Treatment for complicated grief: state of the science and ways forward.

摘要: Purpose of review There is increasing recognition that a minority bereaved persons experiences persistent and disabling grief symptoms, also termed complicated grief. We currently proposed criteria for in the Diagnostic Statistical Manual Mental Disorders (DSM 5) International Classification Diseases Related Health Problems (ICD-11), highlight controversies with regard to establishing as psychiatric disorder, summarize recent treatment research within cognitive behavioral framework, establish novel systematic agenda treatment. Recent findings Clinicians should be wary overdiagnosis misdiagnosis changes definitions may threaten generalizability clinical application findings. Universal treatment, at-risk groups preventive appear ineffective. Although medication often prescribed persons, evidence its effectiveness equivocal. Face-to-face internet-based therapy techniques most effective targeting However, little known about what, how, whom works best. Summary In light these findings, we recommend investigation of: what best by conducting well designed, stepped trials component dismantling studies; how it works, investigations on therapeutic theories examining mediators change; potential moderators effects.