Background Studies suggest that symptoms of traumatic grief constitute a di
stinct syndrome worthy of diagnosis.
Aims A consensus conference aimed to develop and test a criteria set for tr
aumatic grief.
Method The expert panel proposed consensus criteria for traumatic grief Rec
eiver operator characteristic (ROC) analyses tested the performance of the
proposed criteria on 306 widowed respondents at seven months post-loss.
Results ROC analyses indicated that three of four separation distress sympt
oms (e.g. yearning, searching, loneliness) had to be endorsed as at least '
sometimes true' and four of the final eight traumatic distress symptoms (e.
g. numbness, disbelief distrust, anger, sense of futility about the future)
had to be endorsed as at least 'mostly true' to yield a sensitivity of 0.9
3 and a specificity of 0.93 for a diagnosis of traumatic grief.
Conclusions Preliminary analyses suggest the consensus criteria for traumat
ic grief have satisfactory operating characteristics, and point to directio
ns for further refinement of the criteria set.
Declaration of interest Grants received from the National Institute of Ment
al Health, the American Suicide Foundation and the Pepper Older Adults Inde
pendence Center.