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Still With Me? Assessing the Persisting Relationship to a Deceased Loved-One - Validation of the “Continuing Bonds Scale” in a German Population

Bibliographic Data

ID13628407
AuthorsDora Hopf (0000-0002-9476-0478, Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany), Monika Eckstein (0000-0002-1846-4992, Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany), Beate Ditzen (0000-0001-5853-4572, Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany), Corina Aguilar-Raab (0000-0001-9956-7047, Institute of Medical Psychology, Heidelberg University Hospital, Heidelberg, Germany, corresponding author)
Year2022
Volume89
Issue2
Pages623-648
Publication date2022-03-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228221076622
PMID35302429
OpenAlexW4221126542
LanguageEN
Citations received7
References cited65

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 ( KMO = .89, χ2 = 2100.5, df = 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

Cronbach's alpha · Exploratory factor analysis · Feeling · German · Grief · Population · Psychiatry · Psychological intervention · Psychometrics · Psychotherapist · Scale (ratio · Clinical Psychology · Grief, Bereavement, and Mental Health · Medicine · Migration, Health and Trauma · Palliative Care and End-of-Life Issues · Psychology · Social Psychology

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Unique citing works7
Citations per year2,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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