Determinants of complicated grief in caregivers who cared for terminal cancer patients
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There is little research on determinants and the grief that caregivers experience after their relatives die of cancer. This study evaluated factors which influence complicated grief among caregivers who cared for patients who died of cancer in Taiwan.
This prospective study recruited 668 caregivers who cared for terminally ill cancer patients in the hospice ward or who received shared-care consultation. Caregivers were interviewed on the telephone an average 8.9 months after the cancer patients passed away. The Inventory of Complicated Grief (ICG), modified for use in a Chinese population, was used to assess the grief status of caregivers. ICG >25 was defined as complicated grief.
Our study found that female gender (odds ratio (OR), 2.27; 95% confidence interval (CI), 1.75–2.82), spouse relationship (OR, 1.20; 1.01–1.40), parents–children relationship (OR, 1.70; 1.11–2.31), lack of religious belief (OR, 1.47; 1.19–1.75), unavailable family support (OR, 1.42; 1.03–1.83), and history of mood co-morbidity (OR, 1.41; 1.02–1.83) were risk factors that would predispose towards complicated grief; whereas, longer duration of caring (months, OR, 0.79; 0.69–0.91), medical disease history in the carer (OR, 0.77; 0.57–0.99), and patients being cared for on the hospice ward (OR, 0.60; 0.44–0.77) were factors that would mitigate against complicated grief.
These results suggest that clinical professionals who care for terminal cancer patients and their caregivers should pay particular attention to caregivers with these predisposing factors.
KeywordsCaregivers Complicated grief Hospice Terminal cancer patients
This work was supported by Kaohsiung Medical University Hospital, and the grant number is Kmuh-96-P07.
Conflicts of interest
The authors declared that they have no conflict interest.
- 2.Department of Health, Executive Yuan (2008) Health Statistics in Taiwan, 2008. Department of Health, Executive Yuan, ROC, Taipei, TaiwanGoogle Scholar
- 8.Zisook S (2000) Understanding and managing bereavement in palliative care. In: Chochinov HM, Breitbart W (eds) Handbook of psychiatry in palliative medicine. Oxford University Press, New York, pp 321–334Google Scholar
- 15.Prigerson HG, Maciejewski PK (2006) A call for sound empirical testing and evaluation of criteria for complicated grief proposed by the DSM V. Omega 52:9–19Google Scholar
- 16.Chu HC, Chow PC (2008) Providing grief counseling to a major depressive elderly widower: a nurse’s experience (article in Chinese). Hu Li Za Zhi/The Journal of Nursing 55:90–96Google Scholar