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晚年的复杂性悲伤

Complicated grief in late life.

作者信息

Miller Mark D

机构信息

Western Psychiatric Institute and Clinic, University of Pittsburgh Medical School, Pittsburgh, PA 15213, USA.

出版信息

Dialogues Clin Neurosci. 2012 Jun;14(2):195-202. doi: 10.31887/DCNS.2012.14.2/mmiller.

Abstract

Complicated grief (CG) is a syndrome that affects 10% to 20% of grievers regardless of age, although proportionally more will face the death of loved ones in late life, CG is characterized by preoccupying and disabling symptoms that can persist for decades such as an inability to accept the death, intense yearning or avoidance, frequent reveries, deep sadness, crying, somatic distress, social withdrawal, and suicidal ideation. This syndrome is distinct from major depression and post-traumatic stress disorder, but CG maybe comorbid with each. This communication will focus on the impact of CG in late life (over age 60) and will include a case vignette for illustrating complicated grief therapy.

摘要

复杂性悲伤(CG)是一种综合征,无论年龄大小,10%至20%的悲伤者都会受其影响,尽管晚年丧亲者的比例相对更高。CG的特征是持续数十年的、令人困扰且使人衰弱的症状,如无法接受死亡、强烈的思念或回避、频繁的遐想、深深的悲伤、哭泣、躯体不适、社交退缩和自杀念头。这种综合征与重度抑郁症和创伤后应激障碍不同,但CG可能与它们共病。本文将聚焦于CG对晚年(60岁以上)人群的影响,并将包含一个用于说明复杂性悲伤治疗的病例 vignette。 (注:vignette 此处原英文未翻译完整,推测是医学中某个特定术语相关,这里直接保留英文。)

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