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The Nosological Status of Bereavement-Related Depressions

Published online by Cambridge University Press:  02 January 2018

Elie G. Karam*
Affiliation:
Department of Psychiatry and Psychology, St George's Hospital, PO Box 166378, Beirut, Lebanon

Extract

Background

The validity of excluding bereavement-related depressive episodes which satisfy all the criteria of major depression is examined in this community study.

Method

A total of 658 subjects were interviewed in their homes using the Diagnostic Interview Schedule. The length of the episodes of depression, the dysfunction they caused, and the frequency of seeking and receiving treatment were assessed.

Results

The risk of recurrence did not differ whether the depressive episodes that satisfy the DSM–III–R criteria of major depression were or were not related to bereavement.

Conclusions

Excluding from the repertoire of depressions all those related to external stressors might need more research, but singling out those related to bereavement does not seem to be supported by our community-based data.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1994 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Andrews, G., Tennant, C., Hawson, D., et al (1978) Life event stress, social support, coping style, and risk of psychological impairment. Journal of Nervous and Mental Disease, 166, 307316.CrossRefGoogle ScholarPubMed
Bornstein, P. E., Clayton, P. J., Halikas, J. A., et al (1973) The depression of widowhood after thirteen months. British Journal of Psychiatry, 122, 561566.Google Scholar
Brown, G. W. (1974) Meaning, measurement, and stress of life events. In Stressful Life Events (eds Dohrenwend, B. S. & Dohrenwend, B. P.), pp. 217243. New York: John Wiley.Google Scholar
Brown, G. W. & Harris, T. (1978) Social Origin Depression: A Study of Psychiatric Disorder in Women. New York: Free Press.Google Scholar
Brown, G. W. & Harris, T. (1986) Establishing causal links: The Bedford College studies of depression. In Life Events and Psychiatric Disorders: Controversial Issues (ed. Katschnig, H.), pp. 107187. Cambridge: Cambridge University Press.Google Scholar
Campbell, E. A., Cope, S. J. & Teasdale, J. D. (1983) Social factors and affective disorder: an investigation of the Brown and Harris model. British Journal of Psychiatry, 143, 548553.CrossRefGoogle Scholar
Clayton, P., Desmarajs, L. & Winokur, G. (1968) A study of normal bereavement. American Journal of Psychiatry, 125, 168178.CrossRefGoogle ScholarPubMed
Clayton, P., Halikas, J. A. & Maurice, W. L. (1971) The bereavement of the widowed. Diseases of the Nervous System, 32, 597604.Google ScholarPubMed
Clayton, P., Halikas, J. A. & Maurice, W. L. (1972) The depression of widowhood. British Journal of Psychiatry, 120, 7177.Google Scholar
Clayton, P., Halikas, J. A. & Maurice, W. L. (1974a) Mortality and morbidity in the first year of widowhood. Archives of General Psychiatry, 30, 747750.CrossRefGoogle Scholar
Clayton, P., Herjanic, M., Murphy, G. E., et al (1974b) Mourning and depression: Their similarities and differences. Canadian Psychiatric Association Journal, 19, 309312.Google Scholar
Cooke, D. J. & Hole, D. J. (1983) Aetiological importance of stressful life events. British Journal of Psychiatry, 143, 397400.Google Scholar
Faravelli, C., Pallanti, S. & Frassine, R. (1987) Life events and depression. In Anxious Depression: Assessment and Treatment (eds Racagni, G. & Smeraldi, E.). New York: Raven Press.Google Scholar
Faravelli, C., & Pallanti, S. (1989) Recent life events and panic disorder. American Journal of Psychiatry, 146, 622626.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5764.Google Scholar
Finlay-Jones, R. & Brown, G. W. (1981) Types of stressful events and the onset of anxiety and depressive disorders. Psychological Medicine, 11, 803815.Google Scholar
Hallstrom, T. (1986) Social origins of major depression: the role of provoking agents and vulnerability factors. Acta Psychiatrica Scandinavica, 73, 383389.CrossRefGoogle ScholarPubMed
Helzer, J. E. (1981) Methodological issues in the interpretation of the consequences of extreme situations. In Stressful Life Events and Their Contexts (eds Dohrenwend, B. S. & Dohrenwend, B. P.), pp. 108129. New York: Prodist.Google Scholar
Jacobs, S. C., Hansen, F. F., Berkman, L., et al (1989) Depressions of bereavement. Comprehensive Psychiatry, 30, 218224.Google Scholar
Jacobs, S. C., & Kim, K. (1990) Psychiatric complications of bereavement. Psychiatric Annals, 20, 314317.CrossRefGoogle Scholar
Karam, E. G. (1992) Méthodologie d'une recherche sur la guerre et la depression. Annales Université St Joseph, Beirut, Lebanon. Google Scholar
Karam, E. G., Barakeh, M., Karam, A. N. & El-Khoury, N. (1991) The Arabic Diagnostic Interview Schedule. Revue Médicale Libanaise, 3.Google Scholar
Kennell, J. H., Slyter, H. & Klaus, M. H. (1970) The mourning response of parents to the death of a newborn infant. New England Journal of Medicine, 283, 344349.Google Scholar
Lehman, D. R., Wortman, C. B. & Williams, A. F. (1987) Long-term effects of losing a spouse or child in a motor vehicle crash. Journal of Personality and Social Psychology, 52, 218231.CrossRefGoogle Scholar
Lewis, E. (1979) Mourning by the family after a stillbirth or neonatal death. Archives of Disease in Childhood, 54, 303306.Google Scholar
Lewis, E. & Page, A. (1978) Failure to mourn a stillbirth: an overlooked catastrophe. British Journal of Medical Psychology, 51, 237241.CrossRefGoogle ScholarPubMed
Maser, J. D., Kaelber, C. & Weise, R. E. (1991) International use and attitudes toward DSM–III–R: growing consensus in psychiatric classification. Journal of Abnormal Psychology, 100, 271279.Google Scholar
Pedersen, F. A., Zaslow, M. J., Theut, S. K., et al (1989) Perinatal loss and parental bereavement. American Journal of Psychiatry, 146, 635639.Google Scholar
Solomon, Z. & Bromet, E. (1982) The role of social factors in affective disorder: an assessment of the vulnerability model of Brown and his colleagues. Psychological Medicine, 12, 123130.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria (RDC): Rationale and reliability. Archives of General Psychiatry, 35, 773782.CrossRefGoogle ScholarPubMed
World Health Organization (1989) Mental and Behavioural Disorders: Diagnostic Criteria for Research. Geneva: World Health Organization.Google Scholar
Zisook, S. A. Schuster, S. (1991) Depression through the first year after the death of a spouse. American Journal of Psychiatry, 148, 13461352.Google Scholar
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