{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T06:35:46Z","timestamp":1793082946575,"version":"4.5.0"},"reference-count":110,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Prolonged grief disorder, also known as post-loss grief, was officially recognized in the International Classification of Diseases (ICD-11) after years of debate within the mental health community. However, while post-loss grief gained recognition, anticipatory and preparatory grief, which occur before a loss, have remained underexplored. Preparatory grief affects individuals nearing the end of life, while anticipatory grief impacts the loved ones of those who are about to die. These grief types are particularly prevalent among women, who are more vulnerable to their emotional and psychological challenges. The primary aim of this study was to investigate preparatory grief in women diagnosed with cancer and anticipatory grief in their loved ones, with the goal of developing management guidelines. The secondary objective was to identify protective factors, such as psychotherapeutic interventions and systemic support, to alleviate grief-related distress. This review synthesized evidence from the PubMed and Cochrane databases, covering studies from 1968 to 2020 and after the COVID-19 pandemic in 2023. The results revealed that anticipatory grief was common among loved ones, leading to increased emotional distress, while cancer patients experienced preparatory grief, facing both emotional and practical challenges. Both types of grief were associated with altered stress responses, such as lower diurnal cortisol levels. Psychotherapeutic interventions, particularly early and systemic psychotherapy, were found to effectively reduce symptoms of both anticipatory and preparatory grief, improving coping strategies and emotional well-being. The study concluded that empowering coping strategies and social support played key roles in enhancing emotional outcomes for both patients and their families.<\/jats:p>","DOI":"10.3390\/jcm14113621","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T07:04:28Z","timestamp":1747897468000},"page":"3621","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["From Fear to Hope: Understanding Preparatory and Anticipatory Grief in Women with Cancer\u2014A Public Health Approach to Integrating Screening, Compassionate Communication, and Psychological Support Strategies"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3596-5908","authenticated-orcid":false,"given":"Jelena","family":"Milic","sequence":"first","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovi\u0107 Batut\u201d, 112113 Belgrade, Serbia"},{"name":"European Faculty \u201cKallos\u201d, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milica","family":"Vucurovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovi\u0107 Batut\u201d, 112113 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edita","family":"Grego","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovi\u0107 Batut\u201d, 112113 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2657-9909","authenticated-orcid":false,"given":"Dragana","family":"Jovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovi\u0107 Batut\u201d, 112113 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7459-3353","authenticated-orcid":false,"given":"Rosa","family":"Sapic","sequence":"additional","affiliation":[{"name":"Faculty of Health Studies, University of Bjeljina, 76300 Bjeljina, Bosnia and Herzegovina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sladjana","family":"Jovic","sequence":"additional","affiliation":[{"name":"Faculty of Security Studies, University of Belgrade, Gospodara Vu\u010di\u0107a 50, 11118 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verica","family":"Jovanovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health of Serbia \u201cDr Milan Jovanovi\u0107 Batut\u201d, 112113 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J. 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