The aim of this study was to characterize the network structure of grief-related functional impairment symptoms as measured by The Grief Impairment Scale (GIS) in 520 Peruvian individuals who have experienced the death of a family member or loved one. A psychological network model was applied to evaluate the estimation, stability, and accuracy of the network during the analysis sequence. The results indicated that the inability to perform activities at work, school, or home was the most central symptom in the entire network. However, the presence of high instability in the centrality indices indicates that the central node may differ in other cultural contexts. The networks were invariant according to sex. The most influential node in the women's group was their inability to perform activities at work, school, or home. In men, the most central node was the presence of health problems due to bereavement. The results would help to better understand functional impairment due to bereavement

The present study investigated COVID-19 Anxiety Scale (CAS) scores for participants from blue states, red states, and purple states across 276 days ranging from April 18, 2020 to January 23, 2021. The CAS scores increased with knowing and caring for an individual with COVID-19, following social distancing guidelines, hours talking and thinking about COVID-19, hypochondria, neuroticism, depression, anxiety, stress, negative PANAS, and time, whereas they decreased with positive PANAS. More importantly, the CAS scores were higher for participants from blue states than for participants from purple states, and the positive relation between CAS scores and time was only significant for participants from blue states. We connected media events that occurred concurrently for high CAS scores overall and for high CAS scores for participants from blue states. The spikes in CAS ratings occurred along with COVID-19 contagion, partisan reactions to protests for slain African Americans (e.g., George Floyd), and the 2020 presidential election.

This study aimed to characterize the network structure of pandemic grief symptoms and suicidal ideation in 2174 people from eight Latin American countries. Pandemic grief and suicidal ideation were measured using the Pandemic Grief Scale and a single item, respectively. Network analysis provides an in-depth characterization of symptom-symptom interactions within mental disorders. The results indicated that, "desire to die," "apathy" and "absence of sense of life" are the most central symptoms in a pandemic grief symptom network; therefore, these symptoms could be focal elements for preventive and treatment efforts. Suicidal ideation, the wish to die, and the absence of meaning in life had the strongest relationship. In general, the network structure did not differ among the participating countries. It identifies specific symptoms within the network that may increase the likelihood of their co-occurrence and is useful at the therapeutic level.

This study aimed to evaluate the psychometric properties of the Grief Impairment Scale (GIS) using a network psychometric model. A total of 1048 individuals from Peru and El Salvador participated. A network psychometric model was used to determine internal structure, reliability, and cross-country invariance. The results indicate that the GIS items were grouped into a single network structure through Exploratory Graph Analysis. Reliability was estimated by structural consistency, and it was found that when replicating the network structure within an empirical dimension, a single network structure was consistently obtained, and all items remained stable. Furthermore, the network structure was invariant, thus functioning similarly across the different country groups. In conclusion, the GIS presented solid psychometric evidence of validity based on its internal structure, reliability, and cross-country invariance. Therefore, the GIS is a psychometrically sound measure of functional impairment symptoms due to grief for Peruvian and Salvadoran individuals.

BACKGROUND:The Pandemic Grief Risk Factors (PGRFs) was developed as a self-report tool to compile a comprehensive list of unique risk factors related to grief when experiencing a coronavirus disease 2019 (COVID-19) loss. We explored the reliability and validity of the PGRF among healthcare workers who witnessed their patients' deaths during the COVID-19 pandemic. Further, we examined whether the general severity of PGRF may have been associated with work-related stress and pandemic grief reactions. METHODS:An online survey was conducted among tertiary hospital healthcare workers (doctors and nursing professionals) who had witnessed the deaths of patients they cared for. Pandemic Grief Scale for healthcare workers, the Stress and Anxiety to Viral Epidemics-3 items, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7 responses were collected. RESULTS:In total, 267 responses were analyzed. The single-factor structure of the Korean version of the PGRF showed a good fit for the model. The scale demonstrated good internal consistency and convergent validity with other depression and anxiety rating scales. The mediation analysis revealed that work-related stress directly influenced pandemic grief reactions positively, and depression, anxiety, and general severity of grief risk factors partially mediated the association positively. CONCLUSION:Among healthcare workers who witnessed the deaths of their patients due to COVID-19, the Korean version of the PGRF was valid and reliable for measuring the overall severity of PGRF. The PGRF can be used to identify individuals at risk for dysfunctional grief.

The fading affect bias (FAB) refers to the faster fading of unpleasant affect than pleasant affect. The present study investigated various healthy and unhealthy variables as predictors of the FAB across physical symptoms of coronavirus anxiety (PSCA) as well as across events involving and not involving COVID-19. The data were collected in the heart of the pandemic from April 18, 2020 to January 23, 2021. As expected, social distancing, grit, positive positive and negative affect schedule (PANAS), and rehearsals positively predicted the FAB, whereas negative PANAS, depression, generalized anxiety, and stress negatively predicted the FAB. These results supported the mobilization-minimization hypothesis, self-enhancement theories, and the broaden and build theory. Interestingly, PSCA moderated the relations of several variables, such that grit, hypochondria, neuroticism, average daily hours thinking and talking about COVID-19, negative PANAS, and anxiety predicted the FAB in the expected ways at low PSCA, but all the variables, except negative PANAS and anxiety, positively predicted the FAB at high PSCA. The negative relations between FAB and both negative PANAS and anxiety diminished from low to medium PSCA, and those negative relations remained small at high PSCA. Rehearsal ratings did not mediate the 3-way interactions. These results emphasize the dramatic effect on emotion regulation, as measured by the FAB, produced by the COVID-19 pandemic.

As Covid-19 deaths continue, so does the grief that is experienced by those impacted by such loss. Accordingly, the Pandemic Grief Scale (PGS) was created as a screening tool for health professionals to use in identifying individuals suffering from dysfunctional levels of this form of grief. With the development of this measure, this paper serves to replicate and extend the psychometric findings on the PGS, using an independent US sample of 318 adults who lost a significant person from Covid-19. The results of this study largely replicated the findings of the original PGS study by demonstrating acceptable parameters on factor structure, diagnostic and discrimination accuracy, and evidence of convergent validity. However, convergent validity support was not found with the lack of correlation between PGS scores and a measure of positive well-being. The results of this study also recommended a lower cut-score than the one proposed by the original PGS study. Overall, these results support the PGS as a psychometrically sound screening tool for assessing pandemic-related, dysfunctional grief.

Mass shootings have caused many to feel anxious and afraid of this seemingly common event. Therefore, the objective of this study was to develop and evaluate the properties of the Mass Shootings Anxiety Scale (MSAS), which is a five-item scale that was based on 759 adults. The MSAS demonstrated solid reliability (α and ω of 0.93), factorial validity (PCA and CFA support), and convergent validity (e.g., correlations with functional impairment and drug/alcohol coping). The MSAS also measures anxiety equivalently across gender, political orientation, and gun violence exposure groups. The MSAS not only discriminates well between persons with and without dysfunctional anxiety, using a cut score of ≥10 (92% sensitivity and 89% specificity), but also demonstrates incremental validity by explaining 5% to 16% additional variance in important outcomes beyond sociodemographics and posttraumatic stress. These preliminary results support the MSAS as a valid screening tool for clinical practice and scholarly inquiry.

The present study aimed to evaluate the cross-cultural measurement invariance of the Pandemic Grief Scale (PGS) in ten Latin American countries. A total of 2,321 people who had lost a family member or other loved one due to COVID-19 participated, with a mean age of 34.22 years old (SD = 11.99). In addition to the PGS, a single item of suicidal ideation was applied. The unidimensional model of the PGS had adequate fit in most countries and good reliability estimates. There was evidence of measurement invariance by country and gender. Also, a one-point increase in the PGS was associated with an almost twofold increase in the odds of suicidal ideation. Scores greater than or equal to 4 on the PGS are proposed as a cut off to identify individuals with suicidal ideation. Strong evidence of the cross-cultural validity of the PGS is provided.

The objective of this study was to translate and psychometrically evaluate a Spanish version of the Grief Impairment Scale (GIS) using a sample of bereaved adults from El Salvador (N = 579). The results confirm the unidimensional structure of the GIS, and solid reliability, item characteristics, and criterion-related validity, where the GIS scale significantly and positively predicts depression. However, this instrument only showed evidence of configural and metric invariance between different sex groups. Overall, these results support the Spanish version of the GIS as a psychometrically sound screening tool for health professionals and researchers to use in their clinical work.

Thousands of people have died of COVID-19 in El Salvador. However, little is known about the mental health of those who are mourning the loss of a loved one to COVID-19. Therefore, the objective of this study was to examine the dysfunctional grief associated with COVID-19 death among Salvadoran adults. A sample of 435 Salvadorans (M = 29 years; SD = 8.75) who lost a family member or loved one to COVID-19 completed a digital survey using the Google Forms platform, during April 2 and 28, 2022. The results revealed that 35.1% reported clinically elevated symptoms of dysfunctional grief and among those mourners, and 25.1% also exhibited clinical levels of coronavirus anxiety. A binary logistic regression revealed that predictor variables such as COVID-19 anxiety (p = .003), depression (p = .021), and COVID-19 obsession (p = .032) were significant (χ2 = 84.31; Nagelkerke R2 = .242) and predict a 24.2% chance of dysfunctional bereavement.

The COVID-19 pandemic has brought unprecedented levels of grief and psychological distress in community samples. We examined unique pandemic grief risk factors, dysfunctional grief, Post-traumatic Stress Disorder (PTSD) symptoms, general psychiatric distress, disrupted meaning, and functional impairment in a treatment-seeking sample of people bereaved from COVID-19 in the United Kingdom. A sample of 183 participants (91.80% female; M = 47.40 years) completed an online survey as part of an intake assessment for a grief support and referral service. Most reported clinically elevated PTSD symptoms (83.1%), psychiatric distress (64.0%), and functional impairment (56.8%). A smaller, but still concerning percentage (39.3%) reported clinically significant symptoms of dysfunctional grief. Disrupted meaning substantially mediated the relationship between risk factors and all four outcomes. Counsellors should address the breadth of psychological distress in those bereaved by COVID-19 and hone their skills in promoting meaning making in the wake of the trauma and loss generated by the pandemic.

