Shear M Katherine
Columbia University School of Social Work, Columbia University College of Physicians and Surgeons, New York, NY 10027, USA.
Dialogues Clin Neurosci. 2012 Jun;14(2):119-28. doi: 10.31887/DCNS.2012.14.2/mshear.
Complicated grief is a recently recognized condition that occurs in about 7% of bereaved people. People with this condition are caught up in rumination about the circumstances of the death, worry about its consequences, or excessive avoidance of reminders of the loss. Unable to comprehend the finality and consequences of the loss, they resort to excessive avoidance of reminders of the loss as they are tossed helplessly on waves of intense emotion. People with complicated grief need help, and clinicians need to know how to recognize the symptoms and how to provide help. This paper provides a framework to help clinicans understand bereavement, grief, and mourning. Evidence-based diagnostic criteria are provided to help clinicians recognize complicated grief, and differentiate it from depression as well as anxiety disorder. We provide an overview of risk factors and basic assumptions and principles that can guide treatment.
复杂性哀伤是一种最近才被认识到的状况，约7%的 bereaved 人群会出现这种情况。患有这种状况的人陷入对死亡情形的反复思考、担忧其后果，或过度回避与丧失相关的提示物。由于无法理解丧失的终结性和后果，他们在强烈情感的浪潮中无助地挣扎时，会过度回避与丧失相关的提示物。患有复杂性哀伤的人需要帮助，临床医生需要知道如何识别症状以及如何提供帮助。本文提供了一个框架，以帮助临床医生理解丧亲之痛、哀伤和哀悼。还提供了基于证据的诊断标准，以帮助临床医生识别复杂性哀伤，并将其与抑郁症以及焦虑症区分开来。我们概述了可指导治疗的风险因素以及基本假设和原则。
