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Development and Validation of the Chronic Illness Defense Mechanisms Measure (CIDM): A Measure Assessing Defensive Functioning in Populations With Chronic Illnesses
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Development and Validation of the Chronic Illness Defense Mechanisms Measure (CIDM): A Measure Assessing Defensive Functioning in Populations With Chronic Illnesses
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Development and Validation of the Chronic Illness Defense Mechanisms Measure (CIDM): A Measure Assessing Defensive Functioning in Populations With Chronic Illnesses
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Dissertation
Development and Validation of the Chronic Illness Defense Mechanisms Measure (CIDM): A Measure Assessing Defensive Functioning in Populations With Chronic Illnesses
2025
Overview
Research has demonstrated that defense mechanisms, defined as automatic psychological processes that mediate internal and external stressors, are highly relevant to coping and determining the quality of life for individuals dealing with and experiencing the stressful conditions of living with chronic illness. Defense mechanisms have been associated with important psychological and physical health factors and may be modifiable with specific psychological interventions. Yet, current methods and measures assessing defensive functioning are limited in implementation in clinical and research settings. The present study aims to help fill this assessment gap by evaluating the psychometric properties of a novel measure of defensive functioning for individuals with cancer and other chronic, non-cancer health conditions. Participants completed a 70-item measure of health-related defenses comprised of seven subscales and relevant emotional functioning measures. Data from 583 adults (mean age = 59.88) with hypertension [47.5%], arthritis [36.5%], diabetes type II [28.1%], and cancer [26.2%]) were analyzed. A 32-item version of the scale was obtained following item reduction. Analyses examined criterion validity through correlations with associated emotional functioning variables as well as the internal consistency and factor structure of the scale across groups. Future research will focus on further refinement of the scale, improving reliability and confirming the factor structure of the scale.
Publisher
ProQuest Dissertations & Theses
Subject
ISBN
9798280701922
