The article describes the development and psychometric evaluation of the Trauma-Related Guilt Inventory {TRGI). An initial questionnaire was constructed from multiple sources of information. Three factor analytic studies were conducted to refine the TRGI and determine its factor structure, which consists of a Distress factor and three cognitive factors, Hindsight-Bias/Responsibility, Wrongdoing, and Lack of Justification. The TRGI has high internal consistency and adequate temporal stability. In validity studies with Vietnam veterans and battered women, TRGI scales and subscales were significantly correlated with other measures of guilt and with measures of posttraumatic stress disorder, depression, and other indexes of adjustment. Findings support the conceptualization of trauma-related guilt as a multidimensional construct and highlight the role of cognitions in the experience of guilt and posttrauma psychopathology.Survivors of traumatic events often experience guilt' that relates to the trauma in some way. Trauma-related guilt has been identified as a frequent symptom among survivors of childhood sexual abuse (e.g., Spaccarelli, 1994): rape victims (e.g., Resick & Schnicke, 1993); battered women (e.g., Cascardi & O'Leary, 1992); victims of serious accidents and burns (e.g., Janoff-Bulman & Wortman, 1977); combat veterans (e.g., Kubany, 1994); survivors of technological disasters (e.g., Miles & Demi,

All dominant models of the eating disorders implicate personality variables in the emergence of weight concerns and the development of specific symptoms such as bingeing and purging. Standardized measures of personality traits and disorders generally confirm clinical descriptions of restricting anorexics as constricted, conforming, and obsessional individuals. A less consistent picture suggesting affective instability and impulsivity has emerged from the assessment of subjects with bulimia nervosa. Considerable heterogeneity exists within eating disorder subtypes, however, and a number of special problems complicate the interpretation of personality data in this population. These include young age at onset, the influence of state variables such as depression and starvation sequelae, denial and distortion in self-report, the instability of subtype diagnoses, and the persistence of residual problems following symptom control.

Despite clinical observations that many veterans have multiple sources of war-related guilt, many problematic guilt issues are commonly not treated or even detected by clinicians. We describe development of a survey that systematically assesses idiosyncratic sources of guilt across the spectrum of events that are potential sources of trauma-related guilt from the war-zone. A multimethod strategy was used to develop a survey with strong content validity-Results indicate the survey is temporally stable, substantially correlated with other measures of guilt, and highly correlated with measures of posttraumatic stress disorder (PTSD) and depression. Findings confirm that many Vietnam veterans have multiple sources of severe war-related guilt. The survey may have important clinical utility for problem identification, treatment planning, and evaluating treatment efficacy.