Weill Cornell Medical College; Cornell Center for Research on End-of-Life Care.
Weill Cornell Medicine; Cornell Center for Research on End-of-Life Care.
Behav Ther. 2024 Nov;55(6):1303-1317. doi: 10.1016/j.beth.2024.07.002. Epub 2024 Jul 9.
Prolonged grief disorder (PGD) is a distinct diagnostic entity that has recently garnered considerable attention as it describes an intense, enduring, distressing and disabling bereavement reaction experienced by a small minority of community-based mourners. In recent decades, research has exploded to address how best to treat PGD with different psychotherapeutic interventions. In this state-of-the-science review, the strength of the evidence will be discussed regarding common psychotherapeutic interventions used to treat grief. Specifically, we focus on the most commonly used interventions, cognitive behavioral (CB)-based therapies, bereavement and support groups, and brief contact interventions (BCIs), in an effort to summarize the relevant clinical takeaways of the current available research. A discussion of the use of these therapies in specific clinical populations is also included, with a focus on those traumatically bereaved, pediatric populations, communities of color, and underserved communities. Important foci and directions for future research are also discussed.
持续性悲伤障碍(PGD)是一种明确的诊断实体,最近引起了相当多的关注,因为它描述了少数社区哀悼者中经历的强烈、持久、痛苦和使人丧失能力的丧亲反应。近几十年来,研究如雨后春笋般涌现,旨在探讨如何通过不同的心理治疗干预措施来治疗 PGD。在本次科学综述中,将讨论针对悲伤治疗常用的心理治疗干预措施的证据强度。具体来说,我们专注于最常用的干预措施,即基于认知行为(CB)的疗法、丧亲支持小组和简短接触干预(BCIs),以总结当前可用研究的相关临床要点。还讨论了这些疗法在特定临床人群中的使用,重点是创伤性丧亲、儿科人群、有色人种社区和服务不足的社区。还讨论了未来研究的重要焦点和方向。