Mourning and grief are natural responses to loss and can be especially complex and prolonged in the context of end-of-life care.Caregivers play a crucial role in supporting individuals through this difficult journey,o...Mourning and grief are natural responses to loss and can be especially complex and prolonged in the context of end-of-life care.Caregivers play a crucial role in supporting individuals through this difficult journey,often balancing their own grief with the need to provide care.This paper explores the experiences of mourning and grief in hospice settings,with a focus on the emotional challenges faced by both patients and caregivers during the grieving process.Psychological support plays a crucial role at the end of life in a multidisciplinary care approach.By addressing the complex interplay between biological disease and psychological well-being,healthcare professionals can provide more comprehensive and compassionate care.A deep understanding of mourning and elaboration of grief would improve the implementation of suitable support interventions and facilitate collaboration among family members and healthcare teams,ultimately improving the quality of end-of-life care and promoting the well-being of both patients and their families.展开更多
BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief r...BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.展开更多
I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days ...I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days of grief.展开更多
BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucia...BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.展开更多
Prolonged grief disorder(PGD)is characterized by intense and persistent grief that significantly impairs daily functioning.For bereaved parents,the loss of a child represents an unparalleled emotional challenge,placin...Prolonged grief disorder(PGD)is characterized by intense and persistent grief that significantly impairs daily functioning.For bereaved parents,the loss of a child represents an unparalleled emotional challenge,placing them at heightened risk of developing PGD.This review traces the evolution of PGD from early con-ceptualization to current definitions in the International Classification of Diseases,11th revision,and Diagnostic and Statistical Manual of Mental Disorders,5th Edition,Text Revision.Building on this historical foundation,the analysis examined the prevalence,risk factors,and diagnostic criteria of PGD in bereaved parents,with particular attention to sex differences,the nature of the loss,and the time elapsed since the child’s death.Furthermore,this review examines the multidimensional consequences of PGD on parents,including its emotional,physiological,and functional effects.Evidence-based treatments for PGD,such as psychotherapeutic approaches and emerging interventions,are also discussed.By synthesizing existing research,this review provides a comprehensive under-standing of PGD among bereaved parents,highlights the unique challenges they face,and offers practical insights and recommendations for clinicians working with this population.展开更多
Background:This study aimed to determine the prevalence and predictive factors of prolonged grief disorder(PGD)among those bereaved by the Wenchuan earthquake in Southwestern China seven years after the event.Methods:...Background:This study aimed to determine the prevalence and predictive factors of prolonged grief disorder(PGD)among those bereaved by the Wenchuan earthquake in Southwestern China seven years after the event.Methods:A cross-sectional survey based on census tracts was conducted on the bereaved earthquake survivors.Responses to the questionnaire regarding PGD and its potential associated factors were obtained either through face-to-face or telephone interview.PGD was screened by a validated Chinese version of the PGD questionnaire-13(PG-13).Bivariate and multivariate regression analyses were used to determine the prevalence and associated risk factors of PGD.Results:A total of 1464 bereaved earthquake survivors,with a response rate of 97.6%,were included in the study.Of the 1464 respondents studied,124(8.47%)were diagnosed with PGD.Multivariate regression analysis demonstrated that PGD in the bereaved earthquake individuals was significantly associated with several factors,including age,economic burden,close kinship with the deceased,and living with the deceased before the loss.Wenchuan earthquake bereaved aged 41e60 years were more likely to develop PGD compared to those aged younger than 40 or older than 60(OR=2.075,95%CI=1.297e3.319).Those who had a close kinship with the deceased had a higher tendency to develop PGD(OR=5.144,95%CI=2.716e9.740).The odds of PGD among the earthquake bereaved with economic burdens were higher relative to those who did not experience an economic burden(OR=8.123,95%CI=2.657e24.831).Those who living with the deceased before loss also had a higher tendency to develop PGD(OR=0.179,95%CI=0.053e0.602).Conclusions:This study revealed that a significantly high proportion(8.47%)of the Wenchuan earthquake-bereaved remain grieving seven years after the event.Those diagnosed with PGD should receive appropriate interventions from clinical psychologists.The risk factors identified in this study are crucial for the early screening and prevention of PGD in future nursing and psycho-clinical practices.展开更多
Introduction: Grief is considered to be negative manifestations of affect, cognition, and behavior. However, persons who experience grief have also reported enduring positive outcomes in such domains as interpersonal ...Introduction: Grief is considered to be negative manifestations of affect, cognition, and behavior. However, persons who experience grief have also reported enduring positive outcomes in such domains as interpersonal relationships, personal strengths, and life perspectives. This review evaluated current measures of grief to determine if such positive outcomes can be adequately assessed. Methods: The Texas Revised Inventory of Grief, Grief Experience Inventory, Bereavement Phenomenology Questionnaire, Core Bereavement Items, Continuing Bonds Scale, and Hogan Grief Reaction Checklist (currently the most common measures of grief) are reviewed. Results: Only one of the reviewed measures assessed posttraumatic growth as a component of grief (i.e., Hogan Grief Reaction Checklist). Conclusion: Since posttraumatic growth and negative psychological adjustment after traumatic events can coexist, it is important that measures of grief used in both clinical and research domains allow an assessment of positive response.展开更多
Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the assoc...Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.展开更多
In cancer patients, especially terminal patients, the family members of the patients will develop more serious sadness and find it difficult to face death rationally, which affects the quality of life and activities. ...In cancer patients, especially terminal patients, the family members of the patients will develop more serious sadness and find it difficult to face death rationally, which affects the quality of life and activities. Because of this, in the clinical treatment of oncology patients, strengthening hospice care for family members, doing a good job of death education, assisting them to face and participate in the clinical treatment of oncology in a positive way, and avoiding excessive grief can simultaneously improve the quality of life of patients and their families.展开更多
It may be argued that one of the recurring themes in the fiction of Toni Morrison is the problem of emotional suffering. Indeed, a line of her characters endure a series of traumatic past experiences, the consequences...It may be argued that one of the recurring themes in the fiction of Toni Morrison is the problem of emotional suffering. Indeed, a line of her characters endure a series of traumatic past experiences, the consequences of which are strongly echoed in their present lives and often foreshadow their future. Thus, this article discusses some of the characteristic literary-fantastic manifestations of grief and grieving in Morrison＇s novels, seen as internal and external expressions of the protagonists＇ mental pain. First, the text outlines the major grief-generating conditions for Morrison＇s heroes in general, and then it focuses on the various modes in which their feelings of grief and grieving are communicated. Second, the study exposes the characters＇ psychological strife and the influence it exerts both on themselves and their surroundings. Third and last, the paper concludes with an attempt to establish some typical patterns of grief and grieving common to Morrison＇s fictional figures. In order to reflect a variety of grief-stricken individuals populating Morrison＇s world, the analysis examines a group of three female characters. Taken all together, the selected examples serve to exhibit the complexity of the problem in question, as well as to illustrate the different shades of human sorrow.展开更多
One of great leaders of our era, comrade Deng Xiaoping has passed away and left us forever.Chinese circles of science and technology were especially filled with the deepest sorrow when we heard the sad news of his dea...One of great leaders of our era, comrade Deng Xiaoping has passed away and left us forever.Chinese circles of science and technology were especially filled with the deepest sorrow when we heard the sad news of his death because we since then lost a leader of foresight and sagacity, a venerable elder as well as a good teacher and a helpful friend. But his enduring contribution to Chinese science, and his earnest teachings to Chinese scientists have been, and will be, a far-reaching and unflagging influence in the years to come.展开更多
文摘Mourning and grief are natural responses to loss and can be especially complex and prolonged in the context of end-of-life care.Caregivers play a crucial role in supporting individuals through this difficult journey,often balancing their own grief with the need to provide care.This paper explores the experiences of mourning and grief in hospice settings,with a focus on the emotional challenges faced by both patients and caregivers during the grieving process.Psychological support plays a crucial role at the end of life in a multidisciplinary care approach.By addressing the complex interplay between biological disease and psychological well-being,healthcare professionals can provide more comprehensive and compassionate care.A deep understanding of mourning and elaboration of grief would improve the implementation of suitable support interventions and facilitate collaboration among family members and healthcare teams,ultimately improving the quality of end-of-life care and promoting the well-being of both patients and their families.
文摘BACKGROUND During the gradual decline of physical and social functioning associated with end-stage renal disease,patients might experience a premonition of impending death,resulting in a series of pre-mourning grief responses called preparatory grief.The preparatory grief in advanced cancer patients(PGAC)scale is the most widely used preparatory grief scale for patients on hemodialysis in China.AIM To verify the reliability and validity of the PGAC scale in patients on hemodialysis.METHODS In total,327 patients undergoing regular hemodialysis in the blood purification center of three grade-A tertiary hospitals in Guangdong and Guizhou provinces were selected by convenience sampling.The assessment was administered using the general information questionnaire and the Chinese version of PGAC.SPSS 25.0 and Amos 24.0 were used for item analysis,confirmatory factor analysis(CFA),convergent validity,and internal consistency reliability estimation.RESULTS In the modified Chinese version of PGAC,7 dimensions covering 27 total items were retained.CFA revealed a good fit of the factor model(chi-square degree of freedom=2.056,standardized root mean square residual=0.0479,root mean square error of approximation=0.0570,GFI=0.872,AGFI=0.841,IFI=0.931,CFI=0.930,TLI=0.919).The factor loadings of the items ranged 0.503-0.884.The composite reliability ranged 0.664-0.914,and the average variance extracted ranged 0.366-0.747.Cronbach’sαof the scale was 0.945,and Cronbach’sαfor various dimensions ranged 0.662-0.914.CONCLUSION The modified PGAC has good reliability and validity,and it can effectively measure preparatory grief in patients on hemodialysis.
