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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Relation between duration and severity in bereavement-related depression.

J C Wakefield1, M F Schmitz, J C Baer

  • 1Silver School of Social Work, New York University, NY 10003, USA. wakefield@nyu.edu

Acta Psychiatrica Scandinavica
|September 29, 2011
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The 1-year duration cut-point effectively identifies more severe bereavement-related depression (BRD), unlike the 2-month cut-point. Duration before one year does not reliably indicate increased BRD severity.

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Area of Science:

  • Psychiatry
  • Epidemiology
  • Mental Health Research

Background:

  • Prolonged duration is a common, yet unvalidated, indicator for pathological bereavement-related depression (BRD).
  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) shifted the diagnostic cut-point for BRD from 1 year to 2 months.
  • Evidence supporting the validity of these duration cut-points in reflecting BRD severity is limited.

Purpose of the Study:

  • To evaluate the validity of the 2-month and 1-year cut-points for differentiating BRD severity.
  • To assess whether duration accurately indicates increased severity of bereavement-related depression.

Main Methods:

  • Utilized a nationally representative U.S. sample (n=152) of individuals with BRD.
  • Assessed depression severity using six indicators for duration categories: 0-8 weeks, 9-52 weeks, and >52 weeks.
  • Established cut-point validity by examining discontinuities in severity levels around the proposed cut-offs.

Main Results:

  • Bereavement-related depressions lasting over 52 weeks showed significantly higher severity on four of six indicators and overall severity compared to those lasting 9-52 weeks.
  • Durations of ≤8 weeks and 9-52 weeks differed on only one severity indicator and not on overall severity.
  • Alternative cut-points within 52 weeks also lacked validity in indicating increased severity.

Conclusions:

  • The traditional 1-year cut-point remains a valid indicator of increasing bereavement-related depression severity.
  • The DSM's 2-month cut-point does not validly identify increased BRD severity.
  • Research employing the 2-month cut-point may produce misleading findings regarding BRD severity progression.