An Useful Toolf for Diabetes Emotional Distress Assessment: Validation of the Romanian Version of Diabetes Distress Scale

Abstract Background and Aims: The aim of the present study was to validate the Diabetes Distress Scale (DDS) on Romanian diabetes patients. Material and Methods: A total number of 529 type 1 and type 2 diabetes outpatients were included in the study. Exploratory and confirmatory factor analyses were used to assess the construct validity, Cronbach’s Alpha for internal consistency and Pearson’s correlation for predictive properties. Results: Distress level was lower in Romanian diabetes patients when compared to other studies. Model fit for the scale was moderate. The four factor structure of the original scale was maintained, with a good internal consistency for the entire scale (0.824) and for the four subscales: emotional burden (0.775), distress related to the physician (0.798), distress related to diabetes regimen (0.708), and interpersonal distress (0.733). Regarding predictive properties, DDS-Ro was positively correlated to depressive symptoms measured with the Beck Depression Inventory (r = 0.415, p < 0.05) and to diabetes self-care activities measured with the Summary of Diabetes-Self-Care Activities, with the strongest correlation between diabetes regimen distress and physical activities (r = - 0.358, p < 0.01). Conclusions: DDS-Ro has good psychometric properties in Romanian diabetes patients and can be used when diabetes emotional impact is assessed.

Download Full-text

Translation and cross-cultural adaptation of the Vietnamese version of the Diabetes Distress Scale

MedPharmRes ◽

10.32895/ump.mpr.2.3.5 ◽

2018 ◽

Vol 2 (3) ◽

pp. 5-11 ◽

Cited By ~ 1

Author(s):

Thinh Ong ◽

Anh Huynh ◽

Tung Do ◽

Kien To

Keyword(s):

Internal Consistency ◽

Content Validity ◽

Expert Panel ◽

Diabetes Distress ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Type 2 Diabetics ◽

Distress Scale ◽

Diabetes Distress Scale

Background: The Diabetes Distress Scale (DDS) is a valid instrument to measure diabetes distress included in American Diabetes Association and Canadian Diabetes Association guidelines but not available in Vietnamese. This study translated and culturally adapted the DDS to assess diabetes distress of Vietnamese type 2 diabetics and evaluated its internal consistency, face and content validity. Methods: The translation process followed standard guidelines for adaptation of an instrument: forward translation, back translation, synthesis, evaluation by an expert panel and pretest. The expert panel included three English specialists as linguistic experts and six content experts in multidisciplinary areas relevant to the study. The pretest was conducted on a sample of 31 type 2 diabetics in the Endocrinology outpatient clinic at Trung Vuong hospital. Content validity was determined based on experts’ concurrence using content validity index for items (I-CVI). Face validity is assessed by participants in pretest. Internal consistency was measured using Cronbach’s alpha. Results: Final version was equivalent with the original English version and easy to understand. I-CVI of 17 items were 1.00 in linguistic experts and greater than 0.83 in content experts. All 31 participants involved in the pretest commented that the items were very clear and acceptable regarding their socioeconomic background. Cronbach’s alpha coefficient was 0.76 – 0.93 for each subscale and 0.94 for the overall. Conclusion: Vietnamese version of the DDS was reliable, face and content-valid to assess diabetes distress in type 2 diabetics among Vietnamese.

Download Full-text

The validity and reliability of the English version of the diabetes distress scale for type 2 diabetes patients in Malaysia

BMC Family Practice ◽

10.1186/s12875-017-0601-9 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 4

Author(s):

Ying Woei Chin ◽

Pauline Siew Mei Lai ◽

Yook Chin Chia

Keyword(s):

Type 2 Diabetes ◽

Diabetes Distress ◽

Validity And Reliability ◽

English Version ◽

Distress Scale ◽

Diabetes Distress Scale ◽

Diabetes Patients

Download Full-text

Psychometric validation of diabetes distress scale in Bangladeshi population

Scientific Reports ◽

10.1038/s41598-021-04671-0 ◽

2022 ◽

Vol 12 (1) ◽

Author(s):

Jesmin Akter ◽

Rakibul M. Islam ◽

Hasina Akhter Chowdhury ◽

Shahjada Selim ◽

Animesh Biswas ◽

...

