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[Psychometric properties of the Death Anxiety Scale in patients with ischemic cardiomyopathy]
Antonio López-Castedo1, Rubén González-Rodríguez1, Raquel Vázquez Pérez1
1Departamento de Análisis e Intervención Psicosocioeducativa. Universidad de Vigo. Ourense. España.
Insights
Templer's Death Anxiety Scale (DAS) is a reliable tool for assessing death anxiety in patients with ischemic cardiomyopathy. Understanding this anxiety is crucial for patient adaptation to chronic illness and end-of-life care.
Area of Science:
- Cardiology
- Psychology
- Public Health
Background:
- Ischemic cardiomyopathy is a significant public health issue in Spain, contributing to a third of cardiovascular disease deaths.
- The chronic nature of ischemic cardiomyopathy places a substantial burden on healthcare systems.
- Assessing psychological factors like death anxiety is vital for comprehensive patient care.
Purpose of the Study:
- To evaluate the psychometric properties of Templer's Death Anxiety Scale (DAS).
- To assess death anxiety in patients diagnosed with ischemic cardiomyopathy, including acute myocardial infarction and angina pectoris.
Main Methods:
- The Spanish version of Templer's Death Anxiety Scale (DAS) was administered to 141 patients with ischemic cardiomyopathy (61% male, mean age 71.57).
- Descriptive statistical analysis and principal component factorial analysis were employed.
- Psychometric properties, including element-total correlations and reliability, were analyzed.
Main Results:
- All items showed positive corrected element-total correlations (0.32–0.54).
- Four factors explained 51.85% of the data variance.
- High reliability was observed, with a total Cronbach's Alpha of 0.77.
Conclusions:
- Ischemic cardiomyopathy patients exhibit susceptibility to death anxiety.
- Educating patients on adapting to chronicity and the naturalization of dying is essential.
- A multidimensional approach to patient care is necessary, considering individual experiences.
Objective:
Ischemic cardiomyopathy is a major public health concern in Spain. Death from ischemic disease accounts for approximately a third of all deaths due to cardiovascular disease, and imposes a serious burden on already overstretched public health system owing to the tendency to chronicity. This study aimed to evaluate the psychometric properties of Templer's Death Anxiety Scale (DAS) in a sample of patients with ischemic cardiomyopathy (acute myocardial infarction and angina pectoris).
Methods:
This study applied the Spanish version of Templer's Death Anxiety Scale (DAS). The sample consisted of 141 patients (61% men) with ischemic cardiomyopathy, mean agede 71.57 years (SD=5.76). A descriptive statistical analysis was performed, and factorial analysis of the principal components.
Results:
The corrected element-total correlation was positive in all items, with values ranging from 0.32 and 0.54. Four factors jointly explained 51.85% of the data variance. The reliability coefficients were high in all of the variables analysed, with a total Cronbach Alpha of 0.77.
Conclusions:
The results obtained in this study revealed ischemic cardiomyopathy was susceptible to the process of death anxiety. This underscores the need for educating patients with this pathology to help them adapt to the process of chronicity, and to develop an understanding of the naturalization process of dying bearing in mind each person's multidimensionality.
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