Investigation of Validation of the Persian version of the Disease Acceptance Scale among Women 18 Years and older During the Covid-19 Outbreak

Document Type : Research Paper

Authors

1 PhD in Educational Psychology, Assistant Professor, University of Tehran, Tehran, Iran.

2 Ph.D. Student of Counseling, Islamic Azad University, Isfahan Branch, Counseling Department, Isfahan, Iran.

Abstract

The aim of this study was to validate the Persian version of the Disease Acceptance Scale (PDAS) among women 18 years and older during the outbreak of Covid-19 in the autumn of 2021. The instrument used was a modified version of the Disease Acceptance Scale (Leung et al., 2021). Data analysis method Exploratory factor analysis; Confirmatory factor analysis; Cronbach's alpha coefficient. The results showed that the fitness indices in the factor structure obtained during the exploratory analysis had NFI, NNFI, GFI, CFI, IFI, RFI in the range of 0.9, which was approved at the RMSEA level. This article has confirmed the validity of the structure of the Persian version of the tool under study. Cronbach's alpha coefficient for each subscale as well as the total scale was higher than 0.7. Group factor analysis also showed that this scale is not affected by gender. Regarding the levels of disease acceptance, the findings showed that 48.8% have a low level of disease acceptance, 43.8% have a moderate level of disease acceptance and 7.5% have a good level of disease acceptance. Given that the validity of this tool has been confirmed, the use of this tool in family counseling centers, care centers for people with underlying diseases, patients with incurable diseases or people with special needs to measure the acceptance of the disease is recommended.

Keywords


[1]Ghasemi Nia, P., Ranjbarghadim, N. (2017). The psychology of death. Recent advances in the behavioral sciences. 2 (9): 50-63. [In Persian].
[2]Chrobak-Bień, J., Gawor, A., Paplaczyk, M., Małecka-Panas, E., & Gąsiorowska, A. (2018). The influence of socio-demographic and clinical factors on the process of acceptance of the disease among patients with ulcerative colitis. Polski Przegląd Chirurgiczny, 90(6).
[3]Davis, E. L., Deane, F. P., Lyons, G. C., & Barclay, G. D. (2017). Is higher acceptance associated with less anticipatory grief among patients in palliative care? Journal of pain and symptom management, 54(1), 120-125.
[4]Cybulski, M., Cybulski, L., Krajewska-Kulak, E., & Cwalina, U. (2017). Illness acceptance, pain perception and expectations for physicians of the elderly in Poland. BMC geriatrics, 17(1), 1-9.
[5]Nowicki, A., Graczyk, P., & Lemanowicz, M. (2017). The acceptance of illness in lung cancer patients before and after surgical treatment. Polish Journal of Surgery, 89, 11-15.
[6]Liu, S., Yang, L., Zhang, C., Xiang, Y., Liu, Z., Hu, S.& Zhang, B. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry7(4), e17–e18.
[7]Szpilewska, K., Juzwiszyn, J., Bolanowska, Z., Milan, M., Chabowski, M., & Janczak, D. (2018). Acceptance of disease and the quality of life in patients with enteric stoma. Polish Journal of Surgery, 90, 13-17.
[8]Leong, W. C., Azmi, N. A., Wee, L. H., Rajah, H. D. A., & Chan, C. M. H. (2021). Validation and reliability of the Bahasa Malaysia language version of the Acceptance of Illness Scale among Malaysian patients with cancer. PloS one, 16(9), e0256216.
[9]Kowalewska, B., Cybulski, M., Jankowiak, B., & Krajewska-Kułak, E. (2020). Acceptance of illness, satisfaction with life, sense of stigmatization, and quality of life among people with psoriasis: a cross-sectional study. Dermatology and therapy, 10(3), 413.
[10]Lua, P. L., Zakarai, N. S., Nurnazahiah, A., Imisairi, A. H., Hussain, M., Ahmad, A., ... & Shahril, M. R. (2020). Health-related quality of life among long term and short term breast cancer survivors. Mal J Med Health Sci, 16(4), 146-152.
[11]Chan, C. M. H., Ng, C. G., Taib, N. A., Wee, L. H., Krupat, E., & Meyer, F. (2018). Course and predictors of post‐traumatic stress disorder in a cohort of psychologically distressed patients with cancer: A 4‐year follow‐up study. Cancer, 124(2), 406-416.
[12]Chen, Y. Y., Ahmad, M., & Ismail, F. B. (2019). Illness acceptance as mediator for cancer-related complaints and psychological distresses among Malaysian cancer patients. Future Oncology, 15(15), 1759-1770.
[13]Asghari, B. A., & Arabi, S. (2019). Acceptance of illness in patients with incurable diseases a qualitative study. Journal of Research and Health, 9(5), 443-453. [In Persian]
[14]Cipora, E., Konieczny, M., & Sobieszczanski, J. (2018). Acceptance of illness by women with breast cancer. Annals of Agricultural and Environmental Medicine, 25(1).
[15]Kowalska, J., Mazurek, J., & Rymaszewska, J. (2019). Analysis of the degree of acceptance of illness among older adults living in a nursing home undergoing rehabilitation–an observational study. Clinical interventions in aging, 14, 925.
[16]Kline, P. (2010). An Easy Guide to Factor Analysis, translated by Seyed Jalal Sadrolsadat & Asghar Minaei. Tehran: Samt Publication.