abstractsProlonged grief disorder (PGD), a unique and identifiable pathological form of grief, has a high disability rate, co-morbidity, and suicide risk. It is essential to identify and treat it effectively. Up to now, domestic and foreign research on PGD has grown fast, with advances in the fields of etiologypathogenesis, early intervention, and treatment. This article reviews the current literature on the pathogenesis, early intervention, and treatment of PGD to provide a preliminary evidence-based foundation for the clinical management and identification of PGD and guide further academic research in China. Studies have found that the occurrence and development of PGD involve functional changes in neural reward pathways and neuroendocrine systems. Existing evidence-based evidence does not support the application of structured psychological intervention strategies for early intervention in the general bereaved population; active psychological interventions may still be necessary for individuals with acute severe grief. The most common treatment options for PGD are psychotherapy and pharmacotherapy, with cognitive behavioral therapy (CBT) being considered the most preferred option based on the available evidence. So far, the research on PGD needs to be conducted further in-depth, focusing on understanding the whole PGD occurrence and development process.
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