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Social Psychiatry and Psychiatric Epidemiology

, Volume 42, Issue 10, pp 824–829 | Cite as

Socio-demographic and clinical features associated with demoralization in medically ill in-patients

  • Carlo MarchesiEmail author
  • Carlo Maggini
ORIGINAL PAPER

Abstract

Introduction

In the present study we tried to identify which socio-demographic and clinical characteristics are associated with demoralization in medically ill in-patients.

Method

Patients (n. 296), consecutively admitted to medical wards in a 120 day period, were evaluated with the Demoralization Scale of the Psychiatric Epidemiological Research Interview (PERI-D) to assess demoralization , with the Mini International Neuropsychiatric Interview (MINI) to assess mental disorders (DSM-IV), with the Brief Disability Questionnaire for the evaluation of the functional disability, with the Duke Severity of Illness to assess severity of the medical illness. Moreover, the family support and threatening life events were also evaluated.

Results

A significant effect in increasing the demoralization score was observed for presence of Major Depression or Adjustment Disorder, poor family support, severity of functional disability, number of threatening life events in the past year and female gender.

Conclusion

Major Depression needs to be recognized in demoralized medically ill in-patients, because it is one of the most important conditions associated with demoralization, which successfully responds to adequate treatment.

Keywords

adjustment disorder demoralization major depression medical illnesses gender family support functional disabilities life events 

Notes

Acknowledgments

The authors thank Dr Dohrenwend BP for the useful advice and criticism in the preparing the paper.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Dept. of Neuroscience, Section of PsychiatryUniversity of ParmaParmaItaly
  2. 2.Dipto. di Neuroscienze, Sezione di PsichiatricaUniversitá di ParmaParmaItaly

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