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Consensus criteria for traumatic grief

A preliminary empirical test

Published online by Cambridge University Press:  02 January 2018

Holly G. Prigerson ,
M. Katherine Shear ,
Selby C. Jacobs ,
Charles F. Reynolds III ,
Paul K. Maciejewski ,
Jonathan R. T. Davidson ,
Robert Rosenheck ,
Paul A. Pilkonis ,
Camille B. Wortman  and
Janet B. W. Williams
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Holly G. Prigerson*
Affiliation:
Yale University, New Haven, CT
M. Katherine Shear
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Selby C. Jacobs
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Charles F. Reynolds III
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Paul K. Maciejewski
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Jonathan R. T. Davidson
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Robert Rosenheck
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Paul A. Pilkonis
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Camille B. Wortman
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Janet B. W. Williams
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Thomas A. Widiger
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Ellen Frank
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
David J. Kupfer
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
Sidney Zisook
Affiliation:
Northeast Program Evaluation Center, Veterans Affairs Medical Center (182), Campbell Avenue, West Haven, CT 06516
*
Dr Prigerson, Room 144, Connecticut Mental Health Center, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, USA. E-mail: [email protected]
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Abstract

Background

Studies suggest that symptoms of traumatic grief constitute a distinct syndrome worthy of diagnosis.

Aims

A consensus conference aimed to develop and test a criteria set for traumatic grief.

Method

The expert panel proposed consensus criteria for traumatic grief. Receiver operator characteristic (ROC) analyses tested the performance of the proposed criteria on 306 widowed respondents at seven months post-loss.

Results

ROC analyses indicated that three of four separation distress symptoms (e.g. yearning, searching, loneliness) had to be endorsed as at least ‘sometimes true’ and four of the final eight traumatic distress symptoms (e.g. numbness, disbelief, distrust, anger, sense of futility about the future) had to be endorsed as at least ‘mostly true’ to yield a sensitivity of 0.93 and a specificity of 0.93 for a diagnosis of traumatic grief.

Conclusions

Preliminary analyses suggest the consensus criteria for traumatic grief have satisfactory operating characteristics, and point to directions for further refinement of the criteria set.

Type
Preliminary Reports
Information
The British Journal of Psychiatry , Volume 174 , Issue 1 , January 1999 , pp. 67 - 73
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Grants received from the National Institute of Mental Health, the American Suicide Foundation and the Pepper Older Adults Independence Center.

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: AFA.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Anderson, C. (1949) Aspects of pathological mourning. International Journal of Psycho-Analysis, 30, 48–55.Google Scholar
Beery, L. C., Prigerson, H. G., Blerhals, A. J., et al (1997) Traumatic grief, depression, and caregiving in elderly spouses of the terminally ill. Omega. 35, 261–279.CrossRefGoogle Scholar
Bierhals, A. J., Prigerson, H. G., Frank, E., et al (1996) Gender differences in complicated grief among the elderly. Omega, 32, 303–317.Google Scholar
Elsenbruch, M. (1990) The cultural bereavement interview: a new clinical research approach for refugees. Psychiatric Clinics of North America, 13, 715–735.Google Scholar
Freud, S. (1917) Mourning and melancholia. Internationale Zeitschrift für arzliche Psychoanalyse, 4, 288–301.Google Scholar
Horowitz, M. J., Siegel, B., Holen, A., et al (1997) Criteria for complicated grief disorder. American Journal of Psychiatry, 154, 905–910.Google ScholarPubMed
Kraemer, H. C. (1992) Evaluating Medical Tests: Objective and Quantitative Guidelines. Newbury Park, CA: Sage Publications.Google Scholar
McDermott, O., Prigerson, H. G. & Reynolds, C. F. (1997) EEG sleep in complicated grief and bereavement-related depression: A preliminary report. Biological Psychiatry, 41, 710–716.CrossRefGoogle Scholar
Middleton, W., Burnett, P., Raphael, B., et al (1996) The bereavement response: a cluster analysis. British Journal of Psychiatry, 169, 167–171.CrossRefGoogle ScholarPubMed
Parkes, C. M. (1986) Bereavement: Studies of Grief in Adult Life. Harmondsworth, UK: Penguin New York: International Universities Press.Google Scholar
Pasternak, R. E., Reynolds, C. F., Schiernitzauer, M., et al (1991) Acute open-trial nortriptyline therapy of bereavement-related depression in late life. Journal of Clinical Psychiatry, 52, 307–310.Google ScholarPubMed
Prigerson, H. G., Maciejewski, P. K., Newsom, J., et al (1995a) The inventory of complicated grief: A scale to measure maladaptive symptoms of loss. Psychiatry Research, 59, 65–79.CrossRefGoogle ScholarPubMed
Prigerson, H. G., Frank, E., Kasl, S. V., et al (1995b) Complicated grief and bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved spouses. American Journal of Psychiatry, 152. 22–30.Google ScholarPubMed
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., et al (1996a) Complicated grief as a distinct disorder from bereavement-related depression and anxiety: A replication study. American Journal of Psychiatry, 153, 84–86.Google ScholarPubMed
Prigerson, H. G., Shear, M. K., Newsom, J., et al (1996b) Anxiety among widowed elders: Is it distinct from depression and grief? Anxiety, 2, 1–12.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., et al (1997a) Traumatic grief as a risk factor for mental and physical morbidity. American Journal of Psychiatry, 54, 617–623.Google Scholar
Prigerson, H. G., Shear, M. K., Frank, E., et al (1997b) Traumatic grief: A case of loss-induced trauma. American Journal of Psychiatry, 154, 1003–1009.Google ScholarPubMed
Van Doom, C., Kast, S. V., Beery, L. C., et al (1999) Qualities of marriage associated with traumatic grief and depressive symptomatology. Journal of Nervous and Mental Diseases, in press.Google Scholar
Zisook, S., Shuchter, S. R. & Lyons, L. E. (1987) Predictors of psychological reactions during the early course of bereavement. Psychiatric Clinics of North America, 19, 355–367.CrossRefGoogle Scholar
Zisook, S., & Shuchter, S. R. (1991) Depression through the first year after death of a spouse. American Journal of Psychiatry, 148, 1346–1352.Google Scholar
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