THE STRUCTURED CLINICAL INTERVIEW FOR COMPLICATED GRIEF: RELIABILITY, VALIDITY, AND EXPLORATORY FACTOR ANALYSIS
Eric Bui, Christine Mauro, Donald J Robinaugh, Natalia A Skritskaya, Yuanjia Wang, Colleen Gribbin, Angela Ghesquiere, Arielle Horenstein, Naihua Duan, Charles Reynolds, Sidney Zisook, Naomi M Simon, M Katherine Shear, Eric Bui, Christine Mauro, Donald J Robinaugh, Natalia A Skritskaya, Yuanjia Wang, Colleen Gribbin, Angela Ghesquiere, Arielle Horenstein, Naihua Duan, Charles Reynolds, Sidney Zisook, Naomi M Simon, M Katherine Shear
Abstract
Background: Complicated grief (CG) has been recently included in the DSM-5, under the term "persistent complex bereavement disorder," as a condition requiring further study. To our knowledge, no psychometric data on any structured clinical interview for CG (SCI-CG) is available to date. In this manuscript, we introduce the SCI-CG, a 31-item "SCID-like" clinician-administered instrument to assess the presence of CG symptoms.
Methods: Participants were 281 treatment-seeking adults with CG (77.9% [n = 219] women, mean age = 52.4, standard deviation [SD] = 17.8) who were assessed with the SCI-CG and measures of depression, posttraumatic stress, anxiety, functional impairment.
Results: The SCI-CG exhibited satisfactory internal consistency (α = .78), good test-retest reliability (interclass correlation [ICC] 0.68, 95% CI [0.60-0.75]), and excellent interrater reliability (ICC = 0.95, 95% CI [0.89-0.98]). Exploratory factor analyses revealed that a five-factor structure, explaining 50.3% of the total variance, was the best fit for the data.
Conclusions: The clinician-rated SCI-CG demonstrates good internal consistency, reliability, and convergent validity in treatment-seeking individuals with CG and therefore can be a useful tool to assess CG. Although diagnostic criteria for CG have yet to be adequately validated, the SCI-CG may facilitate this process. The SCI-CG can now be used as a validated instrument in research and clinical practice.
Keywords: PTSD/posttraumatic stress disorder; anxiety/anxiety disorders; assessment/diagnosis; depression; grief/bereavement/complicated grief.
© 2015 Wiley Periodicals, Inc.
Source: PubMed