Demoralization Scale in Spanish-Speaking Palliative Care Patients

Rudilla, David; Galiana, Laura; Oliver, Amparo; Barreto, Pilar

doi:10.1016/j.jpainsymman.2015.11.019

Cited by 25 publications

(36 citation statements)

References 23 publications

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“…Previous studies conducted in Australia, the United States, Taiwan, Germany, Spain, and Portugal showed that age, single status, unemployment, partnership [1,20,26], gender, physical problems, social support, dignity [27,28], education, anxiety and depression [18,19,29] had significant correlations with demoralization in cancer patients. Our findings were partially consistent with the above-mentioned studies in that family support, monthly income, and education were significant factors of demoralization in cancer patients.…”

Section: Discussionmentioning

confidence: 91%

“…For instance, some previous studies examined demoralization among refugee and migrant populations [16,17]. In recent years, the focus has shifted to cancer patients [18,19]. Based on the above literature, we would like to know how demoralization influences cancer patients in Taiwan and then make the study results available to other countries with similar situations.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 91%

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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“…28 It was originally validated among 100 patients with advanced cancer, and it consists of 5 subscales corresponding to the core dimensions of demoralization as proposed by Clarke and Kissane, 15 specifically: loss of meaning, dysphoria, disheartenment, helplessness, and sense of failure. In the oncology setting, the DS has been translated and validated in several countries, including Germany, 29 Ireland, 30 Spain, 31 and Taiwan. 32 The study by Robinson et al presented in this issue of Cancer offer the possibility to use for clinical and research purposes a shorter version of the original DS.…”

Section: Editorial/grassi and Nannimentioning

confidence: 99%

Demoralization syndrome: New insights in psychosocial cancer care

Grassi

Nanni

2016

Cancer

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The psychological reactions of patients in response to cancer have been the object of psycho-oncology research since the first studies carried out by Arthur M. Sutherland in the middle of the last century.1 Subsequent better designed investigations were carried out in many parts of the world using standardized psychiatric interviews according to the Diagnostic Statistical Manual for Mental Disorders (DSM) of the American Psychiatric Association and the International Classification of Diseases (ICD) of the World Health Organization. Meta-analyses of these studies are now available 2 and indicate that approximately 30% to 40% of patients with cancer meet the criteria for a psychiatric diagnosis-especially depressive disorders-that have extremely negative consequences for the patients and their families (eg, impairment of quality of life, longer rehabilitation processes, risk of suicide, reduction in adherence to treatment).It is clear that having a system to codify the psychiatric disorders observable in oncology, including depression, is extremely important for a whole-person-centered approach that includes psychosocial aspects as mandatory targets. However, the psycho-oncology literature has demonstrated that many other psychosocial dimensions not detectable with classical psychiatric nosology (ie, ICD and DSM) are extremely common and have a remarkable role in negatively influencing a patient's quality of life. 3,4 Demoralization is one of the most important among the aforesaid constructs. It can be clinically separated from depressive disorders, has a high prevalence in medical disorders, and thus needs to be carefully examined, correctly measured, and treated. There have been several recent reports about the importance of demoralization, particularly in the settings of cancer and palliative care. [5][6][7] In this issue of Cancer, Robinson et al 8,9 explore the application of a new, refined, 16-item, self-report measure of demoralization (Demoralization Scale-II [DS-II]) in patients with cancer or other progressive diseases who were receiving palliative care. The analyses by Robinson and colleagues highlight the need for clinicians to consider demoralization as a significant clinical entity to be taken seriously into account in cancer settings. Demoralization Syndrome and its AssessmentThe concept of demoralization

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“…On this background, the Demoralization Scale (DS) has been developed, originally validated among 100 advanced cancer patients, and shown to capture the core dimensions of demoralization as proposed by Clarke and Kissane, namely, loss of meaning, dysphoria, disheartenment, helplessness, and sense of failure. Within oncology and palliative care settings, the DS has been translated and applied in several countries, such as Germany, Ireland, Taiwan, Italy, and Spain, with data confirming its construct and convergent validity with respect to other psychometric instruments, although the factor structure of the DS was different with respect to the original …”

Section: Introductionmentioning

confidence: 95%

The factor structure and use of theDemoralization Scale(DS‐IT) in Italian cancer patients

et al. 2017

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Demoralization Scale in Spanish-Speaking Palliative Care Patients

Abstract: The Spanish adaptation of the DS has shown appropriate psychometric properties. It has been useful to differentiate between depression and the demoralization syndrome, pointing to helplessness and dysphoria as unique characteristics of demoralized palliative care patients.

Cited by 25 publications

References 23 publications

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

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

Demoralization syndrome: New insights in psychosocial cancer care

The factor structure and use of theDemoralization Scale(DS‐IT) in Italian cancer patients

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