Validation of the Perinatal Grief Scale for Use in Chinese Women Who Have Experienced Recent Reproductive Loss
Abstract
The primary objective of this research was to validate the short version of the Perinatal Grief Scale (SVPGS) in the Chinese population. The Chinese SVPGS was administered to a sample of Chinese women who had experienced recent reproductive loss (N = 314). The results of the confirmatory factor analysis rejected the original 3-factor model delineated by Potvin (1989). A follow-up exploratory factor analysis suggested an alternative 3-factor model, consisting of a 12-item Sense of Worthlessness subscale, a 7-item Social Detachment subscale, and a 7-item Painful Recollection subscale. Further analysis showed that both the original and Chinese SVPGS demonstrated good internal consistency. Cronbach's alpha equaled .86, .83, .90, and .95, respectively, for the three subscales of Active Grief, Difficulty Coping, and Despair, and the total original SVPGS, and .85, .93, .91, and .95, respectively, for the new subscales of Sense of Worthlessness, Social Detachment, and Painful Recollection, and the total Chinese SVPGS. Both versions demonstrated satisfactory correlations with the participants' psychological distress and spousal emotional support. The authors suggest that both versions are useful in measuring the responses of Chinese women to reproductive loss; the original SVPGS should be used for cross-cultural studies, whereas the Chinese SVPGS should be used for local studies.
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The Chinese SVPGS has mixed or uncertain structural validity evidence.
“However, based on the results of these two studies, the psychometric evaluation of the Chinese SVPGS demonstrated unsatisfactory or uncertain reliability and validity.”
From Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study. (2025) · cites this paper as Yan et al. 2010
The Chinese SVPGS has good internal consistency (Cronbach's alpha = 0.95 total, 0.83-0.90 subscales) in women with recent reproductive loss.
“The Chinese version of the SVPG was validated in women who have experienced recent reproductive loss, demonstrating satisfactory internal consistency with a Cronbach's α of 0.95 for the total score and between 0.83 and 0.90 for the three subscales (Yan et al. 2010).”
From Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study. (2025) · cites this paper as Yan et al. 2010
Yan et al. (2010) found that CFA rejected the original three-factor model and EFA suggested an alternative three-factor model for the Chinese SVPGS.
“The authors noted that CFA rejected the original three-factor model, while EFA suggested an alternative three-factor model comprising a 12-item Sense of Worthlessness subscale, a 7-item Social Detachment subscale, and a 7-item Painful Recollection subscale.”
From Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study. (2025) · cites this paper as Yan et al. 2010
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“The means of these items were generally observed to be progressively smaller, from Active Grief to Difficulty Coping to Despair, indicating an increasingly severe response measured by the three subscales (Lasker & Toedter, 1991).”
BackgroundA three‐month follow‐up of psychological morbidity after early miscarriage
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Li, S. N., Yang, L., Wang, Q. Y., Xie, J., Cao, H., Zhao, W., & Tang, S. Q. (2025) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70067 · Cited by 2 · see citing works
- Authors
- Yan, E., Tang, C. S.-K., & Chung, T.
- Affiliations
- University of Hong Kong (HK)
- National University of Singapore (SG)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Yan, Elsie
- Venue
- Death Studies
- Publisher
- Informa UK Limited
- Published
- 2010-01-15
- Volume
- 34
- Issue
- 2
- Pages
- 151-171
- ISSN
- 0748-1187 (ISSN-L)
- 1091-7683
- OpenAlex
- W2088781571
- Cited by
- 16
- References
- 10
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 2 · 2021: 1 · 2020: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2012: 1
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Death Studies (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- Perinatal Grief Scale, perinatal grief, reproductive losses, stillbirth, Chinese women, scale validation, factor structure, social detachment, psychological distress, cross-cultural adaptation
- MeSH terms
- Abortion, Spontaneous, Adaptation, Psychological, Attitude to Health, China, Female, Follow-Up Studies, Humans, Infant, Newborn, Internal-External Control, Maternal Behavior, Surveys and Questionnaires, Self Efficacy
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