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Assessment, Vol. 9, No. 1, 31-40 (2002)
DOI: 10.1177/1073191102009001005
© 2002 SAGE Publications

Perinatal Bereavement Grief Scale

Distinguishing Grief From Depression Following Miscarriage

Jennifer Boyd Ritsher

Department of Veterans Affairs and Stanford Universityjennifer.ritsher{at}med.va.gov

Richard Neugebauer

New York State Psychiatric Institute and Columbia University

The study evaluated the Perinatal Bereavement Grief Scale (PBGS), the first scale designed to measure grief following reproductive loss in terms of yearning for the lost pregnancy and lost baby. Participants included 304 women interviewed by telephone 1 to 3 times within 6 months after miscarriage. The PBGS had high internal consistency and test-retest reliability. It showed convergent validity with measures of attachment and investment in the child and divergent validity against measures of social desirability and depressive symptoms, supporting the conceptual distinction between grief and depression. Cross-cultural validity was acceptable whether tested by language (Spanish vs. English) or ethnicity (Hispanic vs. other). This measure of yearning enables study of the epidemiology and prognostic value of this key feature of mourning.

Key Words: miscarriage • perinatal • bereavement • grief • depression • assessment


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