文摘I have never given birth but have heard it said many times that as awful as labor is,when it's over and your newborn is placed in your arms,that pain is forgotten.That's how I feel now about the earliest days of grief.
基金Supported by Wuxi Institute of Translational Medicine Project Program,No.LCYJ202336the Scientific and Technological Achievements Promotion Project of Wuxi Municipal Health Commission Project Program,No.T202336+1 种基金Hospital Management Innovation Research Project of Jiangsu Hospital Association,No.JSYGY-3-2024-601Jiangsu Provincial Traditional Chinese Medicine Science and Technology Development Plan Project,No.MS2024063。
文摘BACKGROUND Grief counseling has become relatively established and is widely used among the families of cancer patients,effectively alleviating their psychological pain.However,in China,due to the influence of Confucianism and other traditional cultures,people generally adhere to the belief of“reincarnation to avoid death”,focusing more on themes of life,such as eugenics and longevity,and paying less attention to matters related to death,including death education and grief counseling.Currently,grief counseling in China is still in an exploratory stage,and there is relatively little research on the psychological status of family members of patients with terminal tumors.AIM To investigate the psychological effects of grief counseling on family members of terminal cancer patients.METHODS This study was designed as a randomized controlled trial that utilized convenience sampling to select family members of terminal tumor patients who were admitted to the hospice ward of the Affiliated Hospital of Jiangnan University from January to June 2025 as research subjects.All participants received conventional symptomatic supportive treatment and palliative care.Additionally,the intervention group benefited from extra grief counseling.RESULTS The Distress Thermometer(DT)score of the control group slightly decreased compared to before the intervention,but the difference was not statistically significant(P>0.05).In contrast,the DT score of the intervention group decreased significantly compared to before the intervention,with a statistically significant difference(P<0.05).After the intervention,the DT score of the intervention group was lower than that of the control group,and the difference was also statistically significant(P<0.05).After the intervention,the intervention group performed better DT level than the control group,with a statistically significant difference(P<0.05),the intervention group outperformed the control group in terms of depression and anxiety,and the difference was statistically significant(P<0.05).CONCLUSION Grief counseling can help alleviate the psychological pain and negative emotions experienced by family members of patients with terminal malignant tumors.
文摘Prolonged grief disorder(PGD)is characterized by intense and persistent grief that significantly impairs daily functioning.For bereaved parents,the loss of a child represents an unparalleled emotional challenge,placing them at heightened risk of developing PGD.This review traces the evolution of PGD from early con-ceptualization to current definitions in the International Classification of Diseases,11th revision,and Diagnostic and Statistical Manual of Mental Disorders,5th Edition,Text Revision.Building on this historical foundation,the analysis examined the prevalence,risk factors,and diagnostic criteria of PGD in bereaved parents,with particular attention to sex differences,the nature of the loss,and the time elapsed since the child’s death.Furthermore,this review examines the multidimensional consequences of PGD on parents,including its emotional,physiological,and functional effects.Evidence-based treatments for PGD,such as psychotherapeutic approaches and emerging interventions,are also discussed.By synthesizing existing research,this review provides a comprehensive under-standing of PGD among bereaved parents,highlights the unique challenges they face,and offers practical insights and recommendations for clinicians working with this population.
基金This work was supported by funding from the Chengdu University of Traditional Chinese Medicine(Grant no:RWQN1410).
文摘Background:This study aimed to determine the prevalence and predictive factors of prolonged grief disorder(PGD)among those bereaved by the Wenchuan earthquake in Southwestern China seven years after the event.Methods:A cross-sectional survey based on census tracts was conducted on the bereaved earthquake survivors.Responses to the questionnaire regarding PGD and its potential associated factors were obtained either through face-to-face or telephone interview.PGD was screened by a validated Chinese version of the PGD questionnaire-13(PG-13).Bivariate and multivariate regression analyses were used to determine the prevalence and associated risk factors of PGD.Results:A total of 1464 bereaved earthquake survivors,with a response rate of 97.6%,were included in the study.Of the 1464 respondents studied,124(8.47%)were diagnosed with PGD.Multivariate regression analysis demonstrated that PGD in the bereaved earthquake individuals was significantly associated with several factors,including age,economic burden,close kinship with the deceased,and living with the deceased before the loss.Wenchuan earthquake bereaved aged 41e60 years were more likely to develop PGD compared to those aged younger than 40 or older than 60(OR=2.075,95%CI=1.297e3.319).Those who had a close kinship with the deceased had a higher tendency to develop PGD(OR=5.144,95%CI=2.716e9.740).The odds of PGD among the earthquake bereaved with economic burdens were higher relative to those who did not experience an economic burden(OR=8.123,95%CI=2.657e24.831).Those who living with the deceased before loss also had a higher tendency to develop PGD(OR=0.179,95%CI=0.053e0.602).Conclusions:This study revealed that a significantly high proportion(8.47%)of the Wenchuan earthquake-bereaved remain grieving seven years after the event.Those diagnosed with PGD should receive appropriate interventions from clinical psychologists.The risk factors identified in this study are crucial for the early screening and prevention of PGD in future nursing and psycho-clinical practices.
