Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation

Rosaria Di Lorenzo,1 Paola Ferri,2 Carlotta Biffarella,2 Giulio Cabri,3 Eleonora Carretti,4 Gabriella Pollutri,5 Ludovica Spattini,5 Cinzia Del Giovane,6 Harvey Max Chochinov7 1Psychiatric Intensive Treatment Facility, Mental Health Department, Azienda USL, Modena, Italy; 2Department of Diagnostic,...

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Autores principales:	Di Lorenzo R, Ferri P, Biffarella C, Cabri G, Carretti E, Pollutri G, Spattini L, Del Giovane C, Chochinov HM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Dignity perception in psychiatry. Patient Dignity Inventory (PDI) Patients hospitalized in an acute psychiatric ward Severe psychiatric diseases Validation study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/21620b4d28ca4ebb9f84296b412a39e2
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spelling	oai:doaj.org-article:21620b4d28ca4ebb9f84296b412a39e22021-12-02T03:03:57ZPsychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation1178-2021https://doaj.org/article/21620b4d28ca4ebb9f84296b412a39e22018-03-01T00:00:00Zhttps://www.dovepress.com/psychometric-properties-of-the-patient-dignity-inventory-in-an-acute-p-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Rosaria Di Lorenzo,1 Paola Ferri,2 Carlotta Biffarella,2 Giulio Cabri,3 Eleonora Carretti,4 Gabriella Pollutri,5 Ludovica Spattini,5 Cinzia Del Giovane,6 Harvey Max Chochinov7 1Psychiatric Intensive Treatment Facility, Mental Health Department, Azienda USL, Modena, Italy; 2Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy; 3Service of Psychiatric Diagnosis and Treatment, Mental Health Department, Azienda USL, Modena, Italy; 4School of Nursing, University of Modena and Reggio Emilia, Italy; 5School of Specialization in Pscyhiatry, Faculty of Medicine, University of Modena and Reggio Emilia, Italy; 6Faculty of Medicine, Institute of Primary Care (BIHAM), University of Bern, Bern, Switzerland; 7Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada Background: During the last decades, dignity has been an emerging issue in mental health since its ethical and therapeutic implications became known. This study is an extension of the preliminary validation of the Patient Dignity Inventory (PDI) in a psychiatric setting, originally designed for assessing perceived dignity in terminal cancer patients. Methods: From October 21, 2015 to December 31, 2016, we administered the Italian PDI to all patients hospitalized in an acute psychiatric ward, who provided their consent and completed it at discharge (n=165). We performed Cronbach’s alpha coefficient and principal factor analysis. We administered other scales concomitantly to analyze the concurrent validity of PDI. We applied stepwise multiple linear regression to identify the patients’ demographic and clinical variables related to the PDI score. Results: Our response rate was 93%, with excellent internal consistency (Cronbach’s alpha coefficient=0.94). The factorial analysis showed three factors with eigenvalue >1, which explained >80% of total variance: 1) “loss of self-identity and anxiety for the future”, 2) “concerns for social dignity and spiritual life”, and 3) “loss of personal autonomy”. The PDI and the three factor scores were positively and significantly correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores. Among patients’ variables, “suicide risk” and “insufficient social and economic condition” were positively and significantly correlated with the PDI total score. Conclusion: The PDI can be a reliable tool to assess patients’ dignity perception in a psychiatric setting, which suggests that both social and clinical severe conditions are closely related to dignity loss. Keywords: dignity perception in psychiatry, patient dignity inventory, patients hospitalized in an acute psychiatric ward, severe psychiatric diseases, suicide risk, insufficient social and economic conditionDi Lorenzo RFerri PBiffarella CCabri GCarretti EPollutri GSpattini LDel Giovane CChochinov HMDove Medical PressarticleDignity perception in psychiatry. Patient Dignity Inventory (PDI)Patients hospitalized in an acute psychiatric wardSevere psychiatric diseasesValidation studyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 903-913 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dignity perception in psychiatry. Patient Dignity Inventory (PDI) Patients hospitalized in an acute psychiatric ward Severe psychiatric diseases Validation study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Dignity perception in psychiatry. Patient Dignity Inventory (PDI) Patients hospitalized in an acute psychiatric ward Severe psychiatric diseases Validation study Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Di Lorenzo R Ferri P Biffarella C Cabri G Carretti E Pollutri G Spattini L Del Giovane C Chochinov HM Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
description	Rosaria Di Lorenzo,1 Paola Ferri,2 Carlotta Biffarella,2 Giulio Cabri,3 Eleonora Carretti,4 Gabriella Pollutri,5 Ludovica Spattini,5 Cinzia Del Giovane,6 Harvey Max Chochinov7 1Psychiatric Intensive Treatment Facility, Mental Health Department, Azienda USL, Modena, Italy; 2Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy; 3Service of Psychiatric Diagnosis and Treatment, Mental Health Department, Azienda USL, Modena, Italy; 4School of Nursing, University of Modena and Reggio Emilia, Italy; 5School of Specialization in Pscyhiatry, Faculty of Medicine, University of Modena and Reggio Emilia, Italy; 6Faculty of Medicine, Institute of Primary Care (BIHAM), University of Bern, Bern, Switzerland; 7Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada Background: During the last decades, dignity has been an emerging issue in mental health since its ethical and therapeutic implications became known. This study is an extension of the preliminary validation of the Patient Dignity Inventory (PDI) in a psychiatric setting, originally designed for assessing perceived dignity in terminal cancer patients. Methods: From October 21, 2015 to December 31, 2016, we administered the Italian PDI to all patients hospitalized in an acute psychiatric ward, who provided their consent and completed it at discharge (n=165). We performed Cronbach’s alpha coefficient and principal factor analysis. We administered other scales concomitantly to analyze the concurrent validity of PDI. We applied stepwise multiple linear regression to identify the patients’ demographic and clinical variables related to the PDI score. Results: Our response rate was 93%, with excellent internal consistency (Cronbach’s alpha coefficient=0.94). The factorial analysis showed three factors with eigenvalue >1, which explained >80% of total variance: 1) “loss of self-identity and anxiety for the future”, 2) “concerns for social dignity and spiritual life”, and 3) “loss of personal autonomy”. The PDI and the three factor scores were positively and significantly correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores. Among patients’ variables, “suicide risk” and “insufficient social and economic condition” were positively and significantly correlated with the PDI total score. Conclusion: The PDI can be a reliable tool to assess patients’ dignity perception in a psychiatric setting, which suggests that both social and clinical severe conditions are closely related to dignity loss. Keywords: dignity perception in psychiatry, patient dignity inventory, patients hospitalized in an acute psychiatric ward, severe psychiatric diseases, suicide risk, insufficient social and economic condition
format	article
author	Di Lorenzo R Ferri P Biffarella C Cabri G Carretti E Pollutri G Spattini L Del Giovane C Chochinov HM
author_facet	Di Lorenzo R Ferri P Biffarella C Cabri G Carretti E Pollutri G Spattini L Del Giovane C Chochinov HM
author_sort	Di Lorenzo R
title	Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
title_short	Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
title_full	Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
title_fullStr	Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
title_full_unstemmed	Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation
title_sort	psychometric properties of the patient dignity inventory in an acute psychiatric ward: an extension study of the preliminary validation
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/21620b4d28ca4ebb9f84296b412a39e2
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Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation

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