Treml J, Kersting A
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Leipzig, Semmelweisstr. 10, 04103, Leipzig, Deutschland.
Nervenarzt. 2018 Sep;89(9):1069-1078. doi: 10.1007/s00115-018-0577-2.
Grief is a natural response to the loss of a loved one and its intensity usually lessens over time. Approximately 10% of bereaved persons, however, experience persistent symptoms resulting in the development of a prolonged grief disorder (PGD). A PGD shows a distinct symptom cluster and is considered for inclusion as a diagnosis in the upcoming revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11). It is distinct from other mental disorders but symptoms overlap, especially with major depression and posttraumatic stress disorder. In addition to diagnostic criteria and differential diagnosis, the following article also describes prevalence rates, comorbidities, risk factors as well as treatment options for PGD.
悲伤是对失去所爱之人的自然反应,其强度通常会随着时间的推移而减轻。然而,约10%的 bereaved persons会经历持续的症状,从而发展为持久性悲伤障碍(PGD)。PGD呈现出独特的症状群,并在即将修订的《国际疾病和相关健康问题统计分类》(ICD - 11)中被考虑纳入诊断。它与其他精神障碍不同,但症状存在重叠,尤其是与重度抑郁症和创伤后应激障碍。除了诊断标准和鉴别诊断外,以下文章还描述了PGD的患病率、共病情况、危险因素以及治疗选择。