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Inventory of complicated grief

TO BE COMPLETED BY OFFICE PERSONNEL
Subject name:
ID number:			Today's date: (year/month/day)

PLEASE check the box next to the answer which best describes how you feel right now:
1. I think about this person so much that it's hard for me to do the things I normally do...
Never	Rarely	Sometimes	Often	Always
2. Memories of the person who died upset me...
Never	Rarely	Sometimes	Often	Always
3. I feel I cannot accept the death of the person who died...
Never	Rarely	Sometimes	Often	Always
4. I feel myself longing for the person who died...
Never	Rarely	Sometimes	Often	Always
5. I feel drawn to places and things associated with the person who died...
Never	Rarely	Sometimes	Often	Always
6. I can't help feeling angry about their death...
Never	Rarely	Sometimes	Often	Always
7. I feel disbelief over what happened...
Never	Rarely	Sometimes	Often	Always
8. I feel stunned or dazed over what happened...
Never	Rarely	Sometimes	Often	Always
9. Ever since they died it is hard for me to trust people...
Never	Rarely	Sometimes	Often	Always
10. Ever since they died I feel like I have lost the ability to care about other people or I feel distant from people I care about..
Never	Rarely	Sometimes	Often	Always
11. I have pain in the same area of my body or have some of the same symptoms as the person who died...
Never	Rarely	Sometimes	Often	Always
12. I go out of my way to avoid reminders of the person who died...
Never	Rarely	Sometimes	Often	Always
13. I feel that life is empty without the person who died...
Never	Rarely	Sometimes	Often	Always
14. I hear the voice of the person who died speak to me...
Never	Rarely	Sometimes	Often	Always
15. I see the person who died stand before me...
Never	Rarely	Sometimes	Often	Always
16. I feel that it is unfair that I should live when this person died...
Never	Rarely	Sometimes	Often	Always
17. I feel bitter over this person's death...
Never	Rarely	Sometimes	Often	Always
18. I feel envious of others who have not lost someone close...
Never	Rarely	Sometimes	Often	Always
19. I feel lonely a great deal of the time ever since they died...
Never	Rarely	Sometimes	Often	Always

Never = 0; Rarely = 1; Sometimes = 2; Often = 3; Always = 4.
A score greater than 25 indicates probably complicated grief.
A score greater than 30 indicates definite complicated grief.

Reproduced from: Prigerson HG, Maciejewski PK, Reynolds CF 3rd, et al. Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss. Psychiatry Res 1995; 59:65. Illustration used with the permission of Elsevier Inc. All rights reserved.

Graphic 94132 Version 3.0