Evaluate the following clinical scenarios involving family members of patients with advanced illness or recent death. Match each clinical presentation to the most accurate psychological or psychiatric classification.
- A 52-year-old woman whose husband was diagnosed with glioblastoma two months ago. She reports profound sadness, tearfulness, and preoccupation with his impending death, though she continues to manage his daily care effectively.Anticipatory Grief
- A 68-year-old man whose wife died 14 months ago. He describes an intense, persistent yearning for her, refuses to enter their shared bedroom, feels that life is meaningless, and has been unable to return to his part-time job.Prolonged Grief Disorder
- A 45-year-old man whose father died peacefully in hospice 6 weeks ago. He experiences waves of sadness and occasionally hears his father's voice calling his name when falling asleep, but continues to work and socialize normally.Normal Bereavement
- A 35-year-old woman whose mother was transitioned to comfort care one month ago. She experiences excessive worry, muscle tension, and irritability that significantly interfere with her work performance, without meeting criteria for major depression.Adjustment Disorder with Anxiety
Cevap
Match the clinical scenarios to Anticipatory Grief, Prolonged Grief Disorder, Normal Bereavement, and Adjustment Disorder with Anxiety, respectively.
Each scenario illustrates a distinct psychological response to end-of-life stressors. Anticipatory grief occurs prior to death. Prolonged grief disorder requires symptoms persisting >12 months with severe impairment. Normal bereavement can include transient hallucinations of the deceased. Adjustment disorder involves marked distress out of proportion to the stressor within 3 months.
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Anahtar Kavram
Distinguishing normal grief reactions from pathologic grief, adjustment disorders, and depression in the context of palliative care.