Psychosomatic Medicine, Vol 54, Issue 3 372-381, Copyright © 1992 by American Psychosomatic Society

ORIGINAL ARTICLES

Further analysis of the psychometric properties of the Levine Denial of Illness Scale

BS Jacobsen and BJ Lowery
School of Nursing, University of Pennsylvania, Philadelphia 19104-6096.

This study contributes cross-validational data with regard to the Levine Denial of Illness Scale from a sample of 152 hospitalized myocardial infarction patients. A factor analysis and subsequent examination of the data yielded four usable factors of denial termed: Cognitive Denial of Illness, Denial of Impact on Future, Denial of Need for Care, and Affective Denial. In an analysis of subscale correlations, these four factor-based scales were related, but distinguishable, thus supporting the idea of the multidimensionality of denial. Furthermore, these factors were not related to demographic variables. Correlating these four scales with standardized measures of affect indicated that it can be useful in research to distinguish between several types of denial of illness in myocardial infarction patients.

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