Is prolonged grief distinct from bereavement-related posttraumatic stress?
Is prolonged grief distinct from bereavement-related posttraumatic stress?
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DOI：
10.1016/j.psychres.2009.08.021
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发表时间：
2010-07-30
影响因子：
11.3
通讯作者：
Dalgleish, Tim
中科院分区：
文献类型：
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作者：
Golden, Ann-Marie J.;Dalgleish, Tim
持续性悲伤障碍（PGD）（以前称为复杂性悲伤（CG））被认为是一种独特的损失后综合征，具有自己的核心症状。关于PGD诊断有效性的一个关键问题是它是否可以可靠地与丧亲后的相关精神疾病结果区分开来。因此，本研究试图确定PGD的核心症状是否可以与丧亲相关的焦虑，抑郁和创伤后应激障碍（PTSD）区分开来。数据来自克罗地亚的223个丧失亲人的成年人的社区样本。使用复杂悲伤修订量表测量PGD患者的心理学。抑郁和焦虑症状分别使用贝克抑郁和焦虑量表进行测量。采用修订的事件影响量表评定PTSD患者的侵扰和回避症状。采用主成分分析（PCA）的五个症状群的显着性进行了检查。长期悲伤抑郁焦虑的症状PTSD入侵，PTSD回避聚集在一起，成为五个不同的因素。这些结果支持了长期悲伤症状与丧亲相关的焦虑、抑郁和创伤后应激障碍之间的现象学区别。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Prolonged grief disorder (PGD) (previously called complicated grief (CG)) is proposed as a distinct post loss syndrome, with its own core symptoms. A key issue concerning the diagnostic validity of PGD is whether it can reliably be distinguished from related psychiatric outcomes following bereavement. This study therefore sought to determine whether the core symptoms of PGD could be distinguished from those of bereavement-related anxiety, depression and posttraumatic stress disorder (PTSD). Data were derived from a community sample of 223 bereaved adults in Croatia. PGD symptomatology was measured using the Revised Inventory of Complicated Grief. Depression and anxiety symptoms were measured using the Beck Depression and Anxiety Inventories, respectively. The intrusion and avoidance symptoms of PTSD were assessed using the Revised Impact of Event Scale. The distinctiveness of the five symptom clusters was examined using principal component analysis (PCA). Symptoms of prolonged grief, depression, anxiety. PTSD-intrusion, and PTSD-avoidance clustered together into five distinct factors. These results support the phenomenological distinctiveness of prolonged grief symptoms, from those of bereavement-related anxiety, depression and, for the first time, PTSD. (C) 2009 Elsevier Ireland Ltd. All rights reserved.