Grief, bereavement and adjustment disorder in children — branching viva

Branching viva on separating normal grief from prolonged grief disorder and adjustment disorder, the two-trigger/two-clock distinction, grief-versus-MDD-versus-PTSD, suicide and safeguarding assessment, CBT for PGD and TF-CBT evidence, no first-line medication, and a suicidality conversion.

branching clinical structured oral3 min readVerification in progress

Prompt

You are the general paediatrician assessing a distressed child or adolescent after a loss or a major stressor. The examiner will test the grief-versus-adjustment distinction, the grief-versus-MDD-versus-PTSD differential, evidence-based psychological therapy, the pharmacotherapy trap, and a suicidality conversion.

Stem

The examiner opens with a distressed child after a loss or stressor, then escalates through the grief-versus-adjustment distinction, the depression and PTSD differential, evidence-based psychological therapy, a pharmacotherapy trap, and a suicidality conversion. [1] [4]

Paediatrics Fellowship Pro

You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References7Show ledger

[1]Melhem NM, Moritz G, Walker M, Shear MK, Brent D Phenomenology and correlates of complicated grief in children and adolescents. J Am Acad Child Adolesc Psychiatry, 2007.PMID 17420684
[2]Geronazzo-Alman L, Fan B, Duarte CS, Layne CM, Wicks J, Guffanti G, Musa GJ, Hoven CW The Distinctiveness of Grief, Depression, and Posttraumatic Stress: Lessons From Children After 9/11. J Am Acad Child Adolesc Psychiatry, 2019.PMID 30877043
[4]Boelen PA, Spuij M, Lenferink LIM Comparison of DSM-5 criteria for persistent complex bereavement disorder and ICD-11 criteria for prolonged grief disorder in help-seeking bereaved children. J Affect Disord, 2019.PMID 30836282
[5]Revet A, Suc A, Auriol F, Djelantik AAAMJ, Raynaud JP, Bui E Peritraumatic distress predicts prolonged grief disorder symptom severity after the death of a parent in children and adolescents. Eur J Psychotraumatol, 2021.PMID 34249245
[6]Boelen PA, Lenferink LIM, Spuij M CBT for Prolonged Grief in Children and Adolescents: A Randomized Clinical Trial. Am J Psychiatry, 2021.PMID 33472391
[7]Cohen JA, Mannarino AP Trauma-Focused Cognitive Behavioral Therapy for Childhood Traumatic Separation. Child Abuse Negl, 2019.PMID 30999167
[12]Pelkonen M, Marttunen M, Henriksson M, Lönnqvist J Suicidality in adjustment disorder--clinical characteristics of adolescent outpatients. Eur Child Adolesc Psychiatry, 2005.PMID 15959663