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Supportive Care in Cancer

, Volume 18, Issue 10, pp 1321–1327 | Cite as

Determinants of complicated grief in caregivers who cared for terminal cancer patients

  • Yu-Wen Chiu
  • Chia-Tsuan Huang
  • Shao-Min Yin
  • Yung-Cheng Huang
  • Ching-hsin Chien
  • Hung-Yi Chuang
Original Article

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

Keywords

Caregivers Complicated grief Hospice Terminal cancer patients 

Notes

Acknowledgements

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.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Yu-Wen Chiu
    • 1
    • 2
  • Chia-Tsuan Huang
    • 1
    • 2
  • Shao-Min Yin
    • 1
    • 2
  • Yung-Cheng Huang
    • 1
    • 2
  • Ching-hsin Chien
    • 2
    • 3
  • Hung-Yi Chuang
    • 2
    • 4
  1. 1.Department of Family Medicine for Palliative CareKaohsiung Medical University HospitalKaohsiungTaiwan
  2. 2.Department of Community MedicineKaohsiung Medical University HospitalKaohsiungTaiwan
  3. 3.Department of NursingKaohsiung Medical University HospitalKaohsiungTaiwan
  4. 4.Department of Public Health and Center of Excellence for Environmental MedicineKaohsiung Medical UniversityKaohsiung CityTaiwan

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