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Pre-loss symptoms related to risk of complicated grief in caregivers of terminally ill cancer patients.

Abstract：

PURPOSE:A number of studies have underlined a 10-20% prevalence of complicated grief (CG) among caregivers of cancer patients. The study aimed at examining the relationship between pre-loss criteria for CG and post-loss diagnosis of CG and at evaluating the validity and factor structure of a predictive tool, the Inventory of Complicated Grief (ICG), in order to identify the risk of developing CG in a sample of Italian caregivers. METHODS:Sixty family members of terminally ill patients admitted to hospice and receiving a Palliative Prognostic Score (PaP) predictive 30 day survival time <30% completed the Pre-Death ICG (ICG-PL) (T0). Family members were met again 6 months after the death of their loved one (T1) and submitted to the interview for Complicated Grief (Post-loss interview-PLI). RESULTS:Caseness for CG was shown in 18.3% of caregivers at T1. ICG-PL score (T0) were higher among those who developed CG at T1 than non-cases. A cut off score ≥49 on the ICG-PL (AUC=0.98) maximized sensitivity (92%) and specificity (98%) on caseness at T1. Pre-loss criteria related to traumatic distress, separation distress and emotional symptoms in general were significantly related to a post-loss diagnosis of CG, while no effect was shown on duration of pre-loss distress. CONCLUSIONS:The use of short screening tools, like the ICG-PL, may help health care professionals to identify subjects at risk for CG.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Nanni MG,Biancosino B,Grassi L

doi

10.1016/j.jad.2013.12.023

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

87-91

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(13)00863-X

journal_volume

160

pub_type

杂志文章

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