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To Identify Relatives at Risk for Prolonged Grief Disorder Symptomatology: A Cross-Sectional Study.

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Self-report surveys accurately predicted Prolonged Grief Disorder (PGD) risk in bereaved relatives. Healthcare providers' clinical intuition was no better than chance in identifying PGD, highlighting the value of validated screening tools.

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Area of Science:

  • Palliative Care
  • Psychological Medicine
  • Oncology Support

Background:

  • Prolonged Grief Disorder (PGD) presents significant challenges for some bereaved individuals, necessitating early identification to prevent adverse health outcomes.
  • The comparative accuracy of healthcare providers' clinical intuition versus relatives' self-report surveys in predicting PGD risk is not well-established.

Purpose of the Study:

  • To evaluate the predictive accuracy of pre-loss subjective risk estimates from healthcare providers and self-report surveys from relatives.
  • To determine the ability of these methods to predict ICD-11 Prolonged Grief Disorder (PGD) symptomatology seven months post-loss in relatives of oncology patients.

Main Methods:

  • The study included 75 bereaved relatives of oncology patients and specialist palliative care providers across hospital and home settings.
  • Relatives completed the PreLoss Grief-12 (PG-12) survey, and healthcare providers provided subjective risk estimates.
  • Predictive accuracy was assessed by comparing these pre-loss measures with Traumatic Grief Inventory-Self Report Plus (TGI-SR+) scores seven months post-loss using Receiver Operating Characteristic analysis.

Main Results:

  • The PreLoss Grief-12 (PG-12) survey demonstrated strong predictive accuracy for PGD, with an Area Under Curve (AUC) of 0.891.
  • Healthcare providers' subjective risk estimates showed poor predictive accuracy (AUC = 0.549), performing no better than chance.
  • An optimal PG-12 cut-off score of 30 identified relatives at risk for PGD with 100% sensitivity and 64.7% specificity.

Conclusions:

  • The PG-12 self-report survey is an effective tool for predicting future Prolonged Grief Disorder (PGD) symptomatology.
  • Healthcare providers' clinical intuition was not a reliable predictor of PGD risk in this study.
  • Future research should explore the predictive value of self-report data compared to clinical interviews for PGD.