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Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients

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Bibliographische Detailangaben
Zeitschriftentitel: Psychological Medicine
Personen und Körperschaften: Mauro, C., Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Skritskaya, N., Wang, Y., Lebowitz, B., Duan, N., First, M. B., Ghesquiere, A., Gribbin, C., Glickman, K.
In: Psychological Medicine, 47, 2017, 4, S. 608-615
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Cambridge University Press (CUP)
Schlagwörter:
author_facet Mauro, C.
Shear, M. K.
Reynolds, C. F.
Simon, N. M.
Zisook, S.
Skritskaya, N.
Wang, Y.
Lebowitz, B.
Duan, N.
First, M. B.
Ghesquiere, A.
Gribbin, C.
Glickman, K.
Mauro, C.
Shear, M. K.
Reynolds, C. F.
Simon, N. M.
Zisook, S.
Skritskaya, N.
Wang, Y.
Lebowitz, B.
Duan, N.
First, M. B.
Ghesquiere, A.
Gribbin, C.
Glickman, K.
author Mauro, C.
Shear, M. K.
Reynolds, C. F.
Simon, N. M.
Zisook, S.
Skritskaya, N.
Wang, Y.
Lebowitz, B.
Duan, N.
First, M. B.
Ghesquiere, A.
Gribbin, C.
Glickman, K.
spellingShingle Mauro, C.
Shear, M. K.
Reynolds, C. F.
Simon, N. M.
Zisook, S.
Skritskaya, N.
Wang, Y.
Lebowitz, B.
Duan, N.
First, M. B.
Ghesquiere, A.
Gribbin, C.
Glickman, K.
Psychological Medicine
Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
Psychiatry and Mental health
Applied Psychology
author_sort mauro, c.
spelling Mauro, C. Shear, M. K. Reynolds, C. F. Simon, N. M. Zisook, S. Skritskaya, N. Wang, Y. Lebowitz, B. Duan, N. First, M. B. Ghesquiere, A. Gribbin, C. Glickman, K. 0033-2917 1469-8978 Cambridge University Press (CUP) Psychiatry and Mental health Applied Psychology http://dx.doi.org/10.1017/s0033291716002749 <jats:sec id="S0033291716002749_sec_a1"><jats:title>Background</jats:title><jats:p>Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a2" sec-type="methods"><jats:title>Method</jats:title><jats:p>Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored &lt;20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2–75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4–65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8–100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a4" sec-type="conclusion"><jats:title>Conclusions</jats:title><jats:p>Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.</jats:p></jats:sec> Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients Psychological Medicine
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title Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_unstemmed Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_full Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_fullStr Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_full_unstemmed Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_short Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_sort performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
topic Psychiatry and Mental health
Applied Psychology
url http://dx.doi.org/10.1017/s0033291716002749
publishDate 2017
physical 608-615
description <jats:sec id="S0033291716002749_sec_a1"><jats:title>Background</jats:title><jats:p>Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a2" sec-type="methods"><jats:title>Method</jats:title><jats:p>Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored &lt;20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2–75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4–65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8–100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a4" sec-type="conclusion"><jats:title>Conclusions</jats:title><jats:p>Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.</jats:p></jats:sec>
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author Mauro, C., Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Skritskaya, N., Wang, Y., Lebowitz, B., Duan, N., First, M. B., Ghesquiere, A., Gribbin, C., Glickman, K.
author_facet Mauro, C., Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Skritskaya, N., Wang, Y., Lebowitz, B., Duan, N., First, M. B., Ghesquiere, A., Gribbin, C., Glickman, K., Mauro, C., Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Skritskaya, N., Wang, Y., Lebowitz, B., Duan, N., First, M. B., Ghesquiere, A., Gribbin, C., Glickman, K.
author_sort mauro, c.
container_issue 4
container_start_page 608
container_title Psychological Medicine
container_volume 47
description <jats:sec id="S0033291716002749_sec_a1"><jats:title>Background</jats:title><jats:p>Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a2" sec-type="methods"><jats:title>Method</jats:title><jats:p>Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored &lt;20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2–75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4–65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8–100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a4" sec-type="conclusion"><jats:title>Conclusions</jats:title><jats:p>Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.</jats:p></jats:sec>
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spelling Mauro, C. Shear, M. K. Reynolds, C. F. Simon, N. M. Zisook, S. Skritskaya, N. Wang, Y. Lebowitz, B. Duan, N. First, M. B. Ghesquiere, A. Gribbin, C. Glickman, K. 0033-2917 1469-8978 Cambridge University Press (CUP) Psychiatry and Mental health Applied Psychology http://dx.doi.org/10.1017/s0033291716002749 <jats:sec id="S0033291716002749_sec_a1"><jats:title>Background</jats:title><jats:p>Persistent complex bereavement disorder (PCBD) is a protracted form of grief included in DSM Section 3 indicating a need for more research. Two other criteria sets [prolonged grief disorder (PGD) and complicated grief (CG) disorder] are also currently in use by researchers. This study evaluates rates of diagnosis of each proposed criteria set in a clinical sample of bereaved individuals participating in clinical research.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a2" sec-type="methods"><jats:title>Method</jats:title><jats:p>Two groups in which persistent grief was judged to be present or absent completed an assessment instrument that included items needed to diagnose PCBD as well as PGD and CG. One group included grief treatment-seeking participants in our multicenter National Institute of Mental Health (NIMH)-sponsored study who scored ⩾30 on the Inventory of Complicated Grief (ICG) and the other comprised bereaved adults enrolled in clinical research studies who scored &lt;20 on the ICG. Rates of diagnosis were determined for proposed PCBD, PGD and CG criteria.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>PCBD criteria diagnosed 70 [95% confidence interval (CI) 64.2–75.8] % of the grief treatment-seeking group, PGD criteria identified 59.6 (95% CI 53.4–65.8) % of these individuals and CG criteria identified 99.6 (95% CI 98.8–100.0) %. None of the three proposed criteria identified any cases in the bereaved comparison group.</jats:p></jats:sec><jats:sec id="S0033291716002749_sec_a4" sec-type="conclusion"><jats:title>Conclusions</jats:title><jats:p>Both proposed DSM-5 criteria for PCBD and criteria for PGD appear to be too restrictive as they failed to identify substantial numbers of treatment-seeking individuals with clinically significant levels of grief-related distress and impairment. Use of CG criteria or a similar algorithm appears to be warranted.</jats:p></jats:sec> Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients Psychological Medicine
spellingShingle Mauro, C., Shear, M. K., Reynolds, C. F., Simon, N. M., Zisook, S., Skritskaya, N., Wang, Y., Lebowitz, B., Duan, N., First, M. B., Ghesquiere, A., Gribbin, C., Glickman, K., Psychological Medicine, Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients, Psychiatry and Mental health, Applied Psychology
title Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_full Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_fullStr Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_full_unstemmed Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_short Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_sort performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
title_unstemmed Performance characteristics and clinical utility of diagnostic criteria proposals in bereaved treatment-seeking patients
topic Psychiatry and Mental health, Applied Psychology
url http://dx.doi.org/10.1017/s0033291716002749