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Palliative Care Caregivers' Grief Mediators: A Prospective Study
Alexandra M Coelho1, Mayra A Delalibera2, António Barbosa3
1Palliative Care Unit, Hospital Santa Maria, Academic Center of Studies and Intervention in Grief, Bioethics Center, Faculty of Medicine, University of Lisbon, Lisbon, Portugal alexandra.moura.coelho@gmail.com.
The American Journal of Hospice & Palliative Care
|January 21, 2015
Summary
Caregiver relationships and family crises significantly predict prolonged grief disorder (PGD). Understanding these factors is crucial for supporting bereaved individuals and mitigating PGD symptoms.
Area of Science:
- Psychology
- Bereavement Studies
- Grief Research
Background:
- Complicated grief, or prolonged grief disorder (PGD), affects many caregivers.
- Identifying mediators of PGD is essential for targeted interventions.
Purpose of the Study:
- To identify mediators of complicated grief in Portuguese family caregivers.
- To explore factors associated with the development of prolonged grief disorder (PGD).
Main Methods:
- Prospective evaluation of risk factors during predeath and bereavement periods.
- Application of the PG-13 scale to diagnose prolonged grief disorder (PGD) over 6 months post-loss.
- Sample comprised 64 family caregivers in a Portuguese palliative care setting.
Main Results:
- Insecure and dependent relationships were associated with PGD.
- Unresolved family crises emerged as a significant risk factor for PGD.
- Perceived patient deterioration and disfigurement correlated with prolonged grief disorder.
Conclusions:
- Relational factors play a crucial role in the development of PGD among caregivers.
- The interplay between various risk factors and their impact on specific PGD symptoms requires further consideration.
- Findings highlight the need for interventions addressing relationship dynamics and family issues in bereavement support.
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