Peri Tuvia, Hasson-Ohayon Ilanit, Garber Sharon, Tuval-Mashiach Rivka, Boelen Paul A
Department of Psychology, Bar-Ilan University, Ramat Gan, Israel;
Department of Psychology, Bar-Ilan University, Ramat Gan, Israel.
Eur J Psychotraumatol. 2016 May 4;7:30687. doi: 10.3402/ejpt.v7.30687. eCollection 2016.
Prolonged grief disorder (PGD) is a potentially disabling condition affecting approximately 10% of bereaved people. It has been suggested that the impaired integration of the loss memory, as expressed in recurrent memories of the loss and disorganization of memory, is involved in the development of PGD. Narrative reconstruction (NR), originally designed for the treatment of posttraumatic stress disorder (PTSD) in an integrative therapy module, and consisting of exposure to the loss memory, detailed written reconstruction of the loss memory narrative and an elaboration of the personal significance of that memory for the bereaved, has been shown to be effective in the treatment of intrusion symptoms.
In light of findings that cognitive behavior therapy (CBT), including cognitive restructuring and exposure, is effective in the treatment of PGD, we suggest the implementation of a somewhat novel therapy module, NR, for the treatment of intrusive phenomena in bereaved patients.
The rationale for the implementation of NR for PGD and a case study of the treatment of a woman suffering from PGD after the death of her father are presented. Therapy took place in a university outpatient training clinic.
Evaluations conducted before and after treatment and at a 3-month follow-up demonstrated the effectiveness of NR in reducing symptoms of PGD and depression. The analysis of spontaneous narratives recorded before and after treatment showed an increased organization of the narratives.
This case report demonstrates an adaptation of NR for the treatment of PGD. The results provide preliminary support for the effectiveness of NR for PGD. The significance of the study and its limitations are discussed.
持续性悲伤障碍（PGD）是一种可能导致功能障碍的疾病，约10%的丧亲者会受到影响。有人认为，在反复出现的丧失记忆和记忆紊乱中表现出的丧失记忆整合受损与PGD的发展有关。叙事重建（NR）最初是在一种综合治疗模块中设计用于治疗创伤后应激障碍（PTSD）的，包括暴露于丧失记忆、详细书面重建丧失记忆叙事以及阐述该记忆对丧亲者的个人意义，已被证明对治疗侵入性症状有效。
鉴于认知行为疗法（CBT），包括认知重构和暴露，对PGD治疗有效，我们建议实施一种 somewhat novel 治疗模块，即NR，用于治疗丧亲患者的侵入性现象。
介绍了对PGD实施NR的理论依据以及一名妇女在其父亲去世后患有PGD的治疗案例研究。治疗在大学门诊培训诊所进行。
治疗前后及3个月随访时进行的评估表明，NR在减轻PGD和抑郁症状方面有效。对治疗前后记录的自发叙事的分析显示叙事的组织性增强。
本病例报告展示了NR对PGD治疗的适应性。结果为NR对PGD的有效性提供了初步支持。讨论了该研究的意义及其局限性。
