Spezifisch belastungsbezogene psychische Störungen im neuen ICD-11: Ein Überblick

Abstract

The release of upcoming ICD-11 results in important changes to the classification of stress-related mental disorders. With the aim to improve clinical utility there is a new organizational structure for the different disorders as they are now categorized by the response to specific types of stressors. These range from reactions based on the experience of psychosocial strains (adjustment disorder), to grief reactions with a need for treatment (prolonged grief disorder) and reactions after exposure to traumatic events (posttraumatic stress disorder), also with more complex clinical picture (complex posttraumatic stress disorder). This article gives an overview of the major changes in the shift in disorder categorization from ICD-10 to ICD-11. This includes prevalence rates, if available, as well as suggestions of measurement instruments for the purpose of clinical diagnostics. Furthermore, ongoing discussions among the research community will be considered.

The Psychobiology of Bereavement and Health: A Conceptual Review From the Perspective of Social Signal Transduction Theory of Depression

“…Moreover, it is characterized by its clinical features, including emotional pain (e.g., sadness, guilt, bitterness, anger), difficulty accepting the loss, emotional numbness, feeling that a part of one died, and difficulties in engaging in social or other activities (69). The diagnostic criteria for prolonged grief reactions are specified in the DSM-5 as Persistent Complex Bereavement Disorder (PCBD) (74) and in the International Statistical Classification of Diseases 11th Revision (ICD-11) as Prolonged Grief Disorder (PGD) (75,76). PGD can be diagnosed at 6 months and PCBD at 12 months following the loss (77).…”