satoru Tsuneto ◽  
Yasuo Shima
Keyword(s):  
Palliative Care ◽  
Depressive Symptoms ◽  
Family Member ◽  
Complicated Grief ◽  
Palliative Care Units

Bereavement

2015 ◽  
Author(s):  
David W. Kissane ◽  
Talia I. Zaider
Keyword(s):  
Palliative Care ◽  
Complicated Grief ◽  
Anticipatory Grief ◽  
Desirable Outcome ◽  
Bereaved Children ◽  
Cognitive Behavioural ◽  
Pathological Grief ◽  
Post Traumatic ◽  
Traumatic Distress ◽  
Special Circumstances

The phenomena and trajectory of mourning as a normal adaptive process are differentiated from clinical depression, avoidant and complicated grief, post-traumatic distress disorder, and other forms of pathological grief. Anticipatory grief can be a particular challenge during palliative care. The family is recognized as the major source of social support and the environment in which grief is shared with others. Key risk factors for pathological bereavement outcomes can be identified on admission to palliative care, permitting preventive models of psychological care to be used through palliative care into bereavement. Models of therapy include supportive-expressive, interpersonal, cognitive behavioural, family focused, and specific therapy for complicated grief. Pharmacotherapy can judiciously accompany psychotherapy. Life-cycle issues include bereaved children, siblings, parents, and grief for the very elderly. Grief can be stigmatized and ambiguous in special circumstances, yet positive growth is a desirable outcome from any loss.

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