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Grief as a psychiatric disorder

  • Richard A. Bryant (a1)
Summary

The revisions DSM-5 and ICD-11 are attempting to describe psychopathological reactions to bereavement. The delineation between depressive disorder and normal bereavement-related depressed state lacks sufficient data to guide diagnostic development. In contrast, there is strong evidence for a diagnosis of prolonged grief that is distinguished from depression and involves marked impairment.

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References
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1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). APA, 1994.
2 World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems (Tenth Revision). WHO, 1992.
3 Wakefield, JC, Schmitz, MF, First, MB, Horwitz, AV. Extending the bereavement exclusion for major depression to other losses: evidence from the National Comorbidity Survey. Arch Gen Psychiatry 2007; 64: 433–40.
4 Kendler, KS, Myers, J, Zisook, S. Does bereavement-related major depression differ from major depression associated with other stressful life events? Am J Psychiatry 2008; 165: 1449–55.
5 Corruble, E, Chouinard, VA, Letierce, A, Gorwood, PA, Chouinard, G. Is DSM-IV bereavement exclusion for major depressive episode relevant to severity and pattern of symptoms? A case–control, cross-sectional study. J Clin Psychiatry 2009; 70: 1091–7.
6 First, MB. DSM-5 proposals for mood disorders: a cost-benefit analysis. Curr Opin Psychiatry 2011; 24: 19.
7 Wakefield, JC. Should uncomplicated bereavement-related depression be reclassified as a disorder in the DSM-5? Response to Kenneth S. Kendler's statement defending the proposal to eliminate the bereavement exclusion. J Nerv Ment Dis 2011; 199: 203–8.
8 Mojtabai, R. Bereavement-related depressive episodes: characteristics, 3-year course, and implications for the DSM-5. Arch Gen Psychiatry 2011; 68: 920–28.
9 American Psychiatric Association. DSM-5 Development: G 04 Adjustment Disorders. APA, 2011 (http://www.dsm5.org/proposedrevision/pages/proposedrevision.aspx?rid=367).
10 Prigerson, HG, Horowitz, MJ, Jacobs, SC, Parkes, CM, Aslan, M, Goodkin, K, et al. Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med 2009; 6: e1000121.
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12 Prigerson, HG, Bierhals, AJ, Kasl, SV, Reynolds, CF, Shear, MK, Day, N, et al. Traumatic grief as a risk factor for mental and physical morbidity. Am J Psychiatry 1997; 154: 616–23.
13 Lichtenthal, WG, Cruess, DG, Prigerson, HG. A case for establishing complicated grief as a distinct mental disorder in DSM-V. Clin Psychol Rev 2004; 24: 637–62.
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15 Shear, K, Frank, E, Houck, PR, Reynolds, CF. Treatment of complicated grief: a randomized controlled trial. JAMA 2005; 293: 2601–8.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Grief as a psychiatric disorder

  • Richard A. Bryant (a1)
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