Predicting grief intensity after recent perinatal loss


Predicting grief intensity after recent perinatal loss


Hutti MH; Myers J; Hall LA; Polivka BJ; White S; Hill J; Kloenne E; Hayden J; Grisanti MM




Journal of Psychosomatic Research




Miscarriage; Neonatal Death; Perinatal Grief Screening Instrument; Stillbirth


OBJECTIVE: The Perinatal Grief Intensity Scale (PGIS) was developed for clinical use to identify and predict intense grief and need for follow-up after perinatal loss. This study evaluates the validity of the PGIS via its ability to predict future intense grief based on a PGIS score obtained early after a loss. METHODS: A prospective observational study was conducted with 103 international, English-speaking women recruited at hospital discharge or via the internet who experienced a miscarriage, stillbirth, or neonatal death within the previous 8weeks. Survey data were collected at baseline using the PGIS and the Perinatal Grief Scale (PGS). Follow-up data on the PGS were obtained 3months later. Data analysis included descriptive statistics, Cronbach's alpha, receiver operating characteristic curve analysis, and confirmatory factor analysis. RESULTS: Cronbach's alphas were >/=0.70 for both instruments. PGIS factor analysis yielded three factors as predicted, explaining 57.7% of the variance. The optimal cutoff identified for the PGIS was 3.535. No difference was found when the ability of the PGIS to identify intense grief was compared to the PGS (p=0.754). The PGIS was not inferior to the PGS (AUC=0.78, 95% CI 0.68-0.88, p<0.001) in predicting intense grief at the follow-up. A PGIS score>/=3.53 at baseline was associated with increased grief intensity at Time 2 (PGS: OR=1.97, 95% CI 1.59-2.34, p<0.001). CONCLUSIONS: The PGIS is comparable to the PGS, has a lower response burden, and can reliably and validly predict women who may experience future intense grief associated with perinatal loss.


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Citation List Month

November 2017 List


Hutti, Marianne H
Myers, John
Hall, Lynne A
Polivka, Barbara J
White, Susan
Hill, Janice
Kloenne, Elizabeth
Hayden, Jaclyn
Grisanti, Meredith McGrew
Journal Article
J Psychosom Res. 2017 Oct;101:128-134. doi: 10.1016/j.jpsychores.2017.07.016. Epub 2017 Aug 2.


Hutti MH; Myers J; Hall LA; Polivka BJ; White S; Hill J; Kloenne E; Hayden J; Grisanti MM, “Predicting grief intensity after recent perinatal loss,” Pediatric Palliative Care Library, accessed February 8, 2023,

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