癌症病人失志量表中文版之信效度檢測

Evaluation of the Reliability and Validity of the Mandarin Version of Demoralization Scale for Cancer Patients

洪曉琪(Hsiao-Chi Hung) ； 陳虹汶(Hong-Wen Chen) ； 張義芳(Yi-Fang Chang) ； 楊育正(Yuh-Cheng Yang) ； 劉建良(Chien-Liang Liu) ； 謝瑞坤(Ruey-Kuen Hsieh) ； 呂宜興(Yi-Shing Leu) ； 陳裕仁(Yu-Jen Chen) ； 王蒼恩(Tsang-En Wang) ； 蔡麗雲(Li-Yun Tsai) ； 劉珣瑛(Shen-Ing Liu) ； 方俊凱(Chun-Kai Fang)

《內科學誌》 21卷6期 (2010/12) Pp. 427-435

https://doi.org/10.6314/JIMT.2010.21(6).06

摘要

Demoralization indicates one phenomenon about existential distress and loss of meaning in life when the people suffering from cancer or advanced diseases. The expressions of demoralization syndrome do not meet the DSM-IV criteria of major depressive disorder, though patients were truly exhausted by demoralization. In the study, we tested the validity and reliability of Mandarin Version of Demoralization Scale (DS-MV). DS-MV was translated by professionals, and was completed by outpatients with cancer of different stages. We excluded patients who had cognitive impairment with Mini-Mental State Examination (MMSE) under 24, unwilling for interview, inability to read Chinese, psychosis, or mental retardation. All the data were analyzed by using SPSS 14.0 to test the validity and reliability. There were 214 patients completed the questionnaire. The principle components analysis of the DS-MV yielded 5 factors as the DS. The DS-MV has acceptable reliability with Cronbach's alpha 0.928, and the internal reliability is acceptable with the Cronbach's alphas in the range of 0.63 to 0.85. The Pearson's correlation shows positive correlation (γ=0.703, p＜0.001) between DS-MV and Beck Hopelessness Scale, and negative correlation (γ=-0.680, p＜0.001) between DS-MV and McGill quality of life questionnaire. There were 23.4% patients with lower depression but higher demoralization. Our study support DS-MV as a valid and reliable self-report questionnaire for Taiwanese cancer patients. From this study, we can realize that demoralization in cancer patients is not only seen in Western society, but also seen in Taiwanese groups. DS-MV will be broadly used for clinical service and research to make cancer care better.

關鍵字

失志症候群 ； 失志量表 ； 癌症病人

並列摘要

Demoralization indicates one phenomenon about existential distress and loss of meaning in life when the people suffering from cancer or advanced diseases. The expressions of demoralization syndrome do not meet the DSM-IV criteria of major depressive disorder, though patients were truly exhausted by demoralization. In the study, we tested the validity and reliability of Mandarin Version of Demoralization Scale (DS-MV). DS-MV was translated by professionals, and was completed by outpatients with cancer of different stages. We excluded patients who had cognitive impairment with Mini-Mental State Examination (MMSE) under 24, unwilling for interview, inability to read Chinese, psychosis, or mental retardation. All the data were analyzed by using SPSS 14.0 to test the validity and reliability. There were 214 patients completed the questionnaire. The principle components analysis of the DS-MV yielded 5 factors as the DS. The DS-MV has acceptable reliability with Cronbach's alpha 0.928, and the internal reliability is acceptable with the Cronbach's alphas in the range of 0.63 to 0.85. The Pearson's correlation shows positive correlation (γ=0.703, p＜0.001) between DS-MV and Beck Hopelessness Scale, and negative correlation (γ=-0.680, p＜0.001) between DS-MV and McGill quality of life questionnaire. There were 23.4% patients with lower depression but higher demoralization. Our study support DS-MV as a valid and reliable self-report questionnaire for Taiwanese cancer patients. From this study, we can realize that demoralization in cancer patients is not only seen in Western society, but also seen in Taiwanese groups. DS-MV will be broadly used for clinical service and research to make cancer care better.

並列關鍵字

Demoralization syndrome ； Demoralization scale ； Cancer patient