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Maja O'Connor
Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark: Perspectives on future bereavement research
Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
DOI
- https://doi.org/10.1016/j.jad.2019.01.056
Forlagets udgivne version
- Maja O'Connor
- Mathias Lasgaard
- Lene Larsen, Det Nationale Sorgcenter ,
- Maja Johannsen ,
- Marie Lundorff ,
- Ingeborg Farver-Vestergaard
- Paul A. Boelen, Utrecht University, Arq Psychotrauma Expert Group
Background: A distinct grief-specific disorder is included in the ICD-11. Lack of clarity remains regarding whether different proposed diagnostic criteria capture similar or different diagnostic entities. Our aim was to examine the specificity of four proposed diagnostic criteria-sets for pathological grief in a population-based sample. Methods: Participants were 206 conjugally bereaved elderly Danes (59% female; mean age = 72.5 years, SD = 4.2; range 65–81) who completed self-report questionnaires six months post-loss. The main measure was the Danish version of Inventory of Complicated Grief-Revised. Results: Results indicate substantial agreement between Prolonged Grief Disorder (PGD), Persistent Complex Bereavement Disorder (PCBD) and ICD-11-PGD (kappa's = 0.69–0.84), which found 6–9% of cases tested positive for pathological grief. Complicated Grief (CG) was partly in agreement with the three other symptom-diagnostic tests (kappa's = 0.13–0.20), and the prevalence-rate of pathological grief was 48%. Limitations: The low response-rate of 39%. The selective inclusion of data ≥6 months post-loss prevents a comparison of acute and prolonged grief reactions. Using self-reported data, not diagnostic interviews, challenges the validity of our findings. Using a sample of elderly people may limit the generalizability of our results to other age groups. Conclusion: We suggest that PGD, PCBD and ICD-11-PGD may be more discriminative in identifying a specific grief-related psychopathology, while CG may identify a broader set of grief reactions.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Journal of Affective Disorders |
| Vol/bind | 251 |
| Nummer | May |
| Sider (fra-til) | 52-59 |
| Antal sider | 8 |
| ISSN | 0165-0327 |
| DOI | |
| Status | Udgivet - maj 2019 |
Se relationer på Aarhus Universitet Citationsformater
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