Reliability of diagnosing complicated grief: a preliminary investigation.

Abstract:

:Forty experienced mental health providers were asked to diagnose 4 case histories, each involving an aspect of difficult grief embedded in a larger psychopathology context. Half used the full Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev,; DSM-III-R; American Psychiatric Association, 1987); half used a forced choice from among anxiety, mood, adjustment, and personality disorders. For each case, participants also assigned 1 of 4 complicated grief labels derived from the thanatology literature or the label uncomplicated bereavement taken from the DSM-III-R. Interrater agreement was generally low using the DSM-III-R, regardless of instructional format, despite high reliance on relatively few categories. In contrast, interrater agreement was uniformly high using thanatological classifications. Results are discussed in relation to the growing literature differentiating grief from existing DSM classifications and supporting the argument for a separate taxonomy for grief reactions.

journal_name

J Consult Clin Psychol

authors

Marwit SJ

doi

10.1037//0022-006x.64.3.563

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

563-8

issue

3

eissn

0022-006X

issn

1939-2117

journal_volume

64

pub_type

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