UCD School of Psychology, Newman Building, University College Dublin, Belfield, Dublin 4, Ireland; UCD Centre for Disability Studies, University College Dublin, Belfield, Dublin 4, Ireland.
Irish Hospice Foundation, Morrison Chambers, Nassau St, Dublin 2, Ireland.
Patient Educ Couns. 2017 Aug;100(8):1447-1458. doi: 10.1016/j.pec.2017.03.010. Epub 2017 Mar 6.
A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG).
PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. Searches were executed from inception to September 2014.
The electronic search yielded 305 results. Forty-one papers were selected for full text review, 20 were included for analysis. 6 examined primary data, the remaining 14 being reviews, opinion or guideline pieces.
Despite the lack of consensus on terminology, criteria and diagnosis, it appears that there is more than sufficient agreement within the CG research community regarding the knowledge and skills required to assist someone presenting with CG. A palpable fear of medicalising grief exists, but this would seem to be based on a conflation of normal grief and CG. This review highlights the mainly unidirectional nature of current research, the voice of the practitioner being largely unheard. A need for and an interest in training in CG was expressed.
There is an urgent need to translate research findings into clinical practice. Training must take account of attitudinal barriers to implementation, balancing evidence and stories.
通过系统评价和定性综合，推断心理健康专业人员对复杂悲伤（CG）的知识、态度、技能和培训情况。
使用 PsychInfo、Embase、Medline、CINAHL、PBSC、Web of Science 和 ERIC 数据库，检索相关文献。检索时间从建库至 2014 年 9 月。
电子检索得到 305 项结果。选择 41 篇全文进行评估，20 篇被纳入分析。其中 6 篇为原始数据研究，其余 14 篇为综述、观点或指南文章。
尽管在术语、标准和诊断方面缺乏共识，但在 CG 研究界内，似乎对于帮助出现 CG 的人所需的知识和技能有足够的共识。人们对将悲伤医学化存在明显的恐惧，但这似乎是基于将正常悲伤和 CG 混为一谈。本综述强调了当前研究的主要单向性，从业者的声音在很大程度上被忽视。表达了对 CG 培训的需求和兴趣。
迫切需要将研究结果转化为临床实践。培训必须考虑到实施的态度障碍，平衡证据和故事。