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

Internal Consistency ◽

Psychometric Validation ◽

Diabetes Distress ◽

Kappa Statistics ◽

Principal Component Factor Analysis ◽

Discriminative Validity ◽

Distress Scale ◽

Diabetes Distress Scale

AbstractDiabetes Distress (DD)—an emotional or affective state arise from challenge of living with diabetes and the burden of self-care—negatively impact diabetes management and quality of life of T2DM patients. Early detection and management of DD is key to efficient T2DM management. The study aimed at developing a valid and reliable instrument for Bangladeshi patients as unavailability such a tool posing challenge in diabetes care. Linguistically adapted, widely used, 17-item Diabetes Distress Scale (DDS), developed through forward–backward translation from English to Bengali, was administered on 1184 T2DM patients, from four diabetes hospitals in Bangladesh. Psychometric assessment of the instrument included, construct validity using principal component factor analysis, internal consistency using Cronbach’s α and discriminative validity through independent t-test and test–retest reliability using intraclass-correlation coefficient (ICC) and Kappa statistics. Factor analysis extracted 4 components similar to original DDS domains, confirms the construct validity. The scale demonstrated satisfactory internal consistency (α = 0.838), stability (test–retest ICC = 0.941) and good agreement across repeated measurements (Kappa = 0.584). Discriminative validity revealed that patients with complication (p < 0.001) and those are on insulin (p < 0.001) had significantly higher distress scores in all domains. Bengali version of DDS is a valid and reliable tool for assessing distress among Bangladeshi T2DM patients.

Download Full-text

810-P: Japanese Version of the Diabetes Distress Scale: Validation and Identification of Individuals at High Risk for Diabetes-Related Distress

Diabetes ◽

10.2337/db19-810-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 810-P

Author(s):

NENE TAKAMI ◽

KENTARO OKAZAKI ◽

NORIYUKI TAKAHASHI ◽

MINA SUEMATSU ◽

WATARU OHASHI

Keyword(s):

High Risk ◽

Scale Validation ◽

Japanese Version ◽

Diabetes Distress ◽

Distress Scale ◽

Diabetes Distress Scale

Download Full-text

Internal structure and psychometric properties of Diabetes Distress Scale for Type 1 Diabetes

Psychiatriki ◽

10.22365/jpsych.2020.314.302 ◽

2020 ◽

Vol 31 (4) ◽

pp. 302-309

Author(s):

F. Griva ◽

P. Thomakos ◽

O. Kepaptsoglou ◽

M. Ginieri-Coccossis ◽

Α. Mitrakou ◽

...

Keyword(s):

Type 1 Diabetes ◽

Psychometric Properties ◽

Internal Structure ◽

Diabetes Distress ◽

Distress Scale ◽

Diabetes Distress Scale

Download Full-text

A study on diabetes-related distress among type 2 diabetes mellitus patients using the diabetes distress scale in a tertiary care center in Telangana

International Journal of Diabetes in Developing Countries ◽

10.1007/s13410-021-00937-5 ◽

2021 ◽

Author(s):

K. Sumana ◽

Shehzad Ruman ◽

M. Beatrice Anne ◽

Shiva Krishna Katkam

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Care Center ◽

Tertiary Care ◽

Diabetes Distress ◽

Tertiary Care Center ◽

Distress Scale ◽

Diabetes Distress Scale

Download Full-text

Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes

AIMS Public Health ◽

10.3934/publichealth.2022006 ◽

2021 ◽

Vol 9 (1) ◽

pp. 62-72

Author(s):

Allison DaSantos ◽

◽

Carlisle Goddard ◽

Dalip Ragoobirsingh ◽

◽

...

