Valid ICD-11 PGD Scales and Structured Clinical Interviews Needed

O’Connor, Maja; Larsen, Lene; Joensen, Biretha V.; Boelen, Paul A.; Maccallum, Fiona; Komischke-Konnerup, Katrine B.; Bryant, Richard A.

doi:10.3389/fpsyg.2020.01120

Cited by 12 publications

(7 citation statements)

References 33 publications

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“…In Denmark, it is estimated that up to 10% of all bereaved people might qualify for the diagnosis PGD (Lundorff et al, 2017). Since the diagnosis is so recent, there are currently no validated clinical diagnostic interviews for ICD-11 PGD, and prevalence rates for a regular diagnosis based on the newest diagnostic criteria and a structured interview are therefore not yet available (O'Connor et al, 2020). In the field of research, PGD has been linked with heightened risk of suicide, reduced quality of life, and development of somatic disorders (Larsen et al, 2018).…”

Section: Prolonged Grief Disordermentioning

confidence: 99%

Which considerations are lost when debating the prolonged grief disorder diagnosis?

Bergsmark,

Ramsing

2023

Theory & Psychology

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The Nordic countries are currently attempting to implement prolonged grief disorder as an official psychiatric diagnosis, as enacted by The World Health Organization in 2018. The enactment has been controversial and, especially in Denmark, the forthcoming diagnosis has met resistance from scholars and clinicians alike. In this article we will outline what we believe to be lost considerations during the debate of the so-called “grief diagnosis.” We argue that scholars’ attention should not focus on the diagnosis itself, but rather on the overall theoretical challenges in conceptualizing and handling mental suffering, which the debate should reflect and address. The article’s main purpose is to accentuate why we, as psychologists, must welcome the prolonged grief diagnosis, whilst simultaneously working to more actively politicize mental suffering in general, and criticize the societal function of diagnoses. This should be attained through dialogue and recognition between cultural psychologists and health psychologists.

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Section: Prolonged Grief Disordermentioning

confidence: 99%

Which considerations are lost when debating the prolonged grief disorder diagnosis?

Bergsmark,

Ramsing

2023

Theory & Psychology

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“…Engelhard et al, 2007) and precluded the establishment of formal diagnoses. While no validated clinical diagnostic interviews are yet available for PGD per DSM-5-TR (O'Connor et al, 2020), we recommend the use of clinical diagnostic interviews to confirm diagnostic status of participants in future treatment studies of online grief therapies.…”

Section: Limitations and Recommendations For Future Researchmentioning

confidence: 99%

Online cognitive behavioral therapy for prolonged grief after traumatic loss: A randomized waitlist-controlled trial

Lenferink¹,

Eisma²,

Buiter³

et al. 2023

Preprint

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Prolonged grief disorder, a condition characterized by severe, persistent and disabling grief, is newly included in ICD-11 and DSM-5-TR. Prolonged grief symptoms can be effectively treated with face-to-face or internet-delivered cognitive behavioral therapy. Traumatic losses may elicit higher prevalence of severe grief reactions. While face-to-face cognitive behavioral therapy appears efficacious in treating prolonged grief symptoms in traumatically bereaved individuals, it is not yet clear if internet-based cognitive behavioral therapy is efficacious for this population. Therefore, we investigated the efficacy of a 12-week internet-delivered cognitive behavioral therapy for people bereaved through traffic accidents in a randomized waitlist-controlled trial (registration number: NL7497, Dutch Trial Register). Forty adults bereaved though a traffic accident were randomized to internet-based cognitive behavioral therapy (n = 19) or a waitlist control condition (n = 21). Prolonged grief, posttraumatic stress and depression symptoms were assessed at baseline, post-treatment and 8-week follow-up. Dropout in the treatment condition was relatively high (42%) compared to the control condition (19%). Nevertheless, multilevel analyses showed that internet-based cognitive behavioral therapy strongly reduced prolonged grief, posttraumatic stress and depression symptoms relative to the control condition at post-treatment and follow-up. We conclude that internet-based cognitive behavioral therapy appears a promising treatment for traumatically bereaved adults.

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“…[6][7][8][9][10][11] Since the two types of PGD described in the above-mentioned diagnostic systems also have unique features compared to past proposed prolonged grief conceptualizations, researchers have advocated the need for the development and use of standardized assessment tools and valid structured clinical interviews to assess these new constructs. 3,12,13 Some new self-report screening tools to assess PGD per ICD-11 and DSM-5-TR have been developed and validated, such as the Traumatic Grief Inventory-Self Report Plus (TGI-SR+) and the International Prolonged Grief Disorder Scale (IPGDS). 14,15 The application of such screening instruments offers a cost-effective, time-efficient method to identify those people at risk of developing grief complications, and the instruments are, as such, useful tools in survey research.…”

Section: Introductionmentioning

confidence: 99%

On the Classification and Reporting of Prolonged Grief: Assessment and Research Guidelines

Stroebe,

Schut,

Eisma

2024

Harv Rev Psychiatry

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Learning Objectives: After participating in this CME activity, the psychiatrist should be better able to • Explain the steps required for diagnosis of mental disorders in diagnostic handbooks. • Identify current procedures for classifying and reporting prolonged grief disorder. Abstract Prolonged grief disorder (PGD) was added to the 11th edition of the International Classification of Diseases in 2018 and to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders in its 2022 text revision. Thus, reporting and classifying PGD according to established guidelines has become fundamental for scientific research and clinical practice. Yet, PGD assessment instruments and criteria are still being developed and debated. The purpose of this article is to examine the adequacy of current procedures for classifying and reporting PGD in research and to suggest guidelines for future investigation and dissemination of knowledge. We outline the standard steps required for diagnosis and assessment of a mental disorder (notably, the administration of clinical interviews). In order to illustrate reporting about the presence/prevalence of PGD in recent scientific articles, we conducted a search of Scopus that identified 22 relevant articles published between 2019 and 2023. Our review of the literature shows that standard classification procedures are not (yet) followed. Prevalences of PGD are based on self-reported symptomatology, with rates derived from percentages of bereaved persons reaching a certain cutoff score on a questionnaire, without clinical interviewing. This likely results in systematic overestimation of prevalences. Nevertheless, the actual establishment of PGD prevalence was often stated in titles, abstracts, and results sections of articles. Further, the need for structured clinical interviews for diagnostic classification was frequently mentioned only among limitations in discussion sections—but was not highlighted. We conclude by providing guidelines for researching and reporting self-reported prolonged grief symptoms and the presence/prevalence of PGD.

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Valid ICD-11 PGD Scales and Structured Clinical Interviews Needed

Cited by 12 publications

References 33 publications

Which considerations are lost when debating the prolonged grief disorder diagnosis?

Which considerations are lost when debating the prolonged grief disorder diagnosis?

Online cognitive behavioral therapy for prolonged grief after traumatic loss: A randomized waitlist-controlled trial

On the Classification and Reporting of Prolonged Grief: Assessment and Research Guidelines

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