A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward

Rosaria Di Lorenzo,1 Giulio Cabri,2 Eleonora Carretti,3 Giacomo Galli,4 Nina Giambalvo,4 Giulia Rioli,4 Serena Saraceni,4 Giulia Spiga,4 Cinzia Del Giovane,5 Paola Ferri6 1Mental Health Department, Service of Psychiatric Diagnosis and Treatment in NOCSAE General Hospital, 2Private Accredit...

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Autores principales:	Di Lorenzo R, Cabri G, Carretti E, Galli G, Giambalvo N, Rioli G, Saraceni S, Spiga G, Del Giovane C, Ferri P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Dignity experience. Patient Dignity Inventory (PDI) patients hospitalized in a psychiatric ward factor analysis validation study dignity distress measurement Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/5eab3ae52f41492891323cb828be24bb
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spelling	oai:doaj.org-article:5eab3ae52f41492891323cb828be24bb2021-12-02T00:33:46ZA preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward1178-2021https://doaj.org/article/5eab3ae52f41492891323cb828be24bb2017-01-01T00:00:00Zhttps://www.dovepress.com/a-preliminary-study-of-patient-dignity-inventory-validation-among-pati-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Rosaria Di Lorenzo,1 Giulio Cabri,2 Eleonora Carretti,3 Giacomo Galli,4 Nina Giambalvo,4 Giulia Rioli,4 Serena Saraceni,4 Giulia Spiga,4 Cinzia Del Giovane,5 Paola Ferri6 1Mental Health Department, Service of Psychiatric Diagnosis and Treatment in NOCSAE General Hospital, 2Private Accredited Psychiatric Hospital villa Igea, Modena, 3Nursing Home of Rubiera, Reggio Emilia, 4Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, 5PhD Statistics Unit, Department of Diagnostic, Clinical and Public Health Medicine, 6Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy Purpose: To investigate the perception of dignity among patients hospitalized in a psychiatric setting using the Patient Dignity Inventory (PDI), which had been first validated in oncologic field among terminally ill patients. Patients and methods: After having modified two items, we administered the Italian version of PDI to all patients hospitalized in a public psychiatric ward (Service of Psychiatric Diagnosis and Treatment of a northern Italian town), who provided their consent and completed it at discharge, from October 21, 2015 to May 31, 2016. We excluded minors and patients with moderate/severe dementia, with poor knowledge of Italian language, who completed PDI in previous hospitalizations and/or were hospitalized for <72 hours. We collected the demographic and clinical variables of our sample (n=135). We statistically analyzed PDI scores, performing Cronbach’s alpha coefficient and principal factor analysis, followed by orthogonal and oblique rotation. We concomitantly administered to our sample other scales (Hamilton Rating Scales for Depression and Anxiety, Global Assessment of Functioning and Health of the Nation Outcome Scales) to analyze the PDI concurrent validity. Results: With a response rate of 93%, we obtained a mean PDI score of 48.27 (±19.59 SD) with excellent internal consistency (Cronbach’s alpha coefficient =0.93). The factorial analysis showed the following three factors with eigenvalue >1 (Kaiser’s criterion), which explained >80% of total variance with good internal consistency: 1) “Loss of self-identity and social role”, 2) “Anxiety and uncertainty for future” and 3) “Loss of personal autonomy”. The PDI and the three-factor scores were statistically significantly positively correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores. Conclusion: Our preliminary research suggests that PDI can be a reliable tool to assess patients’ dignity perception in a psychiatric setting, until now little investigated, helping professionals to improve quality of care and patients to accept treatments. Keywords: dignity experience, Patient Dignity Inventory, patients hospitalized in a psychiatric ward, factor analysis, validation study, dignity distress measurementDi Lorenzo RCabri GCarretti EGalli GGiambalvo NRioli GSaraceni SSpiga GDel Giovane CFerri PDove Medical PressarticleDignity experience. Patient Dignity Inventory (PDI)patients hospitalized in a psychiatric wardfactor analysisvalidation studydignity distress measurementNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 177-190 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dignity experience. Patient Dignity Inventory (PDI) patients hospitalized in a psychiatric ward factor analysis validation study dignity distress measurement Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Dignity experience. Patient Dignity Inventory (PDI) patients hospitalized in a psychiatric ward factor analysis validation study dignity distress measurement Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Di Lorenzo R Cabri G Carretti E Galli G Giambalvo N Rioli G Saraceni S Spiga G Del Giovane C Ferri P A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
description	Rosaria Di Lorenzo,1 Giulio Cabri,2 Eleonora Carretti,3 Giacomo Galli,4 Nina Giambalvo,4 Giulia Rioli,4 Serena Saraceni,4 Giulia Spiga,4 Cinzia Del Giovane,5 Paola Ferri6 1Mental Health Department, Service of Psychiatric Diagnosis and Treatment in NOCSAE General Hospital, 2Private Accredited Psychiatric Hospital villa Igea, Modena, 3Nursing Home of Rubiera, Reggio Emilia, 4Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, 5PhD Statistics Unit, Department of Diagnostic, Clinical and Public Health Medicine, 6Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy Purpose: To investigate the perception of dignity among patients hospitalized in a psychiatric setting using the Patient Dignity Inventory (PDI), which had been first validated in oncologic field among terminally ill patients. Patients and methods: After having modified two items, we administered the Italian version of PDI to all patients hospitalized in a public psychiatric ward (Service of Psychiatric Diagnosis and Treatment of a northern Italian town), who provided their consent and completed it at discharge, from October 21, 2015 to May 31, 2016. We excluded minors and patients with moderate/severe dementia, with poor knowledge of Italian language, who completed PDI in previous hospitalizations and/or were hospitalized for <72 hours. We collected the demographic and clinical variables of our sample (n=135). We statistically analyzed PDI scores, performing Cronbach’s alpha coefficient and principal factor analysis, followed by orthogonal and oblique rotation. We concomitantly administered to our sample other scales (Hamilton Rating Scales for Depression and Anxiety, Global Assessment of Functioning and Health of the Nation Outcome Scales) to analyze the PDI concurrent validity. Results: With a response rate of 93%, we obtained a mean PDI score of 48.27 (±19.59 SD) with excellent internal consistency (Cronbach’s alpha coefficient =0.93). The factorial analysis showed the following three factors with eigenvalue >1 (Kaiser’s criterion), which explained >80% of total variance with good internal consistency: 1) “Loss of self-identity and social role”, 2) “Anxiety and uncertainty for future” and 3) “Loss of personal autonomy”. The PDI and the three-factor scores were statistically significantly positively correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores. Conclusion: Our preliminary research suggests that PDI can be a reliable tool to assess patients’ dignity perception in a psychiatric setting, until now little investigated, helping professionals to improve quality of care and patients to accept treatments. Keywords: dignity experience, Patient Dignity Inventory, patients hospitalized in a psychiatric ward, factor analysis, validation study, dignity distress measurement
format	article
author	Di Lorenzo R Cabri G Carretti E Galli G Giambalvo N Rioli G Saraceni S Spiga G Del Giovane C Ferri P
author_facet	Di Lorenzo R Cabri G Carretti E Galli G Giambalvo N Rioli G Saraceni S Spiga G Del Giovane C Ferri P
author_sort	Di Lorenzo R
title	A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
title_short	A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
title_full	A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
title_fullStr	A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
title_full_unstemmed	A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward
title_sort	preliminary study of patient dignity inventory validation among patients hospitalized in an acute psychiatric ward
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/5eab3ae52f41492891323cb828be24bb
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A preliminary study of Patient Dignity Inventory validation among patients hospitalized in an acute psychiatric ward

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