Complicated grief and related bereavement issues for DSM-5.
Complicated grief and related bereavement issues for DSM-5.
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DOI：
10.1002/da.20780
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发表时间：
2011-02
影响因子：
7.4
通讯作者：
Keshaviah, Aparna
中科院分区：
文献类型：
--
作者：
Shear, M. Katherine;Simon, Naomi;Wall, Melanie;Zisook, Sidney;Neimeyer, Robert;Duan, Naihua;Reynolds, Charles;Lebowitz, Barry;Sung, Sharon;Ghesquiere, Angela;Gorscak, Bonnie;Clayton, Paula;Ito, Masaya;Nakajima, Satomi;Konishi, Takako;Melhem, Nadine;Meert, Kathleen;Schiff, Miriam;O'Connor, Mary-Frances;First, Michael;Sareen, Jitender;Bolton, James;Skritskaya, Natalia;Mancini, Anthony D.;Keshaviah, Aparna
丧亲之痛是一种严重的压力源，通常会引发痛苦和衰弱的急性悲伤症状，通常会发展到恢复令人满意的生活，如果改变的话。通常情况下，悲伤不需要临床干预。然而，有时急性悲伤可以站稳脚跟，成为一种慢性衰弱的条件称为复杂的悲伤。此外，丧亲之痛造成的压力，像其他压力源一样，会增加其他身体或精神疾病发作或恶化的可能性。因此，一些失去亲人的人需要得到诊断和治疗。一个临床医生评估一个失去亲人的人是在过度和诊断不足的风险，要么病理化一个正常的条件或忽视治疗损害性疾病。DSM IV的作者主要关注过度诊断的问题，由于证据不足而忽略了复杂的悲伤。我们根据新的研究结果重新审视丧亲之痛的考虑。本文主要集中在讨论可能列入一个新的诊断和尺寸评估复杂的悲伤。我们还讨论了丧亲之痛V代码的修改和完善的丧亲之痛排除在重性抑郁症和其他疾病。
Bereavement is a severe stressor that typically incites painful and debilitating symptoms of acute grief that commonly progresses to restoration of a satisfactory, if changed, life. Normally grief does not need clinical intervention. However, sometimes acute grief can gain a foothold and become a chronic debilitating condition called complicated grief. Moreover, the stress caused by bereavement, like other stressors, can increase the likelihood of onset or worsening of other physical or mental disorders. Hence some bereaved people need to be diagnosed and treated. A clinician evaluating a bereaved person is at risk for both over-and under-diagnosis, either pathologizing a normal condition or neglecting to treat an impairing disorder. The authors of DSM IV focused primarily on the problem of over-diagnosis, and omitted complicated grief because of insufficient evidence. We revisit bereavement considerations in light of new research findings. This paper focuses primarily on a discussion of possible inclusion of a new diagnosis and dimensional assessment of complicated grief. We also discuss modifications in the bereavement V code and refinement of bereavement exclusions in major depression and other disorders.
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DOI：
10.1176/appi.ajp.2009.08081244
发表时间：
2009-07
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Brent D;Melhem N;Donohoe MB;Walker M
通讯作者：
Walker M
DOI：
10.1097/00004583-199402000-00012
发表时间：
1994-02-01
影响因子：
13.3
作者：
BRENT, DA;PERPER, JA;CANOBBIO, R
通讯作者：
CANOBBIO, R
影响因子：
4.1
作者：
Boelen, PA;van den Bout, J;van den Hout, MA
通讯作者：
van den Hout, MA
影响因子：
3.8
作者：
Currier, JM;Holland, JM;Neimeyer, RA
通讯作者：
Neimeyer, RA
影响因子：
4
作者：
Deci, EL;La Guardia, JG;Ryan, RM
通讯作者：
Ryan, RM