A current challenge in classification and treatment of DSM-5-TR prolonged grief disorder.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-04-27 DOI:10.1037/tra0001510
Mohsen Khosravi, Rashya Kasaeiyan
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Abstract

This letter discusses the current challenge in classification and treatment of DSM-5-TR prolonged grief disorder. Prolonged grief disorder (PGD) is among the new mental disorders included in the DSM-5-TR section II, a chapter about trauma and stressor-related disorders. By definition, PGD is a maladaptive response to the death of a loved one characterized by a period of at least 12 months of persistent yearning for or preoccupation with the deceased and disabling symptoms such as disbelief about the death, avoidance, emotional numbness, identity disruption, intense emotional pain, loneliness, a sense that life is meaningless, and failure to move forward. This syndrome occurs in 9.8% of bereaved survivors and may be associated with increased risk of medical conditions (e.g., cardiovascular disease, cancer, and immunological dysfunction), substance use disorders (particularly increased tobacco and alcohol use), suicidality, and diminished quality of life. Given that PGD has clinical similarities with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD), recent studies have evaluated selective serotonin reuptake inhibitors (SSRIs) in the treatment of this novel DSM-5-TR diagnosis. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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DSM-5-TR 长期悲伤障碍的分类和治疗目前面临的挑战。
这封信讨论了目前在 DSM-5-TR 长期悲伤障碍的分类和治疗方面所面临的挑战。长时悲伤障碍(PGD)是《DSM-5-TR》第二部分(创伤和应激相关障碍章节)中新增的精神障碍之一。根据定义,PGD 是一种对亲人死亡的适应不良反应,其特征是至少 12 个月的时间内持续思念或专注于逝者,并出现一些致残症状,如不相信死亡、逃避、情感麻木、身份认同中断、强烈的情感痛苦、孤独、感觉生活毫无意义以及无法向前迈进。9.8%的丧亲遗属会出现这种综合症,并可能会增加罹患疾病(如心血管疾病、癌症和免疫功能障碍)、药物使用障碍(尤其是烟草和酒精使用增加)、自杀和生活质量下降的风险。鉴于 PGD 与重度抑郁障碍(MDD)和创伤后应激障碍(PTSD)在临床上有相似之处,最近的研究评估了选择性血清素再摄取抑制剂(SSRIs)在治疗这种新的 DSM-5-TR 诊断中的作用。(PsycInfo Database Record (c) 2024 APA,版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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