Pre-Loss Grief and Personal Growth in Taiwanese Cancer Patient Caregivers

Attachment insecurity has been linked to the intense grief of caregivers. However, limited studies have focused on the pre-loss grief and attachment insecurity of caregivers during end-of-life care. In this study, we examined potential correlates of caregivers' pre-loss grief, personal growth, and relationships with the patients, focusing on attachment insecurity and relational closeness. 163 primary caregivers of terminally ill cancer patients were recruited. Sociodemographic, pre-loss grief, personal growth, attachment insecurity, and emotional closeness were assessed from caregivers during the palliative care for patients. The results showed that attachment anxiety, but not attachment avoidance, was significantly associated with pre-loss grief. Emotional closeness during the care of terminal patients, but not before cancer occurrence, was significantly associated with personal growth. The present study highlights the importance of dyadic relational quality between the caregiver and the patient, which is useful in clinical settings to identify at-risk populations for caregivers' pre-loss grief.