A Review of the Construct of Demoralization

Robinson, Sophie; Kissane, David W.; Brooker, Joanne; Burney, Susan

doi:10.1177/1049909114553461

Cited by 84 publications

(29 citation statements)

References 64 publications

(158 reference statements)

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“…This is highly relevant, since indeed healthcare professionals often belief that nothing can be done to help patients with an addiction, which reflects hopelessness and helplessness [7, 46]. On the other hand, patients with addiction often express feelings of hopelessness and helplessness, which might influence the therapeutic alliance and treatment [47–50]. We therefore propose to add this demoralization subscale to the IPQ-A for health professionals.…”

Section: Discussionmentioning

confidence: 99%

Good Psychometric Properties of the Addiction Version of the Revised Illness Perception Questionnaire for Health Care Professionals

et al. 2016

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BackgroundAddiction, or substance dependence, is nowadays considered a chronic relapsing condition. However, perceptions of addiction vary widely, also among healthcare professionals. Perceptions of addiction are thought to contribute to attitude and stigma towards patients with addiction. However, studies into perceptions of addiction among healthcare professionals are limited and instruments for reliable assessment of their perceptions are lacking. The Illness Perception Questionnaire (IPQ) is widely used to evaluate perceptions of illness. The aim of this study was to evaluate the psychometric properties of the IPQ: factor structure, internal consistency, and discriminant validity, when applied to evaluate healthcare professionals’ perceptions of addiction.MethodsParticipants were 1072 healthcare professionals in training and master students from the Netherlands and Indonesia, recruited from various addiction-training programs. The revised version of the IPQ was adapted to measure perceptions of addiction (IPQ-A). Maximum likelihood method was used to explore the best-fit IPQ factor structure. Internal consistency was evaluated for the final factors. The final factor structure was used to assess discriminant validity of the IPQ, by comparing illness perceptions of addiction between 1) medical students from the Netherlands and Indonesia, 2) medical students psychology students and educational science students from the Netherlands, and 3) participants with different training levels: medical students versus medical doctors.ResultsFactor analysis revealed an eight-factor structure for the perception subscale (demoralization, timeline chronic, consequences, personal control, treatment control, illness coherence, timeline cyclical emotional representations) and a four-factor structure for the attribution subscale (psychological attributions, risk factors, smoking/alcohol, overwork). Internal reliability was acceptable to good. The IPQ-A was able to detect differences in perceptions between healthcare professionals from different cultural and educational background and level of training.ConclusionsThe IPQ-A is a valid and reliable instrument to assess healthcare professionals’ perceptions of addiction.

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Section: Discussionmentioning

confidence: 99%

Good Psychometric Properties of the Addiction Version of the Revised Illness Perception Questionnaire for Health Care Professionals

et al. 2016

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“…Demoralization has arisen in the last decade as a new diagnosis of concern [1]. It refers to a sense of dysphoria involving feelings of disempowerment and futility [2,3]. Consequently, individuals with severe cases of demoralization could lead to suicidal ideation [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, individuals with severe cases of demoralization could lead to suicidal ideation [4,5]. It has most often been reported among seriously ill patients, cancer patients, and hospice patients [1,3].…”

Section: Introductionmentioning

confidence: 99%

Protective Factors of Demoralization among Cancer Patients in Taiwan: An Age-matched and Gender-matched Study

Wang

2017

Asian Nursing Research

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Early and appropriate demoralization assessment of cancer patients' demographic and disease characteristics is very important in clinical settings. Healthcare providers might regularly monitor demoralization in cancer patients, and develop related nursing care guidelines or treatment for demoralization in cancer patients. The study results can be a reference for healthcare providers who work with cancer patients.

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“…The feeling of worthlessness is a construct that is related to the dignity of terminally ill patients and is characterized by hopelessness and the feeling of abandonment due to the loss of meaning and purpose in life (Robinson, Kissane, Brooker, & Burney, 2014).…”

Section: Feelings Of Futility and Worthlessnessmentioning

confidence: 99%

Dignity Therapy for Adults with Cancer Receiving Palliative Care: A Case Report

Espíndula¹,

Benincá²,

Scortegagna³

et al. 2017

Temas Psicol.

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This study describes the effi cacy of the dignity therapy intervention with a 52 year old cancer patient undergoing palliative care. The aim of the work was to evaluate the effi cacy of the dignity therapy. This is a case study, developed in fourteen meetings, before and after which the following instruments were used: Beck Anxiety Inventory, Beck Depression Inventory, Patient Dignity Inventory. Qualitative data analysis was performed, with the establishment of thematic categories. It was observed that, after the completion of the intervention, there was a reduction in the level of depression (40 to 29 points) and improvement in the sense of dignity of the patient (104 to 76 points), although there was an increase in the level of anxiety (46 to 53 points). It was highlighted that the Dignity Therapy technique favored the recovery of positive memories, the possibility to repent and ask for forgiveness and the proximity of the family members at the end of life. This was represented in the legacy document, provided by the Dignity Therapy technique, and it was concluded that the Dignity Therapy was effective.

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A Review of the Construct of Demoralization

Cited by 84 publications

References 64 publications

Good Psychometric Properties of the Addiction Version of the Revised Illness Perception Questionnaire for Health Care Professionals

Good Psychometric Properties of the Addiction Version of the Revised Illness Perception Questionnaire for Health Care Professionals

Protective Factors of Demoralization among Cancer Patients in Taiwan: An Age-matched and Gender-matched Study

Dignity Therapy for Adults with Cancer Receiving Palliative Care: A Case Report

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