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Prolonged, but not complicated, grief is a mental disorder

  • Paul K. Maciejewski (a1) and Holly G. Prigerson (a2)
Summary

The DSM and ICD have taken steps to introduce a grief disorder as a new diagnostic entity. Evidence justifies the inclusion of prolonged grief disorder, but not complicated grief, as a new mental disorder.

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Copyright
Corresponding author
Paul K. Maciejewski, Weill Cornell Medicine, Department of Radiology, 525 East 68th Street, Box 141, New York, NY 10065, USA. Email: pam2056@med.cornell.edu
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Declaration of interest

The authors have no conflicts of interest.

Footnotes
References
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1 Prigerson, HG, Horowitz, MJ, Jacobs, SC, Parkes, CM, Asian, M, Goodkin, K, et al. Prolonged grief disorder: psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med 2009; 6: e1000121.
2 Shear, MK, Simon, N, Wall, M, Zisook, S, Neimeyer, R, Duanet, N, et al. Complicated grief and related bereavement issues for DSM-5. Depress Anxiety 2011; 28: 103–17.
3 Prigerson, HG, Shear, MK, Jacobs, SC, Reynolds, CF 3rd, Maciejewski, PK, Davidson, JR, et al. Consensus criteria for traumatic grief. A preliminary empirical test. Br J Psychiatry 1999; 174: 6773.
4 Feighner, JP, Robins, E, Guze, SB, Woodruff, RA, Winokur, G, Munoz, R. Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 1972; 26: 5763.
5 Maciejewski, PK, Maercker, A, Boelen, PA, Prigerson, HG. “Prolonged grief disorder” and “persistent complex bereavement disorder”, but not “complicated grief”, are one and the same diagnostic entity: an analysis of data from the Yale Bereavement Study. World Psychiatry 2016; 15: 266–75.
6 Cozza, SI, Fisher, JE, Maura, C, Zhou, J, Ortiz, CD, Skritskaya, N, et al. Performance of DSM-5 persistent complex bereavement disorder criteria in a community sample of bereaved military family members. Am J Psychiatry 2016; 173: 919–29.
7 Prigerson, HG, Maciejewski, PK. Rebuilding consensus on valid criteria for disordered grief. JAMA Psychiatry 2017; 74: 435–6.
8 Ransohoff, DF, Feinstein, AR. Problems of spectrum and bias in evaluating the efficacy of diagnostic tests. N Engl J Med 1978; 299: 926–30.
9 Lijmer, JG, Mol, BW, Heisterkamp, S, Bonsel, GJ, Prins, MH, van der Meulen, JH, et al. Empirical evidence of design-related bias in studies of diagnostic tests. JAMA 1999; 282: 1061–6.
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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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Prolonged, but not complicated, grief is a mental disorder

  • Paul K. Maciejewski (a1) and Holly G. Prigerson (a2)
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