AutomedicationFrancoV1, Main, Exploration, bibRecord, 000518

Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study.

Identifieur interne : 000518 ( Main/Exploration ); précédent : 000517; suivant : 000519

Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study.

Auteurs : Rachel D. Zordan [Australie] ; Melanie L. Bell [États-Unis] ; Melanie Price [Australie] ; Cheryl Remedios [Australie] ; Elizabeth Lobb [Australie] ; Christopher Hall [Australie] ; Peter Hudson [Australie, Belgique]

Source :

Palliative & supportive care [ 1478-9523 ] ; 2019.

RBID : pubmed:30767818

Descripteurs français

KwdFr :
- Accompagnement de la fin de la vie (méthodes), Adaptation psychologique (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Aidants (psychologie), Aidants (statistiques et données numériques), Chagrin (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Prévalence (MeSH), Psychométrie (instrumentation), Psychométrie (méthodes), Sujet âgé (MeSH), Tumeurs (complications), Tumeurs (mortalité), Tumeurs (psychologie), Victoria (MeSH), Études de cohortes (MeSH).
MESH :
- mortalité : Tumeurs.
- méthodes : Accompagnement de la fin de la vie, Psychométrie.
- psychologie : Aidants, Tumeurs.
- statistiques et données numériques : Aidants.
- Adaptation psychologique, Adulte, Adulte d'âge moyen, Chagrin, Femelle, Humains, Mâle, Prévalence, Psychométrie, Sujet âgé, Tumeurs, Victoria, Études de cohortes.

English descriptors

KwdEn :
- Adaptation, Psychological (MeSH), Adult (MeSH), Aged (MeSH), Caregivers (psychology), Caregivers (statistics & numerical data), Cohort Studies (MeSH), Female (MeSH), Grief (MeSH), Hospice Care (methods), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Neoplasms (complications), Neoplasms (mortality), Neoplasms (psychology), Prevalence (MeSH), Psychometrics (instrumentation), Psychometrics (methods), Victoria (MeSH).
MESH :
- geographic : Victoria.
- complications : Neoplasms.
- instrumentation : Psychometrics.
- methods : Hospice Care, Psychometrics.
- mortality : Neoplasms.
- psychology : Caregivers, Neoplasms.
- statistics & numerical data : Caregivers.
- Adaptation, Psychological, Adult, Aged, Cohort Studies, Female, Grief, Humans, Male, Middle Aged, Prevalence.

Abstract

CONTEXT

The short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.

OBJECTIVES

The aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.

METHODS

A cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n = 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2, n = 167), 13 (T3, n = 143), and 37 months (T4, n = 85) after bereavement.

RESULTS

At T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (both p < 0.0001) of PGD in the longer term.

CONCLUSION

For almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.

DOI: 10.1017/S1478951518001013
PubMed: 30767818

Affiliations:

