{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T14:40:34Z","timestamp":1786718434522,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Omega (Westport)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Prolonged grief (PG) is a mental health condition characterized by severe distress following a loss. This study examines the roles of attachment styles, social support, stressful life events (SLEs), and pre-existing psychopathology in predicting PG and post-bereavement psychopathology among 74 caregivers of palliative patients. Using validated assessment tools, the study employed hierarchical regression and fuzzy-set qualitative comparative analysis (fsQCA) to identify predictors of prolonged grief and psychological outcomes over six months. Results showed that pre-existing psychopathology and PG risk predicted post-bereavement psychopathology, though not PG itself. Low social support and high SLEs were linked to worse outcomes, while strong social support and low stress predicted positive outcomes. These findings highlight the importance of multiple interacting factors in understanding grief and emphasize the need for interventions that enhance social support, manage stress, and address mental health conditions to reduce psychological distress in bereaved caregivers.<\/jats:p>","DOI":"10.1177\/00302228241294099","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T18:50:21Z","timestamp":1729795821000},"page":"2832-2852","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Longitudinal Study of Bereavement Outcomes Among Palliative Caregivers Mourners: Psychological Profiles in Prolonged Grief and Psychopathology"],"prefix":"10.1177","volume":"93","author":[{"given":"Olga","family":"Ribera-Asensi","sequence":"first","affiliation":[{"name":"Universitat de Val\u00e8ncia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5228-2738","authenticated-orcid":false,"given":"Selene","family":"Valero-Moreno","sequence":"additional","affiliation":[{"name":"Universitat de Val\u00e8ncia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3532-8818","authenticated-orcid":false,"given":"Mari\u00e1n","family":"P\u00e9rez-Mar\u00edn","sequence":"additional","affiliation":[{"name":"Universitat de Val\u00e8ncia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/21678421.2020.1790610"},{"issue":"2","key":"e_1_3_5_4_1","first-page":"383","article-title":"Predictors of complicated grief","volume":"5","author":"Barreto P.","year":"2008","unstructured":"Barreto P., Yi P., Soler C. (2008). Predictors of complicated grief. Psicooncolog\u00eda, 5(2\u20133), 383\u2013400.","journal-title":"Psicooncolog\u00eda"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.5772\/30873"},{"issue":"1","key":"e_1_3_5_6_1","first-page":"62","article-title":"Apego y superaci\u00f3n de la p\u00e9rdida de una persona significativa","volume":"27","author":"Berenguer-P\u00e9rez M.","year":"2018","unstructured":"Berenguer-P\u00e9rez M., Barreto-Mart\u00edn P., P\u00e9rez-Mar\u00edn M. (2018). Apego y superaci\u00f3n de la p\u00e9rdida de una persona significativa. Revista Argentina de Clinica Psicologica, 27(1), 62\u201371. https:\/\/doi.org\/10.24205\/03276716.2017.1043","journal-title":"Revista Argentina de Clinica Psicologica"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412986427"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.2190\/OM.61.1.a"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/SJP.2023.21"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.erap.2022.100794"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-023-05602-0"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2011.11.034"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-023-05412-5"},{"issue":"1","key":"e_1_3_5_14_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5944\/rppc.23776","article-title":"Sintomatolog\u00eda f\u00edsica y mental asociada al s\u00edndrome de burnout en los profesionales de la ense\u00f1anza","volume":"24","author":"Esteras J.","year":"2019","unstructured":"Esteras J., Chorot P., Sand\u00edn B. (2019). Sintomatolog\u00eda f\u00edsica y mental asociada al s\u00edndrome de burnout en los profesionales de la ense\u00f1anza. Revista de Psicopatolog\u00eda y Psicolog\u00eda Cl\u00ednica, 24(1), 29\u201337. https:\/\/doi.org\/10.5944\/rppc.23776","journal-title":"Revista de Psicopatolog\u00eda y Psicolog\u00eda Cl\u00ednica"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.5465\/amj.2011.60263120"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2023.28"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.01.033"},{"issue":"5","key":"e_1_3_5_18_1","first-page":"291","article-title":"Adaptaci\u00f3n al castellano del inventario de duelo complicado","volume":"16","author":"Limonero J. T.","year":"2009","unstructured":"Limonero J. T., Lacasta M., Garc\u00eda J. A., Mat\u00e9 J., Prigerson H. G. (2009). Adaptaci\u00f3n al castellano del inventario de duelo complicado. Medicina Paliativa, 16(5), 291\u2013297. https:\/\/www.researchgate.net\/profile\/Joaquin_Limonero\/publication\/234101905_Adaptacin_al_castellano_del_inventario_de_duelo_complicado\/links\/02bfe50f1a977247d2000000.pdf","journal-title":"Medicina