The Demoralization Interview: Reliability and validity of a new brief diagnostic measure among medically ill patients

Bobevski, Irene; Kissane, David W.; McKenzie, Dean Philip; Murphy, Genevieve; Perera, Chelsea; Payne, Isobel; Lennon, Jonathon; Michael, Natasha; Grossman, Christopher; Franco, Michael

doi:10.1016/j.genhosppsych.2022.10.002

Cited by 9 publications

(8 citation statements)

References 51 publications

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“…In line with previous studies, demoralization was positively correlated with depression, anxiety and was negatively correlated with quality of life in this review. 19,27,53 Demoralization often coexists with depression or anxiety. 19 Depression or anxiety itself can be one of the risk factors of demoralization in cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Demoralization in cancer survivors: an updated systematic review and meta‐analysis for quantitative studies

Lin,

Her

2023

Psychogeriatrics

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BackgroundDemoralization can cause impairments across all life aspects of cancer patients. Cancer patients are also vulnerable during their survivorship. The purpose of this review is to examine the risk of demoralization and associated risk factors among cancer survivors who have completed their primary anti‐cancer treatment or time since diagnosis ≥5 years without recurrence.MethodsWe searched databases of PubMed, Cochrane, Embase, PsycINFO and ClinicalTrial.gov to identify eligible studies which reported the demoralization level among cancer survivors. A random‐effect meta‐analysis model was used for calculating mean demoralization level. Heterogeneity was evaluated by I2 statistics. Funnel plots and Egger's regression tests were performed for checking publication bias. We used one‐study‐removed method for sensitivity analysis. Subgroup analysis was also done to examine the difference of demoralization level between cancer types. Meta‐regression was performed to reveal risk factors of demoralization.ResultsA meta‐analysis of 12 articles involving 2902 cancer survivors was conducted. The mean demoralization score among cancer survivors was 25.98 (95% CI: 23.53–28.43). Higher demoralization level was seen in participants with older age, higher female ratio, higher married/living together status ratio and higher patient health questionnaire‐9 score. The literature review revealed correlations between demoralization and suicide risk, anxiety and quality of life. No consistent correlation between demoralization and post‐traumatic stress symptoms could be seen.ConclusionsHigh demoralization level is noticed among cancer survivors. Risks for females, elder patients or breast cancer survivors are identified. More longitudinal or interventional studies for cancer survivors' demoralization are expected in the future.

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Section: Discussionmentioning

confidence: 99%

Demoralization in cancer survivors: an updated systematic review and meta‐analysis for quantitative studies

Lin,

Her

2023

Psychogeriatrics

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“…The DS identifies several domains of existential suffering, including disheartenment, loss of meaning and purpose, dysphoria, helplessness, and sense of failure. It has been externally validated in its original version as well as several shortened forms (Belvederi Murri et al 2020;Bobevski et al 2022;Robinson et al 2016).…”

Section: Development and Validation Of Instrumentsmentioning

confidence: 99%

Existential suffering as an indication for palliative sedation: Identifying and addressing challenges

Thomas,

Kulikowksi,

Breitbart

et al. 2024

Pall Supp Care

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Section: Introductionmentioning

confidence: 99%

“…4 There is a variety of psychometric tools for measuring and evaluating demoralization. [4][5][6][7][8][9][10] The novelty of the present study is that this is the only study regarding the psychometric properties of the Demoralisation Scale-II (DS-II) in Greek patients with cancer.The available tools to measure demoralization are: The DS, 11 The Short Demoralization Scale (SDS) 12 and a survey regarding demoralization as a diagnostic specifier for adjustment disorder and major depression. 11 The aim of this study was to evaluate the psychometric properties of the Greek version of the DS II scale in oncology patients.…”

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confidence: 99%

“…4 There is a variety of psychometric tools for measuring and evaluating demoralization. 10,11,[18][19][20][21] The aim of this study was to evaluate the psychometric properties of the Greek version of the DS II scale in oncology patients. Measuring demoralization with valid instruments, such as the Greek version of the DS-II questionnaire, is important on reducing error in the measurement process.…”

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confidence: 99%

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Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer

Elmasian,

Nikoloudi,

Tsilika

et al. 2023

J Caring Sci

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Introduction: The concept of demoralization is used to describe situations of existential distress and self-perceived inability to effectively deal with stressors. The Demoralization Scale-II (DS-II) is a short and modified version of the original DS that measures the level of demoralization in patients. The purpose of this study is to evaluate the psychometric properties of the Greek version of the Greek Demoralisation Scale-II (DS-II GR) in the population of patients with cancer. Methods: The main tool used in this cross-sectional study is the DS-II GR translated and evaluated for its psychometric properties in a sample of 150 Greek patients with cancer. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), convergent validity, known groups’ validity, cut-off points, internal consistency reliability and test-retest reliability were done. Results: According to the CFA, a two-factor model emerged with a different conceptual content and grouping than the original. The correlation coefficients between DS-II GR and Hospital Anxiety and Depression Scale-Greek (HADS-GR) The internal consistency of DS-II GR for factor 1, factor 2, and total score were measured with Cronbach’s alpha and calculated to be 0.906, 0.810, and 0.913. Conclusion: The Greek version of the demoralization scale is reliable and valid for assessing demoralization in Greek patients with cancer.

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The Demoralization Interview: Reliability and validity of a new brief diagnostic measure among medically ill patients

Cited by 9 publications

References 51 publications

Demoralization in cancer survivors: an updated systematic review and meta‐analysis for quantitative studies

Demoralization in cancer survivors: an updated systematic review and meta‐analysis for quantitative studies

Existential suffering as an indication for palliative sedation: Identifying and addressing challenges

Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer

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