{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:50:27Z","timestamp":1791442227481,"version":"4.3.3"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"unspecified","delay-in-days":280,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103551_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Family caregivers of terminal cancer patients often experience substantial emotional burden. This study assessed depression, anxiety, stress, and coping\u2013distress associations among caregivers in Eastern India to inform culturally sensitive interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103551_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted among 100 adult caregivers of terminal cancer patients at a tertiary care hospital in Kolkata. Participants were recruited via systematic random sampling and interviewed using a structured proforma, the 21-item Depression, Anxiety and Stress Scale (DASS-21) and the Brief-COPE inventory. Descriptive statistics summarized demographics and caregiving characteristics. Spearman\u2019s rank correlation was used to assess associations between psychological distress and coping domains, with\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05 considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103551_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Caregivers (median age 43\u00a0years; 70% male) were predominantly the patient\u2019s children (67%). Median DASS-21 scores indicated moderate depression (16), anxiety (14), and stress (16). Coping scores indicated low-to-moderate use of problem-focused (1.875\u00a0\u00b1\u00a00.321), emotional (1.871\u00a0\u00b1\u00a00.269), and avoidant coping (1.865\u00a0\u00b1\u00a00.266). Emotional coping correlated significantly with anxiety (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.301,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), depression (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.317,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), and stress (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u00a0=\u00a00.293,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003). Depression also correlated with stress and problem-focused coping, while stress correlated with avoidant coping.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103551_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Caregivers experienced considerable psychological burden, with emotional coping consistently linked to distress. These associations likely reflect reactive adaptation rather than inherent maladaptiveness. Results highlight an urgent need to recognize caregiver distress within oncology settings and to develop culturally informed psychosocial interventions in palliative care, particularly in low-resource environments. Such efforts could enhance both caregiver well-being and quality of end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103551","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:04:49Z","timestamp":1791439489000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Mental health struggles and coping strategies of individuals facing terminal illness of a loved one: A survey in a tertiary care hospital of Kolkata, West Bengal"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5267-3243","authenticated-orcid":false,"given":"Tathagata","family":"Jha","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/021nb2v44","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical College Kolkata"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Orooj","family":"Azmi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00ysvbp68","id-type":"ROR","asserted-by":"publisher"}],"name":"Institute of Postgraduate Medical Education and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhranil","family":"Mal","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/021nb2v44","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical College Kolkata"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suraj","family":"Shaw","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/021nb2v44","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical College Kolkata"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankush","family":"Banerjee","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/049ndh460","id-type":"ROR","asserted-by":"publisher"}],"name":"JIS School of Medical Science and Research, Santragachi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arup","family":"Chakraborty","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/021nb2v44","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical College Kolkata"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"S1478951526103551_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/1090198117705164"},{"key":"S1478951526103551_ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.817936"},{"key":"S1478951526103551_ref31","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.157319.1"},{"key":"S1478951526103551_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14880-5"},{"key":"S1478951526103551_ref34","doi-asserted-by":"publisher","DOI":"10.4103\/ipj.ipj_207_20"},{"key":"S1478951526103551_ref40","doi-asserted-by":"crossref","first-page":"207","DOI":"10.25259\/IJPC_44_2022","article-title":"Life before death in India: A narrative review","volume":"29","author":"Yadullahi","year":"2023","journal-title":"Indian Journal of Palliative Care"},{"key":"S1478951526103551_ref33","doi-asserted-by":"publisher","DOI":"10.25259\/ASJO_5_2024"},{"key":"S1478951526103551_ref36","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27677"},{"key":"S1478951526103551_ref13","doi-asserted-by":"publisher","DOI":"10.1188\/18.CJON.286-294"},{"key":"S1478951526103551_ref35","first-page":"209","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"S1478951526103551_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011863"},{"key":"S1478951526103551_ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01825-z"},{"key":"S1478951526103551_ref22","volume-title":"Stress, Appraisal, and Coping","author":"Lazarus","year":"1984"},{"key":"S1478951526103551_ref21","doi-asserted-by":"publisher","DOI":"10.4103\/jcrt.JCRT_281_17"},{"key":"S1478951526103551_ref32","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.ijmr_1821_22"},{"key":"S1478951526103551_ref18","doi-asserted-by":"publisher","DOI":"10.4102\/phcfm.v13i1.2812"},{"key":"S1478951526103551_ref17","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X29657"},{"key":"S1478951526103551_ref39","doi-asserted-by":"publisher","DOI":"10.1177\/10848223231224779"},{"key":"S1478951526103551_ref14","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.54.3.466"},{"key":"S1478951526103551_ref2","doi-asserted-by":"publisher","DOI":"10.3329\/bjpsy.v28i2.32740"},{"key":"S1478951526103551_ref11","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"S1478951526103551_ref38","unstructured":"WHO (2020) Palliative care fact sheet . 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e251"}}