Maercker Andreas, Lalor John
Division of Psychopathology and Clinical Intervention, University of Zurich, Switzerland.
Dialogues Clin Neurosci. 2012 Jun;14(2):167-76. doi: 10.31887/DCNS.2012.14.2/amaercker.
This review focuses on the similarities and differences between prolonged grief disorder (PGD) and post-traumatic stress disorder (PTSD). It highlights how a PTSD-related understanding aids the investigation and clinical management of PGD. Grief has long been understood as a natural response to bereavement, as serious psychological and physiological stress has been regarded as a potential outcome of extreme or traumatic stress. PTSD was first included in DSM-III in 1980. In the mid-1980s, the first systematic investigation began into whether there is an extreme or pathological form of mourning. Meanwhile, there is much research literature on complicated, traumatic, or prolonged grief This literature is reviewed in this article, with the following questions: Is it possible to distinguish normal from non-normal grief? Which clinical presentation does PGD have-and how does this compare with PTSD? Finally, diagnostic, preventive, and therapeutic approaches and existing tools are presented.
本综述聚焦于持续性悲伤障碍（PGD）与创伤后应激障碍（PTSD）之间的异同。它强调了与PTSD相关的理解如何有助于PGD的调查和临床管理。长期以来，悲伤一直被视为对丧亲之痛的自然反应，因为严重的心理和生理压力被认为是极端或创伤性应激的潜在后果。PTSD于1980年首次被纳入《精神疾病诊断与统计手册》第三版（DSM-III）。在20世纪80年代中期，首次开始系统调查是否存在极端或病理性的哀悼形式。与此同时，有许多关于复杂、创伤性或持续性悲伤的研究文献。本文对这些文献进行了综述，并探讨以下问题：能否区分正常悲伤与非正常悲伤？PGD有哪些临床表现——与PTSD相比如何？最后，介绍了诊断、预防和治疗方法以及现有的工具。
