COMPLICATED GRIEF INVENTORY - REVISED (CGI-R)

Holly Prigerson, Stanislav Kasl & Selby Jacobs.

(Authors of the original version in English, 2001)

Jesus A García-García, Victor Landa, Holly Prigerson, Margarita Echeverria, Gonzalo Grandes, Amaia
Mauriz & Izaskun Andollo.
(Authors of the Spanish adapted version, 2001)

Please mark with a cross the answers that best describe how you have
sense during the last month.

The blanks and underlines are for putting the name of the deceased person.
For example, I see ___________ as if I had them in front of me; if the person
the deceased was named Juan: I see a Juan as if I had it in front of me.

In the questionnaire, there are mainly two types of responses:

ones that refer to the frequency with which feelings, emotions, etc. appear.
Almost never ❑1 = less than once a month or never.
Few times ❑ 2 = once a month or more, but less than once a week .
Sometimes ❑ 3 = once a week or more, but less than once a day .
Many times ❑ 4 = once a day .
Always ❑5 = several times each day.
2) and others that refer to the intensity of their appearance,
Nothing or nothing ❑1 =
A little ❑2 =
Something ❑3 =
Much ❑4 =
A lot ❑5 =

The death of ___________ makes me feel down or devastated.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

I think so much about ___________ that sometimes I find it difficult to do the things I do.
normally.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5
3. The memories of ___________ affect and disturb me.

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 Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

I feel that it is difficult for me to accept his/her death.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

5. I realize that I desire with all my might that _________ is with me, and that
Remembering your absence brings me enormous and deep sadness.

Almost never ❑1
Few times ❑2
Sometimes3
Many times ❑ 4
Always ❑5

6. I am attracted to places and things related to ___________.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

7. I can't help but feel angry about the death of __________.

Almost never ❑1
Seldom ❑2
Sometimes
Many times ❑ 4
Always ❑5

I feel like I can't believe that ___________ is dead.

2
 Almost never ❑1
Rarely ❑2
Sometimes
Many times ❑ 4
Always ❑5

I feel kind of "dazed", stunned, or shocked by the death of

__________.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

10. After the death of ___________ it is difficult for me to trust people.

No ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

11. After the death of ___________, it's as if I lost interest in others.

or I felt distant from the people who matter to me.

No ❑1
A little ❑2
Something ❑3
Much ❑4
a lot ❑5

12. I have the same pains as __________, or some of their symptoms, or sometimes
My way of being is somewhat similar to theirs or I behave like he/she did.

Almost never ❑1
Few times ❑2
Sometimes ❑3
Many times ❑ 4
Always ❑5

13. Do you think that before the death of ___________ he/she used to do things that now

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 Doesn't he/she see, or used to see, people that he/she doesn't see now?

Yes ❑1
No ❑2

13a. If you answered 'Yes' to the previous question, how much does it affect you not to do so?
those things or not seeing those people?

Nothing ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

14. I do my best to avoid everything that reminds me of him/her (things,

people, places,...

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

I do everything I can to avoid anything that reminds me that ___________ is dead.

Almost never ❑1
Few times ❑2
Sometimes3
Many times ❑ 4
Always ❑5

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

No ❑1
A little ❑2
Algo ❑3
Much ❑4
A lot ❑5

17. Without ___________ I feel that my life is empty or that it has no meaning.

4
 No ❑1
A little ❑2
Something ❑3
Much ❑4
Very much ❑5

I hear the voice of ____________ that speaks to me.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

I see ___________ as if I had him/her in front of me.

Almost never ❑1
Rarely ❑2
Sometimes
Many times ❑ 4
Always ❑5

I feel that after the death of __________ I have become colder and more insensitive.

No ❑1
A little ❑2
Something ❑3
A lot ❑4
A great deal ❑5

21. I think it's unfair that I am still alive while __________ is dead, and I feel
culpable for it.

No ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

I am bitter about the death of ___________.

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 No ❑1
A little
❑ 2
Quite ❑3
Much ❑4
A lot ❑5

I feel envy for people who haven't lost a loved one.

Almost never ❑1
Seldom ❑2
Sometimes
Many times ❑ 4
Always ❑5

24. Without __________ it is as if the future has no meaning, or as if everything

out useless.

