Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1595-1599
ZHANG Tingting, ZHOU Juanjuan, YANG Xiaoying, GU Jiahuan. Current situation of anticipatory sadness and its influencing factors among primary caregivers of terminal stage cancer patients[J]. Chinese Journal of General Practice, 2025, 23(9): 1595-1599. doi: 10.16766/j.cnki.issn.1674-4152.004185
Citation: ZHANG Tingting, ZHOU Juanjuan, YANG Xiaoying, GU Jiahuan. Current situation of anticipatory sadness and its influencing factors among primary caregivers of terminal stage cancer patients[J]. Chinese Journal of General Practice, 2025, 23(9): 1595-1599. doi: 10.16766/j.cnki.issn.1674-4152.004185
shu

Current situation of anticipatory sadness and its influencing factors among primary caregivers of terminal stage cancer patients

doi: 10.16766/j.cnki.issn.1674-4152.004185
  • 1.

    Department of Oncology, Shaoxing People ' s Hospital, Shaoxing, Zhejiang 312000, China

Funds:

 2023RC104

  • Received Date: 2024-11-25
    Available Online: 2025-11-17
    Abstract
  •   Objective  To analyze the present situation of the expected sadness of the main caregivers of patients with terminal cancer and identify influencing factors, thereby providing a theoretical basis for alleviating the anticipatory grief (AG) of the main caregivers.  Methods  The main caregivers of 188 patients with terminal cancer in Shaoxing People ' s Hospital from February 2020 to October 2023 were taken as the research object. A cross-sectional survey was carried out by using the general data survey scale, AGS, Zarit caregiver burden interview (ZBI), the 10-item Connor-Davidson resilience scale (CD-RISC10), and the perceived social support scale (PSSS), and Pearson correlation was used to analyze the correlation between the above scales. Multiple linear regression was used to analyze the factors affecting AGS, the main caregiver.  Results  The main caregivers of terminal cancer patients demonstrated moderately high scores on the AGS and ZBI scales, but moderately low scores on the CD-RISC10 and PSSS scales. AGS scores showed a significant positive correlation with ZBI scores (r=0.849, P < 0.001), while exhibiting negative correlations with both CD-RISC10 (r=-0.863, P < 0.001) and PSSS scores (r=-0.652, P < 0.001). ZBI was negatively correlated with CD-RISC10 (r=-0.797, P < 0.001) and PSSS (r=-0.734, P < 0.001). CD-RISC10 and PSSS were positively correlated (r=0.725, P < 0.001). The results of multiple linear regression showed that gender, relationship with patients, payment method of medical expenses, knowledge of diseases, death education, working status, ZBI, CD-RISC10, and PSSS were the related factors affecting AG (P < 0.05).  Conclusion  The main caregivers of terminal cancer patients exhibited elevated AGS scores, particularly among females, spouses of patients, those with modest household income, limited disease knowledge, and lower psychological resilience or perceived social support. Notably, anticipatory grief was more pronounced in caregivers with heavier caregiving burdens.

     

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