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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 self-report 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 distinct dimensions: loss of meaning, dysphoria, disheartenment, helplessness, and sense of failure. These factors show high internal reliability, and convergent validity with the McGill Quality of Life Scale, Patient Health Questionnaire, Beck Depression Inventory, Beck Hopelessness Scale, Hunter Opinions and Personal Expectations Scale, and the Schedule of Attitudes toward Hastened Death. Its divergent validity is demonstrated through the differentiation of a subgroup of patients with high demoralization who do not meet DSM-IV categorization for a diagnosis of major depression. Confirmatory validation is needed for the scale to be used as a measure of change in interventions designed to treat demoralization.
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In the citing paper
“Kissane et al. (13) obtained a Cronbach's alpha of this questionnaire of 0.94. In Iranian society, Sarizadeh et al. (14) Cronbach's alpha of this questionnaire in patients with cancer reported 0.82.”
From Acceptance and commitment therapy for demoralization syndrome and cancer-related trauma: A randomized clinical trial study (2021) · cites this paper as Kissane et al. (13)
In the citing paper
“The DS is a 24-item Likert scale (score range 0–96).6”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“It has five subscales: loss of meaning and purpose, dysphoria, disheartenment, helplessness, and sense of failure.6”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“and negatively associated with hopefulness (two studies, n = 200)”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“Uniformly, the evidence indicated a strong negative relationship between demoralization and quality of life (five studies, n = 675).”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“Alternatively, when the DS was used, rates of demoralization were reported dimensionally, with 13%–18% calculated as having clinically significant demoralization.6,22,30,33,35,36,39”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“There were consistent findings for a strong positive relationship between demoralization and depression (11 studies, n = 2372)”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“and a desire for hastened death (three studies, n = 442).”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“In four of the five validation studies, divergent validity was reported.6,13,30,39”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“yet palliative care has recognized the salience of pointlessness to the will to live.6,22,41”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“Establishing consistency in diagnostic criteria will presume an accepted definition of demoralization, leading to an increased opportunity to empirically validate the syndrome across clinical settings and cultures.3,6”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
In the citing paper
“Of the studies examining psychometric properties of demoralization measures, there was consistent evidence to suggest that the DS has convergent validity and internal reliability for the total scale.6,13,22,30,39”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [6]
Citations
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
Beck, A. T., Steer, R. A., & Carbin, M. G. (1988) · Clinical Psychology Review · doi:10.1016/0272-7358(88)90050-5 · Cited by 11,696
Spitzer, R. L. (1999) · JAMA · doi:10.1001/jama.282.18.1737 · Cited by 9,802
The measurement of pessimism: the hopelessness scale
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0037562 · Cited by 5,494
The PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200203000-00008 · Cited by 3,415
A psychometric evaluation of the Beck Depression Inventory–II.
Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.2.83 · Cited by 1,517
Nonspecific Psychological Distress and Other Dimensions of Psychopathology
Dohrenwend, B. P. (1980) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780240027003 · Cited by 959
Cohen, S. R., Mount, B. M., Strobel, M. G., & Bui, F. (1995) · Palliative Medicine · doi:10.1177/026921639500900306 · Cited by 737
Demoralization Syndrome — a Relevant Psychiatric Diagnosis for Palliative Care
Kissane, D. W., Clarke, D. M., & Street, A. F. (2001) · Journal of Palliative Care · doi:10.1177/082585970101700103 · Cited by 624
Self-citationDemoralization: its phenomenology and importance
Clarke, D. M., & Kissane, D. W. (2002) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2002.01086.x · Cited by 590
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Lin, X., Guiru, X., Chen, G., & Huimin, X. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03494-6 · Cited by 34
