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Comparison of DSM-5 criteria for persistent complex bereavement disorder and ICD-11 criteria for prolonged grief disorder in help-seeking bereaved children

Boelen, P. A., Spuij, M. & Lenferink, L. I. M., 1-May-2019, In : Journal of Affective Disorders. 250, p. 71-78 8 p.

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  • Final aut- Comparison of DSM-5 Criteria for Persistent Complex Bereavement Disorde

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  • Comparison of DSM-5 criteria for persistent complex bereavement disorder

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DOI

Background
Persistent complex bereavement disorder (PCBD) is a disorder of grief that newly entered DSM-5. Prolonged grief disorder (PGD) is a disorder of grief included in ICD-11. No prior studies examined and compared the dimensionality, prevalence, and concurrent validity of both conditions among bereaved children.
Methods
With data from 291 help-seeking bereaved 8-–18 year old children, we used confirmatory factor analysis to evaluate the fit of different factor models for PCBD and PGD. In addition, we determined diagnostic rates for probable PCBD and PGD and calculated associations of PCBD and PGD caseness with concurrently assessed symptoms of overall disturbed grief, depression, posttraumatic stress, and parent-rated problem behavior.
Results
For PCBD and PGD, one-factor models—with all symptoms forming a unidimensional factor of disturbed grief—fit the data best. The prevalence of probable DSM-5 PCBD (3.4%) was significantly lower than ICD-11 PGD (12.4%). Both PCBD and PGD were significantly associated with concurrently assessed overall disturbed grief, depression, and posttraumatic stress; associations with parent-rated problems were moderate.
Limitations
Findings were based on self-reported ratings of symptoms, obtained from three different scales not specifically designed to assess PCBD and PGD. The use of a help-seeking sample limits the generalization of findings to bereaved children generally.
Conclusions
Findings support the validity of DSM-5 PCBD and ICD-11 PGD. Prevalence rates of both constructs differ. This needs further scrutiny.
Original languageEnglish
Pages (from-to)71-78
Number of pages8
JournalJournal of Affective Disorders
Volume250
Early online date19-Feb-2019
Publication statusPublished - 1-May-2019

    Keywords

  • POSTTRAUMATIC-STRESS, COMPLICATED GRIEF, CLINICAL UTILITY, DEPRESSION, CLASSIFICATION, PERFORMANCE, PROPOSALS, SYMPTOMS, PTSD

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