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Role of contextual factors in the naturalness of prolonged grief reactions
  1. Karl Andriessen
  1. Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia
  1. Correspondence to Dr Karl Andriessen, Centre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia; karl.andriessen{at}unimelb.edu.au

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Commentary on: Thieleman K, Cacciatore J, Frances A. Rates of Prolonged Grief Disorder: Considering relationship to the person who died and cause of death. J Affect Disord. 2023 Oct 15;339:832–837. doi: 10.1016/j.jad.2023.07.094. Epub 2023 Jul 19.

Implications for practice and research

  • Understanding the bereavement context and individuals’ views on a diagnosis of prolonged grief disorder (PGD) may inform clinical decisions about diagnostics and treatment offers.

  • Further research may facilitate a more nuanced understanding of intense and prolonged grief reactions as natural or potentially disordered.

Context

PGD has been included in the Diagnostic and Statistical Manual of Mental Disorders Text Revision in 2022.1 The diagnostic criteria include various impairing grief reactions associated with intense yearning and/or preoccupation with the deceased person for at least 12 months. Whether grief can be a disorder has been fiercely debated over the decades.1 Proponents argued that a diagnosis could enhance access to …

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.