Background

Prolonged grief is a disorder (PGD) characterized by severe and disabling grief reactions for an extended period of time after the loss of a significant person. ICD-11 and DSM-5-TR differ substantially in individual criteria.

Objective

Estimation of the respective prevalence of PGD_ICD-11 and PGD_DSM-5-TR and the frequency with which single symptoms of prolonged grief occur in the general population.

Methods

Out of a representative sample of the German general population (N=2498), n = 914 reported a significant loss and prolonged grief symptoms based on the extended version of the self-reported Prolonged Grief Disorder-13+9 (PG13+9). Sociodemographic and loss-related characteristics were collected.

Results

The probable prevalence of PGD_ICD-11 was 1.5% and that of PGD_DSM-5-TR was 1.2% in the general sample. Among bereaved persons (n=914), the prevalence of developing PGD_ICD-11 was 4.2% and that of PGD_DSM-5-TR was 3.3%. Diagnostic agreement between the two criteria-sets was very high and did not increase after heightening the accessory symptom threshold for PGD_ICD-11. Difficulties accepting the loss was the most frequent single symptom (14-25%) and grief-related impairment was common (10-16%). Over 60% of participants with a probable PGD diagnosis utilized health care services.

Limitations

Results are based on self-reported data. The PG13+9 was not designed to assess grief symptoms according to ICD-11 and DSM-5-TR diagnostic criteria.

Conclusions

Prolonged grief according to ICD-11 and DSM-5-TR is a notable disorder in the general population. Among bereaved persons, single symptoms of prolonged grief are relatively frequent and cause substantial degrees of impairment.

中文翻译：

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长期悲伤症的患病率

背景

长期悲伤是一种失调（PGD），其特征是失去重要人物后很长一段时间内出现严重的致残性悲伤反应。ICD-11和DSM-5-TR在个别标准上有很大不同。

客观的

估算普通人群中PGD _ICD-11和PGD _DSM-5-TR的患病率以及长期悲伤的单个症状发生的频率。

方法

在德国一般人群的代表性样本中（N = 2498），基于自我报告的长期悲痛症13 + 9（PG13 + 9）的扩展版本，n = 914报告了明显的丧失和长期悲痛症状。收集了社会人口统计学和与损失有关的特征。

结果

在一般样品中，PGD _ICD-11的可能患病率为1.5％，而PGD _DSM-5-TR的可能患病率为1.2％。在丧亲者中（n = 914），发生PGD _ICD-11的患病率为4.2％，而PGD _DSM-5-TR的患病率为3.3％。两个标准组之间的诊断一致性很高，并且在提高PGD _ICD-11的辅助症状阈值后并没有增加。接受损失的困难是最常见的单一症状（14-25％），而与悲伤有关的损害是常见的（10-16％）。超过60％可能诊断为PGD的参与者使用了医疗保健服务。

局限性

结果基于自我报告的数据。PG13 + 9并非根据ICD-11和DSM-5-TR诊断标准评估悲伤症状。

结论

根据ICD-11和DSM-5-TR的长期悲伤是普通人群中的显着疾病。在丧亲者中，长期悲伤的单一症状相对频繁，并造成严重程度的损害。