Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)

Background: Prolonged Grief Disorder (PGD) has been recognized as a mental health disorder and was added to the ICD-11 and DSM-5-TR. Despite the same name, both versions of PGD differ in symptom count, content, and diagnostic algorithm. A single instrument to screen for both PGD diagnoses is critica...

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Main Authors: Julia Treml, Viktoria Schmidt, Elmar Braehler, Matthias Morfeld, Anette Kersting
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:European Journal of Psychotraumatology
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Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2024.2421706
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author Julia Treml
Viktoria Schmidt
Elmar Braehler
Matthias Morfeld
Anette Kersting
author_facet Julia Treml
Viktoria Schmidt
Elmar Braehler
Matthias Morfeld
Anette Kersting
author_sort Julia Treml
collection DOAJ
description Background: Prolonged Grief Disorder (PGD) has been recognized as a mental health disorder and was added to the ICD-11 and DSM-5-TR. Despite the same name, both versions of PGD differ in symptom count, content, and diagnostic algorithm. A single instrument to screen for both PGD diagnoses is critical for bereavement research and care. The study aimed to evaluate the psychometric properties of the German version of the Traumatic Grief Inventory Self-Report Plus (TGI-SR+), a self-report measure to assess PGDICD-11 and PGDDSM-5-TR symptoms.Methods: Out of a representative sample of the German general population (N = 2509), 1062 reported a significant loss and completed questions about sociodemographic and loss-related variables, the TGI-SR+, and a measure of health-related quality of life.Results: Item analyses demonstrated good item characteristics. Confirmatory factor analyses showed a good fit for two-factor models for PGDICD-11 and PGDDSM-5-TR. Omega values demonstrated good internal consistency. In support of concurrent validity, symptoms of PGDICD-11 and PGDDSM-5-TR were associated with worse health-related quality of life. In support of known-groups validity, symptoms of PGDICD-11 and PGDDSM-5-TR were significantly higher among women, people with a lower educational level, more recently bereaved, those who lost a spouse or child (vs. other person), and those who lost someone due to unnatural causes (vs. natural causes). ROC analyses showed optimal cut-off scores of ≥60 and ≥65 to screen for probable caseness for PGDICD-11 and PGDDSM-5-TR, respectively.Limitations: The analyses were based on a cross-sectional design, and data on retest-reliability and predictive validity is missing.Conclusion: Results support the reliability and validity of the German TGI-SR+ as a screening instrument for PGD in research.
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spelling doaj-art-901db8c34fb147a0b4fe6bccda2b96462025-08-20T03:05:27ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662024-12-0115110.1080/20008066.2024.2421706Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)Julia Treml0Viktoria Schmidt1Elmar Braehler2Matthias Morfeld3Anette Kersting4Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, GermanyDepartment of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, GermanyDepartment of Applied Human Sciences, Magdeburg-Stendal University of Applied Sciences, Hansestadt Stendal, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, GermanyBackground: Prolonged Grief Disorder (PGD) has been recognized as a mental health disorder and was added to the ICD-11 and DSM-5-TR. Despite the same name, both versions of PGD differ in symptom count, content, and diagnostic algorithm. A single instrument to screen for both PGD diagnoses is critical for bereavement research and care. The study aimed to evaluate the psychometric properties of the German version of the Traumatic Grief Inventory Self-Report Plus (TGI-SR+), a self-report measure to assess PGDICD-11 and PGDDSM-5-TR symptoms.Methods: Out of a representative sample of the German general population (N = 2509), 1062 reported a significant loss and completed questions about sociodemographic and loss-related variables, the TGI-SR+, and a measure of health-related quality of life.Results: Item analyses demonstrated good item characteristics. Confirmatory factor analyses showed a good fit for two-factor models for PGDICD-11 and PGDDSM-5-TR. Omega values demonstrated good internal consistency. In support of concurrent validity, symptoms of PGDICD-11 and PGDDSM-5-TR were associated with worse health-related quality of life. In support of known-groups validity, symptoms of PGDICD-11 and PGDDSM-5-TR were significantly higher among women, people with a lower educational level, more recently bereaved, those who lost a spouse or child (vs. other person), and those who lost someone due to unnatural causes (vs. natural causes). ROC analyses showed optimal cut-off scores of ≥60 and ≥65 to screen for probable caseness for PGDICD-11 and PGDDSM-5-TR, respectively.Limitations: The analyses were based on a cross-sectional design, and data on retest-reliability and predictive validity is missing.Conclusion: Results support the reliability and validity of the German TGI-SR+ as a screening instrument for PGD in research.https://www.tandfonline.com/doi/10.1080/20008066.2024.2421706Prolonged grief disorderDSM-5-TRICD-11TGI-SR+bereavementvalidation
spellingShingle Julia Treml
Viktoria Schmidt
Elmar Braehler
Matthias Morfeld
Anette Kersting
Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
European Journal of Psychotraumatology
Prolonged grief disorder
DSM-5-TR
ICD-11
TGI-SR+
bereavement
validation
title Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
title_full Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
title_fullStr Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
title_full_unstemmed Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
title_short Psychometric properties of the German version of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+)
title_sort psychometric properties of the german version of the traumatic grief inventory self report plus tgi sr
topic Prolonged grief disorder
DSM-5-TR
ICD-11
TGI-SR+
bereavement
validation
url https://www.tandfonline.com/doi/10.1080/20008066.2024.2421706
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