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Ann‐Yi, S., & Bruera, E. D. (2022) · Cancer Research and Treatment · doi:10.4143/crt.2022.116 · Cited by 38
Hinz, A., Mitchell, A. J., Dégi, C. L., & Mehnert, A. (2018) · Quality of Life Research · doi:10.1007/s11136-018-2014-1 · Cited by 33
Addressing Demoralization in Clinical Staff
Gabel, S. (2011) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182349e79 · Cited by 31
Demoralization and depression in Chinese cancer patients
Wu, W., Quan, M., Gao, L., Li, Q., Yan, C.-X., Zhang, Q., & Shi, B. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06195-9 · Cited by 35
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Zia, F. Z., Baumann, M. H., Belouin, S. J., Dworkin, R. H., Ghauri, M. H., Hendricks, P. S., Henningfield, J. E., Lanier, R. K., Ross, S., & Berger, A. M. (2023) · Neuropharmacology · doi:10.1016/j.neuropharm.2023.109528 · Cited by 33
Koranyi, S., Hinz, A., Hufeld, J. M., Hartung, T. J., Garzón, L. Q., Fendel, U., Letsch, A., Rose, M., Esser, P., & Mehnert, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.789793 · Cited by 30
Chang, T., Hung, C., Huang, P.-C., Hsu, C., & Yen, T. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912815 · Cited by 30
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Li, Y.-C., Yeh, P.-C., Chen, H.-W., Chang, Y.-F., Pi, S.-H., & Fang, C.-K. (2015) · Palliative & Supportive Care · doi:10.1017/s1478951515000048 · Cited by 30
Demoralization Scale in Spanish-Speaking Palliative Care Patients
Rudilla, D., Galiana, L., Oliver, A., & Barreto, P. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2015.11.019 · Cited by 30
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Thompson, E. A., Quinn, T., Paterson, C., Cooke, H., McQuigan, D., & Butters, G. (2007) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2007.10.001 · Cited by 30
The Relationship between “Self-Care Ability” and Psychological Changes among Hemodialysis Patients
Heidarzadeh, M., Sadeghpour, F., Kohi, F., Asadi, R., Aghamohammadi, M., & Abbasi, F. (2020) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_129_19 · Cited by 29
Demoralization and remoralization: a review of these constructs in the healthcare literature
Connor, M., & Walton, J. A. (2011) · Nursing Inquiry · doi:10.1111/j.1440-1800.2010.00501.x · Cited by 28
Lau, R., Morse, C. A., & Macfarlane, S. (2010) · Journal of Women & Aging · doi:10.1080/08952840903488831 · Cited by 28
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Costantini, A., Picardi, A., Brunetti, S., Trabucchi, G., Bersani, F. S., Minichino, A., & Marchetti, P. (2013) · Rivista di psichiatria · doi:10.1708/1292.14291 · Cited by 29
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Herrmann‐Lingen, C., Albus, C., de Zwaan, M., Geiser, F., Heinemann, K., Hellmich, M., Michal, M., Sadlonova, M., Tostmann, R., Wachter, R., et al. (2020) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01810-9 · Cited by 30
Peng, H.-L., HSUEH, H.-W., Chang, Y.-H., & Li, R.-H. (2021) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000421 · Cited by 29
McKenzie, D. P., Clarke, D. M., Forbes, A. B., & Sim, M. R. (2010) · Psychosomatics · doi:10.1016/s0033-3182(10)70701-5 · Cited by 26
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Levin, T. T., & Kissane, D. W. (2006) · The European Journal of Psychiatry · doi:10.4321/s0213-61632006000300006 · Cited by 23
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Li, Y., Ho, C., & Wang, H. (2016) · Cancer Nursing · doi:10.1097/ncc.0000000000000352 · Cited by 25
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Eggen, A. C., Richard, N. M., Bosma, I., Jalving, M., Leighl, N. B., Liu, G., Mah, K., Higazy, R., Shultz, D. B., Reyners, A. K. L., et al. (2021) · Neuro-Oncology Practice · doi:10.1093/nop/npab056 · Cited by 24
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Vehling, S., Kamphausen, A., Oechsle, K., Hroch, S., Bokemeyer, C., & Mehnert, A. (2015) · Journal of Palliative Medicine · doi:10.1089/jpm.2015.0112 · Cited by 23
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Li, J., Liu, X., Xu, L., & Jin, Z. (2020) · The European Journal of Psychiatry · doi:10.1016/j.ejpsy.2020.06.007 · Cited by 24
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Hao, R., Zhang, M., Zuo, J., Qi, Y., & Hu, J. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-065796 · Cited by 23
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Wu, Y.-C., Tung, H., & Wei, J. (2018) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515118800397 · Cited by 24
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Mendz, G. L., & Kissane, D. W. (2020) · The Journal of Law Medicine & Ethics · doi:10.1177/1073110520958881 · Cited by 23
