ArticleJournal of palliative medicine2013
Bereavement among hospice caregivers of cancer patients one year following loss: predictors of grief, complicated grief, and symptoms of depression.
Article in Journal of palliative medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review.BMC palliative care · 2024Pooled it
- Psychosocial factors affecting the bereavement experience of relatives of palliative-stage cancer patients: a systematic review.BMC palliative care · 2022Pooled it
- Caregivers' Loss of the Dyadic Experience after Their Care Partners' Death.Western journal of nursing research · 2022Trial
- Digital Monitoring of Sleep, Meals, and Physical Activity for Reducing Depression in Older Spousally-Bereaved Adults: A Pilot Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Trial
- Family Caregiver Depressive Symptom and Grief Outcomes From the ENABLE III Randomized Controlled Trial.Journal of pain and symptom management · 2016Trial
- Meaning-making in home-based end-of-life care: a qualitative study of wives' experiences after the loss of their husbands to cancer.BMC palliative care · 2026Article
- Associations between depressive symptoms, attachment style, and continuing bonds among Japanese bereaved family members of patients with cancer: a nationwide cross-sectional study.BMC psychology · 2026Article
- Bereavement service deserts: A 2024 statewide assessment of bereavement services.Death studies · 2025Article
- Cancer caregivers at the end-of-life: How much me vs. how much we?PEC innovation · 2023Article
- Cancer Pain Experience Through the Lens of Patients and Caregivers: Mixed Methods Social Media Study.JMIR cancer · 2023Article
- Acceptance of Caregiver-Patient Support to Latinx Coping with Advanced Cancer (CASA) Intervention: A Caregiver Case Study.International journal of environmental research and public health · 2023Article
- Prolonged Grief Disorder and Symptoms of Anxiety and Depression among Bereaved Family Caregivers in the Context of Palliative Home Care.European journal of investigation in health, psychology and education · 2023Article
- Suicidal Ideation, Depression, and Insomnia in Parent Survivors of Suicide: Based on Korean Psychological Autopsy of Adolescent Suicides.Journal of Korean medical science · 2023Article
- A digital health intervention to stabilize the 24-hour rhythm of sleep, meals, and physical activity for reducing depression among older bereaved spouses: Protocol for a randomized controlled trial.Contemporary clinical trials · 2023Article
- Reply to K. Kajiwara et al. concerning "Caregiver bereavement outcomes in advanced cancer: associations with quality of death and patient age".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Prolonged Grief and Bereavement Supports Within a Caregiver Population Who Transition Through a Palliative Care Program in British Columbia, Canada.The American journal of hospice & palliative care · 2022Article
- Changes in depressive symptoms among family caregivers of patients with cancer after bereavement and their association with resilience: A prospective cohort study.Psycho-oncology · 2022Article
- A Biopsychosocial Approach to Grief, Depression, and the Role of Emotional Regulation.Behavioral sciences (Basel, Switzerland) · 2021Review
- Challenges in Obtaining and Assessing Salivary Cortisol and α-Amylase in an Over 60 Population Undergoing Psychotherapeutic Treatment for Complicated Grief: Lessons Learned.Clinical nursing research · 2021Article
- Psychological Distress in Bereaved Caregivers of Patients With Advanced Cancer.Journal of pain and symptom management · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundInformal caregivers are an integral part of end-of-life care for hospice patients with cancer. Although adjustment following loss is highly individual, many caregivers have significant psychological distress after the death of a loved one. This study investigated risk factors that may predict psychological distress, which could aid hospice bereavement departments in targeting bereavement services.
methodDemographic characteristics, patient impairment, caregiver baseline symptoms of depression, and caregiver resources were assessed among 188 cancer patient-caregiver dyads. Regression analyses identified predictors of symptoms of depression, grief, and complicated grief one year following loss.
resultsOver 50% of bereaved caregivers had clinically significant depressive symptoms one year after death of their relative. Caregivers with fewer years of education and more baseline symptoms of depression had significantly worse grief, complicated grief, and depression. Younger patient age was a significant predictor of poorer outcomes for grief and complicated grief; and less patient impairment was a significant predictor of more post-loss symptoms of depression. Lower social support satisfaction was correlated with worse grief and complicated grief but was not a significant multivariate predictor of poorer outcomes.
conclusionDespite having access to hospice bereavement services, many former caregivers had high psychological distress one year following loss. Bereavement departments could consider utilizing readily available risk factors to target services to former caregivers who may benefit from bereavement services. Bereavement departments might also consider including brief, standardized screenings of caregiver depression in initial risk assessments. Future studies should investigate evidence-based approaches for assessment and interventions among highly distressed former hospice caregivers.
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