Psychometric Properties, Stability, and Predictive Validity of the Hindi Version
of the Prolonged Grief Disorder Scale (PG-13-R-H) Among Hindi-speaking Adults in
the United States
#MMPMID41346802
Mewani AH
; Jones V 2nd
; Kim S
; Glickman KL
; Prigerson HG
Indian J Psychol Med
2025[Dec]; ? (?): 02537176251396436
PMID41346802
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BACKGROUND: Prolonged grief disorder (PGD) significantly impacts individuals
following bereavement, particularly under conditions of sudden loss and disrupted
mourning. Despite Hindi being one of the most widely spoken languages, no
validated PGD assessment tool has existed for Hindi speakers. This study aimed to
translate, adapt, and validate the Hindi version of the Prolonged Grief
Disorder-13 Revised Scale (PG-13-R-H) among Hindi-speaking adults in the United
States for screening and secondary monitoring. METHODS: A cross-sectional online
survey was conducted with 527 Hindi-speaking adults residing in the United States
who had experienced bereavement. Participants completed the PG-13-R-H, the
Patient Health Questionnaire-9 (PHQ-9), and the Warwick-Edinburgh Mental
Well-Being Scale (WEMWBS). Reliability was assessed with Cronbach's alpha, and
validity was evaluated using Pearson correlations and a multi-trait-multimethod
matrix (MTMM). RESULTS: The PG-13-R-H demonstrated adequate internal consistency
(Cronbach's alpha = 0.75). Overall, 15.6% of participants met diagnostic
thresholds for PGD. COVID-19-related deaths were reported by 41.7% of the sample,
and 88.6% had experienced an unexpected loss-both strong risk factors for PGD.
Convergent validity was supported by correlation with depressive symptoms (PHQ-9;
r = .23, p < .001), while discriminant validity was supported by a
non-significant correlation with well-being (WEMWBS; r = -.05, p = .34). Findings
also highlighted the impact of diaspora mourning contexts, where disruptions in
family-based rituals and limited support systems may intensify grief among
Hindi-speaking Americans. CONCLUSIONS: The PG-13-R-H is a reliable, valid, and
culturally sensitive tool for assessing PGD among Hindi-speaking Americans. This
study emphasizes the importance of language-specific and contextually informed
assessment tools to identify at risk individuals in diasporic communities, where
pandemic-related disruptions and limited support systems may heighten
vulnerability to prolonged grief.
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