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Complicated grief as a stress response disorder : evaluating diagnostic criteria in a German sample

Identifieur interne : 000444 ( PascalFrancis/Curation ); précédent : 000443; suivant : 000445

Complicated grief as a stress response disorder : evaluating diagnostic criteria in a German sample

Auteurs : Robert Langner [Allemagne] ; Andreas Maercker [Allemagne]

Source :

RBID : Pascal:05-0369143

Descripteurs français

English descriptors

Abstract

Background: Complicated grief has been described as a diagnosis candidate for DSM-V. On the basis of the stress response theory, Horowitz et al. [Am J Psychiatry 154 (1997) 904-10] characterized complicated grief as a combination of sustained intrusion, avoidance, and maladaptation symptoms following the loss of a close person. This study aimed at evaluating diagnostic criteria based on the stress response model of complicated grief. Methods: We administered a symptom list derived from Horowitz et al.'s operationalization to a sample of bereaved persons and evaluated the psychometric properties of the symptom criteria and symptom category subscales. Using this symptom list and other self-report measures of psychopathology and normal grief reactions, we examined a German sample consisting of 75 participants who had lost either siblings, children, parents, or spouses, on average, 5.4 years prior to the study. Results: Analyses confirmed the classification of symptoms into intrusion, avoidance, and failure-to-adapt categories with only minimal reordering (two symptom criteria). The symptom category subscales showed favourable psychometric characteristics, receiver operating characteristic (ROC) analyses indicated high diagnostic accuracy of the symptom criteria, and predictive validation revealed a meaningful correlational pattern to standard measures of divergent psychopathology and normal grief reactions. Conclusions: The application of a stress response operationalization of complicated grief is supported.
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A11 02  1    @1 MAERCKER (Andreas)
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C01 01    ENG  @0 Background: Complicated grief has been described as a diagnosis candidate for DSM-V. On the basis of the stress response theory, Horowitz et al. [Am J Psychiatry 154 (1997) 904-10] characterized complicated grief as a combination of sustained intrusion, avoidance, and maladaptation symptoms following the loss of a close person. This study aimed at evaluating diagnostic criteria based on the stress response model of complicated grief. Methods: We administered a symptom list derived from Horowitz et al.'s operationalization to a sample of bereaved persons and evaluated the psychometric properties of the symptom criteria and symptom category subscales. Using this symptom list and other self-report measures of psychopathology and normal grief reactions, we examined a German sample consisting of 75 participants who had lost either siblings, children, parents, or spouses, on average, 5.4 years prior to the study. Results: Analyses confirmed the classification of symptoms into intrusion, avoidance, and failure-to-adapt categories with only minimal reordering (two symptom criteria). The symptom category subscales showed favourable psychometric characteristics, receiver operating characteristic (ROC) analyses indicated high diagnostic accuracy of the symptom criteria, and predictive validation revealed a meaningful correlational pattern to standard measures of divergent psychopathology and normal grief reactions. Conclusions: The application of a stress response operationalization of complicated grief is supported.
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N21       @1 255
N44 01      @1 PSI
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<fC03 i1="14" i2="X" l="FRE">
<s0>Fidélité test</s0>
<s5>17</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Test reliability</s0>
<s5>17</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Fidelidad pruebra</s0>
<s5>17</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Validité construct</s0>
<s5>18</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Construct validity</s0>
<s5>18</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Validez construct</s0>
<s5>18</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Validité convergente</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Convergent validity</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Validez convergent</s0>
<s5>19</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Notation test</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Test scoring</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Notación prueba</s0>
<s5>20</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Méthode ROC</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Receiver operating characteristic curves</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Método ROC</s0>
<s5>21</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Validation test</s0>
<s5>22</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG">
<s0>Test validation</s0>
<s5>22</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA">
<s0>Validación prueba</s0>
<s5>22</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE">
<s0>Prédiction</s0>
<s5>23</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG">
<s0>Prediction</s0>
<s5>23</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA">
<s0>Predicción</s0>
<s5>23</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE">
<s0>Psychométrie</s0>
<s5>24</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG">
<s0>Psychometrics</s0>
<s5>24</s5>
</fC03>
<fC03 i1="21" i2="X" l="SPA">
<s0>Psicometría</s0>
<s5>24</s5>
</fC03>
<fC03 i1="22" i2="X" l="FRE">
<s0>Homme</s0>
<s5>35</s5>
</fC03>
<fC03 i1="22" i2="X" l="ENG">
<s0>Human</s0>
<s5>35</s5>
</fC03>
<fC03 i1="22" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>35</s5>
</fC03>
<fC03 i1="23" i2="X" l="FRE">
<s0>Complicated Grief Module Horowitz et al</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC03 i1="24" i2="X" l="FRE">
<s0>Consistance interne</s0>
<s4>INC</s4>
<s5>90</s5>
</fC03>
<fC03 i1="25" i2="X" l="FRE">
<s0>Deuil pathologique</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="25" i2="X" l="ENG">
<s0>Pathological bereavement</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Allemand</s0>
<s5>69</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>German</s0>
<s5>69</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Alemán</s0>
<s5>69</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Version revisée</s0>
<s5>70</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Revised drafting</s0>
<s5>70</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Versión revisada</s0>
<s5>70</s5>
</fC07>
<fN21>
<s1>255</s1>
</fN21>
<fN44 i1="01">
<s1>PSI</s1>
</fN44>
<fN82>
<s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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