ArticleFrontiers in psychology2025
Demoralization in breast cancer survivors.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Demoralization syndrome among women exposed to war: comparing breast cancer survivors and those with no breast cancer history.Frontiers in psychology · 2026Article
- Demoralization profiles and their association with active aging in Chinese older adults with disabilities: a latent profile analysis.Frontiers in public health · 2025Article
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Authors and funding
7 authors.
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Abstract
Objective: Demoralization is a state of existential distress and loss of meaning in life and often associated with poor quality of life in cancer survivors. This study aimed to test psychometric properties of the Demoralization Scale-II (DS-II), to compare demoralization in breast cancer survivors with scores obtained in the general population in Germany, and to identify prognostic factors for demoralization and associations with spiritual well-being and other related variables. Methods: We analyzed a sample of 162 female breast cancer survivors (mean time since diagnosis 2.5 years) using the DS-II and a set of validated questionnaires measuring distress (DT), anxiety (GAD-7), depression (PHQ-9), fatigue (MFI-10), spiritual well-being (FACIT-Sp) posttraumatic growth (PTGI) as well as meaning and purpose (LAP-R). The DS-II mean scores of the survivor's sample were compared with those of the general population. We performed t-tests, effect sizes, Cronbach's alpha, correlations and a confirmatory factor analysis to achieve the study objectives. Results: The DS-II showed excellent psychometric properties, with an internal consistency of Discussion: The results show that demoralization is prevalent in cancer survivors and should be understood as a proper construct that has multiple relationships with other variables of mental health. This underlines the need to establish evidence-based support programs that focus on demoralization and address these links.
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