CBP CBP Complicated Grief and Prolonged Grief Disorder 1 — Questions and Answers
Question 1: Prolonged Grief Disorder (PGD) was officially added to the DSM-5-TR in 2022. Which symptom is REQUIRED for diagnosis in adults?
- Hallucinations of the deceased
- Intense longing or yearning for the deceased persisting beyond 12 months after loss (Correct answer)
- A suicide attempt within six months of the death
- Complete social isolation for more than three months
Correct answer: Intense longing or yearning for the deceased persisting beyond 12 months after loss
DSM-5-TR requires intense yearning or longing for the deceased as a core criterion for Prolonged Grief Disorder, persisting at least 12 months in adults.
Question 2: Which of the following losses carries the HIGHEST empirical risk for developing complicated grief?
- Expected death of an elderly grandparent
- Death of a spouse by suicide (Correct answer)
- Loss of a distant acquaintance
- Death of a pet
Correct answer: Death of a spouse by suicide
Suicide bereavement is consistently identified in research as a high-risk factor for complicated grief due to traumatic elements, stigma, and unanswered questions.
Question 3: Complicated Grief Treatment (CGT), developed by Shear and colleagues, is BEST categorized as:
- A purely pharmacological intervention
- An integrated psychotherapy combining IPT and exposure-based techniques (Correct answer)
- A 12-step peer support program
- A mindfulness-only intervention
Correct answer: An integrated psychotherapy combining IPT and exposure-based techniques
CGT integrates interpersonal therapy with imaginal and situational exposure techniques to address the dual processes of grief and restoration.
Question 4: The Dual Process Model (Stroebe & Schut) describes oscillation between which two orientations in healthy grief?
- Depression and mania
- Loss-orientation and restoration-orientation (Correct answer)
- Denial and acceptance
- Anger and guilt
Correct answer: Loss-orientation and restoration-orientation
Stroebe and Schut's Dual Process Model describes healthy grieving as oscillating between loss-oriented coping (focusing on the loss) and restoration-oriented coping (focusing on life changes).
Question 5: A client with PGD describes feeling that life is meaningless since her husband died two years ago and that she cannot imagine any future for herself. This MOST reflects which PGD criterion?
- Yearning for the deceased
- Identity disruption and difficulty imagining a meaningful future (Correct answer)
- Re-experiencing symptoms
- Survivor's guilt
Correct answer: Identity disruption and difficulty imagining a meaningful future
DSM-5-TR PGD criteria include identity disruption and difficulty envisioning a meaningful future, which reflect profound disruption of the bereaved person's sense of self and purpose.
Question 6: Which assessment tool is MOST widely used to measure prolonged or complicated grief symptom severity in clinical settings?
- Beck Depression Inventory (BDI-II)
- Prolonged Grief Disorder Scale (PG-13) / Inventory of Complicated Grief (ICG) (Correct answer)
- GAD-7 Generalized Anxiety Scale
- PTSD Checklist (PCL-5)
Correct answer: Prolonged Grief Disorder Scale (PG-13) / Inventory of Complicated Grief (ICG)
The Inventory of Complicated Grief (ICG) and the PG-13 are the most widely validated and clinically used instruments for assessing complicated and prolonged grief severity.
CBP CBP Complicated Grief and Prolonged Grief Disorder 1
Prolonged Grief Disorder (PGD) was officially added to the DSM-5-TR in 2022.
Which symptom is REQUIRED for diagnosis in adults?