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Updated: Jan 21, 2026

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Published on: August 2, 2019
Operationalizing near‑death experiences: Stability of the NDE Rasch hierarchy over two decades.
Marieta Pehlivanova1, Rense Lange2, Bruce Greyson1
1Division of Perceptual Studies, Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
The original Near-Death Experience Scale (NDE Scale) is recommended over the NDE-C scale. Rasch analysis confirmed the NDE Scale
Area of Science:
- Psychology
- Psychometrics
- Neuroscience
Background:
- Near-death experiences (NDEs) are complex phenomena studied for decades.
- Existing scales like the NDE Scale and NDE-C aim to quantify NDEs.
- Psychometric validation is crucial for reliable measurement of NDE phenomenology.
Purpose of the Study:
- To conduct the first comprehensive psychometric comparison of Greyson's NDE Scale and Martial et al.'s NDE-C Scale.
- To evaluate the structural validity and item performance of both scales using Rasch modeling.
- To determine the most robust and reliable measure for assessing NDE phenomenology.
Main Methods:
- Rasch modeling and differential item functioning analyses were applied.
- 705 individuals reporting near-death experiences completed both the NDE Scale and NDE-C Scale.
- Item hierarchies and category structures of both scales were rigorously evaluated.
Main Results:
- Both scales measure the same construct of NDE phenomenology (r = 0.98).
- Rasch analysis revealed limitations in the NDE-C's category structure and novel items.
- The NDE Scale demonstrated long-term structural stability and psychometric robustness.
Conclusions:
- The original NDE Scale is recommended due to its conceptual coherence and psychometric strength.
- Rasch scoring and a cut-off of 7 are advised for the NDE Scale.
- Rasch modeling is valuable for NDE research and theory building.
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