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Abnormal Grief: Should We Consider a More Patient-Centered Approach?

Babak Moayedoddin1, John C Markowitz

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Summary

Most people grieve normally, but some develop complicated grief or major depressive disorder. A patient-centered approach is needed to treat abnormal grief, considering individual experiences and interpersonal factors.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Grief is a complex psychological reaction to loss, with most individuals experiencing a normal process.
  • Some bereaved individuals develop complicated grief (CG) or major depressive disorder (MDD).

Observation:

  • The DSM-5 introduced grief-related major depression (GRMD) as a subtype if MDD criteria are met post-bereavement.
  • The DSM-5's symptom-based approach is not patient-centered, despite aiming to distinguish grief from MDD.

Findings:

  • A patient-centered approach is crucial for treating abnormal grief, integrating personal history, perceptions, and interpersonal context.
  • Interpersonal psychotherapy (IPT) can be a valuable tool in addressing abnormal grief.

Implications:

  • Further research is needed to identify individuals susceptible to abnormal grief.
  • Clinical studies should evaluate early interventions for at-risk populations.
  • A shift towards patient-centered care is essential for effective grief treatment.