Paliativa"},{"key":"e_1_3_5_19_1","first-page":"1","article-title":"Predictors of complicated grief in caregivers of palliative care patients","author":"L\u00f3pez Y.","year":"2022","unstructured":"L\u00f3pez Y., Cruzado J. A., Lacasta Reverte M. A., Lallana-Fr\u00edas E. (2022). Predictors of complicated grief in caregivers of palliative care patients. Omega, 1\u201328. https:\/\/doi.org\/10.1177\/00302228221133437","journal-title":"Omega"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(95)02757-2"},{"key":"e_1_3_5_21_1","doi-asserted-by":"crossref","unstructured":"Ragin C. C. (2008). Redesigning social inquiry - presentation. https:\/\/bibliovault.org\/BV.landing.epl?ISBN=9780226702759","DOI":"10.7208\/chicago\/9780226702797.001.0001"},{"issue":"3","key":"e_1_3_5_22_1","first-page":"151","article-title":"Attachment, relationship quality and stressful life events: A theoretical meta-perspective and some preliminary results","volume":"28","author":"Rubinstein G.","year":"2012","unstructured":"Rubinstein G., Tziner A., Bilig M. (2012). Attachment, relationship quality and stressful life events: A theoretical meta-perspective and some preliminary results. Revista de Psicologia Del Trabajo Y De Las Organizaciones, 28(3), 151\u2013156. https:\/\/doi.org\/10.5093\/tr2012a12","journal-title":"Revista de Psicologia Del Trabajo Y De Las Organizaciones"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/00302228221083110"},{"key":"e_1_3_5_24_1","first-page":"61","volume-title":"El estr\u00e9s psicosocial: Conceptos y consecuencias cl\u00ednicas","author":"Sand\u00edn B.","year":"1999","unstructured":"Sand\u00edn B., Chorot P. (1999). Evaluaci\u00f3n de los sucesos vitales. In Sand\u00edn B. (Ed.), El estr\u00e9s psicosocial: Conceptos y consecuencias cl\u00ednicas (pp. 61\u201379). KJinik."},{"key":"e_1_3_5_25_1","doi-asserted-by":"publisher","DOI":"10.5944\/rppc.vol.22.num.2.2017.19729"},{"issue":"2","key":"e_1_3_5_26_1","first-page":"290","article-title":"SA-45: Forma abreviada del SCL-90","volume":"20","author":"Sand\u00edn B.","year":"2008","unstructured":"Sand\u00edn B., Valiente R. M., Chorot P., Santed M. A., Lostao L. (2008). SA-45: Forma abreviada del SCL-90. Psicothema, 20(2), 290\u2013296.","journal-title":"Psicothema"},{"key":"e_1_3_5_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022022104266105"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0030222820941952"},{"key":"e_1_3_5_29_1","first-page":"237","volume-title":"Handbook of emotion regulation","author":"Shaver P. R.","year":"2014","unstructured":"Shaver P. R., Mikulincer M. (2014). Adult attachment and emotion regulation. In Gross J. J. (Ed.), Handbook of emotion regulation (2nd ed., pp. 237\u2013250). The Guilford Press.","edition":"2"},{"key":"e_1_3_5_30_1","article-title":"Estudio sobre la implantaci\u00f3n de la atenci\u00f3n al duelo en el estado espa\u00f1ol. Construcci\u00f3n de un instrumento de evaluaci\u00f3n y programa de intervenci\u00f3n","author":"Soler M. C.","year":"2002","unstructured":"Soler M. C., Barreto-Martin P., Yi P. (2002). Estudio sobre la implantaci\u00f3n de la atenci\u00f3n al duelo en el estado espa\u00f1ol. Construcci\u00f3n de un instrumento de evaluaci\u00f3n y programa de intervenci\u00f3n. Memoria de Investigaci\u00f3n de La Escuela Valenciana de Estudios Para La Salud.","journal-title":"Memoria de Investigaci\u00f3n de La Escuela Valenciana de Estudios Para La Salud"},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001116"},{"key":"e_1_3_5_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.03.028"},{"key":"e_1_3_5_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000389"},{"key":"e_1_3_5_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1188"},{"key":"e_1_3_5_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481180903559196"},{"key":"e_1_3_5_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/10253890.2017.1340451"},{"key":"e_1_3_5_37_1","volume-title":"International statistical classification of diseases and related health problems","author":"World Health Organization","year":"2019","unstructured":"World Health Organization. (2019). International statistical classification of diseases and related health problems (11th ed.). https:\/\/icd.who.int\/","edition":"11"}],"container-title":["OMEGA - Journal of Death and Dying"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00302228241294099","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00302228241294099","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00302228241294099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T13:35:07Z","timestamp":1786714507000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00302228241294099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/00302228241294099"],"URL":"https:\/\/doi.org\/10.1177\/00302228241294099","relation":{},"ISSN":["0030-2228","1541-3764"],"issn-type":[{"value":"0030-2228","type":"print"},{"value":"1541-3764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]}}}