Depressive Symptoms, Grief, and Complicated Grief Among Family Caregivers of Patients With Advanced Cancer Three Months into Bereavement

Purpose/Objectives: To describe depressive symptoms, grief, and complicated grief for bereaved family caregivers of patients who died from cancer-related causes and to explore relationships among these variables. Design: A nonexperimental, secondary analysis of cross-sectional descriptive data from a longitudinal intervention study evaluating the effect of providing feedback from standardized assessment tools. Setting: Two large, private, not-for-profit hospices in Florida. Sample: Convenience sample of 280 family caregivers, bereaved three months. Methods: Secondary analysis of self-report, survey data three months following death. Main Research Variables: Depressive symptoms, grief, and complicated grief. Findings: Three months after the loss of a loved one, 34% of the caregivers had clinically meaningful scores for depressive symptoms. A significant number of bereaved caregivers were experiencing grief and depression. Conclusions: Bereaved caregivers were experiencing significant levels of depressive symptoms and complicated grief. Caregivers with higher levels of grief had more depressive symptoms. Implications for Nursing: Tools are available to identify bereaved caregivers most in need of intervention.