{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:50:29Z","timestamp":1791442229834,"version":"4.3.3"},"reference-count":52,"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=\"S1478951526103824_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Grief and bereavement care (GBC) remains an underrecognized component of pediatric palliative care (PPC), contributing to the emotional and psychological burden experienced by patients, families, and healthcare professionals (HCPs). This perspective review examines gaps in GBC, defines key types of grief in pediatric settings, and proposes a framework to improve patient- and family-centered grief support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103824_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a narrative perspective review using PubMed and Google Scholar to identify literature on GBC in PPC. Search terms included combinations of \u201cgrief,\u201d \u201cbereavement,\u201d \u201cpediatric palliative care,\u201d \u201cchildren,\u201d \u201ccaregivers,\u201d \u201csiblings,\u201d \u201chealthcare professionals,\u201d \u201canticipatory grief,\u201d \u201ccomplicated grief,\u201d and \u201cprolonged grief disorder.\u201d Publications from 2020 onward were prioritized, with seminal earlier studies included when clinically or conceptually relevant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103824_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>GBC in PPC differs from adult models because of developmental considerations, prolonged illness trajectories, and family-centered decision-making. Relevant forms of grief include anticipatory, disenfranchised, complicated, and prolonged grief, affecting patients, families, and HCPs. Effective approaches include early palliative care integration, legacy-making activities, structured communication, and interdisciplinary psychosocial support. However, global disparities persist, and HCPs frequently report inadequate training and institutional support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103824_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>GBC should be viewed as a longitudinal, culturally sensitive, system-wide responsibility extending from diagnosis through bereavement. Integrated frameworks emphasizing early communication, patient- and family-centered care, and formal grief training for HCPs may strengthen bereavement support and reduce unmet psychosocial needs across the pediatric illness trajectory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103824","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:04:46Z","timestamp":1791439486000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Grief and bereavement care in pediatric palliative care: Gaps, global disparities, and a proposed integrated framework"],"prefix":"10.1017","volume":"24","author":[{"given":"Karina","family":"Castillo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01r2c3v86","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidad San Francisco de Quito"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria 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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":"e256"}}