Objective: The present study examines the factor structure of the Japanese version of the Posttraumatic Growth Inventory (PTGI-J) among bereaved family members who lost loved ones to cancer after home-based palliative care in Japan. It evaluates the relationships between total score, each PTGI-J domain, and participants' having a religious belief, gender, age, relationship to the patient, and time since patient death.
Procedure: Bereaved family members (n = 849) completed the PTGI-J and a demographic questionnaire. The factor structure was tested using confirmatory factor analysis (CFA), and univariate analysis was used to test hypotheses.
Results: Confirmatory factor analysis showed that the current sample moderately fitted to both 4-factor and 5-factor models. Univariate analysis revealed that having a religious belief and gender were associated with all domains and total PTGI-J score. Age, time since patient death, and relationship to the patient showed significant differences with the domains of PTGI-J.
Conclusion: Clinicians may be able to adjust the support they provide based on patients' personal characteristics. Future research should look at the mechanisms of PTG by examining the role of rumination, social support, and emotional distress among bereaved family members of patients with cancer.
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http://dx.doi.org/10.1177/1049909117703358 | DOI Listing |
Death and grieving are regular events in the human lifecycle, and the rituals associated with the loss bring closure to dear ones. Ambiguous loss, a term coined by Pauline Boss, is a state in which there is no actual "death" and, therefore, no "grieving" or closure associated with it. Pregnancy is a happy event most of the time; however, the loss of pregnancy can be distressing to the parents.
View Article and Find Full Text PDFJ Obstet Gynaecol Res
March 2025
Department of Obstetrics and Gynecology, Mie University School of Medicine, Tsu, Mie, Japan.
The maternal mortality rate remains approximately 4 per 100 000 deliveries. Between January 2010 and July 2024, 629 maternal deaths were reported, of which 590 were reviewed. The Maternal Safety Proposal summarizes these cases.
View Article and Find Full Text PDFActa Anaesthesiol Scand
April 2025
Department of Anaesthesiology and Intensive Care, Gødstrup Hospital, Herning, Denmark.
Background: End-of-life care in the Intensive Care Unit (ICU) is complex, requiring a balance of ethical, cultural and medical considerations while ensuring comfort and dignity for critically ill patients and their families.
Aim: We aimed to develop a set of core domains for end-of-life care at Scandinavian ICUs along with corresponding consensus statements from patients, families and multidisciplinary experts.
Methods: In a three-round Delphi study, a multidisciplinary advisory board from Norway, Sweden, Finland, Iceland and Denmark, including ICU physicians, ICU nurses, palliative care specialists and a former ICU patient and family, developed potential end-of-life care domains of interest.
Psychol Trauma
March 2025
Department of Psychiatry, College of Medicine, Catholic University of Korea.
Objective: Frankl (1963) introduced the concept of "meaning in life" (MIL) as essential for individuals' stability, a view supported by Baumeister and Hippel (2020). This study suggests that MIL restoration follows a dynamic pattern after traumatic events.
Method: We conducted a longitudinal study with 135 family members affected by the 2014 Sewol ferry disaster in South Korea, examining changes in MIL over 5 years (2015-2019).
Although hospice care is associated with better bereavement outcomes, the duration of hospice care at the end of life remains very short. The aim was to assess the feasibility of the study methods and to measure the impact of a novel brief intervention on bereaved family caregivers' satisfaction and their psychological distress and psychological burden in nurses. Family caregivers of patients with cancer in an inpatient hospice were recruited.
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