{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T07:28:47Z","timestamp":1793777327389,"version":"4.6.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physicians treating patients with malignant central nervous system tumors frequently experience patient deaths, yet the impact of professional grief on burnout has not been examined in neuro-oncology. This study investigated whether acute grief responses following patient deaths (short-term bereavement reactions, SBR) and long-term changes resulting from cumulative loss exposure (accumulated global changes, AGC) are associated with emotional exhaustion (EE) among neuro-oncologists in Germany, and whether resilience moderates these relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included n\u2009=\u2009131 physicians working in neuro-oncology in Germany. Validated instruments assessed professional grief, burnout, resilience, self-compassion, psychological distress, and neuroticism. Hierarchical regression tested associations and moderation hypotheses. Cluster analysis identified stress-vulnerability-capacity profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample comprised physicians across 5 neuro-oncological specialties (mean age 45.5, 48.1% female). Short-term bereavement reactions were significantly associated with higher EE after controlling for self-compassion, neuroticism, and psychological distress (B\u2009=\u20090.46, 95% CI: 0.27-0.64, P\u2009&amp;lt;\u2009.001), whereas AGC was not (B\u2009=\u20090.04, P\u2009=\u2009.602). Resilience did not moderate these associations. Self-compassion was independently associated with lower EE (B\u2009=\u2009\u22120.33, P\u2009=\u2009.012). Cluster analyses identified 3 distinct stress-vulnerability profiles: Low Risk (51.1%), Moderate (35.1%), and High Risk (13.7%). Emotional exhaustion differed substantially across profiles (\u03b7\u00b2\u2009=\u20090.34), with 72.2% of the High-Risk group exceeding clinical EE thresholds; 40.5% of participants desired supervision that was unavailable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Short-term bereavement reactions, but not AGC, were associated with EE among neuro-oncologists. The high-risk profile may represent a clinically relevant target for screening. Self-compassion and access to supervision warrant further investigation as potential intervention targets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/neuonc\/noag161","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:08:39Z","timestamp":1784646519000},"page":"2652-2666","source":"Crossref","is-referenced-by-count":0,"title":["Professional grief, burnout, and coping among neuro-oncologists: A cross-sectional online study (PROGRESS)"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3759-2747","authenticated-orcid":false,"given":"Raphael","family":"Detchev","sequence":"first","affiliation":[{"name":"Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf , 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