Duelo complicado y depresión en personas de 18 años en adelante: una revisión sistemática

Abstract

Background: Complicated Grief (CG) is a condition of intense and persistent pain for more than six months after the loss, affecting the psychological and daily functioning of the survivor. Objective: determine the prevalence of CG and depression in people aged 18 years and older. Methodology: observational study, systematic review, in grieving people, of age 18 years or older. Search was in scientific bases such as PubMed, ClinicalKey, Cochrane Library and ScienceDirect, including thirty observational studies, published in English, since 2016 and quality 1 and 2. The information was written in based on the PICO strategy and was compiled in tables. Results: the predominant age was between 41 to 49 years old, female gender, secondary level of education, and married and widowed. The risk factors for CG were: depressive symptoms before and after the loss, major depressive disorder, mental disability, loss of partner/child, being the main caregiver and worst family functioning. The prevalence of CG and depression showed variable figures (2,4 % to 86,5 %, and 1,5 % to 67,8 %, respectively). Conclusions: CG is a unique and different disorder. The prevalence depends on several factors. Limitations: there are no defined criteria for the diagnosis of CG and depression; instruments are used that differ with age and the context of their application. Being different disorders, each can increase the risk of developing the other.