Department of Psychology, Humboldt-Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany.
Medical School Berlin, Calandrellistraße 1-9, 12247 Berlin, Germany.
J Affect Disord. 2018 Mar 15;229:306-313. doi: 10.1016/j.jad.2017.12.095. Epub 2018 Jan 3.
For the next edition of the International Statistical Classification of Diseases (ICD-11) it is proposed to include prolonged grief disorder as a new diagnosis. The diagnosis describes persistent intensive and disabling grief reactions to bereavement (WHO, 2016b). The aim of the present survey was to determine the extent to which the diagnosis is accepted by practitioners in the healthcare and psychosocial field.
A total of 2088 German-speaking professionals in the fields of psychotherapy, psychology, counselling, medicine and palliative care completed the online survey.
42.4% of the participants felt that the advantages of including the diagnosis outweigh the disadvantages, 32.9% came to the conclusion that there are more disadvantages. The remaining 24.7% stated that advantages and disadvantages are balanced. The proposed classification as separate diagnosis was supported by 24.8%, while 60.0% preferred alternatives (e.g. as subtype of adjustment disorder). Furthermore, a time criterion of at least 12 months was voted for considerably more frequently (49.2%) than the proposed 6 months (11.3%). Objections were predominantly expressed with regard to pathologization of normal grief and to the difficulty of adequate crosscultural application of the diagnosis.
Results are limited to predominantly German health-care professionals. The items did not undergo psychometric analyses.
The disagreement about the diagnosis found in specialist literature is also reflected in the responses by the participants. The present results provide stimulation for future questions and validation studies carried out as part of the ICD revision.
为了下一个国际疾病分类（ICD-11）版本，建议将延长哀伤障碍作为一个新的诊断纳入其中。该诊断描述了因丧亲而持续存在的强烈且使人丧失能力的悲伤反应（世界卫生组织，2016b）。本调查旨在确定该诊断在医疗保健和心理社会领域的从业者中被接受的程度。
共有 2088 名德语专业的从事心理治疗、心理学、咨询、医学和姑息治疗的专业人员完成了在线调查。
42.4%的参与者认为纳入该诊断的好处大于坏处，32.9%的参与者认为坏处更多。其余 24.7%的人认为利弊平衡。24.8%的人支持将其作为单独的诊断分类，而 60.0%的人更喜欢替代方案（例如，作为适应障碍的亚型）。此外，赞成至少 12 个月的时间标准的人（49.2%）明显多于赞成 6 个月的时间标准的人（11.3%）。反对的意见主要集中在将正常悲伤病理化以及诊断在跨文化应用中的困难上。
结果仅限于主要来自德国医疗保健专业人员的调查。这些项目没有经过心理测量学分析。
专业文献中对该诊断的分歧也反映在参与者的回应中。本研究结果为 ICD 修订过程中进行的未来问题和验证研究提供了启示。
