研究动态
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长期悲伤障碍的身体症状:病例报告。

Physical symptoms in prolonged grief disorder: a case report.

发表日期:2024 Aug 20
作者: Hiromichi Matsuoka, Emi Takeuchi, Masashi Kato
来源: Brain Structure & Function

摘要:

长期悲伤障碍 (PGD) 于 2022 年作为一种新障碍添加到《精神障碍诊断与统计手册》第五版文本修订版 (DSM-5-TR) 中。PGD 被定义为对死者和逝者的强烈思念或渴望。全神贯注于对死者的想法或记忆。 PGD​​的官方诊断标准不包括躯体症状,但有时与躯体症状相关。我们介绍了一位患有传真病的患者,她因脑肿瘤恶化而失去了丈夫。她患有与已故丈夫类似的身体症状(让人想起脑肿瘤的剧烈头痛和高血压)。我们专注于悲伤暴露和行为激活开始的双重过程模型,确保以损失为导向的悲伤(例如,哭泣、感觉持续的联系)和以恢复为导向的悲伤(例如,关注生活变化、新角色/身份/关系)。基于悲伤双过程模型的门诊心理治疗改善了她的身体症状。本病例报告重点介绍了那些失去已故亲人的人所经历的身体症状。基于悲伤反应双过程模型的暴露疗法和行为激活方法可有效减少传真病的身体症状。已故家庭成员因丧亲之痛而引发的身体症状常常被忽视,需要得到认识。
Prolonged grief disorder (PGD) was added as a new disorder to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) in 2022. PGD is defined as an intense yearning or longing for the deceased and preoccupation with thoughts or memories of the deceased. The official diagnostic criteria for PGD do not include physical symptoms, but it is sometimes associated with somatic symptoms.We present the case of a patient suffering from facsimile illness who lost her husband due to the deterioration of a brain tumor. She suffers from similar physical symptoms (severe headache reminiscent of a brain tumor, and hypertension) as her deceased husband. We focused on the dual process model in which grief exposure and behavioral activation began, ensuring an oscillation between loss-oriented grief (e.g., crying, feeling a continuing bond) and restoration-oriented grief (e.g., attending to life changes, new roles/identities/relationships). Outpatient psychotherapy based on the dual-process model of grief improved her physical symptoms.This case report highlights the physical symptoms experienced by those bereaved by a deceased loved one. Exposure therapy and behavioral activation approaches based on the dual-process model of grief response were effective in reducing the physical symptoms of facsimile illness. Physical symptoms in deceased family members triggered by bereavement are often overlooked and need to be recognized.