The present study aimed to evaluate the measurement invariance of the Obsession with COVID-19 Scale (OCS) among seven Latin American countries: Bolivia, Brazil, Cuba, El Salvador, Guatemala, Paraguay, and Uruguay. Although the OCS has been used in several countries and languages, there is a need for approaches that better integrate the cross-cultural equivalence of the scale. A total of 3185 people participated in the study. The results indicated the presence of a unidimensional structure and good reliability indices for the OCS in each country. The alignment method indicated that the OCS is an invariant measure of COVID-19 obsession among the populations of seven Latin American countries. The findings based on IRT analysis indicated that all OCS items had adequate discrimination and difficulty parameters. The findings contribute to the understanding of the internal structure of the scale in different countries at the same time, something that has been pending evaluation.

Grief-related panic attacks (GRPAs) are a relatively common yet debilitating psychological reaction to loss, the mechanisms of which remain poorly understood among scholars. The purpose of this study was to identify the personality traits that underlie GRPAs in a sample of 314 bereaved adults. The results indicate that GRPAs were relatively common (55.4%) and that anxiety sensitivity uniquely predicted both frequency and impairment associated with these kinds of attacks, while taking into account the effects of neuroticism, trait worry, grief, and gender. Findings suggest that anxiety sensitivity may be a risk factor for GRPAs and magnified grief for some mourners. Clinical implications and future directions are discussed.

Mass shootings are a growing public health concern. However, relatively little attention has been paid to the debilitating forms of anxiety that arise from this modern form of public gun violence. Therefore, this study examined the properties of the mass shootings worry inventory (MSWI) using data from 757 adults. The results suggest that this newly developed instrument demonstrates solid reliability, convergent validity, and known-group validity. These findings encourage clinicians and researchers to use the MSWI to aid their efforts in confronting this health crisis.

IntroductionNurses have been repeatedly exposed to unexpected death and grief during COVID-19 pandemic, and it is necessary to provide grief support for the nurses who have experienced the loss of patients to COVID-19. We aimed to explore the reliability and validity of the Pandemic Grief Scale (PGS) for Healthcare Workers among frontline nursing professionals working in COVID-19 inpatient wards whose patients may have died.MethodsAn anonymous online survey was performed among frontline nursing professionals working in COVID-19 wards in three tertiary-level general hospitals in Korea between April 7 and 26, 2021. In total, 229 from participants who confirmed they had witnessed death of patients were employed for the statistical analysis. The survey included demographic characteristics and rating scales, including the Korean version of the PGS for Healthcare Workers, the Fear of COVID-19 scale, the Generalized Anxiety Disorder-7 items, and the Patient Health Questionnaire-9 items.ResultsThe single-factor structure of the Korean version of the PGS for Healthcare Workers showed good fits for the model. The scale had good internal consistency and convergent validity with other anxiety and depression scales.ConclusionThe Korean version of the PGS of Healthcare Workers was valid and reliable for measuring grief reactions among nursing professionals facing the pandemic. It will be helpful in evaluating the grief reaction of the healthcare workers and providing them with a psychological support system.

En raison de l’inquiétude générale suscitée par l’impact psychologique de la perte d’un proche victime du COVID-19, nous appliquons notre programme de recherche à multiples facettes sur cette cohorte vulnérable de personnes confrontées au deuil au cours de la pandémie. Nous commençons par un résumé de la construction et de la validation de la Pandemic Grief Scale, une mesure brève et fiable en cinq points des symptômes et des difficultés cliniquement significatifs au lendemain d’une telle perte. Nous poursuivons ensuite la revue d’une série d’études qui documentent l’impact sévère du deuil pandémique. Nous identifions dix facteurs de risque fondés sur des preuves et distincts de la perte dans le contexte des restrictions liées au coronavirus. Nous démontrons le fardeau des problèmes relationnels non résolus avec la personne décédée qui en résulte, et rapportons l’élaboration du premier outil de dépistage validé pour les niveaux cliniques de déficience fonctionnelle due au deuil. Nous concluons par les implications pratiques de cette recherche dans le contexte de la pratique clinique, allant du dépistage le plus large de l’impact psychologique délétère du deuil actuel à des questions spécifiques méritant une attention particulière dans la thérapie du deuil.

Deaths from COVID-19 have exceeded 6.5 million people globally. Although many people are mourning the loss of loved ones to this deadly disease, little is known about the validity of measuring coronavirus-related anxiety with this particular group of people. Therefore, the objective of this study is to determine if the coronavirus anxiety scale (CAS) measures the coronaphobia construct the same way for mourners with and without dysfunctional levels of grief. The results indicated that the four-item version of the CAS has acceptable fit indices and is partially invariant between people with dysfunctional and non-dysfunctional grief. Moreover, the CAS demonstrated adequate criterion validity and reliability with this group of bereaved adults. In conclusion, the CAS can be used to measure anxiety due to COVID-19 in people who are going through dysfunctional and non-dysfunctional grieving processes.