Anticipatory Grief Scale

The following statements represent feelings and attitudes of some relatives of patients with dementia. Answer the statements as you are feeling now. Read each statement carefully and circle the number at the right which most closely reflects your degree of agreement or disagreement. 1 = Strongly disagree, 2 = Disagree, 3 = Somewhat agree, 4 Agree, 5= Strongly agree

1.I daydream about how life with my relative was before the diagnosis of dementia was made.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

2.I feel close to my relative who has dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

3.I seem to be more irritable since the diagnosis of dementia was made for my relative.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

4.I am preoccupied with thoughts about my relative and his/her illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

5.I have discovered new personal resources since my relative's illness was diagnosed.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

6.I very much miss my relative the way he/she used to be.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

7. I have felt very much alone since the diagnosis of dementia was made for my relative.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

8.I am able to move ahead with my life.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

9.I blame myself for my relative's illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

10.I find it hard to concentrate on my work since the diagnosis of dementia was made for my relative.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

11.I have the personal resources to help me cope with my relative and his/her illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

12.I have periods of tearfulness as I think about the course of my relative's illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

13.I feel detached from my relative.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

14.I feel a need to talk to others regarding my relative's illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

15.I feel it is unfair that my relative has dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

16.I find it hard to sleep since the diagnosis of dementia was made for my relative.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

17.No one will ever take the place of my relative in my life.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

18.I avoid some people since my relative was diagnosed with dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

19.I feel I have adjusted to my relative's illness.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

20.20. Since my relative was diagnosed with dementia I find it more difficult to get along with certain people.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

21.I wonder what my life would be like if my relative had not been diagnosed with dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

22.I feel more competent since my relative was diagnosed with dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

As a child in school I was (or had):

23.I get angry when I think about my relative having dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

24.Since the diagnosis of dementia was made for my relative,I don't feel interested i keeping up with the day to day activities T.V., newspapers, friends).
Strongly disagree Disagree Some What Agree Agree Strongly Agree

25.I am unable to accept the fact that my relative has a diagnosis of dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

26.26. I am now functioning about as well as before my relative was diagnosed with dementia.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

27.I am planning for the future.
Strongly disagree Disagree Some What Agree Agree Strongly Agree

If the Cut Of Score is Greater then or Equal to 46 Then the Child is predictive of having childhood ADHD.