Document Detail

Diagnosis and measurement of subjective incompetence: the clinical hallmark of demoralization.
MedLine Citation:
PMID:  19713728     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This article presents the development and application of a method to diagnose and measure subjective incompetence, the clinical hallmark of demoralization. METHODS: The subjects (n = 112) were patients with cancer at a consultation clinic of a cancer center. They completed a questionnaire on general background information, the Brief Cope Scale, and a newly developed scale to measure subjective incompetence. The development and psychometric properties of this scale were studied. Data analysis included both univariate and bivariate statistical tests and an examination of the intercorrelations between the subjective incompetence scores and the scores on the Brief Cope Scale. RESULTS: The scale for subjective incompetence was found to have adequate reliability and validity. CONCLUSIONS: The proposed scale will allow us to determine if the distinction between depression and demoralization has practical implications and to what extent and to further clarify the role of demoralization in the etiology and pathogenesis of both physical illnesses and mental disorders. The combined use of this scale with the existing criteria and scales for demoralization will highlight the role of subjective incompetence in converting what might have been a normal response to stress into an abnormal state requiring intervention.
Cheryl A Cockram; Gheorghe Doros; John M de Figueiredo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-27
Journal Detail:
Title:  Psychotherapy and psychosomatics     Volume:  78     ISSN:  1423-0348     ISO Abbreviation:  Psychother Psychosom     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-29     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0024046     Medline TA:  Psychother Psychosom     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  342-5     Citation Subset:  IM    
Copyright Information:
Copyright 2009 S. Karger AG, Basel.
James A. Haley Veterans Hospital, and University of South Florida, Tampa, FL, USA.
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MeSH Terms
Aged, 80 and over
Middle Aged
Neoplasms / psychology
Psychiatric Status Rating Scales
Psychophysiologic Disorders / diagnosis*,  psychology
Stress, Psychological / diagnosis*,  psychology
Young Adult

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