When does grief become pathological? Evaluation of the ICD-11 diagnostic proposal for prolonged grief in a treatment-seeking sample

Comteße, Hannah; Vogel, Anna; Kersting, Anette; Rief, Winfried; Steil, Regina; Rosner, Rita

doi:10.1080/20008198.2019.1694348

Cited by 24 publications

(16 citation statements)

References 28 publications

(55 reference statements)

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“…They conclude that the existing criteria sets do not identify the same diagnostic symptom cluster. Similar findings were found in a German treatment-seeking sample ( 5 ), showing larger prevalence rates for PGD (69%) compared to PCBD (48%). Studies have shown that pathological grief differs from other disorders such as depression and PTSD and described a distinct diagnosis ( 4 ).…”

Section: Introductionsupporting

confidence: 85%

Web-Based Bereavement Care: A Systematic Review and Meta-Analysis

et al. 2020

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Background Web-based interventions have been introduced as novel and effective treatments for mental disorders and, in recent years, specifically for the bereaved. However, a systematic summary of the effectiveness of online interventions for people experiencing bereavement is still missing. Objective A systematic literature search was conducted by four reviewers who reviewed and meta-analytically summarized the evidence for web-based interventions for bereaved people. Methods Systematic searches (PubMed, Web of Science, PsycInfo, PsycArticles, Medline, and CINAHL) resulted in seven randomized controlled trials ( N = 1,257) that addressed adults having experienced bereavement using internet-based interventions. We used random effects models to summarize treatment effects for between-group comparisons (treatment vs. control at post) and stability over time (post vs. follow-up). Results All web-based interventions were based on cognitive behavioral therapy (CBT). In comparison with control groups, the interventions showed moderate ( g = .54) to large effects ( g = .86) for symptoms of grief and posttraumatic stress disorder (PTSD), respectively. The effect for depression was small ( g = .44). All effects were stable over time. A higher number of treatment sessions achieved higher effects for grief symptoms and more individual feedback increased effects for depression. Other moderators ( i.e. dropout rate, time since loss, exposure) did not significantly reduce moderate degrees of heterogeneity between the studies. Limitations The number of includable studies was low in this review resulting to lower power for moderator analyses in particular. Conclusions Overall, the results of web-based bereavement interventions are promising, and its low-threshold approach might reduce barriers to bereavement care. Nonetheless, future research should further examine potential moderators and specific treatment components ( e.g. exposure, feedback) and compare interventions with active controls.

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Section: Introductionsupporting

confidence: 85%

Web-Based Bereavement Care: A Systematic Review and Meta-Analysis

et al. 2020

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“…(7)]. Similarly, in treatment-seekers, minimal PGD ICD-11 criteria correctly classified people against a relatively lenient standard of 30 or higher on the ICG (6, 7), yet as many as six additional symptoms were necessary to yield comparable prevalence and good diagnostic agreement with PGD 2009 and PCBD (5). Moreover, one study demonstrated the influence of the number of additional symptoms on symptom heterogeneity, theoretically demonstrating that the number of ways to meet PGD ICD-11 criteria ranges from 3.069 for one to 528 for seven additional symptoms (2).…”

Section: Multiverse Analyses In Research On Pgd Icd-11mentioning

confidence: 95%

ICD-11 Prolonged Grief Disorder Criteria: Turning Challenges Into Opportunities With Multiverse Analyses

2020

Self Cite

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“…Recent years have seen a surge of research and clinical awareness of stress-related disorders like PTSD [39] or prolonged grief [40, 41]. Just as important, if not even more frequent and more important, are social and interactional stressors.…”

Section: Causes Of Embittermentmentioning

confidence: 99%

Embitterment and Posttraumatic Embitterment Disorder (PTED): An Old, Frequent, and Still Underrecognized Problem

Arnold¹

2020

Psychother Psychosom

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When does grief become pathological? Evaluation of the ICD-11 diagnostic proposal for prolonged grief in a treatment-seeking sample

Abstract: Rosner (2020) When does grief become pathological? Evaluation of the ICD-11 diagnostic proposal for prolonged grief in a treatment-seeking sample,

Cited by 24 publications

References 28 publications

Web-Based Bereavement Care: A Systematic Review and Meta-Analysis

Web-Based Bereavement Care: A Systematic Review and Meta-Analysis

ICD-11 Prolonged Grief Disorder Criteria: Turning Challenges Into Opportunities With Multiverse Analyses

Embitterment and Posttraumatic Embitterment Disorder (PTED): An Old, Frequent, and Still Underrecognized Problem

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