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10.1136/bmjopen-2016-015137

http://scihub22266oqcxt.onion/10.1136/bmjopen-2016-015137
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C5695468!5695468!29138193
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suck abstract from ncbi


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pmid29138193      BMJ+Open 2017 ; 7 (11): ä
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  • Stoic beliefs and health: development and preliminary validation of the Pathak-Wieten Stoicism Ideology Scale #MMPMID29138193
  • Pathak EB; Wieten SE; Wheldon CW
  • BMJ Open 2017[]; 7 (11): ä PMID29138193show ga
  • Introduction: We developed and validated a new parsimonious scale to measure stoic beliefs. Key domains of stoicism are imperviousness to strong emotions, indifference to death, taciturnity and self-sufficiency. In the context of illness and disease, a personal ideology of stoicism may create an internal resistance to objective needs, which can lead to negative consequences. Stoicism has been linked to help-seeking delays, inadequate pain treatment, caregiver strain and suicide after economic stress. Methods: During 2013?2014, 390 adults aged 18+ years?completed a brief anonymous paper questionnaire containing the preliminary 24-item Pathak-Wieten Stoicism Ideology Scale (PW-SIS). Confirmatory factor analysis (CFA) was used to test an a priori multidomain theoretical model. Content validity and response distributions were examined. Sociodemographic predictors of strong endorsement of stoicism were explored with logistic regression. Results: The final PW-SIS contains four conceptual domains and 12 items. CFA showed very good model fit: root mean square error of approximation (RMSEA)=0.05 (95% CI 0.04 to 0.07), goodness-of-fit index=0.96?and Tucker-Lewis Index=0.93. Cronbach?s alpha was 0.78 and ranged from 0.64 to 0.71 for the subscales. Content validity analysis showed a statistically significant trend, with respondents who reported trying to be a stoic ?all of the time? having the highest PW-SIS scores. Men were over two times as likely as women to fall into the top quartile of responses (OR=2.30, 95%?CI 1.44 to 3.68, P<0.001). ORs showing stronger endorsement of stoicism by Hispanics, Blacks and biracial persons were not statistically significant. Discussion: The PW-SIS is a valid and theoretically coherent scale which is brief and practical for integration into a wide range of health behaviour and outcomes research studies.
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