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Preloss psychosocial resources predict depressive symptom trajectories among terminally ill cancer patients' caregivers in their first two years of bereavement

Journal of Pain and Symptom Management May 15, 2019

Su-Ching Kuo, et al. - Researchers examined cancer patients' bereaved caregivers for their depressive symptom trajectories. In addition, they investigated if preloss psychosocial resources could predict these trajectories while considering caregiving burden. Among 282 caregivers, they measured depressive symptoms by the Center for Epidemiological Studies–Depression scale at one, three, six, 13, 18, and 24 months after loss (Center for Epidemiological Studies–Depression scores ≥16 indicate severe depressive symptoms) and recognized five depressive symptom trajectories (prevalence): endurance (47.2%), resilience (16.7%), transient reaction (20.2%), prolonged symptomatic (11.7%), and chronically distressed (4.2%). Subsidence of the depressive symptoms within one year after loss was reported in most (84.1%) of the caregivers'. Depressive symptom trajectories for bereaved caregivers could be predicted using preloss psychosocial resources. Health care professionals may aid caregivers to adjust their bereavement by giving support to improve their sense of coherence and encouraging social contacts while they are rendering end-of-life care.
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