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Development, Validation, and Internal Consistency of the Positive Psychology-Based Acceptance of Illness Scale (PAIS): A Culturally-Appropriate Japanese Measure

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  • Ai Suzuki
  • Hirono Ishikawa
  • Masafumi Okada

Abstract

Acceptance of illness has been shown to improve the well-being of individuals suffering from chronic illnesses. We developed a new acceptance of illness scale, “Positive Psychology-Based Acceptance of Illness Scale: PAIS,†for HTLV-1 associated myelopathy (HAM) patients, one of the intractable neurological diseases with a chronic course. The validity and internal consistency of this PAIS were examined in 260 HAM patients in Japan. Exploratory factor analysis extracted four factors with 21 items: “Loving myself as I am†; “Experiencing the grace of illness†; “Feeling a loving connection with others†; and “Developing as a mature person†. Cronbach’s α was .83 to .88, except for Factor 4 which was slightly low at 0.64, and internal consistency was confirmed. A significant correlation was found between the PAIS and the index of convergent validity. The study’s findings are an important step toward a more comprehensive concept of acceptance of illness.

Suggested Citation

  • Ai Suzuki & Hirono Ishikawa & Masafumi Okada, 2021. "Development, Validation, and Internal Consistency of the Positive Psychology-Based Acceptance of Illness Scale (PAIS): A Culturally-Appropriate Japanese Measure," SAGE Open, , vol. 11(4), pages 21582440211, November.
    • Handle: RePEc:sae:sagope:v:11:y:2021:i:4:p:21582440211058197
    DOI: 10.1177/21582440211058197
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    2. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
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