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Grassi, L. G., Pasquini, M., Kissane, D. W., Zerbinati, L., Caruso, R., Sabato, S., Nanni, M. G., Ounalli, H., Maraone, A., Roselli, V., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.043 · Cited by 23
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Li, D., Li, L., Wu, Y., Zhao, X., Zhong, H., Cheng, X., Liu, L., Cheng, C., Ouyang, M., & Tao, L. (2024) · International Journal of Behavioral Medicine · doi:10.1007/s12529-024-10262-w · Cited by 22
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de Vries, M., & Stiefel, F. (2014) · Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · doi:10.1007/978-3-642-40187-9_9 · Cited by 21
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Turner, J., Kelly, B., Clarke, D., Yates, P., Aranda, S., Jolley, D., Forbes, A., Chambers, S., Hargraves, M., & Mackenzie, L. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-016-3382-0 · Cited by 21
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Wang, Y., Sun, H., Ji, Q., Wei, J., & Zhu, P. (2023) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001615 · Cited by 22
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Li, Y., Ho, C., & Wang, H. (2017) · Asian Nursing Research · doi:10.1016/j.anr.2017.07.001 · Cited by 19
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Vissers, W., Keijsers, G. P. J., van der Veld, W. M., de Jong, C. A. J., & Hutschemaekers, G. J. M. (2010) · European Journal of Psychological Assessment · doi:10.1027/1015-5759/a000039 · Cited by 19
He, C., Liu, S., Ding, X., Zhang, Y., Hu, J., Yu, F., & Hu, D. (2024) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2024.100638 · Cited by 19
Lin, F., Hong, Y., Lin, X., Chen, Q., Lin, Y.-A., Chen, Q., & Huang, F. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07412-9 · Cited by 18
Lin, C., & Her, Y. (2023) · Psychogeriatrics · doi:10.1111/psyg.13037 · Cited by 22
Bobevski, I., Rowe, H. J., Clarke, D. M., McKenzie, D. P., & Fisher, J. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-014-0486-8 · Cited by 18
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Shapiro, G. K., Mah, K., de Vries, F., Li, M., Zimmermann, C., Hales, S., & Rodin, G. (2020) · Palliative Medicine · doi:10.1177/0269216320947961 · Cited by 17
Geue, K., Mehnert-Theuerkauf, A., Stroske, I., Brock, H., Friedrich, M., & Leuteritz, K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.688142 · Cited by 16
Caruso, R., Nanni, M. G., Rodin, G., Hales, S., Malfitano, C., Padova, S. D., Bertelli, T., Murri, M. B., Bovero, A., Miniotti, M., et al. (2020) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2020.100661 · Cited by 17
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Costanza, A., Amerio, A., Aguglia, A., Magnani, L., Serafini, G., Amore, M., Merli, R., Ambrosetti, J., Bondolfi, G., Marzano, L., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11121594 · Cited by 15
Philipp, R., Vehling, S., Scheffold, K., Grünke, B., Härter, M. C., Mehnert, A., Oechsle, K., Schulz‐Kindermann, F., & Lo, C. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.026 · Cited by 15
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Metadata
- Authors
- Kissane, D. W., Wein, S., Love, A., Lee, X. Q., Kee, P. L., & Clarke, D. M.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- The University of Melbourne (AU)
- Monash University (AU)
- Venue
- Journal of Palliative Care
- Publisher
- SAGE Publications
- Published
- 2004-12
- Volume
- 20
- Issue
- 4
- Pages
- 269-276
- ISSN
- 0825-8597 (ISSN-L)
- 2369-5293
- OpenAlex
- W1862997372
- Cited by
- 442
- References
- 33
- Citations by year
- 2026: 36 · 2025: 38 · 2024: 43 · 2023: 30 · 2022: 34 · 2021: 32 · 2020: 22 · 2019: 18 · 2018: 20 · 2017: 25 · 2016: 14 · 2015: 14 · 2014: 13 · 2013: 29 · 2012: 7
- FWCI
- 6.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- FedUni ResearchOnline (Federation University Australia) (submittedVersion)
- Funders
- McGill University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- demoralization, existential suffering, Demoralization Scale, scale development, cancer patients, palliative care, meaninglessness, helplessness, sense of failure, dysphoria, hopelessness, major depressive disorder, self-report measures, convergent and discriminant validity
- MeSH terms
- Anger, Attitude to Death, Attitude to Health, Depression, Existentialism, Factor Analysis, Statistical, Female, Guilt, Helplessness, Learned, Humans, Male, Middle Aged, Morale, Neoplasms, Psychiatric Status Rating Scales, Psychometrics, Quality of Life, Stress, Psychological, Terminal Care, Victoria, Self Efficacy
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