STATUS POREMEĆAJA PRODUŽENE OŽALOŠĆENOSTI U MEĐUNARODNOJ KLASIFIKACIJI BOLESTI (MKB-11)

  • Radomir Belopavlović Univerzitet u Novom Sadu, Filozofski fakultet, Odsek za psihologiju
  • Zdenka Novović Univerzitet u Novom Sadu, Filozofski fakultet, Odsek za psihologiju
Ključne reči: poremećaj produžene ožalošćenosti, MKB-11, klinička korisnost

Sažetak


Ožalošćenost posle gubitka značajne osobe je univerzalno iskustvo. Međutim, kod malog, ali značajnog dela ožalošćenih, taj proces može da traje duže od kulturalno očekivanog perioda i može biti povezan sa intenzivnim distresom, disfunkcionalnošću, kao i povišenim mortalitetom i morbiditetom. Ožalošćenost je dugo u naučnoj literaturi posmatrana kao adaptivna reakcija na gubitak, ali kod nekih i kao faktor povezan sa, najčešće, velikom depresivnom epizodom, generalizovanim anksioznim poremećajem i post-traumatskim stresnim poremećajem. U prošlim verzijama dijagnostičkih sistema, DSM-IV i MKB-10, fenomen produžene ožalošćenosti je smešten u katogorije koje podrazumevaju dalja istraživanja, odnosno stanja koja zahtevaju negu, ali predlagana je i preporuka da se u tom slučaju ne uspostavlja dijagnoza velike depresivne epizode, upravo zbog normativne prirode reakcije na gubitak. U novoj iteraciji Međunarodne Klasifikacije Bolesti – 11 (MKB-11), ovo stanje se klasifikuje kao poremećaj produžene ožalošćenosti. Racionalu za ovu promenu predstavljaju istraživanja koja ukazuju na to da je ovaj poremećaj fenomenološki različit od sličnih stanja, podrazumeva specifične faktore rizika i posledice, kao i različita tretmanska rešenja. Ovaj rad će se fokusirati na same kriterijume u prostoru MKB-11, istraživanja koja govore u prilog validnosti dijagnoze, implikacije, kao i na širi okvir konceptualne i kliničke korisnosti ovog poremećaja.

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