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Table 6 Core Outcomes with Dimensions

From: Coping and wellbeing in bereavement: two core outcomes for evaluating bereavement support in palliative care

Ability to Cope with GriefQuality of Life and Mental Wellbeing
Negative and overwhelming grief
• Feelings of loneliness and emptiness
• Feelings of blame, guilt, anger, bitterness, regret
• Overwhelming thoughts and/or nightmares about loss
• Preoccupation with thoughts of the deceased
Participation in work and/or other regular activities
• Ability to perform daily tasks
• Ability to participate in work
• Ability to participate in social activities
Communication and connectedness
• Ability to express feelings openly and honestly
• Feeling understood by and connected with other bereaved people
Relationships and social functioning
• Ability to function as part of a family
• Relationships with friends and family
Understanding, accepting and finding meaning in grief
• Acceptance of grief experiences as normal
• Understanding, acceptance, finding meaning in loss
• Positive reminiscence and remembering of the deceased
Positive mental wellbeing
• Sense of meaning and purpose in life
• Optimism and hopefulness
Finding balance between grief and life going forwards
• Ability to find balance and channel grief
• Ability to take control/ look ahead and start to move forward with life
Negative mental & emotional state
• Anxiety (feelings of tension, nervousness, panic and distress)
• Depression (a sense of hopelessness, pessimism, periods of crying)
• Suicidal thoughts
Accessing appropriate support
• Accessing emotional support if needed
• Accessing practical support if needed