Department of Methodology for the Behavioral Sciences,University of Valencia,Valencia,Spain.
Home Care Unit of the Hospital General Universitario de Valencia,Valencia,Spain.
Palliat Support Care. 2017 Oct;15(5):516-523. doi: 10.1017/S1478951516000973. Epub 2017 Jan 9.
The Demoralization Scale (DS) is the most widely used measure for assessing demoralization. Following the recent clamor for brief assessment tools, and taking into account that demoralization has proved to be a symptom that needs to be controlled and treated in the palliative care setting, a shorter scale is needed. The aim of the present research is to introduce and evaluate the Short Demoralization Scale (SDS).
We employed a cross-sectional design that included a survey of 226 Spanish palliative care patients from the Hospital General Universitario de Valencia. We employed the SDS, the DS, and the Hospital Anxiety and Depression Scale (HADS).
The confirmatory factor analysis supported the one-factor structure of the SDS (χ2(5) = 12.915; p = 0.024; CFI = 0.999; RMSEA = 0.084; CI 95% = [0.028, 0.141]). The reliability was found to be appropriate, with a value of Cronbach's alpha (α) equal to 0.920. A cutoff criterion of 10 was established, which favored the interpretability of the instrument.
The SDS corrects previous limitations, has a simple scoring system, is cost-effective, and is widely and fully available. In addition, our findings demonstrate that the SDS can be employed effectively in the clinical context.
沮丧量表（DS）是评估沮丧最广泛使用的测量工具。考虑到最近对简短评估工具的强烈呼吁，以及沮丧已被证明是姑息治疗环境中需要控制和治疗的症状，因此需要一个更简短的量表。本研究的目的是介绍和评估简短沮丧量表（SDS）。
我们采用了横断面设计，包括对瓦伦西亚大学综合医院的 226 名西班牙姑息治疗患者进行的调查。我们使用了 SDS、DS 和医院焦虑和抑郁量表（HADS）。
验证性因素分析支持 SDS 的单因素结构（χ2(5) = 12.915；p = 0.024；CFI = 0.999；RMSEA = 0.084；CI 95% = [0.028, 0.141]）。信度被认为是适当的，克朗巴赫的 α 值为 0.920。确定了 10 的截断标准，这有利于仪器的可解释性。
SDS 纠正了以前的局限性，具有简单的评分系统，具有成本效益，并且广泛且完全可用。此外，我们的研究结果表明 SDS 可以在临床环境中有效使用。
