Italian validation of the "Constructed Meaning Scale": Preliminary results

I. Giorgi, C. Sguazzin, S. Fiammenghi, P. Argentero

Research output: Contribution to journalArticlepeer-review


The sense or meaning (constructed meaning) that a person attributes to their own illness is one of the factors involved in the process of adaptation. The Constructed Meaning Scale (CMS), originally developed in the United Stales by Fife in 1995, is a brief 8-item survey investigating the subjective meaning that patients associate with their disease. The purpose of this study was to validate an Italian version of the CMS in a sample of patients with chronic disabling disease. The validation process consisted of 4 steps: 1) creation of an Italian version (translation and back translation); 2) administration of the translated version to a small sample of patients affected by different types of disease to verify its comprehensibility; 3) administration of the final version to a sample of 122 patients affected by chronic disabling conditions; 4) statistical analysis. The Italian version of the CMS was found to have the following psychometric properties: range of total-item correlation = .30 to .64; Cronbach's Alpha = .79; correlation with CBA 2.0 Depression Scale = -.44. We isolated two factors through VARIMAX factor analysis, which we defined as "disease as permanent damage" and "process of adaptation". The Italian version of the CMS is easy to understand and minimizes possible cultural biases. The psychometric properties of the scale are satisfactory.

Original languageEnglish
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Issue number1 SUPPL. A
Publication statusPublished - Jan 2007


  • Chronic disabling disease
  • Constructed meaning
  • Depression
  • Italian validation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Rehabilitation


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