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Complicated grief and related bereavement issues for DSM-5

Open access
Shear, M. Katherine, Simon, Naomi, Wall, Melanie, Zisook, Sidney, Neimeyer, Robert, Duan, Naihua, Reynolds, Charles, Lebowitz, Barry, Sung, Sharon, Ghesquiere, Angela, Gorscak, Bonnie, Clayton, Paula, Ito, Masaya, Nakajima, Satomi, Konishi, Takako, Melhem, Nadine, Meert, Kathleen, Schiff, Miriam, O'Connor, Mary-Frances, First, Michael, Sareen, Jitender, Bolton, James, Skritskaya, Natalia, Mancini, Anthony D., Keshaviah, Aparna·2011·Depression and Anxiety

Abstract

Bereavement is a severe stressor that typically incites painful and debilitating symptoms of acute grief that commonly progresses to restoration of a satisfactory, if changed, life. Normally, grief does not need clinical intervention. However, sometimes acute grief can gain a foothold and become a chronic debilitating condition called complicated grief. Moreover, the stress caused by bereavement, like other stressors, can increase the likelihood of onset or worsening of other physical or mental disorders. Hence, some bereaved people need to be diagnosed and treated. A clinician evaluating a bereaved person is at risk for both over-and under-diagnosis, either pathologizing a normal condition or neglecting to treat an impairing disorder. The authors of DSM IV focused primarily on the problem of over-diagnosis, and omitted complicated grief because of insufficient evidence. We revisit bereavement considerations in light of new research findings. This article focuses primarily on a discussion of possible inclusion of a new diagnosis and dimensional assessment of complicated grief. We also discuss modifications in the bereavement V code and refinement of bereavement exclusions in major depression and other disorders.

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Metadata

Authors
Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., Reynolds, C., Lebowitz, B., Sung, S., Ghesquiere, A., Gorscak, B., Clayton, P., Ito, M., Nakajima, S., Konishi, T., Melhem, N., Meert, K., Schiff, M., O'Connor, M.-F., First, M., Sareen, J., Bolton, J., Skritskaya, N., Mancini, A. D., & Keshaviah, A.
Venue
Depression and Anxiety
Published
2011-01-31
Volume
28
Issue
2
Pages
103-117
ISSN
1091-4269 (ISSN-L)
OpenAlex
W2102083811
Cited by
1,004
References
33
FWCI
63.12
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Complicated grief and related bereavement issues for DSM-5. https://app.cochat.ai/papers/10.1002/da.20780
The paper
Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., Reynolds, C., Lebowitz, B., Sung, S., Ghesquiere, A., Gorscak, B., Clayton, P., Ito, M., Nakajima, S., Konishi, T., Melhem, N., Meert, K., Schiff, M., O'Connor, M.-F., . . . Keshaviah, A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety. https://doi.org/10.1002/da.20780

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.