Carmassi Claudia, Conversano Ciro, Pinori Marialisa, Bertelloni Carlo Antonio, Dalle Luche Riccardo, Gesi Camilla, Dell'Osso Liliana
Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa.
Riv Psichiatr. 2016 Nov-Dec;51(6):231-237. doi: 10.1708/2596.26722.
An increasing number of data has been recently focused on recognizing pathological grief reactions and on the distinction from physiological processes. Particularly, several studies have supported Complicated Grief (CG) as an independent disorder, in order to define the failure of spontaneous physiological mourning resolution. Upon these studies, the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) with the name of "Persistent Complex Bereavement Disorder". This article aims at retracing the history of clinical research about the physiological and psychopathological processes related to grief and aims at presenting the main scientific studies that have described the features of the CG defining it as a distinct disorder. Similarities and distinctions among CG and Depression, Posttraumatic Stress Disorder and Adjustment Disorder were also reported.
最近,越来越多的数据集中在识别病理性悲伤反应以及将其与生理过程区分开来。特别是,几项研究支持将复杂性悲伤(CG)作为一种独立的障碍,以界定自发的生理哀悼过程未能解决的情况。基于这些研究,《精神疾病诊断与统计手册》(DSM-5)的最新版本将其命名为“持续性复杂丧亲障碍”。本文旨在追溯与悲伤相关的生理和精神病理过程的临床研究历史,并介绍将CG的特征描述为一种独特障碍的主要科学研究。还报告了CG与抑郁症、创伤后应激障碍和适应障碍之间的异同。