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The Persistent Complex Bereavement Inventory: A Measure Based on the DSM-5.

Sherman A Lee1

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The Persistent Complex Bereavement Inventory (PCBI) offers a reliable and valid method for assessing persistent complex bereavement disorder (PCBD) symptoms. This new tool aids researchers in understanding and diagnosing PCBD, distinguishing it from other mental health conditions.

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Area of Science:

  • Psychological assessment
  • Clinical psychology
  • Psychopathology

Background:

  • Persistent Complex Bereavement Disorder (PCBD) requires precise measurement for research.
  • Existing measures may not fully capture the nuances of PCBD.

Purpose of the Study:

  • To introduce and validate the Persistent Complex Bereavement Inventory (PCBI).
  • To provide a tool for reliable and valid assessment of PCBD symptomatology.

Main Methods:

  • Two studies were conducted to develop and validate the PCBI.
  • Factor analysis, reliability testing (internal consistency, test-retest), and correlational analyses were performed.
  • The PCBI's predictive validity was assessed against various psychological outcomes.

Main Results:

  • The PCBI demonstrated a stable 3-factor structure aligning with DSM-5 criteria for PCBD.
  • The inventory showed strong internal consistency and test-retest reliability.
  • Evidence for construct, convergent, and divergent validity was established.
  • The PCBI predicted outcomes beyond prolonged grief disorder, separation anxiety, depression, and PTSD.
  • The Social/Identity Disruption subscale uniquely predicted negative religious coping, health behaviors, hallucinations, somatic complaints, medical conditions, and suicidal ideation.

Conclusions:

  • The PCBI is a reliable and valid instrument for measuring PCBD symptoms.
  • This inventory facilitates research into PCBD and its associated outcomes.
  • The PCBI, particularly its Social/Identity Disruption subscale, offers valuable insights into diverse adverse outcomes.