ISSN 1671-3710
CN 11-4766/R
主办：中国科学院心理研究所
出版：科学出版社

心理科学进展 ›› 2014, Vol. 22 ›› Issue (7): 1159-1169.doi: 10.3724/SP.J.1042.2014.01159

• 研究前沿 • 上一篇    下一篇

延长哀伤障碍的概念、流行病学和病理机制

唐苏勤;何丽;刘博;王建平   

  1. (1北京师范大学心理学院; 2应用实验心理北京市重点实验室, 北京 100875) (3首都医科大学, 北京 100088)
  • 收稿日期:2013-05-28 出版日期:2014-07-15 发布日期:2014-07-15
  • 通讯作者: 王建平
  • 基金资助:

    北京市教育委员会共建项目(SYS100270661)资助。

Prolonged Grief Disorder: Concept, Epidemiology, and Pathological Mechanism

TANG Suqin;HE Li;LIU Bo;WANG Jianping   

  1. (1 School of Psychology, Beijing Normal University, Beijing 100876, China) (2 Beijing Key Lab of Applied Experimental Psychology, School of Psychology, Beijing Normal University, Beijing 100875, China) (3 Capital Medical University, Beijing 100088, China)
  • Received:2013-05-28 Online:2014-07-15 Published:2014-07-15
  • Contact: WANG Jianping

PDF (PC)

1719

被引次数

13

摘要：

延长哀伤障碍是一种由亲近的人去世引发的病理性哀伤反应, 即死亡发生6个月后, 个体对死者的想念影响到了生活各方面, 且社会功能受损, 其最近20年才开始受到临床心理学研究者关注和探讨。本文首先回顾了概念提出及后续发展, 并讨论了其与持续性复杂哀伤相关障碍的区别与联系。随后, 本文综述了其独立的诊断标准、评估工具和流行病学调查、以及与正常哀伤、抑郁症和创伤后应激障碍的区别。接下来, 本文对其病理机制的理论思考和实证研究进行了讨论。最后, 本文指出未来可考察诊断标准的跨文化适用性、丰富病理机制的理论与研究。

关键词: 延长哀伤障碍, 诊断评估, 流行病学, 病理机制

Abstract:

Prolonged grief disorder (PGD) is a disturbance in which, following the death of a person close to the bereaved, there is persistent and pervasive yearning or longing for the deceased that extends beyond 6 months after the loss and that is sufficiently severe to cause significant impairment in the person’s functioning. This kind of pathological grief reactions didn’t draw clinical psychologists’ attention until recent two decades. We begin with the development of PGD, as well as discussions on diagnosis of Persistent Complex Bereavement-Related Disorder (PCBRD). By distinguishing PGD from normal grief, depression and posttraumatic stress disorder, researcher developed distinct diagnostic criteria, assessment, and epidemiology for PGD. We then review both theoretical and empirical studies on pathological mechanism, aiming at integrating intervention suggestions. Finally, we outline directions for further studies on cross-cultural validation of diagnostic criteria, theories and research of mechanism.

Key words: prolonged grief disorder, diagnosis and assessment, epidemiology, pathological mechanism