{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:09Z","timestamp":1792787709380,"version":"4.5.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100013362","name":"Swiss Cancer Research Foundation","doi-asserted-by":"publisher","award":["KFS-4995-02-2020"],"award-info":[{"award-number":["KFS-4995-02-2020"]}],"id":[{"id":"10.13039\/501100013362","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of Lucerne Research Committee","award":["88882"],"award-info":[{"award-number":["88882"]}],"id":[{"id":"https:\/\/ror.org\/00kgrkn83","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Childhood cancer deaths may be associated with persistent parental grief. Evidence on grief symptoms beyond ten years post-loss remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We described grief symptoms, identified grief profiles, and examined associations between grief intensity and sociodemographic, cancer-related characteristics, and time since death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This multicenter cross-sectional survey was conducted in Switzerland (July 2022\u2013July 2023). We used PG-13. Items were rated on a 5-point scale (1\u20135). We calculated the sum score to assess grief intensity (range 11\u201355). We employed descriptive statistics, latent profile analysis, and linear regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Eligible parents had a child diagnosed with cancer (\u2a7d18\u2009years), who had received treatment at one of three participating Swiss pediatric oncology centers and had died \u2a7e1\u2009year prior to study participation. Participants were identified via the Swiss Childhood Cancer Registry and invited by the child\u2019s former treatment facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 388 identified cases, 103 parents of 81 deceased children participated. Mean grief intensity was 23.3 (SD\u2009=\u20099.0);\n                      <jats:italic toggle=\"yes\">yearning<\/jats:italic>\n                      represented the most prominent symptom (mean\u2009=\u20093.2), while\n                      <jats:italic toggle=\"yes\">reminder avoidance<\/jats:italic>\n                      was least prominent (mean\u2009=\u20091.3). Latent profile analysis revealed three grief profiles: low (56%), moderate (32%), and high grief (12%). High poverty risk (\u03b2\u2009=\u200911.04, p&lt;0.001) and death in healthcare facility (\u03b2\u2009=\u20093.82,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.024) were associated with higher grief intensity, while longer time since death was associated with lower grief intensity (\u03b2\u2009=\u2009\u22125.46,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Parental grief symptoms can persist long after the death of a child to cancer. Integrated palliative care, anticipatory guidance, and multidisciplinary collaboration may identify at-risk parents early, and ensure sustained support within the community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261465772","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T06:45:40Z","timestamp":1786862740000},"page":"1408-1419","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term grief experiences of parents who lost a child to cancer \u2013 Results from a multicenter cross-sectional study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9716-4746","authenticated-orcid":false,"given":"Peter Francis","family":"Raguindin","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4893-3446","authenticated-orcid":false,"given":"Eddy Carolina","family":"Pedraza","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7307-2502","authenticated-orcid":false,"given":"Anna Katharina","family":"Vokinger","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7835-9553","authenticated-orcid":false,"given":"Eva","family":"De Clercq","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4197-6264","authenticated-orcid":false,"given":"Andr\u00e9 Oscar","family":"von Bueren","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gynecology and Obstetrics, Division of General Pediatrics, Pediatric Hematology and Oncology Unit, University Hospitals of Geneva, Geneva, Switzerland"},{"name":"CANSEARCH Research Platform for Pediatric Oncology and Hematology, Faculty of Medicine, Department of Pediatrics, Gynecology and Obstetrics, University of Geneva, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3578-7152","authenticated-orcid":false,"given":"Katrin","family":"Scheinemann","sequence":"additional","affiliation":[{"name":"Division of Hematology-Oncology, Children\u2019s Hospital of Eastern Switzerland, St Gallen, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-8097","authenticated-orcid":false,"given":"Eva Maria","family":"Tinner","sequence":"additional","affiliation":[{"name":"Inselspital, University Children\u2019s Hospital Bern, Bern, Switzerland"},{"name":"Pediatric Palliative Care, University Children\u2019s Hospital, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0340-1868","authenticated-orcid":false,"given":"Eva","family":"Bergstraesser","sequence":"additional","affiliation":[{"name":"Pediatric Palliative Care, University Children\u2019s Hospital, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9589-0928","authenticated-orcid":false,"given":"Gisela","family":"Michel","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Djelantik A Smid GE Mroz A et al. 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