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Prolonged grief disorder

From Wikipedia, the free encyclopedia
Prolonged grief disorder
Other namesComplicated grief, Persistent complex bereavement disorder
SpecialtyPsychiatry, psychology
SymptomsProlonged grief, Depression, emotional pain, emotional numbness, loneliness, identity disturbance, difficulty in managing interpersonal relationships
Complicationssuicide, self harm, relationship damage
Differential diagnosisBorderline personality disorder, Complex post-traumatic stress disorder, Grief not otherwise specified, Major depressive disorder, Post-traumatic stress disorder

Prolonged grief disorder (PGD), also known as complicated grief (CG),[1] traumatic grief (TG)[2] and persistent complex bereavement disorder (PCBD) in the DSM-5,[3] is a mental disorder consisting of a distinct set of symptoms following the death of a family member or close friend (i.e. bereavement). People with PGD are preoccupied by grief and feelings of loss to the point of clinically significant distress and impairment, which can manifest in a variety of symptoms including depression, emotional pain, emotional numbness, loneliness, identity disturbance and difficulty in managing interpersonal relationships. Difficulty accepting the loss is also common, which can present as rumination about the death, a strong desire for reunion with the departed, or disbelief that the death occurred. PGD is estimated to be experienced by about 10 percent of bereaved survivors, although rates vary substantially depending on populations sampled and definitions used.[4]

In March 2022, PGD was added as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) with diagnostic code F43.8. PGD is also in the eleventh revision of the International Classification of Diseases (ICD-11) under code 6B42. To meet diagnosis, symptoms must occur frequently (usually at least daily) and be present for at least 6–12 months.

Symptoms

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PGD behavioral symptoms include:

PGD is also a risk factor a variety of somatic symptoms[9] possibly including:

The individual's relationship to the deceased accounts for a large amount of variance in symptoms. Spouses, parents, and children of deceased tend to display highest severities, followed by siblings, in-laws, and friends. Subjective closeness to deceased has also been found to be an important predictor of pathologic grief responses.[12] Bereaved persons often feel a need to understand why their loved one died by suicide, particularly if a message was not left behind by the deceased.[13]

Grief is a common response to bereavement, occurring in a variety of severities and durations, however only a minority of cases of grief meet the severity and duration criteria to merit diagnosis of PGD; it is considered when an individual's ability to function and level of distress over the loss is extreme and persistent.[14] People with PGD can experience a chronic aching and yearning for the dear departed, feel that they are not the same person anymore (identity disturbance), become emotionally disconnected from others, or lack the desire to "move on" (in some cases feeling that doing so would be betraying the person who is now deceased).[7][8][6] Although normal grief remains with the bereaved person far into the future, its ability to disrupt the survivor's life is believed to dissipate with time.[15]

Since the 1990s, studies have demonstrated the validity of distinguishing PGD from mental disorders with similar symptom clusters, specifically major depressive disorder and post-traumatic stress disorder.[16][7] Validity has also been demonstrated for the DSM-5-TR criteria.[17]

Diagnosis

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DSM-5-TR

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In the DSM-5-TR, prolonged grief disorder is a classified as a "trauma and stressor-related disorder".[18] Along with bereavement of the individual occurring at least one year ago (or six months in children and adolescents), there must be evidence of one of two "grief responses" occurring at least daily for the past month:

  • Intense yearning/longing for the deceased person.
  • Preoccupation with thoughts or memories of the deceased person (in children and adolescents, preoccupation may focus on the circumstances of the death).

