Anticipatory Grief Among Family Caregivers of Terminally Ill Cancer Patients: A Multicenter Study Among Bangladeshi Population

Objectives: This study aims to explore the response to anticipatory grief of family caregivers of terminally ill cancer patients in Bangladesh and to identify key factors influencing these grief dimensions. Methods: This study was conducted among 88 family caregivers of the terminally ill cancer patients from three palliative care units of tertiary-level hospitals in Bangladesh. Anticipatory grief dimensions were assessed by the Adult Attitude to Grief scale. Results: The majority of caregivers (75%) reported severe to high levels of emotional vulnerability, suggesting an increased risk of developing complicated grief in the future. Younger caregivers (≤35 years) were significantly more likely to feel overwhelmed by anticipatory grief. Additionally, caregivers with longer prognostic awareness demonstrated lower resilience and higher emotional vulnerability. However, caregivers’ sex and their relationship with the patient were not significantly associated with anticipatory grief dimensions. Conclusion: Family caregivers of terminally ill cancer patients receiving palliative care in Bangladesh experience high levels of anticipatory grief. Early identification of vulnerable caregivers and provision of psychosocial support may enhance resilience and reduce caregiver burden.