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KMID : 0981220160160030383
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Congnitive Behavior Therapy in Korea
2016 Volume.16 No. 3 p.383 ~ p.401
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Understanding of Complicated Grief
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Han Hye-Seung
Choi Won-Joon
Huh Seung
Huh Hyu-Jung
Chae Jeong-Ho
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Abstract
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When an individual lose someone intimate such as a family member, a relative or a close friend, the bereaved person shows normal reaction of grief for the loss and these symptoms of grief generally wane out with time as a natural process. In practice, however, grief shows a large difference in severity and duration depending on the individual and situations of the loss. Therefore diagnosis of complicated grief has been discussed, when the bereaved person experiences intense grief even after a certain period of time and the disturbance causes significant distress or impairment in social, occupational, or other important areas of functioning. DSM-5 includes persistent complex bereavement disorder in proposed criteria and provides a basis for possible placement in forthcoming editions of DSM. Symptoms of persistent complex bereavement disorder are persistent yearning/longing for the deceased, intense sorrow, preoccupation with the deceased and the circumstances of the death, reactive distress to the death and social/identity disruption. The bereaved individuals may also desire to die because they hope to be with the deceased. There are several scales to measure grief and symptoms of complicated grief. Inventory of complicated grief (ICG) is one of the most often used scales and the validity of ICG is relatively high. The complicated grief, it is necessary to distinguish normal grief and other psychiatric disorders such as depressive disorder, post-traumatic stress disorder. Complicated grief treatment (CGT) consists of 10 modules would be a treatment for complicated grief. A randomized control trial study comparing the efficacy of CGT with interpersonal psychotherapy shows higher response rates and faster time to response. This review would help to introduce complicated grief into the clinical field in psychiatry.
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KEYWORD
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Loss, Grief, Bereavement, Complicated grief, Complicated grief treatment
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