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Prolonged grief disorder information


Prolonged grief disorder
Other namesComplicated grief, Persistent complex bereavement disorder
SpecialtyPsychiatry, psychology
SymptomsProlonged grief, Depression, emotional pain, emotional numbness, loneliness, identity disturbance, difficulty in managing interpersonal relationships
Complicationssuicide, self harm, relationship damage
Differential diagnosisBorderline personality disorder, Complex post-traumatic stress disorder, Grief not otherwise specified, Major depressive disorder, Post-traumatic stress disorder

Prolonged grief disorder (PGD), also known as complicated grief (CG),[1] traumatic grief (TG)[2] and persistent complex bereavement disorder (PCBD) in the DSM-5,[3] is a mental disorder consisting of a distinct set of symptoms following the death of a family member or close friend (i.e. bereavement). People with PGD are preoccupied by grief and feelings of loss to the point of clinically significant distress and impairment, which can manifest in a variety of symptoms including depression, emotional pain, emotional numbness, loneliness, identity disturbance and difficulty in managing interpersonal relationships. Difficulty accepting the loss is also common, which can present as rumination about the death, a strong desire for reunion with the departed, or disbelief that the death occurred. PGD is estimated to be experienced by about 10 percent of bereaved survivors, although rates vary substantially depending on populations sampled and definitions used.[4]

In March 2022, PGD was added as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) with diagnostic code F43.8. PGD is also in the eleventh revision of the International Classification of Diseases (ICD-11) under code 6B42. To meet diagnosis, symptoms must occur frequently (usually at least daily) and be present for at least 6–12 months.

  1. ^ Zordan, Rachel D.; Bell, Melanie L.; Price, Melanie; Remedios, Cheryl; Lobb, Elizabeth; Hall, Christopher; Hudson, Peter (2019-02-15). "Long-term prevalence and predictors of prolonged grief disorder amongst bereaved cancer caregivers: A cohort study". Palliative and Supportive Care. 17 (5): 507–514. doi:10.1017/s1478951518001013. ISSN 1478-9515. PMID 30767818. S2CID 73430241.
  2. ^ Mutabaruka, Jean; Séjourné, Nathalène; Bui, Eric; Birmes, Philippe; Chabrol, Henri (2011-10-05). "Traumatic Grief and Traumatic Stress in Survivors 12 Years after the Genocide in Rwanda". Stress and Health. 28 (4): 289–296. doi:10.1002/smi.1429. ISSN 1532-3005. PMID 22282057.
  3. ^ Treml, Julia; Kaiser, Julia; Plexnies, Anna; Kersting, Anette (September 2020). "Assessing prolonged grief disorder: A systematic review of assessment instruments". Journal of Affective Disorders. 274: 420–434. doi:10.1016/j.jad.2020.05.049. ISSN 0165-0327. PMID 32663972. S2CID 219497064.
  4. ^ Lundorff, Marie; Holmgren, Helle; Zachariae, Robert; Farver-Vestergaard, Ingeborg; O'Connor, Maja (April 2017). "Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis". Journal of Affective Disorders. 212: 138–149. doi:10.1016/j.jad.2017.01.030. ISSN 0165-0327. PMID 28167398.

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