Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany.
Ruprecht-Karls University, Heidelberg, Germany.
Omega (Westport). 2024 Jun;89(2):623-648. doi: 10.1177/00302228221076622. Epub 2022 Mar 18.
Continuing the bond (CB) to a deceased loved one plays a clinically significant role in grief. We validated the Continuing Bonds Scale (CBS) examining externalized CB (illusions and hallucinations) versus internalized CB (use of the deceased as a secure base) in relation to risk factors of complicated grief and bereavement-related adjustment. Data from 364 bereaved German participants on CBS, Inventory of Complicated Grief (ICG), and Posttraumatic Personal Growth Inventory (PPGI) entered an exploratory factor analysis. This yielded a two-factor-solution representing externalized and internalized CB ( = .89, = 2100.5, = 120). Both factors demonstrated high internal consistency (Cronbach's α = .87). ICG and PPGI highly correlated with externalized and internalized CB. Cause of death and feelings of responsibility were associated with externalized CB. In the future, the use of the CBS could help predict problems in grief processing and consequently implement early interventions.
与复杂哀伤和丧亲相关的调整的风险因素有关，继续与已故亲人的联系（CB）在悲伤中具有重要的临床作用。我们通过对继续联系量表（CBS）进行验证，研究了外化 CB（幻想和幻觉）与内化 CB（将死者作为安全基地），数据来自 364 名德国丧亲的参与者，他们接受了复杂悲伤量表（ICG）和创伤后个人成长量表（PPGI）的评估。这产生了一个代表外化和内化 CB 的双因素解决方案（ =.89， = 2100.5， = 120）。这两个因素都表现出很高的内部一致性（Cronbach 的 α =.87）。ICG 和 PPGI 与外化和内化 CB 高度相关。死因和责任感与外化 CB 有关。在未来，CBS 的使用可以帮助预测悲伤处理过程中的问题，并因此实施早期干预。
