OBJECTIVE Investigating the concordance of prolonged grief disorder (PGD) criteria that have been recently introduced to the 5th text revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) and the International Classification of Diseases 11th Revision (ICD-11). METHOD N = 193 treatment-seeking bereaved adults were assessed with the prolonged grief disorder 13 + 9 interview. Data were examined in terms of (a) diagnostic rates for PGDDSM-5-TR and PGDICD-11, including increases of the PGDICD-11 accessory symptom threshold (PGDICD-11-X+) and time criterion (PGDICD-11-12 months), (b) dimensionality, (c) the frequency with which single PGD symptoms occur, and (d) concurrent validity in terms of psychological symptoms and loss-related characteristics. RESULTS The diagnostic rate of PGDDSM-5-TR (52%) was significantly lower than that of PGDICD-11 (76%) and agreement between the two criteria sets was moderate, κ = 0.51, 95% CI [0.47-0.55]. Increasing the PGDICD-11 accessory symptom threshold did not improve the diagnostic agreement. In contrast, increasing the ICD-11 time criterion led to almost perfect agreement between PGDICD-11-12 months and PGDDSM-5-TR, κ = 0.91, 95% CI [0.89-0.93]. Confirmatory factor analysis results indicated a one-factor model fit best for both PGDDSM-5-TR and PGDICD-11. Emotional pain symptoms (e.g., guilt) were predominantly reported by patients with a PGDICD-11 diagnosis, while attachment disturbance symptoms (e.g., identity disruption) were reported more often by patients with a PGDDSM-5-TR diagnosis. CONCLUSIONS Despite methodological limitations of this study, results indicate discordance in PGDDSM-5-TR and PGDICD-11 regarding diagnostic rates and single symptom occurrence, while the factor structure is similar. Changes in the ICD-11 time criterion could reduce these differences. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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相同的名称，相同的内容？评估 DSM-5-TR 和 ICD-11 延长悲伤标准。

目的 调查最近在精神疾病诊断和统计手册第 5 版文本修订版 (DSM-5-TR) 和国际疾病分类第 11 版 (ICD-11) 中引入的长期悲伤障碍 (PGD) 标准的一致性）。方法 N = 193 名寻求治疗的失去亲人的成年人接受了长期悲伤障碍 13 + 9 访谈的评估。根据 (a) PGDDSM-5-TR 和 PGDICD-11 的诊断率检查数据，包括 PGDICD-11 附属症状阈值 (PGDICD-11-X+) 和时间标准 (PGDICD-11-12 个月) 的增加，（b）维度，（c）单个PGD症状发生的频率，以及（d）在心理症状和损失相关特征方面的同时有效性。结果 PGDDSM-5-TR的诊断率（52%）显着低于PGDICD-11（76%），两组标准的一致性中等，κ=0.51，95% CI [0.47-0.55]。增加 PGDICD-11 附属症状阈值并没有提高诊断一致性。相比之下，增加 ICD-11 时间标准导致 PGDICD-11-12 个月和 PGDDSM-5-TR 之间几乎完全一致，κ = 0.91, 95% CI [0.89-0.93]。验证性因素分析结果表明单因素模型最适合 PGDDSM-5-TR 和 PGDICD-11。诊断为 PGDICD-11 的患者主要报告情绪疼痛症状（例如，内疚），而诊断为 PGDDSM-5-TR 的患者报告的依恋障碍症状（例如，身份破坏）更常见。结论 尽管本研究存在方法学上的局限性，结果表明，PGDDSM-5-TR 和 PGDICD-11 在诊断率和单一症状发生率方面存在不一致，而因子结构相似。ICD-11 时间标准的变化可以减少这些差异。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。