ArticlePalliative medicine reports
Unfinished Business and Experiences of Bereaved Families of Patients with Cancer: A Cross-Sectional Survey.
Article in Palliative medicine reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
16 authors.
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Abstract
Background: Unfinished business (UB) is common among bereaved families of patients with advanced cancer and is associated with poor psychological outcomes, but remains underexplored. Objectives: To examine the prevalence, psychological impact, care-related factors, and families' experiences associated with UB using multidimensional assessments. Design: A cross-sectional survey was conducted. Setting/Subjects: Bereaved family members of patients with cancer at a Japanese inpatient hospice. Measurements: UB was assessed using a one-item scale, the Unfinished Business in Bereavement Scale-Short (UBBS), and the Unfinished Business Scale-Family (UBS-F). Depression and complicated grief were measured using the Patient Health Questionnaire-2 (PHQ-2) and the Brief Grief Questionnaire (BGQ), respectively. Analyses included Results: Of 455 bereaved families, 319 (70%) participated. UB was reported by 53.9% (95% confidence interval [CI] = 48.4-59.4%) on the one-item scale and by 34.5-40.8% and 27.9-65.5% using UBBS and UBS-F, respectively. Using the one-item UB scale, families with UB had significantly higher respective depression (PHQ-2 = 1.73 vs. 1.13; Conclusions: UB is prevalent and associated with psychological distress among bereaved families of patients with cancer. Interventions promoting preparedness and supporting patients and families to realize wishes may reduce UB and improve bereavement outcomes.
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