2004
DOI: 10.1177/082585970402000402
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The Demoralization Scale: A Report of its Development and Preliminary Validation

Abstract: The development and elaboration of a conceptualization of existential distress in patients with advanced disease is crucial in order to optimize Our clinical response within palliative medicine. Demoralization is one expression of existential distress. Its empirical study will be greatly enhanced by a selfreport measure that captures its dimensions and intensity. We report here on the development and testing of the Demoralization Scale in 100 patients with cancer. Factor analysis identified five relatively dis… Show more

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Cited by 314 publications
(491 citation statements)
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References 33 publications
(30 reference statements)
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“…Beck Depression Inventory-II (Beck et al, 1996); Demoralization Scale ( Kissane et al, 2003); Perceived Stress Scale (Cohen et al, 1983); Positive and Negative Syndrome Scale (Kay et al, 1987); Rosenberg Self-Esteem Scale (Rosenberg, 1965 …”
Section: Multiple Target Groups and Health Conditionsmentioning
confidence: 99%
“…Beck Depression Inventory-II (Beck et al, 1996); Demoralization Scale ( Kissane et al, 2003); Perceived Stress Scale (Cohen et al, 1983); Positive and Negative Syndrome Scale (Kay et al, 1987); Rosenberg Self-Esteem Scale (Rosenberg, 1965 …”
Section: Multiple Target Groups and Health Conditionsmentioning
confidence: 99%
“…Examples include the following: general existential suffering, noogenic neurosis, 21 conservation/withdrawal syndrome, 22 religious or spiritual problems, demoralization syndrome, 23 and familial discord.…”
Section: Anxiety Disordersmentioning
confidence: 99%
“…25 Moreover, the Demoralization Scale is a measure specifically developed for use in patients with advanced cancer, assessing the demoralization syndrome as an expression of existential distress and has shown good psychometric qualities. 41,42 Limitations In comparison to the original dichotomously rated BHS, the German BHS uses a Likert-scale format. Different response categories can influence the psychometric properties of scales.…”
Section: Factor Structure Of the Bhs In German Cancer Patientsmentioning
confidence: 99%