Additionally, the individual must have at least three of the following symptoms occurring at least daily for the past month:

  • Identity disruption (e.g., feeling as though part of oneself has died) since the death
  • Marked sense of disbelief about the death
  • Avoidance of reminders that the person is dead (in children and adolescents, may be characterized by efforts to avoid reminders)
  • Intense emotional pain (e.g., anger, bitterness, sorrow) related to the death
  • Difficulty reintegrating into one's relationships and activities after the death (e.g., problems engaging with friends, pursuing interests, or planning for the future)
  • Emotional numbness (absence or marked reduction of emotional experience) as a result of the death
  • Feeling that life is meaningless as a result of the death, also known as nihilistic beliefs
  • Intense loneliness as a result of the death

The duration and severity of the distress and impairment in PGD must be clinically significant, and not better explainable by social, cultural or religious norms, or another mental disorder. PGD can be distinguished from depressive disorders with distress appearing specifically about the bereaved as opposed to a general low mood. According to Holly Prigerson, an editor on the trauma and stressor-related disorder section of the DSM-5-TR, "intense, persistent yearning for the deceased person is specifically a characteristic symptom of PG [prolonged grief], but is not a symptom of MDD (or any other DSM disorder)".[15]

ICD-11

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In the ICD-11, the symptoms required for diagnosis are:[19]

  • A history of bereavement following the death of a partner, parent, child, or other person close to the bereaved.
  • A persistent and pervasive grief response characterized by longing for the deceased or persistent preoccupation with the deceased accompanied by intense emotional pain. This may be manifested by experiences such as sadness, guilt, anger, denial, blame, difficulty accepting the death, feeling one has lost a part of one's self, an inability to experience positive mood, emotional numbness, and difficulty in engaging with social or other activities.
  • The pervasive grief response has persisted for an atypically long period of time following the loss, markedly exceeding expected social, cultural or religious norms for the individual's culture and context. Grief responses lasting for less than 6 months, and for longer periods in some cultural contexts, should not be regarded as meeting this requirement.
  • The disturbance results in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. If functioning is maintained, it is only through significant additional effort.

Compared to the DSM-5-TR diagnostic criteria, the ICD-11 requires grief responses to be present for only six months in adults as compared to one year in the DSM-5-TR.

Diagnostic criteria for PGD for inclusion in the DSM-5 and ICD-11 were proposed and revised as early as 2009.[7] However, the DSM-5 did not include PGD, only later being included in the DSM-5-TR.

Assessment tools

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Multiple assessment tools specifically for grief related to bereavement have been developed. The Brief Grief Questionnaire, the 13-item Prolonged Grief-13-R and the 19 item Inventory for Prolonged Grief are screening tools which may suggest the presence of a prolonged grief disorder, with further interview and grief history inventory required to establish a diagnosis.[20] The Inventory of Complicated Grief (ICG) (developed in 1995) is validaded to assess grief symptoms and remains widely used today.[21][22] According to a 2020 systematic review, there were eleven assessment tools, three of which are designed for clinical interviews.[3] The Traumatic Grief Inventory Self-Report[23] was the only assessment tool found to have empirical evidence supporting use as a diagnostic tool.[3]

Causes

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No specific causes guarantee onset of PGD. Known risk factors include one-time incidents along with chronic conditions and neurological abnormalities. One-time incidents include:

  • The death was due to a violent method, such as homicide or suicide[24]
  • The death occurred in a hospital[25]
  • Miscarriage[26]
  • Lack of preparation for death, or high levels of anticipatory grief[27][28][1]

Long-term predictors include:

PGD may be associated with activation of the nucleus accumbens[37]

These risk factors and clinical correlates have been largely shown to relate to PGD symptoms and not symptoms of major depressive disorder, posttraumatic stress disorder and generalized anxiety disorder.[29][38]

Management

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Treatment is strongly recommended for prolonged grief disorder.[20] The first line treatment is Grief Focused Psychotherapy.[39][40] Specifically, Prolonged Grief Therapy has the best evidence of effectiveness.[20] Antidepressants may be combined with grief focused therapy when one is having symptoms of concomitant depression, including co-existing major depression.[20] However, medications as a sole therapy for grief related symptoms has not been shown to be helpful and is not recommended.[20][41]

A combination of relational and cognitive-behavioral interventions have shown evidence for efficacy when treating individuals who have lost loved ones to suicide.[13] This includes interventions that target the client's sense of self and lingering emotional attachment to the deceased, as well as any experiences of intrusion, anxiety, and/or avoidance. Acceptance of irreversibility of the death is considered a prerequisite for acceptance and acknowledgement of the loss. Exposure therapy has mixed evidence and in some cases intensifies symptoms, suggesting effectiveness does not vary significantly compared to non-exposure therapies especially with comorbid PTSD.[42][13] Group therapy has mixed evidence, and has been shown to be less helpful when compared to other treatments.[13]

Epidemiology

[edit]

According to a 2017 meta-analysis, prevalence of prolonged grief is estimated to be 9.8%, although higher prevalence estimates, as high as 49%, are possible if the death was not due to natural causes.[4][43][44] PGD is also more prevalent when the death is by a violent method such as homicide or suicide, with an estimated 70% of those with PGD in the study having been exposed to bereavement by a violent method.[24] Conversely, PGD is less common in cases where the bereaved death was due to natural disasters.[44][45] PGD has higher prevalence in women.[24][44] There is a high comorbidity rate with somatic symptom disorders,[9] depression, anxiety and post-traumatic stress disorder, with PGS being observed as heterogenous.[46]

There exists conflicting evidence on whether PGD is more or less common in eastern countries compared to western countries.[4][44]

History

[edit]

The DSM-IV and ICD-10 do not distinguish between normal and prolonged grief.[47][48] Based on numerous findings of maladaptive effects of prolonged grief, diagnostic criteria for PGD have been proposed for inclusion in the DSM-5 and ICD-11.[7][49] In 2018, the WHO included PGD in the ICD-11,[50] and in March 2022 the American Psychiatric Association added PGD in the DSM-5-TR.[18]

The proposed diagnostic criteria were the result of statistical analysis of a set of criteria agreed upon by a panel of experts.[7][51] The analyses produced criteria that were the most accurate markers of bereaved individuals with painful, persistent, destructive PGD.[7] The criteria for PGD have been validated and dozens of studies both internationally and domestically are being conducted, and published, that validate the PGD criteria in other cultures, kinship relationships to the deceased and causes of death (e.g. earthquakes, tsunami, war, genocide, fires, bombings, palliative and acute care settings).[52][53]

Traumatic grief (TG) or complicated grief was a term initially used to identify a complex syndrome in which an individual experiences a unique distress resulting from the simultaneous occurrence of psychological trauma and the loss of a loved one. It was understood to be closely related to, but distinguished from, normal grief and post traumatic stress disorder. The central components originally included yearning, separation distress, and inability to acknowledge the loss.[54]

Controversy

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Although evidence suggesting the validity of PGD has existed since 1995,[16] its inclusion into the DSM-5-TR and ICD-11 was slow, including many rejections of earlier proposals for inclusion as a diagnosis. Part of the rationale for this rejection was a concern that "[...] introducing a grief diagnosis would pathologize normal grief reactions and potentially lead to over-prescription of psychotropic medication for the bereaved."[55]

Recognizing prolonged grief as a disorder was argued to allow it to be better understood, detected, studied and treated. Insurance companies would also be more likely reimburse its care. However, inclusion of PGD in the DSM-5 and ICD-11 was thought at risk of being misunderstood as medicalization of grief, reducing its dignity, turning love into pathology and implying that survivors should quickly forget and "get over" the loss. Bereaved persons may be insulted by having their distress labeled as a mental disorder. While stigmatization would not be the intent, it might be an unintended consequence. In spite of this concern, studies have shown good accuracy for the ICD-11 and DSM-5-TR definitions, and that nearly all bereaved individuals who met the criteria for PGD were receptive to treatment and their families relieved to know they had a recognizable syndrome.[56] In addition, a 2020 study found that labeling PGD symptoms with a grief-specific diagnosis does not produce additional public stigma beyond the stigma of these severe grief reactions alone.[57]

Stigma

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Historically, there have been systemic consequences for family members that survive a loved one's suicide. During the Middle Ages families were often excommunicated and taxed by the Church if a family member had died by suicide. This often led to families losing their landholdings, inevitably being forced to live in poverty or emigrate to another region.[58]

Some insurance policies prevent benefits from being accessed if an individual has died by suicide within a certain timeframe of taking out the policy.[58]

References

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  1. ^ a b Zordan, Rachel D.; Bell, Melanie L.; Price, Melanie; Remedios, Cheryl; Lobb, Elizabeth; Hall, Christopher; Hudson, Peter (2019-02-15). "Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study". Palliative and Supportive Care. 17 (5): 507–514. doi:10.1017/s1478951518001013. ISSN 1478-9515. PMID 30767818. S2CID 73430241.
  2. ^ Mutabaruka, Jean; Séjourné, Nathalène; Bui, Eric; Birmes, Philippe; Chabrol, Henri (2011-10-05). "Traumatic Grief and Traumatic Stress in Survivors 12 Years after the Genocide in Rwanda". Stress and Health. 28 (4): 289–296. doi:10.1002/smi.1429. ISSN 1532-3005. PMID 22282057.
  3. ^ a b c Treml, Julia; Kaiser, Julia; Plexnies, Anna; Kersting, Anette (September 2020). "Assessing prolonged grief disorder: A systematic review of assessment instruments". Journal of Affective Disorders. 274: 420–434. doi:10.1016/j.jad.2020.05.049. ISSN 0165-0327. PMID 32663972. S2CID 219497064.
  4. ^ a b c Lundorff, Marie; Holmgren, Helle; Zachariae, Robert; Farver-Vestergaard, Ingeborg; O'Connor, Maja (April 2017). "Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis". Journal of Affective Disorders. 212: 138–149. doi:10.1016/j.jad.2017.01.030. ISSN 0165-0327. PMID 28167398.
  5. ^ Sekowski, M; Prigerson, H. G. (November 2022). "Associations between symptoms of prolonged grief disorder and depression and suicidal ideation". British Journal of Clinical Psychology. 61 (4): 1211–1218. doi:10.1111/bjc.12381. ISSN 0144-6657. PMID 35869636. S2CID 250990108.
  6. ^ a b Prigerson HG, Bridge J, Maciejewski PK, Beery LC, Rosenheck RA, Jacobs SC, et al. (December 1999). "Influence of traumatic grief on suicidal ideation among young adults". The American Journal of Psychiatry. 156 (12): 1994–5. doi:10.1176/ajp.156.12.1994. PMID 10588419. S2CID 39108484.
  7. ^ a b c d e f g Prigerson HG, Horowitz MJ, Jacobs SC, Parkes CM, Aslan M, Goodkin K, et al. (August 2009). Brayne C (ed.). "Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11". PLOS Medicine. 6 (8): e1000121. doi:10.1371/journal.pmed.1000121. PMC 2711304. PMID 19652695.
  8. ^ a b c d e f Prigerson HG, Bierhals AJ, Kasl SV, Reynolds CF, Shear MK, Day N, et al. (May 1997). "Traumatic grief as a risk factor for mental and physical morbidity". The American Journal of Psychiatry. 154 (5): 616–23. doi:10.1176/ajp.154.5.616. PMID 9137115.
  9. ^ a b c Rosner, Rita; Rimane, Eline; Vogel, Anna; Rau, Jörn; Hagl, Maria (2018-04-20). "Treating prolonged grief disorder with prolonged grief-specific cognitive behavioral therapy: study protocol for a randomized controlled trial". Trials. 19 (1): 241. doi:10.1186/s13063-018-2618-3. ISSN 1745-6215. PMC 5910599. PMID 29678193.
  10. ^ Silverman GK, Jacobs SC, Kasl SV, Shear MK, Maciejewski PK, Noaghiul FS, Prigerson HG (July 2000). "Quality of life impairments associated with diagnostic criteria for traumatic grief". Psychological Medicine. 30 (4): 857–62. doi:10.1017/S0033291799002524. PMID 11037094. S2CID 25793130.
  11. ^ a b Irwin M, Daniels M, Weiner H (1987). "Immune and neuroendocrine changes during bereavement". Psychiatr Clin North Am. 10 (3): 449–465. doi:10.1016/S0193-953X(18)30554-9. PMID 3317313.
  12. ^ Males, Mike (September 1991). "Teen Suicide and Changing Cause-of-Death Certification, 1953-1987". Suicide and Life-Threatening Behavior. 21 (3): 245–258. doi:10.1111/j.1943-278x.1991.tb00948.x. ISSN 0363-0234. PMID 1759298.
  13. ^ a b c d Tal Young, I.; Iglewicz, A.; Glorioso, D.; Lanouette, N.; Seay, K.; Ilapakurti, M.; Zisook, S. (June 2012). "Suicide bereavement and complicated grief". Bereavement and Complicated Grief. 14 (2): 177–186. doi:10.31887/dcns.2012.14.2/iyoung. ISSN 2608-3477. PMC 3384446. PMID 22754290.
  14. ^ Szuhany, Kristin L.; Malgaroli, Matteo; Miron, Carly D.; Simon, Naomi M. (June 2021). "Prolonged Grief Disorder: Course, Diagnosis, Assessment, and Treatment". FOCUS. 19 (2): 161–172. doi:10.1176/appi.focus.20200052. ISSN 1541-4094. PMC 8475918. PMID 34690579.
  15. ^ a b Frances, A. (2012, February 28). When Good Grief Goes Bad. The Huffington Post. Retrieved from http://www.huffingtonpost.com/allen-frances/grief-depression_b_1301050.html
  16. ^ a b Prigerson HG, Frank E, Kasl SV, Reynolds CF, Anderson B, Zubenko GS, et al. (January 1995). "Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses". The American Journal of Psychiatry. 152 (1): 22–30. CiteSeerX 10.1.1.466.8151. doi:10.1176/ajp.152.1.22. PMID 7802116.
  17. ^ Prigerson, Holly G.; Boelen, Paul A.; Xu, Jiehui; Smith, Kirsten V.; Maciejewski, Paul K. (2021-01-12). "Validation of the new DSM‐5‐TR criteria for prolonged grief disorder and the PG‐13‐Revised (PG‐13‐R) scale". World Psychiatry. 20 (1): 96–106. doi:10.1002/wps.20823. ISSN 1723-8617. PMC 7801836. PMID 33432758. S2CID 231579446.
  18. ^ a b Diagnostic and statistical manual of mental disorders : DSM-5-TR. American Psychiatric Association (Fifth edition, text revision ed.). Washington, DC. 2022. ISBN 978-0-89042-575-6. OCLC 1288423302.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
  19. ^ "ICD-11 for Mortality and Morbidity Statistics". icd.who.int. Retrieved 2022-05-15.
  20. ^ a b c d e Simon, Naomi M.; Shear, M. Katherine (3 October 2024). "Prolonged Grief Disorder". New England Journal of Medicine. 391 (13): 1227–1236. doi:10.1056/NEJMcp2308707.
  21. ^ Prigerson HG, Maciejewski PK, Reynolds CF, Bierhals AJ, Newsom JT, Fasiczka A, et al. (November 1995). "Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss". Psychiatry Research. 59 (1–2): 65–79. doi:10.1016/0165-1781(95)02757-2. PMID 8771222. S2CID 34298459.
  22. ^ Kustanti, Christina Yeni; Chu, Hsin; Kang, Xiao Linda; Liu, Doresses; Pien, Li-Chung; Jen, Hsiu-Ju; Shen, Shu-Tai H.; Chen, Jin-Hua; Chou, Kuei-Ru (August 2021). "Evaluation of the performance of instruments to diagnose grief disorders: A diagnostic meta-analysis". International Journal of Nursing Studies. 120: 103972. doi:10.1016/j.ijnurstu.2021.103972. ISSN 0020-7489. PMID 34098452. S2CID 235370943.
  23. ^ Boelen, Paul A.; Smid, Geert E. (2017-01-27). "The Traumatic Grief Inventory Self-Report Version (TGI-SR): Introduction and Preliminary Psychometric Evaluation". Journal of Loss and Trauma. 22 (3): 196–212. doi:10.1080/15325024.2017.1284488. ISSN 1532-5024. S2CID 151537220.
  24. ^ a b c Heeke, Carina; Kampisiou, Christina; Niemeyer, Helen; Knaevelsrud, Christine (2017-12-29). "A systematic review and meta-analysis of correlates of prolonged grief disorder in adults exposed to violent loss". European Journal of Psychotraumatology. 8 (sup6): 1583524. doi:10.1080/20008198.2019.1583524. ISSN 2000-8198. PMC 6442112. PMID 30949303.
  25. ^ Wright AA, Keating NL, Balboni TA, Matulonis UA, Block SD, Prigerson HG (October 2010). "Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers' mental health". Journal of Clinical Oncology. 28 (29): 4457–64. doi:10.1200/JCO.2009.26.3863. PMC 2988637. PMID 20837950.
  26. ^ Kersting A, Wagner B (June 2012). "Complicated grief after perinatal loss". Dialogues in Clinical Neuroscience. 14 (2): 187–94. doi:10.31887/DCNS.2012.14.2/akersting. PMC 3384447. PMID 22754291.
  27. ^ Barry LC, Kasl SV, Prigerson HG (2002). "Psychiatric disorders among bereaved persons: the role of perceived circumstances of death and preparedness for death". The American Journal of Geriatric Psychiatry. 10 (4): 447–57. doi:10.1176/appi.ajgp.10.4.447. PMID 12095904.
  28. ^ Hebert RS, Dang Q, Schulz R (June 2006). "Preparedness for the death of a loved one and mental health in bereaved caregivers of patients with dementia: findings from the REACH study". Journal of Palliative Medicine. 9 (3): 683–93. doi:10.1089/jpm.2006.9.683. PMID 16752974.
  29. ^ a b Vanderwerker LC, Jacobs SC, Parkes CM, Prigerson HG (February 2006). "An exploration of associations between separation anxiety in childhood and complicated grief in later life". The Journal of Nervous and Mental Disease. 194 (2): 121–3. doi:10.1097/01.nmd.0000198146.28182.d5. PMID 16477190. S2CID 8995920.
  30. ^ Johnson JG, Zhang B, Greer JA, Prigerson HG (January 2007). "Parental control, partner dependency, and complicated grief among widowed adults in the community". The Journal of Nervous and Mental Disease. 195 (1): 26–30. doi:10.1097/01.nmd.0000252009.45915.b2. PMID 17220736. S2CID 45358849.
  31. ^ Silverman GK, Johnson JG, Prigerson HG (2001). "Preliminary explorations of the effects of prior trauma and loss on risk for psychiatric disorders in recently widowed people". The Israel Journal of Psychiatry and Related Sciences. 38 (3–4): 202–15. PMID 11725418.
  32. ^ Mitchell AM, Kim Y, Prigerson HG, Mortimer-Stephens M (2004). "Complicated grief in survivors of suicide". Crisis. 25 (1): 12–8. doi:10.1027/0227-5910.25.1.12. PMID 15384652.
  33. ^ van Doorn C, Kasl SV, Beery LC, Jacobs SC, Prigerson HG (September 1998). "The influence of marital quality and attachment styles on traumatic grief and depressive symptoms". The Journal of Nervous and Mental Disease. 186 (9): 566–73. doi:10.1097/00005053-199809000-00008. PMID 9741563.
  34. ^ Sekowski, M; Prigerson, HG (2022). "Disorganized attachment and prolonged grief". Journal of Clinical Psychology. 78 (9): 1806–1823. doi:10.1002/jclp.23325. ISSN 0021-9762.
  35. ^ Sekowski, M.; Prigerson, H. G. (2021-07-01). "Associations between interpersonal dependency and severity of prolonged grief disorder symptoms in bereaved surviving family members". Comprehensive Psychiatry. 108: 152242. doi:10.1016/j.comppsych.2021.152242. ISSN 0010-440X. PMID 33979631. S2CID 234486311.
  36. ^ Sekowski, M.; Prigerson, H. G. (2021). "Conflicted or close: Which relationships to the deceased are associated with loss-related psychopathology?". British Journal of Clinical Psychology. 61 (2): 510–526. doi:10.1111/bjc.12344. ISSN 2044-8260. PMID 34724233. S2CID 240422216.
  37. ^ O'Connor MF, Wellisch DK, Stanton AL, Eisenberger NI, Irwin MR, Lieberman MD (August 2008). "Craving love? Enduring grief activates brain's reward center". NeuroImage. 42 (2): 969–72. doi:10.1016/j.neuroimage.2008.04.256. PMC 2553561. PMID 18559294.
  38. ^ McDermott OD, Prigerson HG, Reynolds CF, Houck PR, Dew MA, Hall M, et al. (March 1997). "Sleep in the wake of complicated grief symptoms: an exploratory study". Biological Psychiatry. 41 (6): 710–6. doi:10.1016/S0006-3223(96)00118-7. PMID 9066995. S2CID 22306103.
  39. ^ Shear K, Frank E, Houck PR, Reynolds CF (June 2005). "Treatment of complicated grief: a randomized controlled trial". JAMA. 293 (21): 2601–8. doi:10.1001/jama.293.21.2601. PMC 5953417. PMID 15928281.
  40. ^ Boelen PA, de Keijser J, van den Hout MA, van den Bout J (April 2007). "Treatment of complicated grief: a comparison between cognitive-behavioral therapy and supportive counseling". Journal of Consulting and Clinical Psychology. 75 (2): 277–84. doi:10.1037/0022-006X.75.2.277. PMID 17469885.
  41. ^ Shear, M. Katherine; Reynolds, Charles F.; Simon, Naomi M.; Zisook, Sidney; Wang, Yuanjia; Mauro, Christine; Duan, Naihua; Lebowitz, Barry; Skritskaya, Natalia (1 July 2016). "Optimizing Treatment of Complicated Grief: A Randomized Clinical Trial". JAMA Psychiatry. 73 (7): 685. doi:10.1001/jamapsychiatry.2016.0892. PMC 5735848.
  42. ^ Eddinger, Jasmine R.; Hardt, Madeleine M.; Williams, Joah L. (2019-06-13). "Concurrent Treatment for PTSD and Prolonged Grief Disorder: Review of Outcomes for Exposure- and Nonexposure-Based Treatments". OMEGA - Journal of Death and Dying. 83 (3): 446–469. doi:10.1177/0030222819854907. ISSN 0030-2228. PMID 31194639. S2CID 189813903.
  43. ^ Boelen, Paul; Lenferink, Lonneke (2020). "Comparison of six proposed diagnostic criteria sets for disturbed grief". Psychiatry Research. 285: 112786. doi:10.1016/j.psychres.2020.112786. PMID 32000105. S2CID 210928314.
  44. ^ a b c d Djelantik, A.A.A. Manik J.; Smid, Geert E.; Mroz, Anna; Kleber, Rolf J.; Boelen, Paul A. (March 2020). "The prevalence of prolonged grief disorder in bereaved individuals following unnatural losses: Systematic review and meta regression analysis". Journal of Affective Disorders. 265: 146–156. doi:10.1016/j.jad.2020.01.034. ISSN 0165-0327. PMID 32090736. S2CID 211262942.
  45. ^ Tal, Ilanit; Mauro, Christine; Reynolds, Charles F.; Shear, M. Katherine; Simon, Naomi; Lebowitz, Barry; Skritskaya, Natalia; Wang, Yuanjia; Qiu, Xin; Iglewicz, Alana; Glorioso, Danielle (2016-11-28). "Complicated grief after suicide bereavement and other causes of death". Death Studies. 41 (5): 267–275. doi:10.1080/07481187.2016.1265028. ISSN 0748-1187. PMID 27892842. S2CID 205585458.
  46. ^ Komischke-Konnerup, Katrine B.; Zachariae, Robert; Johannsen, Maja; Nielsen, Louise Dyrvig; O'Connor, Maja (April 2021). "Co-occurrence of prolonged grief symptoms and symptoms of depression, anxiety, and posttraumatic stress in bereaved adults: A systematic review and meta-analysis". Journal of Affective Disorders Reports. 4: 100140. doi:10.1016/j.jadr.2021.100140. ISSN 2666-9153. S2CID 233565546.
  47. ^ American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). Washington: American Psychiatric Press. ISBN 978-0-89042-062-1.[page needed]
