Development and Psychometric Evaluation of the Utrecht Grief Rumination Scale

  • Maarten C. Eisma
  • Margaret S. Stroebe
  • Henk A. W. Schut
  • Jan van den Bout
  • Paul A. Boelen
  • Wolfgang Stroebe


Two different types of ruminative coping, depressive rumination and grief rumination, negatively influence bereavement outcome. Although grief-specific rumination is likely to be relevant in the bereavement context no internationally validated scale to measure grief rumination exists. Therefore, the current contribution aims to validate the Utrecht Grief Rumination Scale (UGRS), a scale developed to measure grief-specific rumination, in an English sample. Psychometric properties of the English UGRS were compared with those in a Dutch sample. 204 British adults (89 % women, 11 % men), bereaved on average 16 months ago, and 316 Dutch adults (88 % women, 12 % men), bereaved on average 12 months ago, filled out online questionnaires. Different types of rumination (grief rumination, brooding, reflection, trait rumination) and symptoms of psychopathology (anxiety, depression, complicated grief) were measured. A correlated five factor model provided the best fit for the UGRS. Multi-group comparisons showed that the factor structures of the English and Dutch version of the UGRS were highly similar across language groups. The UGRS showed excellent reliability. Results further supported the construct, convergent, divergent and concurrent validity of the English UGRS. The psychometric properties of the Dutch UGRS corroborated these findings. The UGRS appears a valid instrument to assess grief-specific rumination in international research and may have potential applicability as a clinical instrument to assess rumination in individuals with problematic grief.


