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《国际疾病分类第 11 版》和《精神障碍诊断与统计手册第 5 版 - 技术修订版》中的持续性丧亲障碍:一项丧偶人群样本中的因素结构,以及心理社会和与丧失相关的相关性研究。

Prolonged Grief Disorder in ICD-11 and DSM-5-TR: Factor structure, and psychosocial and loss-related correlates in a sample of widowed persons.

机构信息

Instytut Psychologii, Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej, Warszawa, Polska.

Instytut Psychologii, Uniwersytet Marii Curie-Skłodowskiej w Lublinie, Polska.

出版信息

Psychiatr Pol. 2024 Apr 30;58(2):265-276. doi: 10.12740/PP/159024.

Abstract

OBJECTIVES

This study sought to determine whether the symptoms of prolonged grief disorder (PGD) according to ICD-11 and DSM-5-TR have a unifactorial structure. Second, we sought to determine the sociodemographic and loss-related correlates of PGD symptom severity according to ICD-11 and DSM-5-TR.

METHODS

People who had lost a spouse (N = 144) in the past six months were examined using the Polish versions of the Prolonged Grief Disorder-13 scale (PG-13) and Inventory of Complicated Grief (ICG). Selected PG-13 and ICG items were included in the analyses to cover the PGD criteria according to ICD-11 and DSM-5-TR.

RESULTS

Confirmatory factor analyses supported the one-dimensional structure of both sets of symptoms of the disorder. Briefer time since loss and loss due to an accident were associated with PGD symptom severity according to both ICD-11 and DSM-5-TR.

CONCLUSIONS

PGD is a one-dimensional and internally consistent psychopathological syndrome. Widows and widowers who have recently lost their spouse due to an accident may be at especially heightened risk of developing severe levels of PGD symptoms.

摘要

目的

本研究旨在确定 ICD-11 和 DSM-5-TR 中描述的持续性丧亲障碍(PGD)症状是否具有单因素结构。其次,我们试图根据 ICD-11 和 DSM-5-TR 确定 PGD 症状严重程度的社会人口学和与丧失相关的相关性。

方法

在过去六个月内失去配偶的人(N=144)接受了波兰语版的延长悲伤障碍-13 量表(PG-13)和复杂悲伤清单(ICG)的检查。选择 PG-13 和 ICG 的项目包括在分析中,以涵盖根据 ICD-11 和 DSM-5-TR 的 PGD 标准。

结果

验证性因素分析支持该疾病两组症状的一维结构。丧失时间较短和因事故导致的丧失与根据 ICD-11 和 DSM-5-TR 评估的 PGD 症状严重程度相关。

结论

PGD 是一种一维的、内部一致的心理病理综合征。最近因事故失去配偶的寡妇和鳏夫可能特别容易出现严重的 PGD 症状。

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