Abstract
Cognitive behavioral conceptualizations of complicated grief propose that negative cognitions play a core role in the development and persistence of emotional problems after bereavement, because they generate negative emotions and cause mourners to engage in counterproductive attempts to avoid the implications and the pain of the loss. To facilitate the assessment of potentially problematic cognitions after bereavement, the Grief Cognitions Questionnaire (GCQ) has been developed—a 38-item questionnaire representing 9 categories of cognitions. Building on a previous study that supported the reliability and validity of the GCQ, the current study further examined its psychometric properties, with data of 531 bereaved individuals who completed research questionnaires online through the Internet. Confirmatory factor analyses supported the nine-factor structure with 9 interrelated factors. The reliability and convergent and discriminative validity were found to be adequate. Altogether the GCQ seems to be a useful tool for the assessment of negative thinking after bereavement in research and clinical practice.
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References
Abrahms, J. L. (1981). Depression versus normal grief following the death of a significant other. In G. Emery, S. D. Hollon, & R. C. Bedrosian (Eds.), New directions in cognitive therapy (pp. 255–270). New York: Guilford Press.
Akaiki, H. (1987). Factor analysis and AIC. Psychometrika, 52, 317–332.
Arbuckle, J. L. (2003). Amos 5.0 update to the Amos user’s guide. Chicago: Smallwaters Corporation.
Arbuckle, J. L., & Wothke, W. W. (1999). Amos 4.0 user’s guide. Chicago: SmallWaters.
Arrindell, W. A., & Ettema, J. (2003). Symptom Checklist. Handleiding bij een multidimensionele psychopathologie-indicator. [Symptom Checklist. Manual for a multidimensional indicator of psychopathology.] Lisse: Swets & Zeitlinger.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.
Boelen, P. A., Kip, J. J., Voorsluijs, J. J., & Van den Bout, J. (2004). Irrational beliefs and basic assumptions in bereaved university students: A comparison study. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 22, 111–129.
Boelen, P. A., Van den Bout, J., de Keijser, J., & Hoijtink, H. (2003). Reliability and validity of the Dutch version of the Inventory of Traumatic Grief. Death Studies, 27, 227–249.
Boelen, P. A., Van den Bout, J., & Van den Hout, M. A. (2003a). The role of cognitive variables in psychological functioning after the death of a first degree relative. Behaviour Research and Therapy, 41, 1123–1136.
Boelen, P. A., Van den Bout, J., & Van den Hout, M. A. (2003b). The role of negative interpretations of grief reactions in emotional problems after bereavement. Journal of Behavior Therapy and Experimental Psychiatry, 34, 225–238.
Boelen, P. A., Van den Bout, J., & Van der Ploeg, E. (2002). Psychometrische eigenschappen van de Nederlandstalige versie van de Automatic Thoughts Questionnaire-Positive (ATQ-P). [Psychometric properties of the Dutch version of the Automatic Thoughts Questionnaire-Positive (ATQ-P).]. Gedragstherapie, 35, 269–286.
Derogatis, L. R. (1983). SCL-90-R: Administration, scoring, and procedures. Manual II (2nd ed.). Towson, MD: Clinical Psychometric Research.
Doka, K. (Ed.). (1989). Disenfranchised grief: Recognizing hidden sorrow. Lexington, MA: Lexington.
Edwards, A. C. (1976). An introduction to linear regression and correlation. San Francisco: Freeman.
Efron, B. (2003). Second thoughts on the bootstrap. Statistical Science, 18, 135–140.
Field, N. P., & Bonanno, G. A. (2001). The role of blame in adaptation in the first 5 years following the death of a spouse. American Behavioral Scientist, 44, 764–781.
Fleming, S., & Robinson, P. J. (2001). Grief and cognitive behavior therapy: The reconstruction of meaning. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. A. W. Schut (Eds.), Handbook of bereavement research: consequences, coping, and care (pp. 647–670). Washington, DC: American Psychological Association Press.
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The Posttraumatic Cognitions Inventory (PTCI): Development and validation. Psychological Assessment, 11, 303–314.
