TO THE EDITOR: We read with interest the article by Cozza et al. on the accuracy of DSM-5 persistent complex bereavement disorder criteria (1).The study suggests that complicated grief criteria are more sensitive in detecting cases with griefrelated symptoms than persistent complex bereavement disorder or prolonged grief disorder criteria, without compromising specificity.However,we feel that the article’s findings fail to prove superiority of the complicated grief criteria set.

This randomized controlled trial was designed to determine if art therapy in conjunction with Cognitive Processing Therapy (CPT) was more effective for reducing symptoms of combat posttraumatic stress disorder (PTSD) than CPT alone. Veterans (N = 11) were randomized to receive either individual CPT, or individual CPT in conjunction with individual art therapy. PTSD Checklist–Military Version and Beck Depression Inventory–II scores improved with treatment in both groups with no significant difference in improvement between the experimental and control groups.

It is a positive development that researchers dealing with conflict-affected populations have become mindful of the complex interplay of contributing factors concerning the development and perpetuation of mental health disorders, and their role in the transmission and perpetuation of violence. For instance, it has become common to integrate multiple contextual, intra-, and inter-individual factors using conceptual frameworks (e.g., adaptations of Bronfenbrenner’s socio-ecological model) and longitudinal research strategies (e.g Amone-P’olak et al., 2013).

A safe space is a place in which individuals can find refuge and protection from insensitivity, discrimination, persecution, and other potentially negative experiences. Debate on the utility of safe spaces at universities grows more controversial as college campuses struggle to address the growing numbers of students calling for their presence.