关键词: CIE-11 Prolonged grief disorder Trastorno por duelo prolongado bereavement grief loss mental health prevalence prevalencia pérdida salud mental

Mesh : Humans Slovakia / epidemiology Female Male Prevalence Grief Adult Bereavement International Classification of Diseases Middle Aged Depression / epidemiology psychology Anxiety / epidemiology psychology

来  源:   DOI:10.1080/20008066.2024.2381368   PDF(Pubmed)

Abstract:
Background: Prolonged Grief Disorder (PGD) has recently been included in both the ICD-11 and DSM-5-TR diagnostic manuals. Studying its prevalence and correlates across cultures is vital for more effective identification, treatment, and prevention.Objective: This study aimed to examine prevalence rates of ICD-11-based PGD, in a representative Slovakian sample in response to deaths of loved ones occurring during the previous year. Further aims were to examine the factor structure of PGD symptoms and correlates of summed PGD item scores and PGD \'caseness\'.Method: Self-reported data on PGD, depression, anxiety, alcohol use, and descriptive characteristics were gathered from a representative sample of the Slovak population (N = 319).Results: Data were gathered from N = 1853 people; 319 participants (17.2%) reported a loss in the past year. The prevalence of probable PGD among these bereaved participants was 1.99% for recent losses (<6 months, n = 151) and 7.75% for more distant losses (6-12 months, n = 130). The most frequently endorsed symptoms included longing/yearning for the deceased, sadness, denial/unrealness, and difficulty accepting the death. PGD symptoms had a unitary factor structure which was consistent for subsamples bereaved 1-5 and 6-12 months. The severity of PGD varied with kinship. Depression and anxiety, but not alcohol misuse, were associated with PGD severity and PGD caseness.Conclusions: These findings underscore that a significant group of people develop PGD between 6-12 months following a loss. This emphasises the need for targeted psychological interventions.
Prolonged Grief Disorder (PGD) is newly included in ICD-11 and knowledge about its prevalence and correlates in the general population is urgently needed.In a representative Slovakian sample (N = 1853), 319 people (17.2%) reported a loss during the past year; 7.75% of people, bereaved 6–12 months earlier, met criteria for ICD-11-based PGD.PGD severity and caseness were associated with kinship (but less strongly with other sociodemographic and loss characteristics) and with depression and anxiety (but less strongly with problematic alcohol use).At 6–12 months following loss, PGD seems fairly common in the general population and timely identification and mitigation of PGD is an important public health issue.
摘要:
背景:最近,ICD-11和DSM-5-TR诊断手册中都包含了长期悲伤障碍(PGD)。研究其流行程度和跨文化相关性对于更有效的识别至关重要,治疗,和预防。目的:本研究旨在检查基于ICD-11的PGD的患病率,在斯洛伐克代表性样本中,以应对前一年发生的亲人死亡。进一步的目的是检查PGD症状的因素结构以及PGD项目评分和PGD“caseness”的相关性。方法:自报PGD数据,抑郁症,焦虑,酒精使用,和描述性特征是从斯洛伐克人口的代表性样本中收集的(N=319)。结果:数据来自N=1853人;319名参与者(17.2%)在过去一年中报告了损失。这些失去亲人的参与者中可能的PGD的患病率为1.99%,最近的损失(<6个月,n=151)和7.75%,对于更遥远的损失(6-12个月,n=130)。最常见的认可症状包括对死者的渴望/渴望,悲伤,否认/不现实,难以接受死亡。PGD症状具有单一的因子结构,这对于失去1-5个月和6-12个月的子样本是一致的。PGD的严重程度随亲属关系而变化。抑郁和焦虑,但不是酒精滥用,与PGD严重程度和PGD严重程度相关。结论:这些发现强调了大量的人在损失后6-12个月之间发展为PGD。这强调了有针对性的心理干预的必要性。
长期悲伤障碍(PGD)新纳入ICD-11,迫切需要了解其在普通人群中的患病率和相关性。在一个代表性的斯洛伐克样本中(N=1853),319人(17.2%)在过去一年中报告了损失;7.75%的人,6-12个月前丧亲,符合基于ICD-11的PGD标准。PGD的严重程度和caseness与亲属关系(但与其他社会人口统计学和损失特征不那么强烈)以及抑郁和焦虑(但与有问题的饮酒不太强烈)相关。损失后6-12个月,PGD在普通人群中似乎相当普遍,及时识别和缓解PGD是一个重要的公共卫生问题。
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