The The term "demoralization" indicates an expression of exis- results of ANOVA analysis showed a significant effect of tential distress, hopelessness, helplessness, and loss of occupation F (4.209)07.145 (p<0.001), cancer diagnosis F meaning and purpose in life [5]. J Palliat Care, (1):12-21 2001 MED: 11324179 The Demoralization Scale: a report of its development and preliminary validation. 273 The Benefits of Psychedelics for End-of-Life Patients with Ira Byock MD. Prevalence and factors associated with demoralization syndrome in patients with advanced disease: Results from a cross-sectional Portuguese study. The world that they knew and the things that they loved suddenly seem far away. One commonly referred to definition is an incapacitating state of despair resulting from an inner realization that life is futile and without meaning (1). In . Introduction: This study aimed to investigate the effectiveness of cognitive-existential therapy on the reduction of demoralization syndrome in patients with HIV.Method: In single case study three women with HIV who had been referred to Sabzeh Parvar Center in Karaj city for the medical treatment and consultation were selected by the convenience sampling method and received ten 90-minute . Accordingly, the current study reviewed the theoretical basis for RCd including Frank's (1961) demoralization concept, Schmale and Engel's (1967) givingup— given-up complex, Gruenberg's (1967) social breakdown syndrome, Cassell's (1991) suffering, Clarke and Kissane's (2002) demoralization syndrome, and Watson and Tellegen's (1985 . is prevalent in the literature. Journal of Pain and Symptom Management, 49 (3), 595-610. The purpose of our study was to evaluate the validity of the Italian version . Overall, demoralization syndrome has satisfactory face, descriptive, predictive, construct, and divergent validity, suggesting its utility as a diagnostic category in palliative care. The history of the construct is explored, including the nature of . We used a structured questionnaire, which contained items on demographic and disease characteristics, as well as the Demoralization Scale Mandarin Version (DS-MV), with a cutoff of 30 or more indicating high demoralization. 6.6 50 10 40 Cross-sectional Demoralization most common DCPR syndrome. Demoralization is a frightening sense of hopelessness, meaninglessness, not coping and essentially 'not knowing what to do' (p. 737). Wu YC, Tung HH, Wei J. Background: Demoralization syndrome is a significant condition that has not been greatly studied in Southern European countries. Demoralization describes a syndrome of existential distress and despair. 同义词： demoralisation. Therefore, the most specific feature of demoralization Definition Demoralization Syndrome (DS) -This may overlap w/ or precede clinical depression in patient w/ serious illness. Further studies are recommended to better understand causes and impacts of demoralization in the quality of life and care of cancer patients. The world that they knew and the things that they loved suddenly seem far away. do e rei u g de i F 130 Psychother Psychosom 2007;76:129 133 recognized by others in different settings and given dif-ferent names, such as social breakdown syndrome . Among the approaches to the demoralization syndrome, the one proposed by Kissane et al. Tag: demoralization syndrome EOLPodcast Ep. Overall, the Demoralization Syndrome can be a common presentation in the palliative care setting and one which mediates the relationship between poor quality of life and the desire for hastened death. The association of demoralization with serious . 3) Carvalho AF, Sharma MS, Brunoni AR, Vieta E, Fava GA. It presents with symptoms of hopelessness and helplessness caused by a loss of purpose and meaning in life. FU: 8.8 FU: 5.9 FU: 2.9 Sonino et al. Demoralization syndrome is common among cancer patients, but there has been little empirical study on the association of suicidal ideation with demoralization, depression, and anxiety in this population. Demoralization features helplessness, hopelessness, and existential distress. On the other hand, despite . Demoralization can be diagnosed when a poor sense of coping is associated with low morale, reduced hope, and a sense of feeling stuck, with related symptoms of feeling helpless, pointless or purposeless, and with doubts about the value of continued life. It is a significant mental health concern given there can be an associated desire for hastened death. In any given individual, multiple factors can contribute to the development of demoralization. Further studies are recommended to better understand causes and impacts of demoralization in the quality of life and care of cancer patients. Fax +41 22 379 59 54. Julião M, Nunes B, Barbosa A. The joint contribution of psychosocial and disease-related factors stimulate demoralization, which is a key mediating state on the pathway to further distress. Published by: Addleton Academic Publishers. 