文摘Introduction: Grief is considered to be negative manifestations of affect, cognition, and behavior. However, persons who experience grief have also reported enduring positive outcomes in such domains as interpersonal relationships, personal strengths, and life perspectives. This review evaluated current measures of grief to determine if such positive outcomes can be adequately assessed. Methods: The Texas Revised Inventory of Grief, Grief Experience Inventory, Bereavement Phenomenology Questionnaire, Core Bereavement Items, Continuing Bonds Scale, and Hogan Grief Reaction Checklist (currently the most common measures of grief) are reviewed. Results: Only one of the reviewed measures assessed posttraumatic growth as a component of grief (i.e., Hogan Grief Reaction Checklist). Conclusion: Since posttraumatic growth and negative psychological adjustment after traumatic events can coexist, it is important that measures of grief used in both clinical and research domains allow an assessment of positive response.
文摘Background: Medical staff provide care to spouses of terminal cancer patients through trial and error by meeting their various support needs and spousal factors regarding their anticipatory grief. Studies on the association between spousal characteristics and anticipatory grief have been inconclusive;additionally, there has been insufficient research on support needs for anticipatory grief of spouses. This study aimed to explore the spousal characteristics and social support needs predicting anticipatory grief in spouses of patients with cancer at the end of life. Methods: This was a cross-sectional study. Eligible spouses (n = 102) completed a self-report questionnaire in two hospitals with palliative care units in Japan. The questionnaire included demographic information, a tool assessing social support needs of spouses, and the Anticipatory Grief Scale for Family Caregivers. Results: Simple regression analyses indicated that patient age, chemotherapy, no treatment, ECOG PS3, children aged under 20 years, total score of “social support needs regarding the disease and treatment of the patients” and subscale scores (“medical condition and cure,” “daily life and social support,” and “intimacy and employment”), and total score of “social support needs of the spouses” and subscale scores (“family psychological issues and social support” and “intimacy, employment, and society”) were significant variables (all p p Conclusions: Patients having no experience of “chemotherapy” and higher “social support needs of the spouses” in Model 1, and greater spousal needs of “family psychological issues and social support” in Model 2 were significant predictors of severe anticipatory grief. Medical staff should pay attention to these risk factors that predict anticipatory grief among spouses.
文摘In cancer patients, especially terminal patients, the family members of the patients will develop more serious sadness and find it difficult to face death rationally, which affects the quality of life and activities. Because of this, in the clinical treatment of oncology patients, strengthening hospice care for family members, doing a good job of death education, assisting them to face and participate in the clinical treatment of oncology in a positive way, and avoiding excessive grief can simultaneously improve the quality of life of patients and their families.
文摘It may be argued that one of the recurring themes in the fiction of Toni Morrison is the problem of emotional suffering. Indeed, a line of her characters endure a series of traumatic past experiences, the consequences of which are strongly echoed in their present lives and often foreshadow their future. Thus, this article discusses some of the characteristic literary-fantastic manifestations of grief and grieving in Morrison＇s novels, seen as internal and external expressions of the protagonists＇ mental pain. First, the text outlines the major grief-generating conditions for Morrison＇s heroes in general, and then it focuses on the various modes in which their feelings of grief and grieving are communicated. Second, the study exposes the characters＇ psychological strife and the influence it exerts both on themselves and their surroundings. Third and last, the paper concludes with an attempt to establish some typical patterns of grief and grieving common to Morrison＇s fictional figures. In order to reflect a variety of grief-stricken individuals populating Morrison＇s world, the analysis examines a group of three female characters. Taken all together, the selected examples serve to exhibit the complexity of the problem in question, as well as to illustrate the different shades of human sorrow.
文摘One of great leaders of our era, comrade Deng Xiaoping has passed away and left us forever.Chinese circles of science and technology were especially filled with the deepest sorrow when we heard the sad news of his death because we since then lost a leader of foresight and sagacity, a venerable elder as well as a good teacher and a helpful friend. But his enduring contribution to Chinese science, and his earnest teachings to Chinese scientists have been, and will be, a far-reaching and unflagging influence in the years to come.
