A tale of two constructs: combined assessment of demoralization and subjective incompetence.

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Title: A tale of two constructs: combined assessment of demoralization and subjective incompetence.
Authors: Belvederi Murri, Martino, Folesani, Federica, Azzolina, Danila, Muscettola, Angela, Bobevski, Irene, Triolo, Federico, Farkas, Giovanni, Braccia, Francesca, Gavesi, Marcello, Toffanin, Tommaso, Ferrara, Maria, Zerbinati, Luigi, Khan, Mohd Rashid, Gregori, Dario, De Figueredo, John M., Kissane, David, Caruso, Rosangela, Grassi, Luigi, Nanni, Maria Giulia
Source: Psychology, Health & Medicine. Oct2024, Vol. 29 Issue 9, p1635-1651. 17p.
Subjects: Life, Predictive tests, Multitrait multimethod techniques, Primary health care, Statistical sampling, Probability theory, Experimental design, Surveys, Morale, Psychometrics, Research methodology, Research, Despair, National competency-based educational tests, Mental depression
Geographic Terms: Italy
Abstract: Demoralization comprises multiple dimensions. Among them, Subjective Incompetence (SI) is the perception of being incapable of appropriate action in demanding circumstances. SI may be an early sign of demoralization preceding hopelessness, thus we aimed at integrating items related to Subjective Incompetence into the clinical assessment of demoralization. We assessed 414 subjects from the general population with the Demoralization Scale, 24 items (DS24) and the Subjective Incompetence Scale, 12 items (SIS12). We used multiple approaches to detect the optimal number of factors and their item structure, then conducted Bayesian Item Response Theory analyses to study item psychometric properties. Item Response Theory models were used to extrapolate latent severity ratings of clinical dimensions. We modelled the DS24 with five factors (Disheartenment, Sense of Failure, Helplessness, Irritability, Loss of Purpose) and the SIS12 with three (Subjective Incompetence, Inability to plan, Inability to Deal). The more complex IRT model had the best predictive value and helped to identify the items with better discrimination properties across the different dimensions. Twenty items were retained and used to develop the combined Demoralization and Subjective Incompetence Scale (DSIS20), which maintained high correlation with raw and latent trait scores of the longer versions. We combined selected items of the DS24 and the SIS12 to develop the DSIS20, a shorter assessment instrument that includes Subjective Incompetence as well as other clinical dimensions of demoralization. Further study may clarify if DSIS20 may be helpful for the early detection of demoralization. [ABSTRACT FROM AUTHOR]
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  Data: A tale of two constructs: combined assessment of demoralization and subjective incompetence.
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  Data: <searchLink fieldCode="AR" term="%22Belvederi+Murri%2C+Martino%22">Belvederi Murri, Martino</searchLink><br /><searchLink fieldCode="AR" term="%22Folesani%2C+Federica%22">Folesani, Federica</searchLink><br /><searchLink fieldCode="AR" term="%22Azzolina%2C+Danila%22">Azzolina, Danila</searchLink><br /><searchLink fieldCode="AR" term="%22Muscettola%2C+Angela%22">Muscettola, Angela</searchLink><br /><searchLink fieldCode="AR" term="%22Bobevski%2C+Irene%22">Bobevski, Irene</searchLink><br /><searchLink fieldCode="AR" term="%22Triolo%2C+Federico%22">Triolo, Federico</searchLink><br /><searchLink fieldCode="AR" term="%22Farkas%2C+Giovanni%22">Farkas, Giovanni</searchLink><br /><searchLink fieldCode="AR" term="%22Braccia%2C+Francesca%22">Braccia, Francesca</searchLink><br /><searchLink fieldCode="AR" term="%22Gavesi%2C+Marcello%22">Gavesi, Marcello</searchLink><br /><searchLink fieldCode="AR" term="%22Toffanin%2C+Tommaso%22">Toffanin, Tommaso</searchLink><br /><searchLink fieldCode="AR" term="%22Ferrara%2C+Maria%22">Ferrara, Maria</searchLink><br /><searchLink fieldCode="AR" term="%22Zerbinati%2C+Luigi%22">Zerbinati, Luigi</searchLink><br /><searchLink fieldCode="AR" term="%22Khan%2C+Mohd+Rashid%22">Khan, Mohd Rashid</searchLink><br /><searchLink fieldCode="AR" term="%22Gregori%2C+Dario%22">Gregori, Dario</searchLink><br /><searchLink fieldCode="AR" term="%22De+Figueredo%2C+John+M%2E%22">De Figueredo, John M.</searchLink><br /><searchLink fieldCode="AR" term="%22Kissane%2C+David%22">Kissane, David</searchLink><br /><searchLink fieldCode="AR" term="%22Caruso%2C+Rosangela%22">Caruso, Rosangela</searchLink><br /><searchLink fieldCode="AR" term="%22Grassi%2C+Luigi%22">Grassi, Luigi</searchLink><br /><searchLink fieldCode="AR" term="%22Nanni%2C+Maria+Giulia%22">Nanni, Maria Giulia</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology%2C+Health+%26+Medicine%22">Psychology, Health & Medicine</searchLink>. Oct2024, Vol. 29 Issue 9, p1635-1651. 17p.
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  Data: Demoralization comprises multiple dimensions. Among them, Subjective Incompetence (SI) is the perception of being incapable of appropriate action in demanding circumstances. SI may be an early sign of demoralization preceding hopelessness, thus we aimed at integrating items related to Subjective Incompetence into the clinical assessment of demoralization. We assessed 414 subjects from the general population with the Demoralization Scale, 24 items (DS24) and the Subjective Incompetence Scale, 12 items (SIS12). We used multiple approaches to detect the optimal number of factors and their item structure, then conducted Bayesian Item Response Theory analyses to study item psychometric properties. Item Response Theory models were used to extrapolate latent severity ratings of clinical dimensions. We modelled the DS24 with five factors (Disheartenment, Sense of Failure, Helplessness, Irritability, Loss of Purpose) and the SIS12 with three (Subjective Incompetence, Inability to plan, Inability to Deal). The more complex IRT model had the best predictive value and helped to identify the items with better discrimination properties across the different dimensions. Twenty items were retained and used to develop the combined Demoralization and Subjective Incompetence Scale (DSIS20), which maintained high correlation with raw and latent trait scores of the longer versions. We combined selected items of the DS24 and the SIS12 to develop the DSIS20, a shorter assessment instrument that includes Subjective Incompetence as well as other clinical dimensions of demoralization. Further study may clarify if DSIS20 may be helpful for the early detection of demoralization. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/13548506.2024.2405749
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        Text: English
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