Caregiver bereavement outcomes in advanced cancer: associations with quality of death and patient age.
Age factors
Bereavement
Cancer
Caregivers
End-of-life care
Quality of dying and death
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
26
04
2021
accepted:
31
08
2021
pubmed:
10
9
2021
medline:
7
1
2022
entrez:
9
9
2021
Statut:
ppublish
Résumé
We investigated relationships between domains of quality of dying and death in patients with advanced cancer and their caregivers' bereavement outcomes and the moderating effect of patient age at death. Bereaved caregivers of deceased patients with advanced cancer who had participated in an early palliative care trial completed measures of grief (Texas Revised Inventory of Grief [TRIG]), complicated grief (Prolonged Grief Inventory [PG-13]), and depression (Center for Epidemiologic Studies-Depression [CESD-10]). They also completed the Quality of Dying and Death measure (QODD), which assesses patients' symptom control, preparation for death, connectedness with loved ones, and sense of peace with death. A total of 157 bereaved caregivers completed the study. When patient age × QODD subscale interactions were included, greater death preparation was related to less grief at patient death (past TRIG: β = - .25, p = .04), less current grief (present TRIG: β = - .26, p = .03), less complicated grief (PG-13: β = - .37, p = .001), and less depression (CESD-10: β = - .35, p = .005). Greater symptom control was related to less current grief (present TRIG: β = - .27, p = .02), less complicated grief (PG-13: β = - .24, p = .03), and less depression (CESD-10: β = - .29, p = .01). Significant patient age × connectedness interaction effects for current grief (present TRIG: β = .30, p = .02) and complicated grief (PG-13: β = .29, p = .007) indicated that, with less connectedness, younger patient age at death was associated with greater caregiver grief. Better end-of-life death preparation and symptom control for patients with cancer may attenuate later caregiver grief and depression. Less connectedness between younger patients and their families may adversely affect caregiver grief.
Identifiants
pubmed: 34499215
doi: 10.1007/s00520-021-06536-8
pii: 10.1007/s00520-021-06536-8
pmc: PMC8426162
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1343-1353Subventions
Organisme : Canadian Cancer Society
ID : #017257, #020509, #700862
Organisme : CIHR
ID : #152996
Pays : Canada
Organisme : CIHR
ID : #152996
Pays : Canada
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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