{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:54:08Z","timestamp":1791179648861,"version":"4.1.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"unspecified","delay-in-days":277,"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=\"S1478951526103794_sec1a\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study evaluated the effect of structured grief counseling on grief responses in family caregivers of advanced cancer patients from the terminal phase through early bereavement, and may inform bereavement care in oncology and hospice settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103794_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a randomized controlled trial from October 2024 to November 2025 among family caregivers of patients with advanced cancer. Participants were assigned to structured grief counseling (intervention group,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a055) or only psychological materials (control group,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a056). Counseling began before the death and continued for 3\u00a0months after the death. Outcomes were assessed at enrollment, at the end of the intervention, and at 1 and 3\u00a0months after the death. Measures included grief, guilt, anxiety, depression, post-traumatic growth, and health-related quality of life. Linear mixed-effects models estimated group differences over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103794_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with control, the intervention produced lower Anticipatory Grief Scale scores over time (estimates\u00a0=\u00a0\u22129.31,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The intervention also yielded higher Post-traumatic Growth Inventory scores and Short-Form 36 Health Survey scores (estimates\u00a0=\u00a06.02 and 5.97, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Between-group differences for Bereavement Guilt Scale scores, Self-Rating Anxiety Scale scores, and Self-Rating Depression Scale scores were not significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103794_sec4d\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structured grief counseling provided to family caregivers from the patient\u2019s terminal phase through the early bereavement period effectively improves grief status, post-traumatic growth, and health-related quality of life. These findings support the integration of standardized, family-centered bereavement support systems into oncology and hospice care services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103794","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:44:50Z","timestamp":1791179090000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A study on the intervention effect of a structured grief counseling program on grief responses in family caregivers of patients with advanced cancer"],"prefix":"10.1017","volume":"24","author":[{"given":"Feng","family":"Gong","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01rxvg760","id-type":"ROR","asserted-by":"publisher"}],"name":"The Affiliated Suzhou Hospital of Nanjing University Medical 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feasibility and acceptability of meaning-centered psychotherapy for cancer caregivers","volume":"20","author":"Applebaum","year":"2022","journal-title":"Palliative and Supportive 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in avoidance and negative grief-related cognitions mediates treatment outcome in older adults with prolonged grief disorder","volume":"32","author":"Lechner-Meichsner","year":"2021","journal-title":"Psychotherapy Research: Journal of the Society Forest Psychotherapy Research"}],"container-title":["Palliative and Supportive 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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":"e250"}}