Interventions for Prolonged Grief Disorder in Children and Adolescents: A Systematic Review.

IF 2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2025-03-12 eCollection Date: 2025-09-01 DOI:10.1007/s40653-024-00677-8

Sarah Bondy, Haleigh Scott

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引用次数: 0

Abstract

Prolonged Grief Disorder (PGD) was added as a new diagnosis to the Diagnostic and Statistical Manual of Mental Disorders 5 Text Revision (DSM-5-TR). Research on treatment interventions for PGD has focused primarily on adults. However, due to developmental differences, children and adolescents may experience grief differently than adults. There is a need to tailor interventions to children and adolescent populations, but there is a lack of consensus on best practices for treating PGD in these populations. The purpose of this study was to review existing interventions for PGD in children and adolescents to better inform clinicians working with this population. A systematic review was conducted through Google Scholar, APAPsychNet, and by following citations. Studies were reviewed for participant age, prolonged grief symptoms or diagnosis, intervention, and outcomes. Ten studies were included for review with eight interventions identified. Results for each intervention were found to be generally positive in reducing PGD symptoms. Interventions were grouped by modality including group treatments, hybrid treatments (combined group or individual therapy with family therapy), family treatment, and individual treatment. Cognitive Behavior Therapy (CBT), Attachment Theory and Multidimensional Grief Theory were common theoretical bases for interventions and all shared elements of psychoeducation and integrating knowledge about the loss with existing knowledge. Involvement of surviving parents in treatment was found to be a common element across most child and adolescent interventions and was not included in PGD treatment for adults. This review was limited in scope due to lack of research on child and adolescent populations for PGD treatment and heterogeneity of intervention types. However, preliminary findings support the efficacy of interventions for PGD in children and adolescents and highlight a key difference in treatment for these populations.

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儿童和青少年长期悲伤障碍的干预措施：系统回顾。

延长悲伤障碍（PGD）作为一个新的诊断被添加到精神障碍诊断与统计手册5文本修订（DSM-5-TR）。对PGD治疗干预的研究主要集中在成人身上。然而，由于发育的差异，儿童和青少年可能会经历不同于成年人的悲伤。有必要为儿童和青少年群体量身定制干预措施，但在这些人群中治疗PGD的最佳实践方面缺乏共识。本研究的目的是回顾儿童和青少年PGD的现有干预措施，以更好地告知临床医生与这一人群一起工作。通过谷歌Scholar， APAPsychNet以及以下引用进行了系统评价。研究回顾了参与者的年龄、延长的悲伤症状或诊断、干预和结果。纳入10项研究进行审查，确定了8项干预措施。每次干预的结果在减轻PGD症状方面普遍呈阳性。干预措施按方式分组，包括团体治疗、混合治疗（团体或个人治疗与家庭治疗相结合）、家庭治疗和个人治疗。认知行为疗法（CBT）、依恋理论和多维悲伤理论是干预的共同理论基础，它们都是心理教育和将有关损失的知识与现有知识整合的共同要素。研究发现，在大多数儿童和青少年干预措施中，幸存父母参与治疗是一个共同的因素，而成人的PGD治疗不包括在内。由于缺乏对儿童和青少年群体进行PGD治疗的研究以及干预类型的异质性，本综述的范围有限。然而，初步研究结果支持儿童和青少年PGD干预的有效性，并强调了这些人群治疗的关键差异。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.