Psychopathologie & Klinische Intervention, Psychologisches Institut, University of Zurich, Zürich, Switzerland.
Eur J Psychotraumatol. 2010;1. doi: 10.3402/ejpt.v1i0.5558. Epub 2010 Dec 6.
Just as traumatic experiences may lead to posttraumatic stress disorder (PTSD) in some individuals, grief may also be a serious health concern for individuals who have experienced bereavement. At present, neither the DSM-IV nor the ICD-10 recognizes any form of grief as a mental disorder. The aim of this review is to summarize recent advances in definition, assessment, prevention, and treatment of complicated grief disorder (CGD) and to compare CGD with PTSD. Four areas are identified to be of importance to clinicians and researchers: (a) the recently proposed consensus criteria of CGD for DSM-V and ICD-11, (b) available assessment instruments, (c) recent prevention and treatment techniques and related effectiveness studies, and (d) emerging disorder models and research on risks and protective factors. This review focuses on the similarities and differences between CGD and PTSD and highlights how a PTSD-related understanding aids the investigation and clinical management of CGD.
正如创伤性经历可能导致某些人出现创伤后应激障碍（PTSD）一样，悲伤也可能是经历丧亲之痛的人的一个严重健康问题。目前，DSM-IV 和 ICD-10 均不将任何形式的悲伤视为精神障碍。本综述旨在总结复杂悲伤障碍（CGD）的定义、评估、预防和治疗的最新进展，并将 CGD 与 PTSD 进行比较。确定了四个对临床医生和研究人员重要的领域：（a）DSM-V 和 ICD-11 中 CGD 的最新共识标准，（b）现有的评估工具，（c）最近的预防和治疗技术及相关有效性研究，以及（d）新兴的疾病模型和风险及保护因素的研究。本综述重点关注 CGD 和 PTSD 之间的异同，并强调了 PTSD 相关认识如何有助于 CGD 的调查和临床管理。
