Abstract

Death anxiety is a predictor of exacerbations in both physical and psychological symptoms of chronic diseases. Therefore, having short and easy-to-apply instruments to assess the presence of death anxiety and adopting a multidisciplinary approach to address it are important. This study analyzes the psychometric properties of the Death Anxiety Scale (DAS) developed by Donald Templer in a Colombian population of adult patients diagnosed with a chronic disease. The original instrument was linguistically, conceptually, and culturally adapted to Colombian Spanish to be subsequently applied to 301 adult patients with chronic diseases. The exploratory factor analysis revealed a 3-factor structure, with a variance of 47%. Internal consistency was observed (Cronbach's alpha: 0.71; McDonald's omega: 0.76; Guttman's lambda 6 (G6): 0.74; greatest lower bound: 0.54). A correlation coefficient of 0.64 was found between the total score of the DAS and the Beck Anxiety Inventory. When comparing the results with the versions of the DAS in Spanish from Mexico and Spain, variability in the psychometric properties was observed; therefore, language cannot be assumed to be a guarantee of the reliability and validity of the instrument.

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