1 the loss of morale spans a spectrum of mental states, from a mild loss of confidence—"disheartenment," to the beginning … In . It is a significant mental health concern given there can be an associated desire for hastened death. Demoralization syndrome Hopelessness, loss of meaning, and existential distress are proposed as the core features of the diagnostic category of demoralization syndrome. Death Row Syndrome and Demoralization: Psychiatric Means to Social Policy Ends Harold I. Schwartz, MD J Am Acad Psychiatry Law 33:153-5, 2005 Choosing death, whether as a terminally ill patient refusing further treatment or as a death row inmate refusing further appeals of a death sentence, invari-ably raises questions of mental state. Greek. It is arguably the main reason people seek psychiatric . The DS-II is a psychometrically sound and appropriate measure of demoralization for patients with advanced progressive disease. A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: A decade of research. In patients with schizophrenia, Drake and colleagues first elaborated on a demoralization syndrome, postulating that repeated exacerbation of psychotic symptoms and functional deterioration can lead to suicide, especially in individuals with good premorbid adjustment and insight (for a review of the role of demoralization role in suicide risk . It presents with symptoms of hopelessness and helplessness caused by a loss of purpose and meaning in life. There are activities they may no longer be able to take part in . Demoralization was first operationalized by Frank (1974) and has been defined by Clarke and Kissane (2002) with the term, demoralization syndrome-an experience of a loss of direction or sense of . Demoralization has been the subject of discussion in relation to end-of-life care. 同义词： demoralisation. Published: Oct 1, 2012 Eur J Cardiovasc Nurs. Design and Methods The study adopted a cross-sectional design and analysed the baseline data from a longitudinal study with cardiac transplant patients at a heart centre in northern Taiwan. Το κλείσιμο μίας επιχείρησης όπως η eurofonderie είναι καταστροφικό για τις νοοτροπίες, καταστροφικό λόγω . No study is available on demoralization amongst KTRs. Clinical observations capture . Med Clin North Am 2017 Jul; 101(4):807-821. syndrome of despair, distress and hopelessness separate from depression, or reflect clinical depression or a normal response to difficult circumstances. Demoralization syndrome--a relevant psychiatric diagnosis for palliative care. "Demoralization can arise from a struggle to cope with a stress or event," says Kissane, "which can include a medical illness, or entrapment in a predicament that you can't control. The prevalence of demoralization, as a clinical syndrome sepa-ratedfrommajordepression,among807medicallyillItal- These authors developed the Demoralization Scale (DS) to assess emotional distress, conceived as demoralization. Demoralization is succinctly described in a recent Italian study of kidney transplant patients 5: Demoralization is a syndrome clinically separated from depression. 17 2) Smithson S, Pignone MP. Epub 2016 Jan 6. a state of disorder and confusion. The development and testing of the Demoralization Scale in 100 patients with cancer and 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. Journal. Try algorithm, browse collection. Objective: Demoralization, as described by Jerome Frank, is experienced as a persistent inability to cope, together with associated feelings of helplessness, hopelessness, meaninglessness, subjective incompetence and diminished self-esteem. Quality: English. It is a significant mental health concern given there can be an associated desire for hastened death. The mean score of DS-MV was 31.05 (SD 14.87). Someone with demoralization syndrome feels hopeless. Hopelessness, helplessness, and the loss of purpose and meaning in life—the loss of morale—are key and central symptoms of demoralization syndrome (DS). 2006 Aldosteronism 10 50 45.5±. Cancer is the. However, some patients with cancer experience symp-toms of demoralization without those of depression [29 . The starting point of demoralization syndrome is a sense of incompetency and inefficiency in dealing with a debilitating situation which leads to some fundamental questions. It is characterized by a combination of distress and subjective incompetence; the loss of meaning and purpose in life; the lack of perceived social support; a sense of being trapped . The development and elaboration of a conceptualization of existential distress in patients with advanced disease is . Palliat Support Care. Kissane DW, . Demoralization and Psychotherapy: A Tribute to Jerome D. Frank, MD, PhD . Demoralization is a commonplace clinical phenomenon among medical patients and seems to escape adequate address by the DSM. Demoralization more strongly predicted lifetime SI than lifetime depression in CH sufferers, while the reverse was true in control participants. This syndrome seems to affect about one-third of all medical patients. Because demoralization is a treatable condition, its diagnosis as a clinical syndrome will empower a better focus on potential therapeutic interventions.1 Central to this recognition is the notion that demoralization can be differentiated from depression,1 which is rele-vant as a number of medically ill patients will not Demoralization, as introduced by Frank, is a syndrome of existential distress denoting a persistent failure of coping, with internally or externally induced stress, and typically occurring in patients with severe conditions that threaten life or integrity of being.1 Demoralization has been more specifically described as a mental state of subjective Usage Frequency: 1. Characterized by dysphoria, but distinct from depression, demoralization is psychologically founded on disempowerment and futility. Author (s): Margaret Allen, Juraj Cug. This study aimed to exploring effectiveness of rehabilitation method based on Cognitive-Existential approach on decreasing demoralization syndrome in patients with MS. Methods: Single . BACKGROUND Demoralization is a psychological response that is frequently observed in patients with cancer or advanced diseases. Article Google Scholar An integrated approach — an interdisciplinary team that provides both early palliative and early psychological care before the rise of emotional disturbance — may be needed to . There are activities they may no longer be able to take part in, interests that shrink in importance in light of the diagnosis, and interactions with family members where the balance