Rosner Rita, Comtesse Hannah, Vogel Anna, Doering Bettina K
Department of Psychology, Catholic University Eichstaett-Ingolstadt, Eichstaett, Germany.
Department of Psychology, Catholic University Eichstaett-Ingolstadt, Eichstaett, Germany.
J Affect Disord. 2021 May 15;287:301-307. doi: 10.1016/j.jad.2021.03.058. Epub 2021 Mar 26.
Prolonged grief is a disorder (PGD) characterized by severe and disabling grief reactions for an extended period of time after the loss of a significant person. ICD-11 and DSM-5-TR differ substantially in individual criteria.
Estimation of the respective prevalence of PGD and PGD and the frequency with which single symptoms of prolonged grief occur in the general population.
Out of a representative sample of the German general population (N=2498), n = 914 reported a significant loss and prolonged grief symptoms based on the extended version of the self-reported Prolonged Grief Disorder-13+9 (PG13+9). Sociodemographic and loss-related characteristics were collected.
The probable prevalence of PGD was 1.5% and that of PGD was 1.2% in the general sample. Among bereaved persons (n=914), the prevalence of developing PGD was 4.2% and that of PGD was 3.3%. Diagnostic agreement between the two criteria-sets was very high and did not increase after heightening the accessory symptom threshold for PGD. Difficulties accepting the loss was the most frequent single symptom (14-25%) and grief-related impairment was common (10-16%). Over 60% of participants with a probable PGD diagnosis utilized health care services.
Results are based on self-reported data. The PG13+9 was not designed to assess grief symptoms according to ICD-11 and DSM-5-TR diagnostic criteria.
Prolonged grief according to ICD-11 and DSM-5-TR is a notable disorder in the general population. Among bereaved persons, single symptoms of prolonged grief are relatively frequent and cause substantial degrees of impairment.
持续性悲伤障碍（PGD）是一种在失去重要人物后长时间出现严重且使人丧失能力的悲伤反应的病症。国际疾病分类第11版（ICD - 11）和精神疾病诊断与统计手册第5版修订版（DSM - 5 - TR）在个体标准上有很大差异。
估计持续性悲伤障碍（PGD）和持续性复杂丧痛障碍（PGD）各自在普通人群中的患病率，以及持续性悲伤的单一症状出现的频率。
在德国普通人群的代表性样本（N = 2498）中，n = 914人报告了基于自我报告的《持续性悲伤障碍13 + 9扩展版》（PG13 + 9）的重大丧失和持续性悲伤症状。收集了社会人口学和与丧失相关的特征。
在总体样本中，持续性悲伤障碍（PGD）的可能患病率为1.5%，持续性复杂丧痛障碍（PGD）的可能患病率为1.2%。在丧亲者（n = 914）中，发展为持续性悲伤障碍（PGD）的患病率为4.2%，持续性复杂丧痛障碍（PGD）的患病率为3.3%。两个标准集之间的诊断一致性非常高，在提高持续性悲伤障碍（PGD）的附加症状阈值后并未增加。难以接受丧失是最常见的单一症状（14 - 25%），与悲伤相关的功能损害很常见（10 - 16%）。超过60%可能被诊断为持续性悲伤障碍（PGD）的参与者使用了医疗保健服务。
结果基于自我报告数据。PG13 + 9并非根据ICD - 11和DSM - 5 - TR诊断标准设计用于评估悲伤症状。
根据ICD - 11和DSM - 5 - TR，持续性悲伤在普通人群中是一种值得关注的病症。在丧亲者中，持续性悲伤的单一症状相对常见，并导致相当程度的功能损害。
