Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York City, NY, USA.
Psychiatr Serv. 2011 Oct;62(10):1225-9. doi: 10.1176/ps.62.10.pss6210_1225.
This study examined grief and mental health service use among 86 bereaved caregivers of advanced cancer patients.
Caregivers were assessed before (median=3.1 months) and after (median=6.6 months) patients' deaths for prolonged grief disorder, axis I psychiatric disorders, mental health service use, suicidality, and health-related quality of life.
Sixteen percent of the bereaved sample met criteria for prolonged grief disorder, which was significantly associated with suicidality and poorer health-related quality of life, but not with mental health service use. The majority of bereaved caregivers with prolonged grief disorder did not access mental health services. In multivariable analyses, having discussed psychological concerns with a health care professional when the patient was ill was the only significant predictor of mental health service use during bereavement.
Because bereaved caregivers with prolonged grief disorder underutilize mental health services, connecting them with services while the patient is still alive may be beneficial.
本研究调查了 86 名晚期癌症患者丧亲护理者的悲伤和精神卫生服务使用情况。
在患者死亡前（中位数=3.1 个月）和死亡后（中位数=6.6 个月），对护理人员进行了长时间悲伤障碍、轴 I 精神障碍、精神卫生服务使用、自杀意念和健康相关生活质量的评估。
丧亲样本中有 16%符合长时间悲伤障碍的标准，这与自杀意念和较差的健康相关生活质量显著相关，但与精神卫生服务的使用无关。大多数有长时间悲伤障碍的丧亲护理人员并未获得精神卫生服务。在多变量分析中，当患者生病时与医疗保健专业人员讨论心理问题是丧亲期间使用精神卫生服务的唯一显著预测因素。
由于有长时间悲伤障碍的丧亲护理人员未充分利用精神卫生服务，因此在患者仍在世时与他们建立联系可能是有益的。