Gluhoski, V. L. (1995). A cognitive perspective on bereavement: mechanisms and treatment. Journal of Cognitive Psychotherapy: An International Quarterly, 9, 75–84.
Haynes, S. N., Richard, D. C. S., & Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychological Assessment, 7, 238–247.
Hoelter, J. W. (1983). The analysis of covariance structures: Goodness of fit indices. Sociological Methods and Research, 11, 325–344.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modelling, 6, 1–55.
Ingram, R. E., Kendall, P. C., Siegle, G., Guarino, J., & McLaughlin, S. C. (1995). Psychometric properties of the Positive Automatic Thoughts Questionnaire. Psychological Assessment, 7, 495–507.
Ingram, R. E., & Wisnicke, K. S. (1988). Assessment of positive automatic cognition. Journal of Consulting and Clinical Psychology, 56, 898–902.
Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social Cognition, 7, 113–136.
Jolly, J. B., & Kramer, T. A. (1994). The hierarchical arrangement of internalizing cognitions. Cognitive Research and Therapy, 18, 1–14.
Kraut, R., Olson, J., Banaji, M., Bruckman, A., Cohen, J., & Couper, M. (2004). Psychological research online. Report of board of scientific affairs’ advisory group on the conduct of research on the internet. American Psychologist, 59, 105–117.
Malkinson, R. (1996). Cognitive behavioral grief therapy. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 14, 155–171.
Marshall, G. N., Wortman, C. B., Kusulas, J. W., Hervig, L. K., & Vickers, R. R. (1992). Distinguishing optimism from pessimism: Relations to fundamental dimensions of mood and personality. Journal of Personality and Social Psychology, 62, 1067–1074.
Parkes, C. M. (1988). Bereavement as a psychosocial transition: Processes of adaptation to change. Journal of Social Issues, 44, 53–66.
Prigerson, H. G., Bierhals, A. J., Kasl, S. V., Reynolds, C. F., Shear, M. K., Day, N., et al. (1997). Traumatic grief as a risk factor for mental and physical morbidity. American Journal of Psychiatry, 154, 616–623.
Prigerson, H. G., & Jacobs, S. C. (2001). Traumatic grief as a distinct disorder: A rationale, consensus criteria, and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. A. W. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 613–647). Washington, DC: American Psychological Association Press.
Prigerson, H. G., Shear, M. K., Jacobs, S. C., Reynolds, C. F., Maciejewski, P. K., Davidson, J., et al. (1999). Consensus criteria for traumatic grief. British Journal of Psychiatry, 174, 67–73.
Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL: Research Press.
Robinson, P. J., & Fleming, S. (1992). Depressotypic cognitive patterns in major depression and conjugal bereavement. Omega, 25, 291–305.
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.
Schwartzberg, S. S., & Janoff-Bulman, R. (1991). Grief and the search for meaning: exploring the assumptive worlds of bereaved college students. Journal of Social and Clinical Psychology, 10, 270–288.
Stroebe, M., Stroebe, W., & Schut, H. (2001). Gender differences in adjustment to bereavement: An empirical and theoretical review. Review of General Psychology, 5, 62–83.
Vinck, J., Wels, G., Arickx, M., & Vinck, S. (1998). Optimisme gemeten. Validatie van de Nederlandstalige Levensoriëntatietest bij jongeren. [Assessing optimism in youth: Validation of the Dutch Life Orientation Test.]. Gedrag & Gezondheid, 26, 79–90.
Wenninger, K., & Ehlers, A. (1998). Dysfunctional cognitions and adult psychological functioning in child sexual abuse survivors. Journal of Traumatic Stress, 11, 281–300.
West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with nonnormal variables. Problems and remedies. In R. H. Hoyle (Ed.), Structural equation modeling. Concepts, issues, and applications (pp. 56–75). London: Sage.
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Boelen, P.A., Lensvelt-Mulders, G.J.L.M. Psychometric Properties of the Grief Cognitions Questionnaire (GCQ). J Psychopathol Behav Assess 27, 291–303 (2005). https://doi.org/10.1007/s10862-005-2409-5
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DOI: https://doi.org/10.1007/s10862-005-2409-5