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We explored the family functioning associated with CG and MDD developing either independently or co-morbidly in the bereaved families of patients with advanced cancer who died in palliative care units (PCUs).\nMethods\nThis study comprised a nationwide cross-sectional questionnaire survey of bereaved family members of cancer patients who died in Japanese PCUs participating in evaluation of the quality of end-of-life care.\nResults\nA total of 529 questionnaires (69.2%) were returned, and we analyzed a total of 458 responses. A total of 14.2% of participants were considered as having CG, 22.5% as having moderate to severe depression, and 9.6% as having co-morbid symptoms. 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The association of family functioning and psychological distress in the bereaved families of patients with advanced cancer: a nationwide survey of bereaved family members
http://hdl.handle.net/2241/0002001726
http://hdl.handle.net/2241/00020017264d6417a8-10d1-4e5a-b053-24f6abbbe534
名前 / ファイル | ライセンス | アクション |
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PsychoOncology_30-1-74.pdf (359 KB)
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Item type | Journal Article(1) | |||||||||||||
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公開日 | 2021-10-29 | |||||||||||||
タイトル | ||||||||||||||
言語 | en | |||||||||||||
タイトル | The association of family functioning and psychological distress in the bereaved families of patients with advanced cancer: a nationwide survey of bereaved family members | |||||||||||||
言語 | ||||||||||||||
言語 | eng | |||||||||||||
資源タイプ | ||||||||||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
タイプ | journal article | |||||||||||||
アクセス権 | ||||||||||||||
アクセス権 | open access | |||||||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||
著者 |
濵野, 淳
× 濵野, 淳× Morita, Tatsuya
× Igarashi, Naoko
× Shima, Yasuo
× Miyashita, Mitsunori
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抄録 | ||||||||||||||
内容記述タイプ | Abstract | |||||||||||||
内容記述 | Objectives Family conflict and family functioning were regarded as changeable factors associated with complicated grief (CG) and major depressive disorder (MDD) in the bereaved families of patients with advanced cancer, although the evidence is limited. We explored the family functioning associated with CG and MDD developing either independently or co-morbidly in the bereaved families of patients with advanced cancer who died in palliative care units (PCUs). Methods This study comprised a nationwide cross-sectional questionnaire survey of bereaved family members of cancer patients who died in Japanese PCUs participating in evaluation of the quality of end-of-life care. Results A total of 529 questionnaires (69.2%) were returned, and we analyzed a total of 458 responses. A total of 14.2% of participants were considered as having CG, 22.5% as having moderate to severe depression, and 9.6% as having co-morbid symptoms. Multivariate logistic regression analysis revealed that many family members insulted or yelled at one another (odd ratio [OR]: 2.99, p = 0.046; OR:2.57, p = 0.033), and conflict regarding what is meant by a good death (OR:3.60, p = 0.026; OR:4.06, p = 0.004) was significantly positively associated with CG, MDD, and co-morbid symptom. Conclusions Specific family conflicts may increase the incidence of CG, MDD, and co-morbid symptoms in the bereaved families of patients with advanced cancer. Our results may encourage health care providers to approach discussions about end-of-life issue with the patient and their family in advance, especially focusing on what is considered a good death for the patient, which may prevent or resolve the family conflict. |
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言語 | en | |||||||||||||
書誌情報 |
en : Psycho-Oncology 巻 30, 号 1, p. 74-83, 発行日 2021-01 |
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ISSN | ||||||||||||||
収録物識別子タイプ | PISSN | |||||||||||||
収録物識別子 | 1057-9249 | |||||||||||||
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収録物識別子タイプ | NCID | |||||||||||||
収録物識別子 | AA10843737 | |||||||||||||
PubMed番号 | ||||||||||||||
識別子タイプ | PMID | |||||||||||||
関連識別子 | 32881126 | |||||||||||||
DOI | ||||||||||||||
関連タイプ | isVersionOf | |||||||||||||
識別子タイプ | DOI | |||||||||||||
関連識別子 | https://doi.org/10.1002/pon.5539 | |||||||||||||
権利 | ||||||||||||||
言語 | en | |||||||||||||
権利情報 | © 2020 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Psycho-Oncology 30,1, 74-83 (2021), which has been published in final form at https://doi.org/10.1002/pon.5539. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited. | |||||||||||||
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値 | author | |||||||||||||
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言語 | en | |||||||||||||
出版者 | Wiley |