title: Assessment and associated features of prolonged grief disorder among Chinese bereaved individuals.
abstract: BACKGROUND
  Most research on the assessment and characteristics of prolonged grief disorder (PGD) has been conducted in Western bereaved samples. Limited information about PGD in Chinese samples exists. This study aims to validate the Chinese version of the Inventory of Complicated grief (ICG), examine the distinctiveness of PGD symptoms from symptoms of bereavement-related depression and anxiety, and explore the prevalence of PGD in a Chinese sample.
  
  
  METHODS
  Responses from 1358 bereaved Chinese adults were collected through an on-line survey. They completed the Chinese version of ICG and a questionnaire measuring depression and anxiety symptoms.
  
  
  RESULTS
  The findings indicate that Chinese ICG has sound validity and high internal consistency. The ICG cut-off score for PGD "caseness"in this large Chinese sample was 48. The distinctiveness of PGD symptoms from those of depression and anxiety was supported by the results of the confirmatory factor analysis and the fact that PGD occurred in isolation in the studied sample. The prevalence of PGD was13.9%.
  
  
  CONCLUSIONS
  ICG is a valid instrument for use in the Chinese context. Several key characteristics of PGD in Chinese, either different from or comparable to findings in Western samples, may stimulate further research and clinical interest in the concept by providing empirical evidence from an large and influential Eastern country.
authors.affiliation: Department of Psychology, Renmin University of China, Beijing, China. Electronic address: lijie2013@ruc.edu.cn.
authors.forename: Jie
authors.initials: J
authors.lastname: Li
authors.affiliation: Center for Research on End-of-Life Care, Cornell University, New York City, New York, United State of America; Weill Cornell Medicine, New York City, New York, United State of America.
authors.forename: Holly G
authors.initials: HG
authors.lastname: Prigerson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D044466:Asian People / Q000523:psychology*; D001601:Bereavement; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006117:Grief; D006801:Humans; D020407:Internet / Q000592:standards; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory / Q000592:standards; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D013997:Time Factors; D055815:Young Adult