Certain symptoms of grief have been shown (a) to be distinct from bere
avement-related depression and anxiety, and (b) to predict long-term f
unctional impairments. We termed these symptoms of ''complicated grief
'' and developed the Inventory of Complicated Grief (ICG) to assess th
em. Data were derived from 97 conjugally bereaved elders who completed
the ICC, along with other self-report scales measuring grief, depress
ion, and background characteristics. Exploratory factor analyses indic
ated that the ICG measured a single underlying construct of complicate
d grief, High internal consistency and test-retest reliabilities were
evidence of the ICG's reliability. The ICG total score's association w
ith severity of depressive symptoms and a general measure of grief sug
gested a valid, yet distinct, assessment of emotional distress. Respon
dents with ICG scores > 25 were significantly more impaired in social,
general, mental, and physical health functioning and in bodily pain t
han those with ICG scores less than or equal to 25, Thus, the ICG, a s
cale with demonstrated internal consistency, and convergent and criter
ion validity, provides an easily administered assessment for symptoms
of complicated grief.