Department of Psychology, Auburn University Montgomery, Montgomery, Alabama.
Department of Psychiatry, Columbia University, New York, New York.
J Nerv Ment Dis. 2023 May 1;211(5):386-392. doi: 10.1097/NMD.0000000000001618.
In the early 1990s, a research group that included Holly Prigerson and Charles Reynolds established that disordered grief overlaps with depression and anxiety but is not the same. They also developed a research inventory for studying disordered grief. Subsequently, Prigerson focused on measuring disordered grief using advanced psychometric techniques. Because treatment for grief-related depression reduced symptoms of depression but not grief, Katherine Shear was recruited to develop a more effective therapy. Prigerson came to conceptualize disordered grief as prolonged grief that is associated with negative outcomes. Shear came to conceptualize disordered grief as intense grief that is complicated by features that interfere with adaption to the loss. In 2013 a hybrid disorder composed of criteria from both groups was placed in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) appendix. Under the leadership of the DSM Steering Committee, a summit meeting in 2019 helped break an impasse, and a revised prolonged grief disorder became an official DSM diagnosis.
20 世纪 90 年代初，一个包括霍利·普里格森（Holly Prigerson）和查尔斯·雷诺兹（Charles Reynolds）在内的研究小组证实，紊乱性悲伤与抑郁和焦虑有重叠，但并不相同。他们还开发了一种研究紊乱性悲伤的研究清单。随后，普里格森专注于使用先进的心理计量学技术来衡量紊乱性悲伤。由于治疗与悲伤相关的抑郁症可以减轻抑郁症状，但不能减轻悲伤，因此招募了凯瑟琳·谢尔（Katherine Shear）来开发一种更有效的治疗方法。普里格森开始将紊乱性悲伤概念化为与负面结果相关的持续性悲伤。谢尔开始将紊乱性悲伤概念化为强烈的悲伤，其特点是妨碍适应丧失。2013 年，一种由两个小组的标准组成的混合障碍被列入《精神障碍诊断与统计手册》第五版（DSM-5）附录。在 DSM 指导委员会的领导下，2019 年的一次峰会会议帮助打破了僵局，修订后的持续性悲伤障碍成为了一个正式的 DSM 诊断。
