COMPLICATED GRIEF INVENTORY - REVISED

Structured Clinical Interview for the Professional

(IDC-R-ECEP)

Holly Prigerson, Stanislav Kasl & Selby Jacobs.

(Authors of the original English version, 2001)

Jesus A García-García, Victor Landa, Holly Prigerson, Margarita Echeverria, Gonzalo

Big, Amaia Mauriz & Izaskun Andollo.
(Authors of the Spanish adapted version, 2001)

Instructions:

The blank spaces and underlines are for writing the person's name.
deceased.

Explain to the bereaved that there are primarily two types of questions in the questionnaire.
answers:
1) some that refer to the frequency with which the feeling, emotion appears,
thought, behavior, symptom, etc.
Almost never θ1 = less than once a month or never.
Few times θ2 = once a month or more, but less than once a week.
Sometimes θ3 = once a week or more, but less than once a day.
Many times θ4 = once a day.
Always θ5 = several times a day.
NC/NS θ6 = does not know / does not answer

2) and others that refer to the intensity of its appearance,

No or nothing θ1 =
A little θ2 =
Something θ3 =
Much θ4 =
A lot θ5 =
NC/NS θ6 = does not know / does not answer

Place the bereaved in the time we are interested in exploring, with the following phrase:
Please, when answering the following questions think about how you have felt.
since the death of ____________ until now, but especially during the
last month.

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 CRITERION A:
STRESS FROM THE SEPARATION CAUSED BY DEATH

A1. Has someone significant to you passed away recently?

Yes θ1
No θ2
NS/NC θ6

A2.1. Have you ever noticed that you want with all your might that _________
be with you, and that the memory of your absence causes you a huge and profound
sadness?

Almost never (less than once a month) 1

Seldom (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

A2.2. Have you ever felt attracted to places and things?

related to ___________?

Almost never (less than once a month) 1

A few times (each month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

Have you felt lonely at any point during the last month?

Almost never (less than once a month) 1

Few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

CRITERION A:Has someone significant recently passed away (respond 'Yes' in

A1) for the interviewed person, and has chosen answers 4 or 5 (“Often” or
"Always") in at least 2 of the 3 A2 questions?

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 If θ1
No θ2
CRITERION B:
STRESS DUE TO THE TRAUMA OF DEATH

B1. Has the loss been traumatic for you?

No θ1
Something θ2
A lot θ3
NS/NC θ6

B2. Have you ever tried to avoid things, people, places,... that...
do you remember that ___________ is dead?

Almost never (less than once a month) 1

Rarely (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B3. Have you ever tried to avoid things, people, places,... that you...
Do you remember ___________?

Almost never (less than once a month) 1

A few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B4a. Are there things that before death ____________ I used to do and now I don't do (or
people I used to see and now don't see?

If θ1
No θ2
NS/NC θ6

B4b. If this is the case, how much does it affect him not doing those things he did before, or not seeing
those people I used to see?

Nothing θ1
A little θ2
Something θ3

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 Much θ4
A lot θ5
NS/NC θ6
B5. Do you think the future is meaningless, or that everything is useless without ____________?

No θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6

B6. Have you felt distant from people at any point during the last month?
what matters to you, or have you had the feeling of having lost interest in others?

Almost never (less than once a month) 1

Few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B7. Have you felt cold and indifferent for most of the last month, as if
wouldn't feel anything, nor would anything move him?

No θ1
A little θ2
Something θ3
A lot θ4
A lot θ5
NS/NC θ6

B8. Have you ever felt like you were "dazed," stunned or
shocked by the death of ___________ ?

Almost never (less than once a month) 1

Few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B9. Have you ever felt that it was hard to believe that ___________ was there?
dead?

Almost never (less than once a month) 1

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 A few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6
B10. Have you ever had problems accepting your death?

Almost never (less than once a month) 1

A few times (each month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B11. Do you believe that life is empty or meaningless without ____________?

No θ1
A little θ2
Something θ3
A lot θ4
A lot θ5
NS/NC θ6

B12. Have you ever felt that you couldn't imagine a fulfilling life without
__________?

Almost never (less than once a month) 1

Few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B13. Have you ever felt that a part of yourself has died with...
___________?
Almost never (less than once a month) 1
A few times (each month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

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B14. Do you think that the death of ___________ has changed your way of seeing and understanding?
the world?

No θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6
B15. In the last month, has it been difficult for you to trust others?

No θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6

B16. In the last month, do you believe you have lost that feeling of security, or of
to be safe, what did I have before?

No θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6

B17. In the last month, do you believe you have lost that sense of control you had?
before?

No θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6

B18. Have you ever had the same pains as ____________ or anyone else?
of their symptoms, or has taken on some of their personality traits or has sometimes behaved
how did he/she do it?

Almost never (less than once a month) 1

Few times (each month) θ2
Sometimes (every week) θ3

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 Many times (every day) θ4
Always (multiple times a day) θ5
NS/NC θ6

B19. Have you ever felt rage or anger over the death of __________?

Almost never (less than once a month) 1

Few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B20. To what extent are you bitter about the death of __________?

Nothing θ1
A little θ2
Something θ3
Much θ4
A lot θ5
NS/NC θ6

Sometimes, people who have lost a loved one feel bad for moving on.
move on with your life. Is it hard for you to move on with your life, for example:
make new friends or become interested in new things?

Nothing θ1
A little θ2
Something θ3
A lot θ4
A lot θ5
NS/NC θ6

B22. Do you find it difficult or have you ever had trouble doing the things that
why are you thinking too much about ___________?

Almost never (less than once a month) 1

A few times (every month) θ2
Sometimes (every week) θ3

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 Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B23. Have the memories of ___________ ever affected and disturbed you?

Almost never (less than once a month) 1

A few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B24. At any point, have you heard the voice of ___________ speaking to you?

Almost never (less than once a month) 1

A few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B25. Have you ever seen ____________ as if it were right in front of you?

Almost never (less than once a month) 1

A few times (every month) θ2
Sometimes (every week) θ3
Many times (every day) θ4
Always (several times a day) θ5
NS/NC θ6

B26. In the last month, have you felt nervous, irritable, or easily frightened?

No θ1
A little θ2
Something θ3
Much θ4

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 A lot θ5
NS/NC θ6

B27. In the last month, how well have you slept?

Good θ1
A little bad θ2
Something wrong θ3
Very bad θ4
Fatal θ5
NS/NC θ6

B28. Do you think it's unfair to be alive while ____________ dead, or do you feel
culpable for it?

No θ1
A little θ2
Something θ3
A lot θ4
A whole lot θ5
NS/NC θ6

B29. Have you ever felt envious of people who have never lost a loved one?
dear?

No θ1
A little θ2
Something θ3
A lot θ4
A whole lot θ5
NS/NC θ6

CRITERION B:Has the traumatic loss been (respond 'A little' or 'A lot') in
the question B1) for the interviewed person, and they have chosen answers 4 or 5
("Many times" or "Always", "A lot" or "A lot", "Very bad" or "Fatal") in al
minus 14 out of the 28 questions B (excluding B4a)?
Yes θ 1
No θ2

CRITERION C
CHRONOLOGY AND COURSE OF THE GRIEVING PROCESS

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C1. How much time has passed since the death of ___________?
Months ___ ___

C2. How long after his death did these feelings begin?
What have we been talking about?

Months ___ ___

C3... and how long have you been noticing them?

Months ___ ___

C4. Has there been any moment when these feelings have disappeared and
Have they come back again?

Yes θ1
No θ2
NS/NC θ6

C5. Can you say how your feelings have changed since the death of
___________ so far?

CRITERION C:The duration of the disorder (symptoms referred to in criteria A and B)

is at least 6 months (C3 is greater than or equal to 6 months)?

Yes θ1
No θ2
NS/NC θ6

CRITERION D: DETERIORATION

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CRITERION D:Do you think that as a consequence of their pain, they have deteriorated from a
important way their social relationships, their work or other meaningful activities
of his life?

Yes θ1
No θ2
NS/NC θ6

COMPLICATED GRIEF DIAGNOSIS:

Does it meet criteria A, B, C, and D?

If θ1
No θ2
SUBJECTIVE EVALUATION OF THE INTERVIEWER:

After conducting the interview and in your opinion, do you think this person is
suffering from a clinically significant complicated grief diagnosis?

If θ1
No θ2

OBSERVATIONS:

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Last review: 23/7/2

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