ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Caregiver burden and anticipatory grief among family caregivers of patients with advanced cancer in a palliative context: chain mediating role of social support and positive coping.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Tailored personas for anticipatory grief management among primary family caregivers of patients with advanced lung cancer in China: a qualitative study.Scientific reports · 2026Article
- Factors associated with anticipatory grief in family caregivers of patients with esophageal cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Anticipatory Grief Among Family Caregivers of Terminally Ill Cancer Patients: A Multicenter Study Among Bangladeshi Population.Palliative medicine reportsArticle
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6 authors.
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Abstract
backgroundAnticipatory grief (AG) exists in family caregivers of advanced cancer patients. Existing studies have paid insufficient attention to family caregivers' AG in Chinese palliative care (PC) wards, and the association of its influencing factors remains unclear. PURPOSE: To describe current status of AG among advanced cancer patients' family caregivers in PC wards, to explore factors influencing AG and to analyze their pathways and magnitude.
methodsA cross-sectional study investigated the sociodemographic characteristics, AG, caregiver burden, social support and coping of 205 participants. Statistical descriptions, influencing factor exploration and correlation analysis were conducted in SPSS 26.0. AG factors and their paths were analyzed using Amos 26.0.
resultsThe mean AG score of family caregivers was 74.91 ± 12.64, where caregiver burden (37.60 ± 12.52) and social support (39.09 ± 6.69) were moderate, and positive coping (19.70 ± 6.39) was better than negative coping (6.15 ± 4.38). The results of path analysis and mediation model test signified that caregiver burden had a direct and positive association on AG (β = 0.510), social support (β = 0.147), and positive coping (β = 0.144), respectively, that mediated the association between caregiver burden and AG, and the chained mediation role of social support and positive coping was 0.019.
conclusionsThe AG of advanced cancer patients' family caregivers in Chinese palliative care was complex and diverse. Social support and positive coping played a chain mediating role in the association of caregiver burden on AG. Family-centered care in different cultural context is imperative to relieve caregiver burden and enhance mental health of family caregivers, and expand the coverage of palliative care and death education could further benefit advanced cancer families' overall well-being.
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