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

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 pati...

Full description

Bibliographic Details
Main Authors: Tania-Flora Elmasian, Maria Nikoloudi, Eleni Tsilika, Sotiria Kostopoulou, Anna Zygogianni, Stylianos Katsaragakis, Kyriaki Mystakidou
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2023-06-01
Series:Journal of Caring Sciences
Subjects:
Online Access:https://jcs.tbzmed.ac.ir/PDF/jcs-12-2-103.pdf
_version_ 1827805862908919808
author Tania-Flora Elmasian
Maria Nikoloudi
Eleni Tsilika
Sotiria Kostopoulou
Anna Zygogianni
Stylianos Katsaragakis
Kyriaki Mystakidou
author_facet Tania-Flora Elmasian
Maria Nikoloudi
Eleni Tsilika
Sotiria Kostopoulou
Anna Zygogianni
Stylianos Katsaragakis
Kyriaki Mystakidou
author_sort Tania-Flora Elmasian
collection DOAJ
description 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.
first_indexed 2024-03-11T21:31:13Z
format Article
id doaj.art-d2173a5276434ace9acef1fccfcbdef0
institution Directory Open Access Journal
issn 2251-9920
language English
last_indexed 2024-03-11T21:31:13Z
publishDate 2023-06-01
publisher Tabriz University of Medical Sciences
record_format Article
series Journal of Caring Sciences
spelling doaj.art-d2173a5276434ace9acef1fccfcbdef02023-09-27T08:50:00ZengTabriz University of Medical SciencesJournal of Caring Sciences2251-99202023-06-0112210310910.34172/jcs.2023.31856jcs-31856Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with CancerTania-Flora Elmasian0Maria Nikoloudi1Eleni Tsilika2Sotiria Kostopoulou3Anna Zygogianni4Stylianos Katsaragakis5Kyriaki Mystakidou6Social Policy and Social Anthropology, Ministry of Migration and Asylum, Asylum Service Case Officer, GreecePain Relief and Palliative Care Unit, Aretaieion Hospital, National & Kapodistrian University of Athens, School of Medicine, Athens, GreeceHealth Psychologist, Pain Relief and Palliative Care Unit, Aretaieion Hospital, National & Kapodistrian University of Athens, School of Medicine, Athens, GreecePain Relief and Palliative Care Unit, Aretaieion Hospital, National & Kapodistrian University of Athens, School of Medicine, Athens, GreeceDepartment of Radiology, Aretaieion Hospital, School of Medicine, National & Kapodistrian University of Athens, Athens, GreeceDepartment of Nursing, National and Kapodistrian University of Athens, Athens, GreecePain Relief and Palliative Care Unit, Aretaieion Hospital, National & Kapodistrian University of Athens, School of Medicine, Athens, GreeceIntroduction: 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.https://jcs.tbzmed.ac.ir/PDF/jcs-12-2-103.pdfcancerpalliative careanxietydepressiondemoralization
spellingShingle Tania-Flora Elmasian
Maria Nikoloudi
Eleni Tsilika
Sotiria Kostopoulou
Anna Zygogianni
Stylianos Katsaragakis
Kyriaki Mystakidou
Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
Journal of Caring Sciences
cancer
palliative care
anxiety
depression
demoralization
title Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
title_full Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
title_fullStr Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
title_full_unstemmed Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
title_short Psychometric Properties of the Greek Version of Demoralization Scale-II (DS-II) in Patients with Cancer
title_sort psychometric properties of the greek version of demoralization scale ii ds ii in patients with cancer
topic cancer
palliative care
anxiety
depression
demoralization
url https://jcs.tbzmed.ac.ir/PDF/jcs-12-2-103.pdf
work_keys_str_mv AT taniafloraelmasian psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT marianikoloudi psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT elenitsilika psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT sotiriakostopoulou psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT annazygogianni psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT stylianoskatsaragakis psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer
AT kyriakimystakidou psychometricpropertiesofthegreekversionofdemoralizationscaleiidsiiinpatientswithcancer