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Area of Science:

  • Oncology
  • Psychology
  • Public Health

Background:

  • Grief in cancer patients is a multidimensional response including anticipatory, existential, and identity distress.
  • Patient grief is understudied compared to grief in caregivers or healthcare professionals.
  • This review synthesizes empirical data on psychological grief in adult cancer patients.

Purpose of the Study:

  • To systematically review observational studies measuring grief in adult cancer patients using validated psychometric instruments.
  • To synthesize findings on the prevalence and significance of psychological grief in this population.
  • To identify gaps in current research and inform public health strategies.

Main Methods:

  • Systematic literature search of PubMed, CINAHL, and PsycINFO following PRISMA 2020 guidelines.
  • Inclusion of observational studies using psychometrically validated grief instruments and quantitative data.
  • Analysis of 15 eligible studies assessing grief in adult cancer patients.

Main Results:

  • Moderate to high levels of grief symptoms were prevalent across diverse cancer types, settings, and regions.
  • Preparatory Grief in Advanced Cancer (PGAC) scores frequently indicated clinical concern.
  • Grief correlated significantly with anxiety, depression, hopelessness, and dignity, and was intensified by demographic and illness perception factors.

Conclusions:

  • Grief is a predominant psychological concern in cancer patients, often undetected by general distress measures.
  • Structured screening in primary care and outpatient settings is crucial for identifying patient grief.
  • Accessible referral pathways to community support and coordinated follow-up are essential for grief management.