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- Psychometric properties of the suffering assessment questionnaire in adults with chronic diseases or life-threatening illnessPublication . Encarnação, Paula; Oliveira, Clara C.; Martins, TeresaSuffering has been considered by many authors to be a difficult concept to assess and measure, as it is subjective and unique. However, to guide the diagnosis and decision-making of healthcare professionals, it is important to develop an instrument that differentiates the different suffering dimensions, namely, intra- and interpersonal suffering, awareness of suffering and spiritual suffering.