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The prevalence of prolonged grief disorder in late-life depression and its clinical features in Japan
https://jichi-ir.repo.nii.ac.jp/records/433
https://jichi-ir.repo.nii.ac.jp/records/433516c312e-158d-492c-9c93-d503dd6c9a41
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
自治医科大学紀要1881-252X(40)p1-8 2018 (177.4 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2018-04-23 | |||||||||||
| タイトル | ||||||||||||
| タイトル | The prevalence of prolonged grief disorder in late-life depression and its clinical features in Japan | |||||||||||
| 言語 | en | |||||||||||
| その他（別言語等）のタイトル | ||||||||||||
| その他のタイトル | 初老期うつ病における遷延性悲嘆障害合併率ならびに臨床的諸特徴に関する研究 | |||||||||||
| 言語 | ja | |||||||||||
| 言語 | ||||||||||||
| 言語 | eng | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | aged society | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | bereavement | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | depression | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | grief | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | prolonged grief disorder | |||||||||||
| キーワード | ||||||||||||
| 言語 | ja | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 高齢社会 | |||||||||||
| キーワード | ||||||||||||
| 言語 | ja | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 死別反応 | |||||||||||
| キーワード | ||||||||||||
| 言語 | ja | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | うつ病 | |||||||||||
| キーワード | ||||||||||||
| 言語 | ja | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 悲嘆 | |||||||||||
| キーワード | ||||||||||||
| 言語 | ja | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | 遷延性悲嘆障害 | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | departmental bulletin paper | |||||||||||
| 著者 |
Shimizu, Kanako
× Shimizu, Kanako
× Kobayashi, Toshiyuki
× Suda, Shiro
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| 著者別名 | ||||||||||||
| 姓名 | 清水, 加奈子 | |||||||||||
| 言語 | ja | |||||||||||
| 著者別名 | ||||||||||||
| 姓名 | 小林, 聡幸 | |||||||||||
| 言語 | ja | |||||||||||
| 著者別名 | ||||||||||||
| 姓名 | 須田, 史朗 | |||||||||||
| 言語 | ja | |||||||||||
| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Background: Prolonged grief disorder (PGD), a new category related to bereavement, is a prolongation of grief and is distinct from depression, although its symptoms such as depressive state and a strong desire to die resemble those of depression. Until the concept of PGD was raised, many clinicians did not recognize PGD and regarded it as a form of depression. Here we examined the prevalence of PGD among older inpatients with and without PGD following their bereavement, and we analyzed the patients' clinical features. Methods: We examined all depressive patients >50 years old who were admitted to the psychiatric ward of Jichi Medical University Hospital between January 2009 and December 2014. The concomitant depression with PGD was assessed based on the proposed diagnosis of persistent complex grief disorder in DSM-5 and the Brief Grief Questionnaire. Results: Twenty-eight individuals (75.7%) consented to participate. The prevalence of PGD with depression was 57.1%. All individuals had lost a close relative. Suicide death, sudden death and death from chronic disease among the deceased relatives were more frequent in the PGD group than the non-PGD group. The rate of females, somatic symptoms in a limited body area, the use of tricyclic antidepressants or tetracyclic antidepressants, and lower number of educational years were more prevalent in the PGD group compared to the non-PGD group. The mean Global Assessment of Functioning (GAF-F) score at discharge was significantly lower in the PGD group. Conclusions: PGD was prevalent in the patients with late-life depression following the death of a close relative. The development of PGD appears to be affected by both the death of a close relative and the cause of that relative's death. Clinicians should be aware of the possibility of concomitant PGD with depression, especially among older patients who respond poorly to antidepressant treatments. |
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| 書誌情報 |
自治医科大学紀要 en : Jichi Medical University Journal 巻 40, p. 1-8, 発行日 2018-03 |
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| 出版者 | ||||||||||||
| 出版者 | 自治医科大学 | |||||||||||
| ISSN | ||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||
| 収録物識別子 | 1881-252X | |||||||||||
