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February 19, 2026Clinical Psychology & PsychotherapyOpen Access

Psychological Assessment of Illness Denial in Medical Settings: A Critical Review

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Authors

FCFiammetta CosciSGSara Gostoli

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Overview

Critical review assesses illness denial tools in medical patients, suggesting effective screening options.

Key Points

  • To evaluate the effectiveness and clinical utility of instruments measuring illness denial in medical patients.
  • Comprehensive literature search on several databases.
  • Identification and analysis of patient-reported and clinician-rated instruments for illness denial.
  • Assessment of clinimetric properties and sensitivity of identified tools.
  • Acceptance and Action Diabetes Questionnaire effectively screens for risk in diabetes and stroke patients.
  • Diagnostic Criteria for Psychosomatic Research suitable for identifying maladaptive illness denial aspects.
  • Illness Denial Questionnaire's eight-item version is preferred for measuring severity.
  • Denial of Cancer Interview useful for long-term monitoring of illness denial.
  • Certain denial scales show significant prognostic utility for recognizing severe health conditions.

Cite This Study

Cosci et al. (2026) studied this question.

synapsesocial.com/papers/6996a8a9ecb39a600b3ef955https://doi.org/10.1002/cpp.70240
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