Predictors of Complicated Grief in Caregivers of Palliative Care Patients

Author:

López Pérez Yolanda1ORCID,Cruzado Juan Antonio2ORCID,Lacasta Reverte María Antonia3ORCID,Lallana-Frías Elena4

Affiliation:

1. EAPS Psychologist at the San Camilo Palliative Care Unit, Centro Asistencial San Camilo, Madrid, Spain

2. Facultad de Psicología, Universidad Complutense de Madrid, Ciudad Universitaria Campus de Somosaguas, Madrid, Spain

3. Clinical Psychologist, Unidad de Cuidados Paliativos y Equipo Soporte Hospitalario, Hospital Universitario La Paz, Madrid, Spain

4. Palliative Care EAPS Psychologist, Hospital Support Team in Hospital Universitario de Getafe, Home Support Team in ESAD Leganés, at Fundación Instituto San José, Madrid. Spain

Abstract

Introduction: It is important to identify the factors s associated with complicated grief (CG) in order to prevent it. Objective: To determine the factors associated with CG in the end-of-life phase within the palliative care context. Method: The PRISMA model was followed for the review. We accessed the following databases: PUBMED, SCOPUS, and PsycoINFO, to review publications from 2006. Results: A total of 17 studies were obtained. A direct relationship between factors prior to bereavement and CG is established: intensity of anticipated grief, previous mental and physical health of the caregiver, social support; quality of patient care, communication at the end-of-life, preparation for death, spirituality, and sociodemographic factors. Conclusions: Previous mental health and level of anticipatory grief in the main caregiver are shown to be the most powerful predictors of CG. Patient age and quality of care are factors considered as strong predictors of CG in almost every study.

Publisher

SAGE Publications

Subject

Life-span and Life-course Studies,Critical Care and Intensive Care Medicine,Health (social science)

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