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Preparedness for death and adjustment to bereavement among caregivers of recently placed nursing home residents.

Identifieur interne : 000598 ( PubMed/Curation ); précédent : 000597; suivant : 000599

Preparedness for death and adjustment to bereavement among caregivers of recently placed nursing home residents.

Auteurs : Richard Schulz [États-Unis] ; Kathrin Boerner ; Julie Klinger ; Jules Rosen

Source :

RBID : pubmed:25469737

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English descriptors

Abstract

Preparedness for death as a predictor of post-bereavement adjustment has not been studied prospectively. Little is known about pre-death factors associated with feeling prepared prior to the death of a loved one.

DOI: 10.1089/jpm.2014.0309
PubMed: 25469737

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pubmed:25469737

Le document en format XML

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<nlm:affiliation>1 Department of Psychiatry, University of Pittsburgh , Pittsburgh, Pennsylvania.</nlm:affiliation>
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<name sortKey="Klinger, Julie" sort="Klinger, Julie" uniqKey="Klinger J" first="Julie" last="Klinger">Julie Klinger</name>
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<term>Attitude to Death</term>
<term>Bereavement</term>
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<term>Child</term>
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<term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aidants (psychologie)</term>
<term>Analyse de régression</term>
<term>Attitude envers la mort</term>
<term>Chagrin</term>
<term>Deuil (perte)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Foyers pour personnes agées</term>
<term>Humains</term>
<term>Maisons de repos</term>
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<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Troubles de l'adaptation (psychologie)</term>
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<term>Caregivers</term>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Attitude to Death</term>
<term>Bereavement</term>
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<term>Female</term>
<term>Grief</term>
<term>Homes for the Aged</term>
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<term>Chagrin</term>
<term>Deuil (perte)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Foyers pour personnes agées</term>
<term>Humains</term>
<term>Maisons de repos</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">Preparedness for death as a predictor of post-bereavement adjustment has not been studied prospectively. Little is known about pre-death factors associated with feeling prepared prior to the death of a loved one.</div>
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<DateCompleted>
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<Month>12</Month>
<Day>01</Day>
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<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<ISSN IssnType="Electronic">1557-7740</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>18</Volume>
<Issue>2</Issue>
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<Year>2015</Year>
<Month>Feb</Month>
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</JournalIssue>
<Title>Journal of palliative medicine</Title>
<ISOAbbreviation>J Palliat Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Preparedness for death and adjustment to bereavement among caregivers of recently placed nursing home residents.</ArticleTitle>
<Pagination>
<MedlinePgn>127-33</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1089/jpm.2014.0309</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Preparedness for death as a predictor of post-bereavement adjustment has not been studied prospectively. Little is known about pre-death factors associated with feeling prepared prior to the death of a loved one.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Our aim was to prospectively assess the role of preparedness for death as a predictor of post-bereavement adjustment in informal caregivers (CGs) who experienced the death of their loved one and to identify predictors and correlates of complicated grief, depression, and preparedness for death among informal CGs.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a prospective, longitudinal study using data collected for a randomized trial testing the efficacy of an intervention for CGs of recently placed care recipients (CRs). Subjects were 217 informal CGs of care recipients recently placed in nursing homes, and they were followed for 18 months. CGs were assessed in person by certified interviewers at 6-month intervals. Eighty-nine CGs experienced the death of their loved one in the course of the study. Measurements used included preparedness for death, advance care planning (ACP), complicated grief, depression, and sociodemographic characteristics.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">CGs who reported feeling more prepared for the death experienced lower levels of complicated grief post-bereavement. A multivariate ordinal logistic regression model showed that spouses as opposed to adult child CGs were less prepared for the death, depressed CGs were less prepared, and patients who engaged in ACP had CGs who felt more prepared. CR overt expressions about wanting to die was also related to higher levels of preparedness in the CG.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We show prospectively that preparedness for death facilitates post-bereavement adjustment and identify factors associated with preparedness. ACP can be an effective means for preparing informal CGs for the death of their CRs.</AbstractText>
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