Rumination Scale Questionnaire Validation Grief Repetitive thought 

Supplementary material

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  1. Arbuckle, N., & de Vries, B. (1995). The long term effects of late life spousal and parental bereavement on personal functioning. The Gerontologist, 35, 637–647.PubMedCrossRefGoogle Scholar
  2. Boelen, P. A., & van den Hout, M. (2008). The role of threatening misinterpretations and avoidance in emotional problems after loss. Behavioral and Cognitive Psychotherapy, 36, 71–87. doi: 10.1017/S1352465807004079.CrossRefGoogle Scholar
  3. Boelen, P. A., van den Bout, J., de Keijser, J., & Hoijtink, H. (2003a). Reliability and validity of the Dutch version of the Inventory of Traumatic Grief (ITG). Death Studies, 27, 227–247. doi: 10.1080/07481180302889.PubMedCrossRefGoogle Scholar
  4. Boelen, P. A., van den Bout, J., & van den Hout, M. (2003b). The role of negative interpretations of grief reactions in emotional problems after bereavement. Journal of Behavior Therapy and Experimental Psychiatry, 34, 225–238. doi: 10.1016/j.jbtep.2003.08.001.PubMedCrossRefGoogle Scholar
  5. Boelen, P. A., van den Hout, M., & van den Bout, J. (2006). A cognitive-behavioral conceptualization of complicated grief. Clinical Psychology: Science and Practice, 13, 109–128. doi: 10.1111/j.1468-2850.2006.00013.x.Google Scholar
  6. Bowlby, J. (1980). Attachment and loss: vol 3: Loss, sadness and depression. London: Hogarth Press.Google Scholar
  7. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: The Guilford press.Google Scholar
  8. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage.Google Scholar
  9. Calmes, C. A., & Roberts, J. E. (2007). Repetitive thought and emotional distress: rumination and worry as prospective predictors of depressive and anxious symptomatology. Cognitive Therapy and Research, 31, 343–356. doi: 10.1007/s10608-006-9026-9.CrossRefGoogle Scholar
  10. Centraal Bureau voor Statistiek. (2011). Nederland Europees kampioen internettoegang. Retrieved from website Centraal Bureau voor Statistiek: Accessed 12 December 2012.
  11. Eisma, M. C., Stroebe, M., Schut, H., Boelen, P. A., van den Bout, J., & Stroebe, W. (2012). Waarom is dit mij overkomen? Ontwikkeling en validatie van de Utrecht RouwRuminatieSchaal. [Why did this happen to me? Development and validation of the Utrecht Grief Rumination Scale.]. Gedragstherapie, 45, 369–388.Google Scholar
  12. Freud, S. (1917/1957). Mourning and melancholia. In J. Strachey (Ed.), Standard edition of the complete works of Sigmund Freud. London: Hogarth.Google Scholar
  13. Hakstian, A. R., & Whalen, T. E. (1976). A k-sample significance test for independent alpha coefficients. Psychometrika, 41, 219–231.CrossRefGoogle Scholar
  14. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis. Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi: 10.1080/10705519909540118.CrossRefGoogle Scholar
  15. Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: Guilford.Google Scholar
  16. Lindemann, E. (1944). Symptomatology and management of acute grief. American Journal of Psychiatry, 101, 141–148.Google Scholar
  17. Martin, L., & Tesser, A. (1996). Some ruminative thoughts. In R. Wyer (Ed.), Advances in social cognition (Vol. 9, pp. 1–48). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
  18. McEvoy, P. M., Mahoney, A. E. J., & Moulds, M. L. (2010). Are worry, rumination and post-event processing one and the same? Development of the repetitive thinking questionnaire. Journal of Anxiety Disorders, 24, 509–519. doi: 10.1016/j.janxdis.2010.03.008.PubMedCrossRefGoogle Scholar
  19. Michael, S. T., & Snyder, C. R. (2005). Getting unstuck: the role of hope, finding meaning and rumination in the adjustment to bereavement in college students. Death Studies, 29, 435–458. doi: 10.1080/07481180590932544.PubMedCrossRefGoogle Scholar
  20. Michael, T., Halligan, S. L., Clark, D. M., & Ehlers, A. (2007). Rumination in posttraumatic stress disorder. Depression and Anxiety, 24, 307–317. doi: 10.1002/da.20228.PubMedCrossRefGoogle Scholar
  21. Ministerie van Volksgezondheid, Welzijn en Sport. (2002). Wet medisch wetenschappelijk onderzoek met mensen. Retrieved from website centrale commissie voor medisch-wetenschappelijk onderzoek:
  22. Nolen-Hoeksema, S. (2001). Ruminative coping and adjustment to bereavement. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping and care (pp. 545–562). Washington DC: American Psychological Association.CrossRefGoogle Scholar
  23. Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress after a natural disaster: the 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121. doi: 10.1037//0022-3514.61.1.115.PubMedCrossRefGoogle Scholar
  24. Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67, 92–104. doi: 10.1037//0022-3514.67.1.92.PubMedCrossRefGoogle Scholar
  25. Nolen-Hoeksema, S., McBride, A., & Larson, J. (1997). Rumination and psychological distress among bereaved partners. Journal of Personality and Social Psychology, 72, 855–862. doi: 10.1037//0022-3514.72.4.855.PubMedCrossRefGoogle Scholar
  26. Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. doi: 10.1111/j.1745-6924.2008.00088.x.CrossRefGoogle Scholar
  27. Office for National Statistics. (2011). Internet access quarterly update. Retrieved from the website Office for National Statistics: 242415.pdf.
  28. Papageorgiou, W., & Wells, A. (2003). An empirical test of the clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27, 261–273.CrossRefGoogle Scholar
  29. Prigerson, H. G., & Jacobs, S. C. (2001). Traumatic Grief as a distinct disorder: A rationale, consensus criteria and a preliminary empirical test. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping and care (pp. 613–646). Washington DC: American Psychological Association.CrossRefGoogle Scholar
  30. Raes, F., Schoofs, H., Hoes, D., Hermans, D., van den Eede, F., & Franck, E. (2009). Reflection en brooding als subtypes van rumineren: Een herziening van de Ruminative Response Scale. [Reflection and brooding as subtypes of rumination: a revision of the Ruminative Response Scale.]. Gedragstherapie, 42, 205–214.Google Scholar
  31. Robinson, M. S., & Alloy, L. B. (2003). Negative cognitive styles and stress-reactive rumination interact to predict depression: a prospective study. Cognitive Therapy and Research, 27, 275–291.CrossRefGoogle Scholar
  32. Rood, L., Roelofs, J., Bögels, S. M., Nolen-Hoeksema, S., & Schouten, E. (2009). The influence of emotion-focused rumination and distraction on depressive symptoms in non-clinical youth. A meta-analytic review. Clinical Psychology Review, 30, 217–237. doi: 10.1016/j.cpr.2009.07.001.Google Scholar
  33. Spinhoven, P., Ormel, J., Sloekers, P. P. A., Kempen, G. I. J. M., Speckens, A. E. M., & van Hemert, A. M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 67, 363–370. doi: 10.1017/S0033291796004382.CrossRefGoogle Scholar
  34. Stroebe, M. (1992). Coping with bereavement: a review of the grief work hypothesis. Omega: Journal of Death and Dying, 26, 19–42. doi: 10.2190/TB6U-4QQC-HR3M-V9FT.Google Scholar
  35. Stroebe, M., Stroebe, W., & Schut, H. (2001). Gender differences in bereavement: an empirical and theoretical review. Review of General Psychology, 5, 62–83. doi: 10.1037//1089-2680.5.1.62.CrossRefGoogle Scholar
  36. Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370, 1960–1973. doi: 10.1016/S0140-6736(07)61816-9.PubMedCrossRefGoogle Scholar
  37. Sukhodolsky, D. G., Golub, A., & Cromwell, E. N. (2001). Development and validation of the Anger Rumination Scale. Personality and Individual Differences, 31, 689–700. doi: 10.1016/S0191-8869(00)00171-9.CrossRefGoogle Scholar
  38. Tait, R., & Silver, R. C. (1989). Coming to terms with major negative life events. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought (pp. 351–382). New York: Oxford University Press.Google Scholar
  39. Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76, 284–304. doi: 10.1037//0022-3514.76.2.284.PubMedCrossRefGoogle Scholar
  40. Treynor, W., Gonzalez, J., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247–259.CrossRefGoogle Scholar
  41. van der Houwen, K., Stroebe, M., Schut, H., Stroebe, W., & van den Bout, J. (2010). The mediating processes of bereavement: The role of rumination, threatening grief interpretations and deliberate grief avoidance. Social Science and Medicine, 71, 1669–1676. doi: 10.1016/j.socscimed.2010.06.047.PubMedCrossRefGoogle Scholar
  42. Watkins, E. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163–206. doi: 10.1037/0033-2909.134.2.163.PubMedCentralPubMedCrossRefGoogle Scholar
  43. Watkins, E. R., & Moulds, M. L. (2012). Repetitive thought: Rumination in complicated grief. In M. S. Stroebe, H. Schut, & J. van den Bout (Eds.), Complicated grief: Scientific foundations for health care professionals (pp. 163–175). New York: Routledge.Google Scholar
  44. Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Maarten C. Eisma
    • 1
  • Margaret S. Stroebe
    • 1
  • Henk A. W. Schut
    • 1
  • Jan van den Bout
    • 1
  • Paul A. Boelen
    • 1
  • Wolfgang Stroebe
    • 2
  1. 1.Department of Clinical and Health PsychologyUtrecht UniversityUtrechtNetherlands
  2. 2.Department of Social and Organizational PsychologyUtrecht UniversityUtrechtNetherlands

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