Depressive mood and its risk factors, and persistent complex bereavement disorder among caregivers who received hospice care: A longitudinal study

Fan, Sheng–Yu; Chen, Hsiang Ping; Hsieh, Jyh Gang

doi:10.1080/07481187.2019.1626947

Cited by 1 publication

(2 citation statements)

References 32 publications

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“…Risk factors for PGD include being female, a spouse or parent of the deceased, having a life-threatening illness, lower income, lack of social support, cultural or language barriers, prior loss, pre-existing mood or anxiety disorders, substance abuse, previous psychological trauma, insecure attachment with the deceased, and the death being sudden or violent. 3,14,[16][17][18][19][20]23,35 One might have expected the rates of PGD to be higher in our study population given that the majority of caregivers were female, the spouse of the decreased, and had experienced the previous loss of a loved one. Furthermore, almost half had a mental or emotional issues or previous separation anxiety and nightmares, and 21% had financial concerns.…”

Section: Discussionmentioning

confidence: 95%

“…22 The lack of availability of bereavement supports following death has been associated with a higher risk of prolonged grief. 16,23 Palliative care services offer a range of bereavement supports, most commonly a telephone call, memorial service, letter, anniversary card, group sessions, information packages, and informal gatherings. 24 In one study, bereaved caregivers found this approach to be generic and impersonal.…”

Section: Introductionmentioning

confidence: 99%

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Prolonged Grief and Bereavement Supports Within a Caregiver Population Who Transition Through a Palliative Care Program in British Columbia, Canada

Collins

Briggs

et al. 2021

Am J Hosp Palliat Care

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Objective: To determine the prevalence of prolonged grief disorder (PGD), and self-reported resilience among bereaved caregivers within a palliative care program that serves a large region of the Lower Mainland in British Columbia, Canada. Additionally, to discern effective bereavement supports utilized by caregivers following the loss of a loved one. Methods: A descriptive study using both quantitative and qualitative methods. Sociodemographic information (n = 427) was collected from bereaved caregivers 3 months after their loss. PGD and resilience were prospectively assessed 12 months post-loss using the prolonged grief scale (PG-13, n = 212) and brief resilience scale (BRS, n = 215), respectively. A qualitative thematic analysis was conducted on responses to the open-ended question on what bereavement services or activities caregivers found helpful in coping with the loss of a loved one. Results: Of the 212 individuals that completed the PG-13, 4.7% met diagnostic criteria for PGD, 27.4% were moderate risk, and 67.9% were low risk for PGD. Of the 215 caregivers that completed the BRS, 48.4% had low resilience, 51.6% had normal resilience, and 0% had high resilience. The major themes of formal supports, informal supports, and self-care activities emerged from caregiver comments regarding effective bereavement supports. Conclusion: The incidence of PGD in caregivers is low within the Fraser Health Palliative Care program. Bereaved caregivers mainly utilize existing social networks and activities to cope with their loss. Focusing on a community-based approach to supports may improve bereavement experiences and lower rates of prolonged grief.

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