ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026
Dyadic death-preparedness concordance states and bereaved caregivers' health-related quality of life and psychological outcomes: a longitudinal study.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
purposeHealth-related quality of life (HRQOL), psychological distress, anticipatory grief, and death preparedness are interdependent within patient-caregiver dyads. This study described caregivers' bereavement outcomes over two years across preloss patient-caregiver concordance states in multidimensional death preparedness and exploratorily examined adjusted differences across these states, addressing reliance on caregiver-only, retrospective designs, single-item preparedness measures, and limited outcome assessment.
methodsThis cohort study followed 496 family caregivers of cancer patients. In exploratory analyses, multivariate hierarchical linear modeling estimated adjusted differences in four bereavement outcomes-physical and mental HRQOL, depressive symptoms, and prolonged grief (PG) symptoms-across preloss dyadic death-preparedness concordance states (unprepared, cognitive [prognostic understanding], emotional [acceptance of approaching death], and sufficient [both] concordant vs. discordant).
resultsOver two years, mental HRQOL improved, physical HRQOL remained stable, and depressive and PG symptoms declined. Descriptively, sufficient-concordant dyads showed the most favorable mental HRQOL and lowest depressive and PG symptoms, but no statistically significant adjusted differences from discordant dyads. Exploratory adjusted estimates suggested poorer mental HRQOL and higher depressive symptoms in emotional-concordant dyads (n = 4) and better physical HRQOL in unprepared-concordant dyads (n = 3). Caregivers in cognitive-concordant dyads had higher estimated PG symptoms than those in discordant dyads (β = 1.283, 95% CI [- 0.026, 2.592]; p = 0.055).
conclusionsBereavement outcomes showed differing patterns across dyadic death-preparedness concordance states. Adjusted estimates for the sparsely represented unprepared- and emotional-concordant groups are exploratory and hypothesis-generating. These findings highlight the value of examining cognitive and emotional dimensions of dyadic death preparedness jointly while underscoring the need for replication in larger samples.
Indexed as
Identifiers
42859323What OpenQuestion holds
Registered trials
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.