Dodd Philip C, Guerin Suzanne
St Michael's House, Adare Green, Coolock, Dublin 17, Ireland.
Curr Opin Psychiatry. 2009 Sep;22(5):442-6. doi: 10.1097/YCO.0b013e32832e2a08.
The aim of this article is to present and synthesize recent research on grief and bereavement in people with intellectual disabilities, incorporating relevant studies with the general population.
Work in the general population is currently focusing on achieving greater clarity in our understanding of typical and atypical reactions to grief. Although much of this research is relevant to people with intellectual disabilities, this group also presents unique challenges. These include variation in understanding of death, a continuum of grief reactions including pathological or complicated grief, and additional demands faced by professional carers and staff working in this area. However, the research activity is somewhat limited in that it has relied on small-scale studies.
The possible recognition of prolonged grief disorder as a distinct clinical entity will have a significant impact on research and intervention of people with pathological or complicated grief. To date, no prospective study of grief and bereavement has been conducted among people with intellectual disabilities. This is essential to best understand the course of grief and complicated grief in people with intellectual disabilities and minimize the levels of functional impairment.
本文旨在展示并综合近期关于智力残疾者悲伤与丧亲之痛的研究,并纳入与普通人群相关的研究。
普通人群的研究目前聚焦于更清晰地理解对悲伤的典型和非典型反应。尽管其中许多研究与智力残疾者相关,但该群体也呈现出独特的挑战。这些挑战包括对死亡理解的差异、包括病理性或复杂性悲伤在内的一系列悲伤反应,以及该领域专业护理人员和工作人员面临的额外需求。然而,研究活动在一定程度上受到限制,因为它依赖于小规模研究。
将持续性悲伤障碍识别为一种独特的临床实体可能会对病理性或复杂性悲伤者的研究和干预产生重大影响。迄今为止,尚未对智力残疾者进行悲伤与丧亲之痛的前瞻性研究。这对于最佳理解智力残疾者的悲伤过程和复杂性悲伤,并将功能损害程度降至最低至关重要。