Complicated bereavement: Disease state or state of being?

Karl Goodkin, Diana Lee, Rebeca Molina, Wenli Zheng, Alicia Frasca, Sandra O'Mellan, Deshratn Asthana, Paul Shapshak, Imad Khamis

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The point at which the experience of grief in response to bereavement becomes "pathological" has been debated for many years without resolution. This article reviews the current status of this debate. The debate centers around the extent to which "complicated grief" represents a truly unique pathological entity, when contrasted with major depressive disorder, post-traumatic stress disorder, and "uncomplicated grief." Significant research findings suggest it may be possible to distinguish grief from depressed as well as traumatic forms of distress, with acceptable reliability and validity. Yet, "complicated grief" relates to both of these types of distress as well as to a unique aspect - separation distress. It is at the intersection of these types of distress with significant disruption of daily life functioning that we find the proposed diagnosis of "complicated grief." The question is whether this diagnosis should be designated at this time, and, if so, how. This article concludes in favor of a compromise position that the diagnosis should be incorporated into DSM-V but relegated to its Appendix B [disorders proposed for further study] due to the lack of clarity surrounding its diagnostic criteria.

Original languageEnglish
Pages (from-to)21-36
Number of pages16
JournalOmega: Journal of Death and Dying
Volume52
Issue number1
DOIs
StatePublished - Dec 1 2005
Externally publishedYes

Fingerprint

Bereavement
Grief
grief
Disease
Major Depressive Disorder
posttraumatic stress disorder
Post-Traumatic Stress Disorders
Reproducibility of Results
Diagnostic and Statistical Manual of Mental Disorders
compromise
diagnostic
lack
Research
experience

ASJC Scopus subject areas

  • Life-span and Life-course Studies

Cite this

Goodkin, K., Lee, D., Molina, R., Zheng, W., Frasca, A., O'Mellan, S., ... Khamis, I. (2005). Complicated bereavement: Disease state or state of being? Omega: Journal of Death and Dying, 52(1), 21-36. https://doi.org/10.2190/29HW-6KND-WFEP-T9L0

Complicated bereavement : Disease state or state of being? / Goodkin, Karl; Lee, Diana; Molina, Rebeca; Zheng, Wenli; Frasca, Alicia; O'Mellan, Sandra; Asthana, Deshratn; Shapshak, Paul; Khamis, Imad.

In: Omega: Journal of Death and Dying, Vol. 52, No. 1, 01.12.2005, p. 21-36.

Research output: Contribution to journalArticle

Goodkin, K, Lee, D, Molina, R, Zheng, W, Frasca, A, O'Mellan, S, Asthana, D, Shapshak, P & Khamis, I 2005, 'Complicated bereavement: Disease state or state of being?', Omega: Journal of Death and Dying, vol. 52, no. 1, pp. 21-36. https://doi.org/10.2190/29HW-6KND-WFEP-T9L0
Goodkin K, Lee D, Molina R, Zheng W, Frasca A, O'Mellan S et al. Complicated bereavement: Disease state or state of being? Omega: Journal of Death and Dying. 2005 Dec 1;52(1):21-36. https://doi.org/10.2190/29HW-6KND-WFEP-T9L0
Goodkin, Karl ; Lee, Diana ; Molina, Rebeca ; Zheng, Wenli ; Frasca, Alicia ; O'Mellan, Sandra ; Asthana, Deshratn ; Shapshak, Paul ; Khamis, Imad. / Complicated bereavement : Disease state or state of being?. In: Omega: Journal of Death and Dying. 2005 ; Vol. 52, No. 1. pp. 21-36.
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