The Traumatic Grief Inventory Self-Report Version (TGI-SR): Introduction and Preliminary Psychometric Evaluation
The Traumatic Grief Inventory Self-Report Version (TGI-SR): Introduction and Preliminary Psychometric Evaluation
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DOI：
10.1080/15325024.2017.1284488
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发表时间：
2017-01-01
影响因子：
4.7
通讯作者：
Smid, Geert E.
中科院分区：
文献类型：
--
作者：
Boelen, Paul A.;Smid, Geert E.
持续性复杂丧亲障碍（PCBD）是《精神疾病诊断与统计手册》（DSM-5；美国精神病学协会，2013）第5版新收录的一种悲伤障碍。长期悲伤障碍（PGD）是一种具有类似症状的障碍，可能列入即将出版的第11版《国际疾病分类》（ICD-11；世界卫生组织，1992年）。我们开发了创伤性悲伤量表自我报告版本（TGI-SR），这是一个18项的测量方法，用于评估临床和研究环境中PCBD和PGD的症状。本研究是评估TGI-SR心理测量特性的初步尝试。为此目的，对一家专门治疗与丧失和创伤有关的精神病理学的精神卫生研究所的327名患者实施了这一措施。我们发现证据表明，TGI-SR的项目（全部18个项目，以及代表PCBD标准的17个项目和代表PGD标准的11个项目的选择）在一个维度上加载。TGI-SR表现出较强的内部一致性。TGI-SR得分升高与精神病理指标得分升高和生活质量得分降低显著相关，证明了其并发效度。受试者操作特征（Receiver operating characteristic， ROC）分析TGI-SR总分与PCBD和PGD临时诊断的曲线下面积指数较高，提示TGI-SR总分可作为PCBD和PGD可能诊断的指标。本研究的结果提供了初步证据，表明PCBD和PGD症状可以使用TGI-SR轻松可靠地测量。
Persistent Complex Bereavement Disorder (PCBD) is a disorder of grief newly included in the Emerging Measures and Models section of the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013). Prolonged Grief Disorder (PGD) is a disorder with similar symptoms, likely to be included in the forthcoming 11th edition of the International Classification of Diseases (ICD-11; World Health Organization, 1992). We developed the Traumatic Grief Inventory Self-Report version (TGI-SR), an 18-item measure, for the assessment of symptoms of PCBD and PGD in clinical and research settings. This study was an initial attempt to evaluate psychometric properties of the TGI-SR. To this end, the measure was administered to 327 patients of a mental health institute specialized in the treatment of psychopathology associated with loss and trauma. We found evidence that items of the TGI-SR (all 18 items, as well as the selection of 17 items representing PCBD criteria, and 11 items representing PGD criteria) loaded on one dimension. The TGI-SR demonstrated strong internal consistency. Elevated scores on the TGI-SR were significantly correlated with elevated scores on indices of psychopathology and lower quality of life, attesting to the concurrent validity. Receiver operation characteristic (ROC) analyses of the TGI-SR total score against provisional diagnoses of PCBD and PGD yielded a high area under the curve index suggesting that the TGI-SR total score can be used as an indicator for probable diagnoses of both PCBD and PGD. Results of this study provide initial evidence that PCBD and PGD symptoms may be readily and reliably measured using the TGI-SR.