Caregiver bereavement outcomes in advanced cancer : associations with quality of death and patient age
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
PURPOSE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSION: 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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
|---|---|
| Enthalten in: |
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer - 30(2022), 2 vom: 05. Feb., Seite 1343-1353 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Mah, Kenneth [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Age factors |
|---|
| Anmerkungen: |
Date Completed 06.01.2022 Date Revised 23.02.2022 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00520-021-06536-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM330414739 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM330414739 | ||
| 003 | DE-627 | ||
| 005 | 20231225211233.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00520-021-06536-8 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1101.xml |
| 035 | |a (DE-627)NLM330414739 | ||
| 035 | |a (NLM)34499215 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Mah, Kenneth |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Caregiver bereavement outcomes in advanced cancer |b associations with quality of death and patient age |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 06.01.2022 | ||
| 500 | |a Date Revised 23.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a PURPOSE: 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 | ||
| 520 | |a METHODS: 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 | ||
| 520 | |a RESULTS: 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 | ||
| 520 | |a CONCLUSION: 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Age factors | |
| 650 | 4 | |a Bereavement | |
| 650 | 4 | |a Cancer | |
| 650 | 4 | |a Caregivers | |
| 650 | 4 | |a End-of-life care | |
| 650 | 4 | |a Quality of dying and death | |
| 700 | 1 | |a Swami, Nadia |e verfasserin |4 aut | |
| 700 | 1 | |a Pope, Ashley |e verfasserin |4 aut | |
| 700 | 1 | |a Earle, Craig C |e verfasserin |4 aut | |
| 700 | 1 | |a Krzyzanowska, Monika K |e verfasserin |4 aut | |
| 700 | 1 | |a Nissim, Rinat |e verfasserin |4 aut | |
| 700 | 1 | |a Hales, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Rodin, Gary |e verfasserin |4 aut | |
| 700 | 1 | |a Hannon, Breffni |e verfasserin |4 aut | |
| 700 | 1 | |a Zimmermann, Camilla |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer |d 1994 |g 30(2022), 2 vom: 05. Feb., Seite 1343-1353 |w (DE-627)NLM07487618X |x 1433-7339 |7 nnns |
| 773 | 1 | 8 | |g volume:30 |g year:2022 |g number:2 |g day:05 |g month:02 |g pages:1343-1353 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00520-021-06536-8 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 30 |j 2022 |e 2 |b 05 |c 02 |h 1343-1353 | ||