Diabetes distress in Type1 diabetesa new measurement fit for purpose
Diabetes distress in Type1 diabetesa new measurement fit for purpose
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DOI：
10.1111/dme.12241
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发表时间：
2013-09-01
影响因子：
3.5
通讯作者：
Willaing, I.
中科院分区：
文献类型：
--
作者：
Joensen, L. E.;Tapager, I.;Willaing, I.
目的检验和评估(1)丹麦语版糖尿病困扰量表（DDS17）在成人1型糖尿病患者中的内部一致性和有效性，(2)DDS17简明版的特性和(3)DDS17的切点。方法对2419例成人1型糖尿病患者进行横断面调查。经验证的量表和问题测量了糖尿病痛苦（DDS17）、糖尿病赋权（DES-SF）、健康饮食、身体活动、自我评估健康（SF-12）和生活质量（WHOQoL-BREF）。电子病历提供了血糖控制（HbA(1c)）的信息。我们检查了内部一致性、结构效度、子量表结构和切点，以确定临床相关的糖尿病困扰，以及两项和四项简短版本的DDS17。结果DDS17的Cronbach's alpha为0.92；亚量表alpha值为0.83-0.89。将四因素划分为子量表是适当的，这种划分与DDS17制定过程中描述的四个领域密切相关。DDS17与相关指标相关性较好；较高的焦虑程度与低糖尿病能力、低生活质量、不健康饮食、不运动、血糖控制不良以及SF-12心理成分得分低相关。两项简短量表的表现与四项简短量表一样好。DDS17与预后之间的关系没有提示DDS17的明显切点。结论：我们的研究结果支持使用丹麦版DDS17来评估成人1型糖尿病患者的社会心理困扰。
Aims To examine and assess (1) the internal consistency and validity of a Danish translation of the Diabetes Distress Scale (DDS17) among adults with Type1 diabetes mellitus, (2) the properties of the brief version of DDS17 and (3) cut points for the DDS17.Methods Cross-sectional survey of 2419 adults with Type1 diabetes mellitus. Validated scales and questions measured diabetes distress (DDS17), diabetes empowerment (DES-SF), healthy diet, physical activity, self-rated health (SF-12) and quality of life (WHOQoL-BREF). An electronic patient record provided information about glycaemic control (HbA(1c)). We examined internal consistency, construct validity, subscale construction and cut points for determining clinically relevant diabetes distress, as well as two- and four-item brief versions of the DDS17.Results The DDS17 had a Cronbach's alpha of 0.92; subscale alphas were 0.83-0.89. A four-factor division into subscales was appropriate and the division corresponded closely to the four domains described in the development of the DDS17. The DDS17 correlated well with relevant measures; higher distress was correlated with low diabetes empowerment, low quality of life, unhealthy diet, not being physically active, poor glycaemic control and low scores on the mental component score of the SF-12. A two-item brief scale performed as well as a four-item version. The relationship between DDS17 and outcomes did not suggest distinct cut points for DDS17.Conclusions Our results provide support for the use of this Danish adaptation of the DDS17 for assessing psychosocial distress among adults with Type1 diabetes mellitus.