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Factors associated ...
Factors associated with psychological distress and grief resolution in surviving spouses of patients with advanced gastrointestinal cancer
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- Winterling, Jeanette (author)
- Uppsala universitet,Vårdvetenskap
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- Wasteson, Elisabet (author)
- Uppsala universitet,Vårdvetenskap
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- Arving, Cecilia (author)
- Uppsala universitet,Vårdvetenskap
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- Johansson, Birgitta (author)
- Uppsala universitet,Enheten för onkologi
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- Glimelius, Bengt (author)
- Uppsala universitet,Enheten för onkologi
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- Nordin, Karin (author)
- Uppsala universitet,Vårdvetenskap
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(creator_code:org_t)
- 2009-11-21
- 2010
- English.
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In: Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 18:11, s. 1377-1384
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Subject headings
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- GOALS OF WORK:Patients with advanced gastrointestinal cancer often have a short survival time. This means that spouses only have a short time to adjust to the approaching death. The aim was to explore whether psychological distress at diagnosis, the course of the illness (anti-tumour treatment, respite period and survival time), the spouses' experience of the care and of losing a loved one were related to distress and grief resolution after the patient had deceased.MATERIALS AND METHODS:Twenty-one spouses were followed prospectively from the patient's diagnosis of advanced gastrointestinal cancer to 6 months after the patient death. Spouses' experiences were measured with an interview, psychological distress with the Hospital Anxiety and Depression Scale and grief resolution with the Grief Resolution Index. MAINRESULTS:The spouses' anxiety at the time of diagnosis was related to their anxiety and grief resolution at follow-up. Two additional factors were associated with higher levels of anxiety at follow-up; the patient having received anti-tumour treatment and the spouse having experienced stress as a caregiver.CONCLUSIONS: The study indicates that anti-tumour treatment, though it has the potential to prolong life, does not positively influence spouses' psychological distress and bereavement after the death of the patient.
Keyword
- Palliative care
- Cancer
- Spouse
- Bereavement
- Psychological distress
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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