• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

The impact of resilience on psychological distress before and after bereavement in family caregivers of patients in palliative care units

Research Project

Project/Area Number 17K17460
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Clinical nursing
Research InstitutionNational Center for Global Health and Medicine (2022)
National Cancer Center Japan (2017-2021)

Principal Investigator

Shimizu Yoichi  国立研究開発法人国立国際医療研究センター, 国立看護大学校, 講師 (50791935)

Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywordsレジリエンス / 抑うつ / 緩和ケア / 家族介護者 / 遺族 / 悲嘆 / がん / コーピング / 家族 / 終末期 / 心理的苦痛 / 看護 / 不安 / 複雑性悲嘆 / レジリエンス(心理学) / 死別
Outline of Final Research Achievements

We conducted the self-reported questionnaire survey for family caregivers of patients with terminally ill cancer in four palliative care wards to determine whether their pre-loss resilience affects changes in depression before and after bereavement, complexity grief, and posttraumatic growth after bereavement. Data were obtained from 291 family caregivers at the pre-loss time. Subsequently, we conducted a survey of bereaved family members in the same facilities. Among them, 71 were able to link their data before and after bereavement. The proportion of family caregivers with a high risk for major depressive disorder was 47.0% before bereavement and 15.2% after bereavement. Their pre-loss resilience was suggested to contribute to the improvement of depressive symptoms before and after bereavement. On the other hand, it was suggested that it had no effect on complex grieving or posttraumatic growth after bereavement.

Academic Significance and Societal Importance of the Research Achievements

死別後に家族介護者の10%~20%が大うつ病や複雑性悲嘆のリスクが高い状態となることが知られている。死別に伴い医療機関にかかる機会が減ることで、抑うつの遷延や複雑性悲嘆のリスクが高い家族に対して支援につなげることができていないことが問題となっている。本研究によりレジリエンスが低い家族介護者は死別後にうつ症状が遷延する可能性が高いことが明らかになったため、死別前のレジリエンスの高さは支援が必要な家族介護者を死別前に同定する際に有用な情報であることが分かった。これにより支援が必要な家族介護者に適切な支援を届けることにつながる可能性がある。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (7 results)

All 2023 2022 2021 2020 2019

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (4 results)

  • [Journal Article] The Impact of Stressful Life Events after Bereavement: A Nationwide Cross-sectional Survey2023

    • Author(s)
      Shimizu Yoichi、Masukawa Kento、Aoyama Maho、Morita Tatsuya、Kizawa Yoshiyuki、Tsuneto Satoru、Shima Yasuo、Miyashita Mitsunori
    • Journal Title

      Journal of Pain and Symptom Management

      Volume: 65 Issue: 4 Pages: 273-284

    • DOI

      10.1016/j.jpainsymman.2022.12.012

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 終末期がん患者の家族介護者のレジリエンスと死別後の精神的健康への影響に関する研究2022

    • Author(s)
      清水陽一
    • Journal Title

      がん看護

      Volume: 27 Pages: 410-412

    • Related Report
      2021 Research-status Report
  • [Journal Article] Changes in depressive symptoms among family caregivers of patients with cancer after bereavement and their association with resilience: A prospective cohort study2021

    • Author(s)
      Shimizu Yoichi、Hayashi Akitoshi、Maeda Isseki、Miura Tomofumi、Inoue Akira、Takano Mayuko、Aoyama Maho、Matsuoka Yutaka J.、Morita Tatsuya、Kizawa Yoshiyuki、Tsuneto Satoru、Shima Yasuo、Masukawa Kento、Miyashita Mitsunori
    • Journal Title

      Psycho-Oncology

      Volume: 31 Issue: 1 Pages: 86-97

    • DOI

      10.1002/pon.5783

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 緩和ケア病棟に入院した終末期がん患者の家族の予期悲嘆と死別後反応への影響2023

    • Author(s)
      宮下光令, 後藤玲凪 清水陽一, 林章敏, 前田一石, 三浦智史, 井上彰, 高野真優子, 石垣和美, 升川研人, 青山真帆, 森田達也, 木澤義之, 恒藤暁, 志真泰夫
    • Organizer
      第28回日本緩和医療学会学術大会
    • Related Report
      2022 Annual Research Report
  • [Presentation] がん患者の遺族の死別後の生活に関連した社会的苦痛の実態とその関連因子2021

    • Author(s)
      清水陽一, 升川研人, 青山真帆, 志真泰夫, 恒藤暁, 木澤義之, 森田達也, 宮下光令
    • Organizer
      第26回日本緩和医療学会学術大会
    • Related Report
      2020 Research-status Report
  • [Presentation] がん患者の家族介護者のレジリエンスと死別後の抑うつとの関連(J-HOPE4付帯研究)2020

    • Author(s)
      清水陽一, 前田一石, 林章敏, 高野真優子, 三浦智史, 井上彰, 升川研人, 木澤義之, 森田達也, 志真泰夫, 恒藤暁, 宮下光令
    • Organizer
      緩和・支持・心のケア合同学術大会2020
    • Related Report
      2019 Research-status Report
  • [Presentation] 終末期がん患者の家族介護者の精神的健康とレジリエンスの関係に関する研究2019

    • Author(s)
      清水陽一、宮下光令、林章敏、高野真優子、前田一石、松本禎久、井上彰、升川研人
    • Organizer
      第24回日本緩和医療学会学術大会
    • Related Report
      2018 Research-status Report

URL: 

Published: 2017-04-28   Modified: 2024-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi