Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses.
Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses.
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复杂的悲伤和与丧亲之痛相关的抑郁症作为不同的疾病：在老年丧亲配偶中的初步实证验证。
DOI：
10.1176/ajp.152.1.22
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Kupfer,DJ
中科院分区：
文献类型：
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作者：
Prigerson,HG;Frank,E;Kasl,SV;Reynolds3rd,CF;Anderson,B;Zubenko,GS;Houck,PR;George,CJ;Kupfer,DJ
本研究旨在确定是否可以确定一组解释为复杂的悲伤的症状，并从丧亲相关的抑郁症和复杂的悲伤的存在是否会预测持久的功能imperfications.MethodData来自一个研究组的82个最近丧偶的老年人招募调查ofphysiological变化丧亲的人。在受试者配偶死亡后3-6个月收集基线数据，并在基线评估后8个月从56名受试者收集随访数据。用于评估复杂性悲伤的候选项目来自用于评估情绪功能的各种量表（例如，汉密尔顿抑郁评定量表，简明症状量表）。测量的结果变量是全球功能，医疗疾病负担，睡眠，情绪，自尊，和anxiety.ResultsA主成分分析进行的摄入量数据（N= 82）揭示了一个复杂的grieffactor和丧亲抑郁因素。七种症状构成了复杂的悲伤：寻找、思念、对死者的思念、哭泣、对死亡的怀疑、对死亡的震惊和对死亡的不接受。基线复杂的griefscores显着相关的全球功能，情绪，睡眠和自尊在56个科目follow-up.ConclusionsThe复杂的悲伤的症状可能是不同的抑郁症状，并出现与持久的功能障碍。因此，复杂悲伤的症状似乎是一种值得专门治疗的独特疾病。
ObjectiveThis study sought to determine whether a set of symptoms interpreted as cornplicated grief could be identified and distinguished from bereavement-related depression and whether the presence of complicated grief would predict enduring functional impairments.MethodData were derived from a study group of 82 recently widowed elderly individuals recruited for an investigation ofphysiological changes in bereaved persons. Baseline data were collected 3-6 months after the deaths of the subjects’ spouses, and follow-up data were collected from 56 of the subjects I 8 months after the baseline assessments. Candidate items for assessing complicated griefcame from a variety ofscales used to evaluate emotional functioning (eg, the Hamilton Depression Rating Scale, the BriefSymptom Inventory). The outcome variables measured were global functioning, medical illness burden, sleep, mood, self-esteem, and anxiety.ResultsA principal-components analysis conducted on intake data (N= 82) revealed a complicated grieffactor and a bereavement-depression factor. Seven symptoms constituted complicated grief: searching, yearning, preoccupation with thoughts of the deceased, crying, disbelief regarding the death, feeling stunned by the death, and lack of acceptance of the death. Baseline complicated griefscores were significantly associated with impairments in global functioning, mood, sleep, and self-esteem in the 56 subjects available for follow-up.ConclusionsThe symptoms of complicated grief may be distinct from depressive symptoms and appear to be associated with enduring functional impairments. The symptoms of complicated grief, therefore, appear to define a unique disorder deserving of specialized treatment.