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Caregivers (psychology)</term>
<term>Caregivers (statistics & numerical data)</term>
<term>Cohort Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Grief (MeSH)</term>
<term>Hospice Care (methods)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Neoplasms (complications)</term>
<term>Neoplasms (mortality)</term>
<term>Neoplasms (psychology)</term>
<term>Prevalence (MeSH)</term>
<term>Psychometrics (instrumentation)</term>
<term>Psychometrics (methods)</term>
<term>Victoria (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accompagnement de la fin de la vie (méthodes)</term>
<term>Adaptation psychologique (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Aidants (psychologie)</term>
<term>Aidants (statistiques et données numériques)</term>
<term>Chagrin (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Psychométrie (instrumentation)</term>
<term>Psychométrie (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tumeurs (complications)</term>
<term>Tumeurs (mortalité)</term>
<term>Tumeurs (psychologie)</term>
<term>Victoria (MeSH)</term>
<term>Études de cohortes (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Victoria</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Psychometrics</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Hospice Care</term>
<term>Psychometrics</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Accompagnement de la fin de la vie</term>
<term>Psychométrie</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Aidants</term>
<term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Caregivers</term>
<term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Caregivers</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Aidants</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Aged</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Grief</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chagrin</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Psychométrie</term>
<term>Sujet âgé</term>
<term>Tumeurs</term>
<term>Victoria</term>
<term>Études de cohortes</term>
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<front><div type="abstract" xml:lang="en"><p><b>CONTEXT</b>
</p>
<p>The short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>The aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n = 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2, n = 167), 13 (T3, n = 143), and 37 months (T4, n = 85) after bereavement.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>At T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (both p < 0.0001) of PGD in the longer term.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>For almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
<Month>07</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>07</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1478-9523</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>17</Volume>
<Issue>5</Issue>
<PubDate><Year>2019</Year>
<Month>10</Month>
</PubDate>
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<Title>Palliative & supportive care</Title>
<ISOAbbreviation>Palliat Support Care</ISOAbbreviation>
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<ArticleTitle>Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study.</ArticleTitle>
<Pagination><MedlinePgn>507-514</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1017/S1478951518001013</ELocationID>
<Abstract><AbstractText Label="CONTEXT">The short-term impact of prolonged grief disorder (PGD) following bereavement is well documented. The longer term sequelae of PGD however are poorly understood, possibly unrecognized, and may be incorrectly attributed to other mental health disorders and hence undertreated.</AbstractText>
<AbstractText Label="OBJECTIVES">The aims of this study were to prospectively evaluate the prevalence of PGD three years post bereavement and to examine the predictors of long-term PGD in a population-based cohort of bereaved cancer caregivers.</AbstractText>
<AbstractText Label="METHODS">A cohort of primary family caregivers of patients admitted to one of three palliative care services in Melbourne, Australia, participated in the study (n = 301). Sociodemographic, mental health, and bereavement-related data were collected from the caregiver upon the patient's admission to palliative care (T1). Further data addressing circumstances around the death and psychological health were collected at six (T2, n = 167), 13 (T3, n = 143), and 37 months (T4, n = 85) after bereavement.</AbstractText>
<AbstractText Label="RESULTS">At T4, 5% and 14% of bereaved caregivers met criteria for PGD and subthreshold PGD, respectively. Applying the total PGD score at T4, linear regression analysis found preloss anticipatory grief measured at T1 and self-reported coping measured at T2 were highly statistically significant predictors (both p < 0.0001) of PGD in the longer term.</AbstractText>
<AbstractText Label="CONCLUSION">For almost 20% of caregivers, the symptoms of PGD appear to persist at least three years post bereavement. These findings support the importance of screening caregivers upon the patient's admission to palliative care and at six months after bereavement to ascertain their current mental health. Ideally, caregivers at risk of developing PGD can be identified and treated before PGD becomes entrenched.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zordan</LastName>
<ForeName>Rachel D</ForeName>
<Initials>RD</Initials>
<AffiliationInfo><Affiliation>St Vincent's Hospital, Melbourne, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>University of Melbourne, Parkville, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bell</LastName>
<ForeName>Melanie L</ForeName>
<Initials>ML</Initials>
<AffiliationInfo><Affiliation>Mel and Enid Zuckerman College of Public Health, Department of Epidemiology and Biostatistics, The University of Arizona, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Price</LastName>
<ForeName>Melanie</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Centre for Medical Psychology and Evidence-based Decision-making, University of Sydney, Camperdown, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Remedios</LastName>
<ForeName>Cheryl</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Mercy Palliative Care, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lobb</LastName>
<ForeName>Elizabeth</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Calvary Palliative and End of Life Care Research Institute, Calvary Health Care, Kogarah, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>School of Medicine, University of Notre Dame, Darlinghurst, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hall</LastName>
<ForeName>Christopher</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Australian Centre for Grief and Bereavement, Melbourne, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hudson</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Centre for Palliative Care, St Vincent's Hospital Melbourne, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>The University of Melbourne, Parkville, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Vrije University, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Palliat Support Care</MedlineTA>
<NlmUniqueID>101232529</NlmUniqueID>
<ISSNLinking>1478-9515</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006117" MajorTopicYN="Y">Grief</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017051" MajorTopicYN="N">Hospice Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014739" MajorTopicYN="N" Type="Geographic">Victoria</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Bereavement</Keyword>
<Keyword MajorTopicYN="Y">Caregiver</Keyword>
<Keyword MajorTopicYN="Y">Complicated grief</Keyword>
<Keyword MajorTopicYN="Y">Mental health</Keyword>
<Keyword MajorTopicYN="Y">Palliative care</Keyword>
<Keyword MajorTopicYN="Y">Prolonged grief disorder</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>2</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>7</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>2</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30767818</ArticleId>
<ArticleId IdType="pii">S1478951518001013</ArticleId>
<ArticleId IdType="doi">10.1017/S1478951518001013</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Australie</li>
<li>Belgique</li>
<li>États-Unis</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Région de Bruxelles-Capitale</li>
<li>Victoria (État)</li>
</region>
<settlement><li>Bruxelles</li>
<li>Melbourne</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université de Melbourne</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Zordan, Rachel D" sort="Zordan, Rachel D" uniqKey="Zordan R" first="Rachel D" last="Zordan">Rachel D. Zordan</name>
</region>
<name sortKey="Hall, Christopher" sort="Hall, Christopher" uniqKey="Hall C" first="Christopher" last="Hall">Christopher Hall</name>
<name sortKey="Hudson, Peter" sort="Hudson, Peter" uniqKey="Hudson P" first="Peter" last="Hudson">Peter Hudson</name>
<name sortKey="Hudson, Peter" sort="Hudson, Peter" uniqKey="Hudson P" first="Peter" last="Hudson">Peter Hudson</name>
<name sortKey="Lobb, Elizabeth" sort="Lobb, Elizabeth" uniqKey="Lobb E" first="Elizabeth" last="Lobb">Elizabeth Lobb</name>
<name sortKey="Lobb, Elizabeth" sort="Lobb, Elizabeth" uniqKey="Lobb E" first="Elizabeth" last="Lobb">Elizabeth Lobb</name>
<name sortKey="Price, Melanie" sort="Price, Melanie" uniqKey="Price M" first="Melanie" last="Price">Melanie Price</name>
<name sortKey="Remedios, Cheryl" sort="Remedios, Cheryl" uniqKey="Remedios C" first="Cheryl" last="Remedios">Cheryl Remedios</name>
<name sortKey="Zordan, Rachel D" sort="Zordan, Rachel D" uniqKey="Zordan R" first="Rachel D" last="Zordan">Rachel D. Zordan</name>
</country>
<country name="États-Unis"><noRegion><name sortKey="Bell, Melanie L" sort="Bell, Melanie L" uniqKey="Bell M" first="Melanie L" last="Bell">Melanie L. Bell</name>
</noRegion>
</country>
<country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Hudson, Peter" sort="Hudson, Peter" uniqKey="Hudson P" first="Peter" last="Hudson">Peter Hudson</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study.

Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study.

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