在ICD-11和DSM-5-TR (A-PGDi) 中对长期悲伤障碍进行奥胡斯结构化临床面试的开发和验证
Maja O'Connor1,2, Maria Louison Vang3,4, Richard A Bryant5
1Unit for Bereavement Research, Department of Psychology, Aarhus University, Aarhus, Denmark.
European journal of psychotraumatology
|June 19, 2025
概括
根据ICD-11和DSM-5-TR标准,一个新的结构化面试,阿尔胡斯PGD面试 (A-PGDi) 已被验证用于诊断长期悲伤障碍 (PGD). 这种工具有助于临床医生准确的PGD诊断和治疗规划.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康诊断 心理健康诊断
背景情况:
- 长期悲伤障碍 (PGD) 是一种新发现的精神障碍.
- 准确诊断PGD至关重要,因为它已融入到全球卫生服务中.
- 现有的诊断工具需要与ICD-11和DSM-5-TR标准保持一致.
研究的目的:
- 开发和验证阿尔胡斯PGD面试 (A-PGDi).
- 为临床医生提供一个免费的,有效的工具来诊断PGD.
- 确保诊断与ICD-11和DSM-5-TR要求保持一致.
主要方法:
- 科学家,临床医生和丧亲的个人共同开发了A-PGDi.
- 根据专家和患者的反,对面试项目进行代改进.
- 通过对124名丧亲成年人进行PGD,PTSD,抑郁和焦虑的临床采访来验证A-PGDi.
主要成果:
- A-PGDi显示了足够的内容有效性与PGD自我报告措施相比.
- 在ICD-11和DSM-5-TR诊断之间发现了中等至实质性的跨诊断协议.
- 标准的有效性和可靠性得到了其他精神障碍和测试重试协议的显著关系的支持.
结论:
- 阿尔胡斯PGD面试 (A-PGDi) 是一个有效的结构化临床面试,用于诊断ICD-11和DSM-5-TRPGD.
- A-PGDi适合在精神卫生机构使用,以确保准确的诊断.
- 该工具支持对长期悲伤障碍患者进行适当的治疗计划.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
163
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
163
Bonanno's Theory of Grieving
177
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
177
Depressive Disorders: Etiology
173
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
173
Post-traumatic Stress Disorder
126
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
126
Depressive Disorders: MDD and Dysthymia
225
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
225
Generalized Anxiety Disorder
215
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
215


