Evidence of the clinical utility of a prolonged grief disorder diagnosis

Lichtenthal, Wendy G.; Maciejewski, Paul K.; Demirjian, Caraline Craig; Roberts, Kailey E.; First, Michael B.; Kissane, David W.; Neimeyer, Robert A.; Breitbart, William; Slivjak, Elizabeth; Jankauskaite, Greta; Napolitano, Stephanie; Maercker, Andreas; Prigerson, Holly G.

doi:10.1002/wps.20544

Cited by 27 publications

(16 citation statements)

References 9 publications

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“…ICD-11 included 'prolonged grief disorder (PGD)' (WHO, 2018). Provided that these labels are carefully used, they foster the identification of people suffering severely following loss and enable the delivery of effective treatment (Lichtenthal et al, 2018) Over the past years, the European Journal of Psychotraumatology has published key papers on traumatic loss informing both scientific and clinical practice (see Olff, 2018). Several papers in this journal have set research agendas.…”

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confidence: 99%

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Traumatic loss: Mental health consequences and implications for treatment and prevention

Boelen

Olff

Smid

2019

European Journal of Psychotraumatology

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Traumatic loss involves the loss of loved ones in the context of potentially traumatizing circumstances and is a commonly reported traumatic event. It may give rise to disturbed grief, called prolonged grief disorder (PGD) in ICD-11 and persistent complex bereavement disorder (PCBD) in DSM-5, combined with posttraumatic stress disorder (PTSD) and depression. The recent inclusion of grief disorders in both DSM-5 and ICD-11 have spurred research on griefrelated psychopathology. This special issue on traumatic loss includes 10 articles and two letters. Topics addressed include diagnostic criteria for PGD, children's perspectives on life after parental intimate partner homicide, and the impact of visiting the site of deaths caused by terror. Early indicators of problematic grief trajectories are addressed, as well as moderators and mediators of disordered grief, including coping strategies, rumination, and meaning-making. Further, a meta-analysis synthesizing research findings on correlates of disturbed grief following traumatic loss is presented. Finally, specialized treatments as Eye Movement Desensitisation and Reprocessing (EMDR) and Cognitive Behavioural Therapy (CBT) for grief are addressed, and predictors of treatment response for CBT for PGD including levels of self-blame and avoidance are scrutinized. As such, the articles included in this special issue increase our understanding of the needs of people confronted with traumatic loss and bring promising findings with regard to diagnosis, prevention, and specialized treatment in children, young people and adults. This article also introduces a hypothetical staging, profiling, and stepped care model which may offer a template to integrate existing and emerging research findings on possible courses and correlates of grief, in order to inform treatment decisions.

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confidence: 99%

“…ICD-11 included ‘prolonged grief disorder (PGD)’ (WHO, 2018 ). Provided that these labels are carefully used, they foster the identification of people suffering severely following loss and enable the delivery of effective treatment (Lichtenthal et al, 2018 )…”

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confidence: 99%

Traumatic loss: Mental health consequences and implications for treatment and prevention

Boelen

Olff

Smid

2019

European Journal of Psychotraumatology

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“…The second priority concerned distinguishing grief from mental health issues (e.g., depression, PTSD, anxiety, identity disorder and trauma). A recent randomized, controlled trial tested the utility of written information on practitioners' ability to differentially diagnose PGD from normative grief, PTSD, and Major Depressive Disorder (Lichtenthal et al, 2018). The study showed that practitioners can be trained to distinguish between these disorders in order to diagnose PGD accurately, which is important for practitioners to be able to provide appropriate interventions.…”

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confidence: 99%

Developing a practice-based research agenda for grief and bereavement care

et al. 2019

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We aimed to identify practitioners' perspectives on current research priorities in grief and bereavement care. Grief and bereavement care providers were invited to participate in a three-phase Delphi study to create expert consensus on the top priorities for grief and bereavement research. A total of 140 participants completed Phase 1, 84 completed Phase 2, and 70 completed Phase 3. These top 10 research priorities form the basis of a practice-based research agenda for grief and bereavement care to enable researchers to respond to key issues in grief and bereavement care that will ultimately improve the lives of bereaved people.

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“…The clinical utility of a classification system is distinct from its validity, although these two constructs are highly correlated, since a diagnosis cannot have a good value in terms of clinical utility but lacking any clinical validity [17,29,42]. Ideally, a classification system with a satisfying level of clinical utility should allow clinicians to identify the best diagnostic category for each patient and should provide useful information on disease's treatment and management [22,28,40].…”

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The Italian ICD-11 field trial: clinical utility of diagnostic guidelines for schizophrenia and related disorders

Luciano

Sampogna

Vecchio

et al. 2020

Int J Ment Health Syst

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Background: The 11th revision of the International Classification of Diseases and Related Disorders (ICD-11) has been released. In order to test the clinical consistency and the clinical utility of the proposed guidelines the World Health Organization (WHO) has carried out the Ecological Implementation Field Studies in various countries. In this paper the results of the Italian field trials on the clinical utility of the ICD-11 diagnostic guideline concerning schizophrenia and related disorders will be presented. Methods: In Italy, field trials have been carried out at the Department of Psychiatry of the University of Campania "L. Vanvitelli". All patients showing any psychotic symptom and referring to the outpatient and inpatient units have been recruited. Patients were interviewed by two clinicians with whom they had not had any prior clinical contact. At the end of each interview, clinicians were asked to complete 12 questions about the clinical utility of the diagnostic guidelines as applied to each patient. Results: Fourteen clinicians and 100 patients have been involved. The ICD-11 clinical guidelines were perceived as easy to use, with an adequate goodness of fit, clear and understandable and with an adequate level of details and specificity to describe the essential features of the diagnoses. Clinicians rated very positively their usefulness in describing the threshold between patient's disorder and normality. Despite still very positive, the guidelines have been perceived as less useful to select a treatment, to assess patients' prognosis and to communicate with other mental health professionals. Conclusions: The 11th revision of the chapter on Mental, Behavioural and Neurodevelopmental Disorders has made substantive changes to the conceptualization of mental disorders which could have impacted on their reliability and clinical utility. Results of the Italian field studies, in line with those reported by the international sample, highlight that ICD-11 has been rated as highly clinically useful by participating clinician, more than the ICD-10. This could be considered a good reason to be optimistic about the implementation of the ICD-11 among global clinicians. Trial registration The study has been approved by the Ethical Review Board of the University of Campania "L. Vanvitelli" (N. 416, 2016

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Evidence of the clinical utility of a prolonged grief disorder diagnosis

Cited by 27 publications

References 9 publications

Traumatic loss: Mental health consequences and implications for treatment and prevention

Traumatic loss: Mental health consequences and implications for treatment and prevention

Developing a practice-based research agenda for grief and bereavement care

The Italian ICD-11 field trial: clinical utility of diagnostic guidelines for schizophrenia and related disorders

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