Demographic and clinical predictors of preparatory grief in a sample of advanced cancer patients.
BACKGROUND
Preparatory grief encompasses grief for losses that have already occurred, are currently being experienced, and losses that will or might ensue in the future after the death, as a consequence of it.


OBJECTIVE
To examine the relative contribution of demographic and clinical variables in predicting cancer patients' preparatory grief as recorded from the Preparatory Grief in Advanced Cancer Patients (PGAC) scale. Moreover, researchers were interested in determining whether these dimensions were independently and uniquely associated with preparatory grief.


METHODS
Two hundred advanced cancer patients treated in a Pain Relief and Palliative Care Unit completed the PGAC scale, while researchers recorded data on demographic characteristics, disease status and treatment regimen.


RESULTS
The analyses showed that the most significant correlations were found between preparatory grief and age (r = -0.227, p = 0.001), gender (p = 0.006), family status (p = 0.019), performance status (p = 0.010), surgery (p = 0.029), opioids (p = 0.019), and diagnosis (p = 0.038). In the prediction of preparatory grief, the contribution of age, performance status, history of other surgery, gender and opioids is high.


CONCLUSIONS
Awareness of the specific patients' demographic and medical characteristics, such as old age, poor performance status, history of other surgery, female gender, and strong opioids, contribute to the prediction of patients' preparatory grief.
Mystakidou
Kyriaki
K
Department of Radiology, Areteion Hospital, School of Medicine, University of Athens, Vas. Sofias 76, 115 28 Athens, Greece. mystakidou@yahoo.com
Tsilika
Eleni
E
Parpa
Efi
E
Katsouda
Emmanuela
E
Sakkas
Palvos
P
Galanos
Antonis
A
Vlahos
Lambros
L
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003710:Demography; D005260:Female; D006117:Grief; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009369:Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D011237:Predictive Value of Tests; D012803:Sick Role; D011795:Surveys and Questionnaires