Department of Psychology, University of Frankfurt, Varrentrappstr. 40-42, D-60486 Frankfurt am Main, Germany.
Int J Soc Psychiatry. 2010 May;56(3):288-97. doi: 10.1177/0020764008101638. Epub 2009 Jul 10.
This study aimed at examining diagnostic concordance between Prolonged Grief Disorder (PGD), Major Depressive Disorder (MDD), and Posttraumatic Stress Disorder (PTSD) among bereaved war survivors who had lost relatives due to war-related violence.
We investigated the rates of PGD and its association with PTSD and MDD among 60 bereaved people who had lost first-degree relatives due to war-related violence seven years ago and had also experienced other war-related events.
The results indicated that 38.3% of the sample fulfilled the criteria for PGD, 55.0% for PTSD, and 38.3% for MDD. Thirty per cent of the participants without PTSD and 21.6% of those without MDD met criteria for PGD. Women were more likely to have PGD than men. The immediate threat to life was significantly associated with an elevated risk for PTSD and MDD, but not PGD.
The findings suggest that many cases of PGD would be missed by an exclusive focus on PTSD among bereaved war survivors.
本研究旨在检查在因战争相关暴力而失去亲属的丧亲战争幸存者中，延长哀伤障碍（PGD）、重度抑郁症（MDD）和创伤后应激障碍（PTSD）之间的诊断一致性。
我们调查了 60 名丧亲者的 PGD 发生率及其与 PTSD 和 MDD 的关联，这些人在七年前因战争相关暴力失去了直系亲属，并且还经历了其他战争相关事件。
结果表明，该样本中有 38.3%符合 PGD 标准，55.0%符合 PTSD 标准，38.3%符合 MDD 标准。30%没有 PTSD 的参与者和 21.6%没有 MDD 的参与者符合 PGD 标准。女性比男性更容易患有 PGD。直接的生命威胁与 PTSD 和 MDD 的风险增加显著相关，但与 PGD 无关。
研究结果表明，在丧亲的战争幸存者中，如果只关注 PTSD，则可能会错过许多 PGD 病例。
