Concrete and symbolic continuing bonds with a deceased person: The psychometric properties of the continuing bonds scale in bereaved surviving family members

Abstract

Based on the research on continuing bonds (CB) with a deceased person to date, the reports of clinicians, and the contemporary theory of attachment, two dimensions of CB were distinguished: (i) a concrete CB, essentially characteristic of unresolved and prolonged grief, and (ii) a symbolic CB, specific to grief resolution. The psychometric properties of the Continuing Bonds Scale (CBS) were examined in a sample of persons from Poland (N = 244) bereaved after the death of a family member from 0.5 to 18 years before the survey (M = 3.45, SD = 2.25). In the first sub-sample (n = 141), the exploratory factor analysis revealed a two-factor structure of the CBS: the concrete and the symbolic dimension of the CB with the deceased. In the second sub-sample (n = 103), a good fit of this two-factor model of the CBS was determined by confirmatory factor analysis. At the bivariate analysis level, the concrete CB with the deceased positively correlated with attachment anxiety, and negatively with grief resolution and time since loss; the symbolic CB negatively correlated with attachment avoidance. When predicting grief resolution for two dimensions of CB (controlling for adult attachment, and sociodemographic and loss-related variables), concrete CB was a negative predictor, and symbolic CB was a positive predictor of the outcome variable. The internal consistency of the CBS subscales was acceptable. The CBS is a valid and reliable measure of two different CB dimensions. The model of concrete and symbolic CB with the deceased was discussed in the light of the current results and contemporary attachment theory.