  48. ^ National Center for Health Statistics (2009) International Classification of Diseases, Tenth Revision (ICD-10).; Available at: CDC. Accessed 12 July 2012.
  49. ^ Boelen PA, Prigerson HG (October 2012). "Commentary on the inclusion of persistent complex bereavement-related disorder in DSM-5". Death Studies. 36 (9): 771–94. doi:10.1080/07481187.2012.706982. PMID 24563927. S2CID 44547916.
  50. ^ Kilikelly, Clare; Zhou, Ningning; Merzhvynska, Mariia; Stelzer, Eva-Maria; Dotschung, Tenzin; Rohner, Stefan; Sun, Lea Han; Maercker, Andreas (2020). "Development of the International Prolonged Grief Disorder Scale for the ICD-11: measurement of core symptoms and culture items adapted for Chinese and German-speaking samples". Journal of Affective Disorders. 277: 568–576. doi:10.1016/j.jad.2020.08.057. PMID 32896722.
  51. ^ Prigerson HG, Shear MK, Jacobs SC, Reynolds CF, Maciejewski PK, Davidson JR, et al. (January 1999). "Consensus criteria for traumatic grief. A preliminary empirical test". The British Journal of Psychiatry. 174: 67–73. doi:10.1192/bjp.174.1.67. PMID 10211154. S2CID 19235992.
  52. ^ Rodríguez Villar S, Sánchez Casado M, Prigerson HG, Mesa García S, Rodríguez Villar M, Hortigüela Martín VA, et al. (June 2012). "Prolonged grief disorder in the next of kin of adult patients who die during or after admission to intensive care". Chest. 141 (6): 1635–1636. doi:10.1378/chest.11-3099. PMID 22670028.
  53. ^ Morina N, von Lersner U, Prigerson HG (2011). Laks J (ed.). "War and bereavement: consequences for mental and physical distress". PLOS ONE. 6 (7): e22140. Bibcode:2011PLoSO...622140M. doi:10.1371/journal.pone.0022140. PMC 3134481. PMID 21765944.
  54. ^ Mitchell, Ann M.; Kim, Yookyung; Prigerson, Holly G.; Mortimer-Stephens, MaryKay (January 2004). "Complicated Grief in Survivors of Suicide". Crisis. 25 (1): 12–18. doi:10.1027/0227-5910.25.1.12. ISSN 0227-5910. PMID 15384652.
  55. ^ Reed, Geoffrey M.; First, Michael B.; Billieux, Joël; Cloitre, Marylene; Briken, Peer; Achab, Sophia; Brewin, Chris R.; King, Daniel L.; Kraus, Shane W.; Bryant, Richard A. (2022-05-07). "Emerging experience with selected new categories in the ICD‐11: complex PTSD, prolonged grief disorder, gaming disorder, and compulsive sexual behaviour disorder". World Psychiatry. 21 (2): 189–213. doi:10.1002/wps.20960. ISSN 1723-8617. PMC 9077619. PMID 35524599.
  56. ^ Johnson JG, First MB, Block S, Vanderwerker LC, Zivin K, Zhang B, Prigerson HG (September 2009). "Stigmatization and receptivity to mental health services among recently bereaved adults". Death Studies. 33 (8): 691–711. doi:10.1080/07481180903070392. PMC 2834798. PMID 19697482.
  57. ^ Gonschor, Judith; Eisma, Maarten; Barke, Antonia; Doering, Bettina (2020). "Public stigma towards prolonged grief disorder: Does diagnostic labeling matter?". PLOS ONE. 15 (9): e0237021. Bibcode:2020PLoSO..1537021G. doi:10.1371/journal.pone.0237021. PMC 7485774. PMID 32915800.
  58. ^ a b Feigelman, William; Gorman, Bernard S.; Jordan, John R. (2009-07-10). "Stigmatization and Suicide Bereavement". Death Studies. 33 (7): 591–608. doi:10.1080/07481180902979973. ISSN 0748-1187. PMID 19623760. S2CID 29662441.
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