Predictors of family anxiety in the weeks before bereavement.
There has been little research to date on the factor which predict high anxiety in family members or carers before bereavement. Our study used data on 302 patients for whom the family's anxiety had been recorded by cancer palliative care teams in the last weeks of the patient's life. Variables known at the time of the patient's referral to the teams were entered into a discriminant analysis. A predictive function with a sensitivity of 0.75 and a specificity of 0.51 identified those families whose anxiety was rated as severe (3-4 on a scale of 0-4) during the month before the patient's death. Important predictors were: whether the family member was a spouse, a diagnosis of breast cancer, young age, the time from diagnosis and low patient mobility. There was a small significant correlation between a longer time in palliative care and lower family anxiety. The predictive model could be used oncologists to identify cases where greater psychological support will be needed.
Higginson
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London School of Hygiene and Tropical Medicine, U.K.
Priest
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P
D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology*; D001601:Bereavement; D016002:Discriminant Analysis; D005190:Family / Q000523:psychology*; D005260:Female; D017051:Hospice Care; D006801:Humans; D008297:Male; D008609:Mental Status Schedule / Q000592:standards*; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012017:Referral and Consultation; D012680:Sensitivity and Specificity; D012944:Social Support