TY - JOUR
T1 - Validation of the Persistent Complex Bereavement Disorder (PCBD) Checklist
T2 - A Developmentally Informed Assessment Tool for Bereaved Youth
AU - Kaplow, Julie B.
AU - Layne, Christopher M.
AU - Oosterhoff, Benjamin
AU - Goldenthal, Hayley
AU - Howell, Kathryn H.
AU - Wamser-Nanney, Rachel
AU - Burnside, Amanda
AU - Calhoun, Karen
AU - Marbury, Daphne
AU - Johnson-Hughes, Laura
AU - Kriesel, Molly
AU - Staine, Mary Beth
AU - Mankin, Marian
AU - Porter-Howard, La Tanya
AU - Pynoos, Robert
N1 - Funding Information:
Children’s Hospital, Associate Professor, Dept. of Pediatrics/Psychology Section. Baylor College of Medicine, Feigin Center, 1102 Bates Ave. C.0235.05, Houston, TX 77030. E-mail: [email protected] Copyright ©C 2018 International Society for Traumatic Stress Studies. View this article online at wileyonlinelibrary.com DOI: 10.1002/jts.22277 This research was supported in part by a grant from the New York Life Foundation (PIs: Kaplow & Layne). Support was also provided by grants from the National Institute of Mental Health (K08 MH76078) and the Substance Abuse and Mental Health Service Administration (SM-16008 and SM-062111), both given to the first author. We wish to thank Monica Arkin, Jerri Bamberger, Damia December, Valerie Elsesser, Joanna Gross, Kara Koppinger, Madison Kraus, Mirele Mann, Meredith Merlanti, Maggie O’Reilly Treter, Megan Ramthun, Michael Shain, and Hannah Wolfson for their assistance with data collection, management, and entry. We are especially grateful to all participating children and families who shared their experiences with us.
Publisher Copyright:
Copyright © 2018 International Society for Traumatic Stress Studies
PY - 2018/4
Y1 - 2018/4
N2 - The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSM-5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCBD Checklist, a 39-item measure designed to assess PCBD criteria in youth aged 8 to18 years. Test construction procedures involved: (a) reviewing the literature regarding developmental manifestations of proposed criteria, (b) creating a developmentally informed item pool, (c) surveying an expert panel to evaluate the clarity and developmental appropriateness of candidate items, (d) conducting focus groups to evaluate the comprehensibility and acceptability of items, and (e) evaluating psychometric properties in 367 bereaved youth (Mage = 13.49, 55.0% female). The panel, clinicians, and youth provided favorable content validity and comprehensibility ratings for candidate items. As hypothesized, youth who met full PCBD criteria, Criterion B (e.g., preoccupation with the deceased and/or circumstances of the death), or Criterion C (e.g., reactive distress and/or social/identity disruption) reported higher posttraumatic stress and depressive symptoms than youth who did not meet these criteria, ηp 2 =.07–.16. Youth who met Criterion C reported greater functional impairment than youth who did not, ηp 2 =.08–.12. Youth who qualified for the “traumatic bereavement specifier” reported more frequent posttraumatic stress symptoms than youth who did not, ηp 2 =.04. Findings support the convergent, discriminant, and discriminant-groups validity, developmental appropriateness, and clinical utility of the PCBD Checklist.
AB - The inclusion of Persistent Complex Bereavement Disorder (PCBD) in the DSM-5 appendix signifies a call for research regarding the distinguishing features and clinical utility of proposed PCBD criteria. Rigorously constructed tools for assessing PCBD are lacking, especially for youth. This study evaluated the validity and clinical utility of the PCBD Checklist, a 39-item measure designed to assess PCBD criteria in youth aged 8 to18 years. Test construction procedures involved: (a) reviewing the literature regarding developmental manifestations of proposed criteria, (b) creating a developmentally informed item pool, (c) surveying an expert panel to evaluate the clarity and developmental appropriateness of candidate items, (d) conducting focus groups to evaluate the comprehensibility and acceptability of items, and (e) evaluating psychometric properties in 367 bereaved youth (Mage = 13.49, 55.0% female). The panel, clinicians, and youth provided favorable content validity and comprehensibility ratings for candidate items. As hypothesized, youth who met full PCBD criteria, Criterion B (e.g., preoccupation with the deceased and/or circumstances of the death), or Criterion C (e.g., reactive distress and/or social/identity disruption) reported higher posttraumatic stress and depressive symptoms than youth who did not meet these criteria, ηp 2 =.07–.16. Youth who met Criterion C reported greater functional impairment than youth who did not, ηp 2 =.08–.12. Youth who qualified for the “traumatic bereavement specifier” reported more frequent posttraumatic stress symptoms than youth who did not, ηp 2 =.04. Findings support the convergent, discriminant, and discriminant-groups validity, developmental appropriateness, and clinical utility of the PCBD Checklist.
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U2 - 10.1002/jts.22277
DO - 10.1002/jts.22277
M3 - Article
C2 - 29669184
AN - SCOPUS:85045685847
SN - 0894-9867
VL - 31
SP - 244
EP - 254
JO - Journal of Traumatic Stress
JF - Journal of Traumatic Stress
IS - 2
ER -