No ❑1
A little ❑2
Something ❑3
A lot ❑4
A lot ❑5

25. After the death of ___________ I feel alone.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

26. I feel incapable of imagining a fulfilling life without __________.

Almost never ❑1
Rarely ❑2
Sometimes
Many times ❑ 4
Always ❑5

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I feel that a part of me has died with him/her.

Almost never ❑1
Few times ❑2
Sometimes
Many times ❑ 4
Always ❑5

I feel that their death has changed my way of seeing the world.

No ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

I have lost the feeling of safety, or of being safe, that I had before the death.
from ___________.

No ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

30. He perdido la sensación de control que tenía antes de la muerte de ___________.

No ❑1
A little ❑2
Something ❑3
A lot ❑4
A lot ❑5

I believe that, as a consequence of my pain, they have deteriorated significantly.

my social relationships, my work or other activities in my life.

No ❑1
A little ❑2
Something ❑3
A lot ❑4
A lot
❑ 5

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32. Since their death, I have felt nervous, irritable, or jumpy.

No ❑1
A little ❑2
Something ❑3
Much ❑4
A lot ❑5

33. Since his death I have slept....

Good ❑1
A little bad ❑ 2
Something wrong ❑3
Very bad ❑4
Fatal ❑5

34. In general, did these feelings we have been talking about appear?
nothing more after he/she dies?

Yes ❑1
No ❑2

35. And... how long have you been noticing them?

I've been noticing them for a while now......................... months

36. Have these feelings ever disappeared... and after a while

Have they appeared again?

Yes ❑1
No ❑2

37. Finally... can you describe how these feelings have changed since the
death of ____________ until now?

.....................................................................................................................................

.....................................................................................................................................

.....................................................................................................................................

.....................................................................................................................................

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Thank you very much for answering the questionnaire.
IMPORTANT: The following questions are exclusively for the professional
that is conducting the evaluation of the grieving process.

38. Does the interviewer consider that the surveyed person has a complicated grief?
(This question aims to assess the professional's subjective impression).

Yes ❑1
No ❑2

39. ¿Cumple la persona encuestada los siguientes criterios de duelo complicado?

(Attention: before answering this question, please answer number 38!)

Criterion A1: The death of someone significant for that person has occurred.
person. This is a prerequisite for filling out the questionnaire.

Criterion A2: Stress from the separation that comes with death. Having
answers equal to or greater than 4 ('often' or 'a lot') in at least
3 de las 5 preguntas siguientes:2,3,5,6,25.

Criterion B: Stress from the trauma of death. Having responses

>= 4 ('many times' or 'a lot') in at least 6 out of 12
preguntas siguientes:4,7,8,9,11,15,17,20,22,24,26,29.

Criterion C: Chronology. Answer 6 months or more in question 35.

Criterio D: Deterioro. Responder igual o mayor a 4 (‘mucho’) en la pregunta31.

Yes ❑1
No ❑2

Bibliography:

Prigerson HG, Frank E, Kasl SV, Reynolds III CF, Anderson B, Zubenko GS et al. Complicated grief and
bereavement-related depression as distinct disorders: preliminary empirical validation in elderly bereaved
spouses. Am J Psychiatry 1995; 152: 22-30.

Prigerson HG, Maciejewski PK, Reynolds III CF, Bierhals AJ, Newsom JT, Fasiczka A et al. Inventory of
Complicated Grief: A scale to measure maladaptive symptoms of loss. Psychiatry Res 1995; 59: 65-79.

Prigerson HG, Shear MK, Jacobs SC, Reynolds III CF, Maciejewski PK, Davidson JRT et al. Consensus
Criteria for traumatic grief. A preliminary empirical test. Br J Psychiatry 1999; 174: 67-73.

Prigerson HG, Jacobs SC. Traumatic Grief as a distinct disorder: a rationale, consensus criteria, and
empirical test. In: Stroebe MS, Hansson RO, Stroebe W, Henk Schut. Handbook of Bereavement
Research. Consequences, coping, and care. Washington DC: American Psychological Association; 2001.
p 613-48.

Prigerson HG, Jacobs SC. Caring for bereaved patients. 'All the doctors just suddenly go'. JAMA 2001;
286: 1369-76.

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05/08/02

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