Evidence map›Paper›PMID 32020837›Full record

ArticlePalliative medicine2020

Regret and unfinished business in parents bereaved by cancer: A mixed methods study.

Wendy G Lichtenthal, Kailey E Roberts, Corinne Catarozoli, Elizabeth Schofield, Jason M Holland, Justin J Fogarty, Taylor C Coats, Lamia P Barakat, Justin N Baker, Tara M Brinkman and 5 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  8. Decision-making when a child with haematological malignancy relapses following haematopoietic stem cell transplantation: A meta-ethnographic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  9. Posttraumatic growth in parents long after their child's death from cancer-a cross-sectional survey in Switzerland.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 1 country.

Wendy G LichtenthalDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3597-7826
Kailey E RobertsDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Corinne CatarozoliWeill Cornell Medicine, New York, NY, USA.
Elizabeth SchofieldDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jason M HollandLifeSpark, Nashville, TN, USA.
Justin J FogartyDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Taylor C CoatsDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lamia P BarakatChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Justin N BakerSt. Jude Children's Research Hospital, Memphis, TN, USA.
Tara M BrinkmanSt. Jude Children's Research Hospital, Memphis, TN, USA.
Robert A NeimeyerThe University of Memphis, Memphis, TN, USA.
Holly G PrigersonWeill Cornell Medicine, New York, NY, USA.
Talia ZaiderDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
William BreitbartDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lori WienerPediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-9573-8870
Memorial Sloan Kettering Cancer Center · USCornell University · USSt. Jude Children's Research Hospital · USChildren's Hospital of Philadelphia · USNational Cancer Institute · USUniversity of Memphis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Pediatric Oncology Branch Behvioral Science CoreZIDBC011517 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GLOD, JOHN · 2013 to 2025
$15.6M
Psychosocial Approaches to Better Understanding & End-Stage Cancer Care (PROTECT)R35CA197730 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Holly Gwen Prigerson · 2015 to 2026
$11.2M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Meaning-Centered Grief Therapy for Parents Bereaved by CancerK07CA172216 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LICHTENTHAL, WENDY G. · 2013 to 2017
$707k
An Investigation of the Clinical Utility of a Prolonged Grief Disorder DiagnosisR21MH095378 · NIMH · SLOAN-KETTERING INST CAN RESEARCH · PI LICHTENTHAL, WENDY G., PRIGERSON, HOLLY GWEN · 2013 to 2014
$504k
Enhancing & Mobilizing the POtential for Wellness & Emotional Resilience (EMPOWER) in Caregivers of ICU Cancer PatientsR21CA218313 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LICHTENTHAL, WENDY G., PRIGERSON, HOLLY GWEN · 2017 to 2018
$422k
Themes of Meaning: Intervention Development for Parents Bereaved by CancerR03CA139944 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LICHTENTHAL, WENDY G. · 2009 to 2010
$190k
NCATS NIH HHS UL1 TR002384NCI NIH HHS K07 CA172216NCI NIH HHS P30 CA008748NCI NIH HHS R03 CA139944NCI NIH HHS R21 CA218313NCI NIH HHS R35 CA197730NCI NIH HHS T32 CA009461NIMH NIH HHS R21 MH095378
6 · The paper itself

Abstract

backgroundPrior research has demonstrated that the presence of regret and unfinished business is associated with poorer adjustment in bereavement. Though there is a growing literature on these constructs among caregivers of adult patients, the literature on regret and unfinished business in bereaved parents has been limited.

aimThe aim of this study was to examine regret and unfinished business in parents bereaved by cancer, as well as their associations with caregiving experiences and prolonged grief.

designThis was a cross-sectional mixed methods study that utilized self-report questionnaires with open-ended items. SETTING/

participantsThe multisite study took place at a tertiary cancer hospital and pediatric cancer clinical research institution. Participants were 118 parents (mothers = 82, fathers = 36) who lost a child aged 6 months to 25 years to cancer between 6 months and 6 years prior.

resultsResults showed that 73% of the parents endorsed regret and 33% endorsed unfinished business, both of which were more common among mothers than fathers (

conclusionFindings have implications for how providers work with families, including increasing treatment decision-making support, supporting parents in speaking to their child about illness, and, in bereavement, validating choices made. Grief interventions that use cognitive-behavioral and meaning-centered approaches may be particularly beneficial.

Indexed as

BereavementAdultChildFemaleHumansMaleNeoplasmsParentsTime Factorscaregiversdecision-makinggriefneoplasmpediatricRegret

Identifiers

PMID32020837
PMCPMC7438163
OpenAlexW3004847853

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.