Evidence map›Paper›PMID 35196915›Full record

SynthesisPalliative medicine2022

An examination and proposed definitions of family members' grief prior to the death of individuals with a life-limiting illness: A systematic review.

Jonathan Singer, Kailey E Roberts, Elisabeth McLean, Carol Fadalla, Taylor Coats, Madeline Rogers, Madeline K Wilson, Kendra Godwin, Wendy G Lichtenthal

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
5.6field-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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  5. Pre-loss grief among family caregivers: An evolutionary concept analysis.International journal of nursing sciences · 2026
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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

9 authors at 5 institutions in 1 country.

Jonathan SingerDepartment of Psychological Science, Texas Tech University, Lubbock, TX, USA.ORCID 0000-0002-7789-5047
Kailey E RobertsFerkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA.
Elisabeth McLeanDepartment of Psychological Science, Texas Tech University, Lubbock, TX, USA.
Carol FadallaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Taylor CoatsDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Madeline RogersCenter for Research on End-of-Life Care, Weill Cornell Medicine, New York, NY, USA.
Madeline K WilsonDepartment of Psychology, University of Nevada, Reno, NV, USA.
Kendra GodwinMedical Library, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-4232-5068
Wendy G LichtenthalDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3597-7826
Memorial Sloan Kettering Cancer Center · USTexas Tech University · USCornell University · USUniversity of Nevada, Reno · USYeshiva University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundResearch has extensively examined family members' grief prior to the death of an individual with a life-limiting illness but several inconsistencies in its conceptualization of related constructs, yet significant conceptualization issues exist.

aimThis study aimed to identify and characterize studies published on family members grief before the death of an individual with a life-limiting illness, and propose definitions based on past studies in order to initiate conceptual clarity.

designA mixed-method systematic review utilized six databases and was last conducted July 10, 2021. The search strategy was developed using Medical Subject Headings. This study was prospectively registered on PROSPERO (CRD42020166254).

resultsOne hundred thirty-four full-text articles met inclusion criteria. This review revealed across studies a wide variation in terminology, conceptualization, and characterization of grief before the death. More than 18 terms and 30 definitions have been used. In many cases, the same term (e.g. anticipatory grief) was defined differently across studies.

conclusionsWe found grief occurring before the death of a person with a life-limiting illness, which we termed pre-death grief, is comprised of two distinct constructs: anticipatory grief and illness-related grief. Anticipatory grief is future-oriented and is characterized by separation distress and worry about a future without the person with the life-limiting illness being physically present. Illness-related grief is present-oriented and is characterized by grief over current and ongoing losses experienced during the illness trajectory. These definitions provide the field with uniform constructs to advance the study of grief before the death of an individual with a life-limiting illness.

Indexed as

CaregiversGriefFamilyHumanscaregiversfamilygriefPalliative careterminally ill

Identifiers

PMID35196915
PMCPMC10098140
OpenAlexW4213434024

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.