Development and Validation of an Instrument for the Assessment of Dependency Among Bereaved Persons |
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| Authors: | Jeffrey G. Johnson Lauren C. Vanderwerker Robert F. Bornstein Baohui Zhang Holly G. Prigerson |
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| Affiliation: | (1) Department of Psychiatry, Columbia University College of Physicians and Surgeons, and the New York State Psychiatric Institute, New York, New York, USA;(2) Center for Psycho-Oncology and Palliative Care Research, Dana Farber Cancer Institute, Boston, Massachusetts, USA;(3) Department of Psychology, Gettysburg College, Gettysburg, Pennsylvania, USA;(4) Department of Psychiatry, Brigham and Women’s Hospital, Boston, Massachusetts, USA;(5) Harvard Medical School Center for Palliative Care, Boston, Massachusetts, USA;(6) Center for Psycho-Oncology and Palliative Care Research, Dana Farber Cancer Institute, 44 Binney St-SW G440A, Boston, Massachusetts 02115, USA |
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| Abstract: | Dependency among bereaved individuals has been hypothesized to be an important predictor of severe and enduring grief reactions. However, although there are a number of instruments that assess interpersonal dependency as a personality trait or style, no scales are available to assess bereavement-related dependency. Data from 170 widowed participants in a community-based longitudinal investigation, who had been bereaved for an average of 10.8 months, were used to investigate the reliability and validity of the Bereavement Dependency Scale (BDS), an instrument that was developed to assess dependency on the deceased among bereaved persons. Results indicated that the BDS demonstrated acceptable internal reliability and satisfactory convergent, discriminant, and construct validity. The BDS may be a clinically useful predictor of enduring and complicated grief reactions, major depressive disorder, and suicidality among recently bereaved individuals. |
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| Keywords: | dependency bereavement complicated grief depression risk assessment |
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