Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study

© The Author(s) 2019. Background: Determining the effect of caregiving and bereavement remains a challenge. To date, no study has employed a comparison group to investigate caregivers’ grief, quality of life and general health in relation to non-caregivers. Aim: We aimed to determine how caregivers’...

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Main Authors: Breen, Lauren, Aoun, S., O’Connor, Moira, Johnson, Andrew, Howting, D.
Format: Journal Article
Language:English
Published: SAGE PUBLICATIONS LTD 2019
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/77346
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author Breen, Lauren
Aoun, S.
O’Connor, Moira
Johnson, Andrew
Howting, D.
author_facet Breen, Lauren
Aoun, S.
O’Connor, Moira
Johnson, Andrew
Howting, D.
author_sort Breen, Lauren
building Curtin Institutional Repository
collection Online Access
description © The Author(s) 2019. Background: Determining the effect of caregiving and bereavement remains a challenge. To date, no study has employed a comparison group to investigate caregivers’ grief, quality of life and general health in relation to non-caregivers. Aim: We aimed to determine how caregivers’ grief, quality of life and general health changed following death compared to non-caregivers and whether pre-death grief predicted these outcomes. Design: A prospective, longitudinal study of family caregivers and a comparison group matched for age, gender and postcode was conducted. All participants completed questionnaires at four points – once pre-death and three times post-death (3–4 months, 6–7 months and 9–10 months). Setting/participants: Participants (N = 70) were family caregivers of persons receiving palliative care, mostly for cancer, recruited from three palliative care providers in Western Australia and matched comparisons recruited from advertisements. Results: There were significant differences between the caregivers’ and comparisons’ grief, general health and quality of life at pre-death, 3–4 months and 6–7 months post-death, but not at 9–10 months post-death. The rate of progression in these constructs following death was independent from the intensity of pre-death grief. However, caregiver prolonged grief score significantly predicted prolonged grief score at 6–7 and 9–10 months post-death. Conclusion: It took 9–10 months for the caregivers’ grief, general health and quality of life to correspond to the comparison group. These findings present an opportunity for palliative care research and practice to consider how best to support the majority of caregivers without grief complications so that their pre- and post-death support needs are realised.
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spelling curtin-20.500.11937-773462020-02-17T01:22:48Z Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study Breen, Lauren Aoun, S. O’Connor, Moira Johnson, Andrew Howting, D. Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Public, Environmental & Occupational Health Medicine, General & Internal General & Internal Medicine Bereavement grief family caregivers palliative care quality of life BEREAVED FAMILY CAREGIVERS PROLONGED GRIEF COMPLICATED GRIEF PALLIATIVE CARE CANCER-PATIENTS TERMINALLY-ILL MENTAL-HEALTH RISK-FACTORS PREDICTORS SYMPTOMS © The Author(s) 2019. Background: Determining the effect of caregiving and bereavement remains a challenge. To date, no study has employed a comparison group to investigate caregivers’ grief, quality of life and general health in relation to non-caregivers. Aim: We aimed to determine how caregivers’ grief, quality of life and general health changed following death compared to non-caregivers and whether pre-death grief predicted these outcomes. Design: A prospective, longitudinal study of family caregivers and a comparison group matched for age, gender and postcode was conducted. All participants completed questionnaires at four points – once pre-death and three times post-death (3–4 months, 6–7 months and 9–10 months). Setting/participants: Participants (N = 70) were family caregivers of persons receiving palliative care, mostly for cancer, recruited from three palliative care providers in Western Australia and matched comparisons recruited from advertisements. Results: There were significant differences between the caregivers’ and comparisons’ grief, general health and quality of life at pre-death, 3–4 months and 6–7 months post-death, but not at 9–10 months post-death. The rate of progression in these constructs following death was independent from the intensity of pre-death grief. However, caregiver prolonged grief score significantly predicted prolonged grief score at 6–7 and 9–10 months post-death. Conclusion: It took 9–10 months for the caregivers’ grief, general health and quality of life to correspond to the comparison group. These findings present an opportunity for palliative care research and practice to consider how best to support the majority of caregivers without grief complications so that their pre- and post-death support needs are realised. 2019 Journal Article http://hdl.handle.net/20.500.11937/77346 10.1177/0269216319880766 English SAGE PUBLICATIONS LTD fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Public, Environmental & Occupational Health
Medicine, General & Internal
General & Internal Medicine
Bereavement
grief
family caregivers
palliative care
quality of life
BEREAVED FAMILY CAREGIVERS
PROLONGED GRIEF
COMPLICATED GRIEF
PALLIATIVE CARE
CANCER-PATIENTS
TERMINALLY-ILL
MENTAL-HEALTH
RISK-FACTORS
PREDICTORS
SYMPTOMS
Breen, Lauren
Aoun, S.
O’Connor, Moira
Johnson, Andrew
Howting, D.
Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title_full Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title_fullStr Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title_full_unstemmed Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title_short Effect of caregiving at end of life on grief, quality of life and general health: A prospective, longitudinal, comparative study
title_sort effect of caregiving at end of life on grief, quality of life and general health: a prospective, longitudinal, comparative study
topic Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Public, Environmental & Occupational Health
Medicine, General & Internal
General & Internal Medicine
Bereavement
grief
family caregivers
palliative care
quality of life
BEREAVED FAMILY CAREGIVERS
PROLONGED GRIEF
COMPLICATED GRIEF
PALLIATIVE CARE
CANCER-PATIENTS
TERMINALLY-ILL
MENTAL-HEALTH
RISK-FACTORS
PREDICTORS
SYMPTOMS
url http://hdl.handle.net/20.500.11937/77346