Grief as a Risk Factor for Psychosis: A Systematic Review.

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI:10.1007/s11920-024-01512-5

Pablo Del Pozo-Herce, Ana Gonzalo-de Miguel, Luis Gonzalez-Rosas, Octavio Alejandro-Rubio, Carlos Pascual-Lapuerta, Alejandro Porras-Segovia

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Abstract

Purpose of review: The assessment of the risk of triggering psychosis upon exposure to grief is a challenge in clinical practice. Adequate diagnosis and early prevention are essential and may be helpful in the evolution of normal grief. We aimed to identify studies exploring grief as a risk factor for developing psychosis.

Recent findings: A systematic review of 3 databases (PubMed, EMBASE, and Cochrane Library) was conducted.

Results: In the first approach 618 studies were identified. After the selection process, 15 studies were included in the review. The association between grief and the risk of developing psychosis occurred at younger ages (before 18 years of age) in a first-degree relative and as a consequence of suicide or accidental death. We found that risk factors such as comorbidity, mental problems, unemployment, economic difficulties, and close ties with the deceased have a negative impact on health causing greater vulnerability to psychosis with a risk of developing complicated grief, with statistically significant results regarding the associations between early parental death and the probability of developing psychosis in adulthood.

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悲伤是精神病的风险因素：系统回顾

审查目的：在临床实践中，评估因悲伤而引发精神病的风险是一项挑战。适当的诊断和早期预防至关重要，而且可能有助于正常悲伤的演变。我们的目标是找出探讨悲伤作为精神病发病风险因素的研究：我们对 3 个数据库（PubMed、EMBASE 和 Cochrane Library）进行了系统性回顾：第一种方法确定了 618 项研究。经过筛选，15 项研究被纳入综述。悲伤与罹患精神病风险之间的关联发生在一级亲属的较低年龄段（18 岁之前），以及自杀或意外死亡的后果。我们发现，合并症、精神问题、失业、经济困难以及与逝者关系密切等风险因素会对健康产生负面影响，导致更容易患上精神病，并有可能产生复杂的悲痛。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.