[Toward cultural assessment of grief and grief-related psychopathology]. / Culturele evaluatie van verlies en rouw.

Ways of dealing with bereavement and grief are influenced by the norms of one's cultural identity. Cultural assessment of bereavement and grief is therefore needed for a comprehensive evaluation of grief-related psychopathology and for negotiating appropriate treatment. Cultural aspects of bereavement and grief include cultural traditions related to death, bereavement, and mourning as well as help seeking and coping. To facilitate clinical exploration of cultural aspects of bereavement and grief, the authors propose a set of brief, person-centered, and open-ended questions as a draft supplementary module to the DSM-5 Cultural Formulation Interview. Three case vignettes show how cultural assessment of bereavement and grief may contribute to diagnosis, treatment, and enhancing rapport in patients who seek help following the loss of loved ones.

Quality of life and eating disorders.

OBJECTIVE: Eating disorders (EDs) can have a serious impact on various life domains and may lead to physical, mental and social impairment and consequently to poor quality of life (QOL). This study compared the QOL of ED patients and former ED patients in a large community based sample to the QOL of a normal reference group and to the QOL of patients with mood disorders. Differences between ED diagnostic groups were examined. The study investigated what factors contribute to QOL. METHODS: A generic health-related quality of life questionnaire, the Short Form-36 (SF-36), and the Eating Disorder Examination-Questionnaire were administered to 156 ED patients--44 anorexia nervosa patients, 43 bulimia nervosa patients, 69 eating disorder not otherwise specified patients--and 148 former ED patients. RESULTS: ED patients reported significantly poorer QOL than a normal reference group. No differences were found between the diagnostic groups. Former ED patients still had poorer QOL than a normal reference group. ED patients reported significantly poorer QOL than patients with mood disorders. Self esteem contributed most to QOL. CONCLUSION: EDs have a severe impact on many domains of QOL. Therefore QOL needs to be addressed in effectiveness research and clinical practice.

Temperament, character, and personality disorders.

This study compares two self-report instruments--the Dutch version of Cloninger's Temperament and Character Inventory (TCI) and the Questionnaire on Personality Traits (VKP)--in a Dutch sample of 148 people in a healthy population. The aims of this study are to create a norm group for the Dutch TCI, to investigate the psychometric properties of the TCI, and to examine the relationship between temperament, character (as measured by the TCI), and personality disorders (as measured by the VKP). The Dutch TCI has a good internal consistency. Some scales do intercorrelate. Seven factors can be identified with principal components analysis. T-tests show differences between the mean score of this Dutch population and Cloninger's community sample. According to the results of correlations and multiple regression of the TCI and the VKP, the self-directedness scale can predict the presence or absence of a personality disorder. Other scales might predict the type of personality disorder. It is concluded that the TCI can be a useful aid in the assessment of personality disorders.