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Refined Demoralization Scale (DS-II)

Refined Demoralization Scale (DS-II)
For each statement below, please indicate how much (or how strongly) you have felt this way over the last 2 weeks by circling the corresponding number.
  Never Sometimes Often
  1. There is little value in what I can offer others.
0 1 2
  1. My life seems to be pointless.
0 1 2
  1. My role in life has been lost.
0 1 2
  1. I no longer feel emotionally in control.
0 1 2
  1. No one can help me.
0 1 2
  1. I feel that I cannot help myself.
0 1 2
  1. I feel hopeless.
0 1 2
  1. I feel irritable.
0 1 2
  1. I do not cope well with life.
0 1 2
  1. I have a lot of regret about my life.
0 1 2
  1. I tend to feel hurt easily.
0 1 2
  1. I feel distressed about what is happening to me.
0 1 2
  1. I am not a worthwhile person.
0 1 2
  1. I would rather not be alive.
0 1 2
  1. I feel quite isolated or alone.
0 1 2
  1. I feel trapped by what is happening to me.
0 1 2
Scoring instructions:
  • Total score demoralization: sum all 16 items.
  • Meaning and purpose subscale: sum items 1, 2, 3, 5, 6, 7, 13, and 14.
  • Distress and coping ability subscale: sum items 4, 8, 9, 10, 11, 12, 15, and 16.
From: Robinson S, Kissane DW, Brooker J, et al. Refinement and revalidation of the demoralization scale: The DS-II-internal validity. Cancer 2016; 122(14):2251-9. https://onlinelibrary.wiley.com/doi/abs/10.1002/cncr.30015. Copyright © 2016 American Cancer Society. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: permissions@wiley.com or use the RightsLink service by clicking on the "Request Permission" link accompanying this article on Wiley Online Library (http://onlinelibrary.wiley.com).
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