Colvin Charisse, Ceide Mirnova
Montefiore Medical Center, Bronx, NY USA.
Curr Geriatr Rep. 2021;10(3):116-123. doi: 10.1007/s13670-021-00362-w. Epub 2021 Nov 18.
The objective of this review is to provide background on common theories of grief, describe the impact of grief on older adults and to introduce various modalities that are currently used and/or being researched for treatment. The objective is also to condense information and identify what has been found beneficial versus what has been found lacking. A brief examination of overlap of other disorders is done. It also will suggest what further research is necessary on this subject, and highlight what research is being done during the COVID-19 Pandemic.
The latest research of grief primarily involves refining the definitions of grief. More concrete definitions of grief will help for better screening tools, and thus target interventions more appropriately. There is considerable need for applying it to the unique and real-world COVID-19 pandemic.
Grief disorders are relatively common and the symptoms overlap other disorders. Since the treatments differ, identifying grief disorders is important, especially in the elderly who are more susceptible to grief disorders. Therapy improves grief better than medications, but medications will help with any co-occurring disorders. No clear superior therapy has been identified but research continues. The pandemic has highlighted the need to refine the definitions of grief disorders and to treat them effectively.
本综述旨在提供悲伤常见理论的背景知识,描述悲伤对老年人的影响,并介绍目前正在使用和/或正在研究的各种治疗方式。其目的还在于精简信息,确定已发现的有益之处与不足之处。简要考察其他疾病的重叠情况。它还将提出关于该主题需要进一步开展哪些研究,并强调在新冠疫情期间正在进行的研究。
悲伤的最新研究主要涉及完善悲伤的定义。更具体的悲伤定义将有助于开发更好的筛查工具,从而更恰当地针对干预措施。非常有必要将其应用于独特的现实世界中的新冠疫情。
悲伤障碍相对常见,其症状与其他疾病重叠。由于治疗方法不同,识别悲伤障碍很重要,尤其是在更容易患悲伤障碍的老年人中。心理治疗比药物治疗更能改善悲伤情绪,但药物有助于治疗任何并发疾病。尚未确定明显更优的治疗方法,但研究仍在继续。疫情凸显了完善悲伤障碍定义并有效治疗它们的必要性。