of power has shifted dramatically. A structured questionnaire, namely the Demoralization Scale-Mandarin Version (DS-MV), was used to assess demoralisation syndrome. Abstract: Following V. Frankl's (in the 1950s) and J. Frank's (in the 1970s) historical definitions of the constructs Meaning in Life (MiL) and demoralization, there have been a multitude of studies which have described them from different theoretical perspectives. Hopelessness, loss of meaning, and existential distress are proposed as the core features of the diagnostic category of demoralization syndrome. Demoralization lies on a spectrum of vulnerability; even the most resilient person may become demoralized under extreme circumstances. This was a cross-sectional descriptive study. Demoralization: Its Phenomenology and Importance. Editorial Demoralization Syndrome: New Insights in Psychosocial Cancer Care 1,2 1,2 Luigi Grassi, MD and Maria Giulia Nanni, MD The psychological reactions of patients in response to cancer have been the object of psycho-oncology research since the first studies carried out by Arthur M. Sutherland in the middle of the last century. demoralization is a common presentation of existential distress in patients at the end of life.1 central to its conceptualization are symptoms of hopelessness and helplessness caused by a loss of purpose and meaning in life. Keywords: COVID-19 frontline healthcare worker; demoralization; fear;burnout syndrome; Summary/Abstract: Employing recent research results covering demoralization, fear, and burnout associated with being a . 同义词： demoralisation. demoralization [ di,mɔrəlai'zeiʃən, -li'z ] n. destroying the moral basis for a doctrine or policy. Quality of life, demoralization syndrome and health-related lifestyle in cardiac transplant recipients - a longitudinal study in Taiwan. The study adopted a cross-sectional design and analysed the baseline data from a longitudinal study with cardiac transplant patients at a heart centre in northern Taiwan. Publication types Research Support, Non-U.S. Gov't MeSH terms Adult Aged It represents a loss of courage, a lost sense of effectiveness, and a loss of morale. If the person fails in finding proper answers to these questions, he/she might end up with demoralization syndrome. It is often associated with a feeling of greater dependency on other people. Demoralization is a commonly observed syndrome in medically ill patients. Demoralization can be understood as a condition that results from existential conflict. Supportive Care in Cancer - Springer Journals. Demoralization can be understood as a condition that results from existential conflict. It has been argued that the critical feature distinguishing depression from demoralization is the presence or absence of anhedonia (a diminished ability to experience pleasure). At follow-up, demoralization more prevalent than MDD and minor depression. Subject (s): Psychology, Health and medicine and law. This syndrome can be differentiated from depression and is recognizable in palliative care settings. Therefore, demoralization syndrome is a significant mental health concern in patients with cancer and survivors that need scientific consideration and intervention (2, 3). Demoralization is a form of psychological distress that may cause suicidal ideation. The purpose of this review was to consolidate the conceptual understanding of demoralization and argue for its existence as a psychiatric syndrome. the closure of a plant like eurofonderie is a disaster in terms of the distress and demoralization it causes. Depression and demoralization syndrome in patients with cancer are closely related to suicidal behavior. Recently, demoralization, a psychological syndrome distinct from depression [7], has been diagnosed in a high percentage of medically ill patients [8], particularly with a high prevalence of up to. Analyses between symptom severity and demoralization via loss of resources as the mediator were statistically significant. demoralization syndrome in individuals with progressive disease and cancer: A decade of research. Demoralization is a common psychiatric disorder associated with the end of life. Grassi et al. "his inconsistency resulted in the demoralization of his staff". Introduction. Aims: To extend the knowledge of demoralization in Southern Europe by examining its prevalence according to different methods of assessment, its relationship with anxiety and depression, and its impact on quality of life (QoL) among cancer patients. that demoralization is a clinical syndrome distinct from major depression.9 Further work is needed to distinguish demoralization from other dysphoric states (e.g., major depression and ad-justment disorder) and to classify it either as a pathologic Tel +41 22 379 59 00. J Pain Symptom Manage 2015; 49:595-610. Demoralization can be understood as a condition that results from existential conflict. Clarke and Kissane also reminded us that demoralization is not a static entity but a process 21. Also, studies show that demoralization syndrome is more closely related to patients' tendency to die and even predicts it better than depression. Cancer patients' demoralization has been well documented, but little is known regarding older cancer patients and the related factors. 2002) in an attempt to operationalize existential distress in the medical context, elaborated a definition of the demoralization syndrome characterized by hopelessness, helplessness and meaninglessness. Some patients who seek assistance after a traumatic experience show symptoms many mistakenly formulate as being a pure . Other terms seen in the published medical literature include "existential distress", "demoralization syndrome", and "total pain" (4). 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