Distinguishing Symptoms of Grief and Depression in a Cohort of Advanced Cancer Patients

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Bibliographic Details
Title: Distinguishing Symptoms of Grief and Depression in a Cohort of Advanced Cancer Patients
Language: English
Authors: Jacobsen, Juliet C., Zhang, Baohui, Block, Susan D.
Source: Death Studies. 2010 34(3):257-273.
Availability: Routledge. Available from: Taylor & Francis, Ltd. 325 Chestnut Street Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Physical Description: PDF
Page Count: 17
Publication Date: 2010
Document Type: Journal Articles
Reports - Research
Descriptors: Mental Health, Coping, Religion, Health Services, Grief, Terminal Illness, Cancer, Patients, Factor Analysis, Depression (Psychology), Symptoms (Individual Disorders), Correlation, Interviews
DOI: 10.1080/07481180903559303
ISSN: 0748-1187
Abstract: Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. This study is an attempt to replicate this finding among advanced cancer patients and examine clinical correlates of patient grief and depression. Analyses were conducted on data from interviews with 123 advanced cancer patients. Grief was measured using symptoms from the patient version of the Inventory of Complicated Grief-Revised (ICG-R) and symptoms of depression were assessed using the Structured Clinical Interview for DSM-IV (SCID). A factor analysis revealed that symptoms of patient grief formed a coherent factor that was distinct from a depression factor. Patient grief "caseness" (defined as being in the top 10% of the distribution of grief scores), but not major depressive disorder, was uniquely associated with the wish to die (odds ratio [OR] 10.13 [0.1.08-95.06]). Both depression and grief were significantly associated with mental health service use (OR 16.07 [1.68, 153.77] vs. 4.82; CI = [1.09, 21.41]) and negative religious coping (OR 1.36 [1.06, 1.73] vs. 1.25 [1.05, 1.49]); neither was associated with terminal illness acknowledgement. (Contains 2 tables and 1 figure.)
Abstractor: As Provided
Number of References: 50
Entry Date: 2010
Accession Number: EJ877189
Database: ERIC
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Abstract:Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. This study is an attempt to replicate this finding among advanced cancer patients and examine clinical correlates of patient grief and depression. Analyses were conducted on data from interviews with 123 advanced cancer patients. Grief was measured using symptoms from the patient version of the Inventory of Complicated Grief-Revised (ICG-R) and symptoms of depression were assessed using the Structured Clinical Interview for DSM-IV (SCID). A factor analysis revealed that symptoms of patient grief formed a coherent factor that was distinct from a depression factor. Patient grief "caseness" (defined as being in the top 10% of the distribution of grief scores), but not major depressive disorder, was uniquely associated with the wish to die (odds ratio [OR] 10.13 [0.1.08-95.06]). Both depression and grief were significantly associated with mental health service use (OR 16.07 [1.68, 153.77] vs. 4.82; CI = [1.09, 21.41]) and negative religious coping (OR 1.36 [1.06, 1.73] vs. 1.25 [1.05, 1.49]); neither was associated with terminal illness acknowledgement. (Contains 2 tables and 1 figure.)
ISSN:0748-1187
DOI:10.1080/07481180903559303