Faculty of Medicine, Nursing and Health Sciences, School of Psychological Sciences, Monash University, Clayton, Australia.
Deakin University School of Psychology, Geelong, Australia.
Death Stud. 2022;46(3):764-771. doi: 10.1080/07481187.2020.1782533. Epub 2020 Jun 26.
The removal of the bereavement exclusion criterion from major depressive disorder (MDD) in the 5th edition of generated concerns of over-diagnosing grief. Eight Australian General Practitioners (GPs) were interviewed to explore their application of MDD criteria to recently-bereaved individuals. Thematic analysis found GPs were unaware of the change and reluctant to apply MDD criteria two weeks post-bereavement. Depressive symptoms were viewed as natural grief, with diagnostic labels seen as unnecessary for patient-centered care. Our findings suggest new MDD criteria not being strictly applied by GPs, or no anticipated over-inflation of MDD diagnoses post-bereavement.
第五版《精神障碍诊断与统计手册》取消了重大抑郁障碍（MDD）中的丧亲排除标准，这引发了对过度诊断悲伤的担忧。我们采访了 8 名澳大利亚全科医生，以探讨他们将 MDD 标准应用于最近丧亲的个体的情况。主题分析发现，全科医生并不了解这一变化，也不愿意在丧亲后两周内应用 MDD 标准。抑郁症状被视为自然悲伤，诊断标签被认为对以患者为中心的护理没有必要。我们的研究结果表明，全科医生没有严格应用新的 MDD 标准，或者预计在丧亲后不会过度增加 MDD 的诊断。
