{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:31:55Z","timestamp":1787063515203,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T00:00:00Z","timestamp":1595376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005795","name":"Chang Gung Memorial Hospital, Linkou","doi-asserted-by":"publisher","award":["BMRP888"],"award-info":[{"award-number":["BMRP888"]}],"id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 107\u20102314\u2010B\u2010182\u2010064\u2010MY3"],"award-info":[{"award-number":["MOST 107\u20102314\u2010B\u2010182\u2010064\u2010MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","award":["NHRI\u2010EX109\u201010704PI"],"award-info":[{"award-number":["NHRI\u2010EX109\u201010704PI"]}],"id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Grief reactions in bereaved caregivers of cancer patients have been identified individually as distinct prolonged grief disorder (PGD)\u2014and major depressive disorder (MDD)\u2014symptom trajectories, but no research has examined whether the patterns of change (trajectories) for PGD and MDD symptoms synchronize during bereavement. We conducted a secondary analysis study to investigate the construct distinctiveness of PGD and MDD by simultaneously identifying and examining similarities and differences between bereaved caregivers' PGD\u2010 and depressive\u2010symptom trajectories from immediately post\u2010loss through 2\u2009years later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PGD and depressive symptoms were measured for 849 cancer patients' caregivers over their first 2\u2009years of bereavement using 11 grief\u2010symptom items of the prolonged grief\u201013 scale (PG\u201011) and the center for epidemiologic studies\u2010depression (CES\u2010D) scale, respectively. PGD\u2010 and depressive\u2010symptom trajectories were identified using latent class growth analysis with continuous latent\u2010class indicators (total PG\u201011 and CES\u2010D scores). Concordance of caregiver participants' membership in PGD\u2010 and depressive\u2010symptom trajectories was examined by a percentage and a kappa value.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five distinct symptom trajectories were identified for both PGD and MDD, with four shared trajectories (endurance, transient\u2010reaction, resilience, and prolonged\u2010symptomatic) having different prevalence rankings. Nonetheless, unique trajectories were identified for PGD (potential recurrence) and depressive symptoms (chronically distressed), respectively. Concordance between membership in PGD\u2010 and depressive\u2010symptom trajectories was moderate (61.3%, kappa [95% CI]: 0.49 [0.44, 0.53]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PGD and MDD are related but distinct constructs indicated by the unique trajectories identified for each, different prevalence rankings for PGD\u2010 and depressive\u2010symptom trajectories, and moderate concordance between membership in PGD\u2010 and depressive\u2010symptom trajectories, respectively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.5441","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T11:57:40Z","timestamp":1592222260000},"page":"1524-1532","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Distinctiveness of prolonged\u2010grief\u2010disorder\u2010 and depressive\u2010symptom trajectories in the first 2\u2009years of bereavement for family caregivers of terminally ill cancer patients"],"prefix":"10.1002","volume":"29","author":[{"given":"Fur\u2010Hsing","family":"Wen","sequence":"first","affiliation":[{"name":"Department of International Business Soochow University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Chi","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology Chang Gung Memorial Hospital at Linkou  Tao\u2010Yuan Taiwan"},{"name":"College of Medicine Chang Gung University  Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Chi","family":"Shen","sequence":"additional","affiliation":[{"name":"Division of Hematology\u2010Oncology Chang Gung Memorial Hospital at Linkou  Tao\u2010Yuan Taiwan"},{"name":"College of Medicine Chang Gung University  Tao\u2010Yuan 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