Grief symptoms and primary care use: a prospective study of family caregivers

BJGP Open
Mette Kjærgaard NielsenMai-Britt Guldin

Abstract

Family caregivers to patients who are severely ill have high use of primary health care and psychotropic medication. However, it remains sparsely investigated whether healthcare services target the most vulnerable caregivers. This study aimed to examine associations between family caregivers' grief trajectories of persistent high-grief symptom level (high-grief trajectory) versus persistent low-grief symptom level (low-grief trajectory), as well as early contacts with GPs or psychologists and the use of psychotropic medication. A population-based cohort study of family caregivers (n = 1735) in Denmark was undertaken. The Prolonged Grief-13 (PG-13) scale measured family caregivers' grief symptoms at inclusion (during the patient's terminal illness), 6 months after bereavement, and 3 years after bereavement. Multinomial regression was used to analyse register-based information on GP consultations, psychologist sessions, and psychotropic medication prescriptions in the 6 months before inclusion. A total of 1447 (83.4%) family caregivers contacted their GP, and 91.6% of participants in the high-grief trajectory had GP contact. Compared with family caregivers in the low-grief trajectory, family caregivers in the high-grief trajector...Continue Reading

References

Jun 18, 1998·Annals of the New York Academy of Sciences·B S McEwen
Dec 11, 2007·Lancet·Margaret StroebeWolfgang Stroebe
Aug 5, 2009·PLoS Medicine·Holly G PrigersonPaul K Maciejewski
Mar 3, 2010·Annual Review of Clinical Psychology·Daniel S Nagin, Candice L Odgers
Aug 4, 2011·Scandinavian Journal of Public Health·John Sahl AndersenAllan Krasnik
Aug 4, 2011·Scandinavian Journal of Public Health·Helle Wallach KildemoesJesper Hallas
Aug 4, 2011·Scandinavian Journal of Public Health·Ole MorsPreben Bo Mortensen
Feb 23, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Eike AdamsEila K Watson
Mar 21, 2012·Journal of the American Board of Family Medicine : JABFM·Kjeld Møller PedersenJens Søndergaard
May 25, 2013·Cancer·Francesca RomitoBarbara L Andersen
Mar 13, 2014·JAMA : the Journal of the American Medical Association·Ronald D AdelmanMark S Lachs
Jun 27, 2014·European Journal of Epidemiology·Morten SchmidtHenrik Toft Sørensen
Jan 8, 2015·The New England Journal of Medicine·M Katherine Shear
Nov 26, 2015·Clinical Epidemiology·Morten SchmidtHenrik Toft Sørensen
Feb 19, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Mette Kjaergaard NielsenMai-Britt Guldin
Jun 9, 2016·JAMA Psychiatry·M Katherine ShearNatalia Skritskaya
Jan 4, 2017·Journal of Pain and Symptom Management·Mette Kjaergaard NielsenMai-Britt Guldin
May 13, 2017·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Mai-Britt GuldinMogens Vestergaard
Jun 25, 2019·Social Science & Medicine·Mette Kjærgaard NielsenMai-Britt Guldin
Aug 3, 2019·Clinical Epidemiology·Morten SchmidtHenrik Toft Sørensen

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Citations

Oct 2, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Andrew MacFarlane

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