Prolonged Grief Disorder and Depression in Widows Due to the Rwandan Genocide
Abstract
Should pathological grief be viewed as a nosological category, separate from other forms of mental diseases? Diagnostic criteria for “Prolonged Grief Disorder” (PGD) have recently been specified by Prigerson and her coworkers. We interviewed a total of 40 widows who had lost their husbands during the Rwandan genocide in 1994. We assessed Major Depression using the Mini-International Neuropsychiatric Interview (M.I.N.I.) and prolonged grief reactions with the PG-13. In order to examine the distinctiveness of the two syndromes we performed a multitrait correlational matrix analysis using modified versions of Generalized Proximity Functions (GPFs). 12.5% ( n = 5) of the sample fulfilled the criteria for a diagnosis of PGD; 40% ( n = 16) met criteria for Major Depressive Episode. The two syndromes were strongly associated. No discriminant validity was found between the two constructs suggesting that PGD may rather be an appearance of depression than a separate nosological entity.
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The diagnostic features of prolonged grief disorder have been observed in Western and non-Western countries comprising many different cultures and religions.
“Second, the diagnostic features of prolonged grief disorder have been observed in Western and non-Western countries that comprise many different cul tures and religions 80-82 .”
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- Authors
- Schaal, S., Elbert, T., & Neuner, F.
- Affiliations
- University of Konstanz (DE)
- Corresponding author
- Schaal, Susanne
- Venue
- OMEGA - Journal of Death and Dying
- Publisher
- SAGE Publications
- Published
- 2009-11
- Volume
- 59
- Issue
- 3
- Pages
- 203-219
- ISSN
- 0030-2228 (ISSN-L)
- 1541-3764
- OpenAlex
- W2046803188
- Cited by
- 54
- References
- 40
- Citations by year
- 2024: 2 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 8 · 2012: 8
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- OMEGA - Journal of Death and Dying (publishedVersion)
- PubMed (publishedVersion)
- PUB – Publications at Bielefeld University (Bielefeld University) (submittedVersion)
- Publikationen an der Universität Bielefeld (Universität Bielefeld) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- prolonged grief disorder, major depressive disorder, widowhood, Rwandan genocide, pathological grief, discriminant validity, bereavement
- MeSH terms
- Adult, Anxiety, Depression, Family Relations, Female, Grief, Homicide, Humans, Life Change Events, Middle Aged, Surveys and Questionnaires, Rwanda, Stress Disorders, Post-Traumatic, Warfare, Women's Health, Survivors, Widowhood
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