Dignity and Psychosocial-Related Variables in Advanced and Nonadvanced Cancer Patients by Using the Patient Dignity Inventory-Italian Version

Abstract

The study confirmed that the PDI-IT is a valid instrument to be applied in oncology and measuring three factors, namely existential, psychological, and physical distress, as core dimensions of dignity, to be monitored and treated in clinical settings.

Czech Version of the Patient Dignity Inventory: Translation and Validation in Incurable Patients

“…In the original PDI scale, the set of respondents only consisted of palliative patients with expected survival times of less than six months; however, our set comprised incurably ill oncology and nononcology patients on a palliative care regimen with expected survival times of more than six months. In the Spanish 1.000 100 (89e00) 25 1.000 100 (89e100) study, 13 the respondents were patients with advanced cancer, and in the Italian study, 14 the respondents were patients with a cancer diagnosis (all stages). Item 22 (not feeling supported by health care providers) was not included in the factor analysis because most respondents did not view it as a problem.…”

Dignity‐related existential distress in end‐of‐life cancer patients: Prevalence, underlying factors, and associated coping strategies

“…Regarding the PDI‐IT, we opted for the validation obtained from our previous study, because of its specificity for end‐of‐life patients, and for the presence of the ED subscale. It differs from previous Italian validations in the oncological setting because they present different factor structures and are referred to advanced and nonadvanced cancer patients and patients with active oncological treatments.…”

“…The Patient Dignity Inventory‐Italian Version (PDI‐IT) is a 25‐item self‐report questionnaire designed to investigate various sources of dignity‐related distress . For each of the items, the patient indicates on a 5‐point Likert scale: 1 (not a problem), 2 (a slight problem), 3 (a problem), 4 (a major problem), and 5 (an overwhelming problem).…”

“…The Patient Dignity Inventory (PDI) is a valid and reliable instrument based on the dignity model, structured to routinely detect dignity‐related distress and promote tailored interventions. In many of its validations, a subscale specifically referred to ED was proposed as a crucial representation of dignity dimensions …”

“…Loss of dignity and demoralization are 2 constructs which were shown to be strictly and positively correlated . Moreover, it was hypothesized that they are part of the same continuum representing existential distress …”