Complicated grief and related bereavement issues for DSM-5.
نویسندگان
چکیده
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 article 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.
منابع مشابه
Bereavement, complicated grief, and the rationale for diagnosis in psychiatry
Recent controversies over the DSM-5 raise a foundational question for all diagnostic classifications: what is their underlying purpose? The author raises this question in the context of the proposed elimination of the "bereavement exclusion" from the DSM-5; and the possible addition of the category called "Complicated Grief." The author argues that our psychiatric diagnostic scheme should not b...
متن کاملAbnormal Grief: Should We Consider a More Patient-Centered Approach?
Grief, the psychological reaction to the loss of a significant other, varies complexly in its cause, experience, evolution, and prognosis. Although most bereaved individuals experience a normal grieving process, some develop complicated grief (CG) or major depressive disorder (MDD). The DSM-5, which controversially altered the nosology, recognizes grief-related major depression (GRMD) as a diag...
متن کاملA call to the field: complicated grief in the DSM-5.
While complicated grief has been addressed in part through some recommendations for modifications in the upcoming fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), there remain reasons for substantial concern about its scope therein and within clinical practice. The authors issue a call to the field, reiterating that complicated grief is complicated and cannot ...
متن کاملGrief, Bereavement, and Coping With Loss
Overview Definitions of Terms Grief Bereavement Mourning Types of Grief Reactions Anticipatory Grief Normal or Common Grief Stage Models of Normal Grief Patterns of Complicated Grief Prolonged or Complicated Grief as a Mental Disorder Risk Factors for Complicated Grief and Other Negative Bereavement Outcomes Situational: Expected or Unexpected Death Personal: Personality Characteristics Persona...
متن کاملDivergent gene expression responses to complicated grief and non-complicated grief.
The "widowhood effect" (i.e., morbidity/mortality in recently bereaved spouses) may be related to changes in immune function, but little is known about the impact of bereavement on gene transcription in immune cells. This study examined how Complicated Grief and Non-complicated Grief responses to bereavement differentially affect leukocyte gene expression. Genome-wide transcriptional profiling ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Depression and anxiety
دوره 28 2 شماره
صفحات -
تاریخ انتشار 2011