Keyword(s):

Type 2 Diabetes ◽

Diabetes Management ◽

Behavioral Problem ◽

Self Care ◽

Self Report ◽

Diabetes Distress ◽

Glucose Testing ◽

Blood Glucose Testing ◽

Distress Scale

<abstract><sec> <title>Purpose</title> Diabetes management requires adherence to complicated self-care behaviors. Therefore, the emotional state of the individual living with diabetes, is likely to affect their ability to comply with recommendations. This study explored the relationship of self-care adherence to diabetes distress and depression in Barbadian adults with type 2 diabetes. </sec><sec> <title>Methods</title> Adults aged 20 to 80 years, with type 2 diabetes, completed self-report questionnaires comprised of a profile section consisting of demographic and clinical characteristics; and standardized questionnaires comprising, The Diabetes Distress Scale (DDS), The Patient Health Questionnaire (PQH-9), and the Summary of Diabetes Self-care Activities Scale (SDSCA). Additionally biological measures (BP and HbA1c) were collected. </sec><sec> <title>Results</title> For the 509 participants there were no differences in adherence for males (30.8%) and females (69.2%), high diabetes distress and depression were associated with low adherence. General diet was negatively associated with BP and HbA1c; while HbA1c was positively correlated with blood glucose testing. </sec><sec> <title>Conclusion</title> Self-care non-adherence is more than a behavioral problem; it is a multidimensional phenomenon inclusive of demographic factors, condition or disease factors, psychological and social factors. </sec></abstract>

Download Full-text

Diabetes-related Distress and Self-care Practices among Patients attending two Secondary Care Hospitals in Lagos - A strategy for tailored Interventions

Journal of Basic and Social Pharmacy Research ◽

10.52968/27456534 ◽

2019 ◽

Vol 1 (1) ◽

pp. 22-29

Author(s):

E.E. Onwuchuluba ◽

◽

B.A. Aina ◽

C.P. Ngolube ◽

B.O. Ogbonna ◽

...

Keyword(s):

Glycaemic Control ◽

Self Care ◽

Health Care Facilities ◽

Diabetes Distress ◽

Cross Sectional ◽

Emotional Burden ◽

Targeted Interventions ◽

Special Diet ◽

Care Practices ◽

Distress Scale

Background: The challenges of diabetes mellitus are huge. Keeping up with the daily requirements of a life-long chronic illness is rigorous.Objectives: This study assessed diabetes-related distress and self-care practices and determined the extent to which they impact each other. Methods: This was a cross-sectional descriptive study carried out among patients attending follow-up diabetic clinic of two secondary health care facilities in Lagos over a three-month period. One hundred and seventy-six type 2 diabetes patients that met the inclusion criteria were consecutively recruited.Patients’ diabetes-related distress and self-care practices were assessed using a interviewer-administered questionnaire that incorporated two validated measures - The Diabetes Distress Scale (DDS17) and the Summary of Diabetes Self-care Activities (SDSCA: 11 items). Data were analyzed using descriptive and inferential statistics. P-values of < 0.05 was considered significant. Results: Of the 176 respondents, 70% were females, 73.9% were 51 years and above and 67% had poor glycaemic control (FBS=135.7 ± 47.48mg/dl). The mean score for Total Diabetes Distress (TDD) is 2.89 ± 0.90. Majority (64%) viewed emotional burden (3.30± 1.38) and regimen-related distress (3.35± 1.45) as moderate distress. Dieting was adequate among respondents with “Special diet” being the most frequently practiced (3.58±1.73 days/week). Dieting is associated with total diabetes distress, emotional burden, regimen-related distress and physician-related distress (˂0.001). Regimen-related distress is also associated with glycaemic control (p=0.037). Conclusion: Diabetes distress and low self-care practices are common and impact each other. Targeted interventions incorporating emotional support and effective communication is critical.

Download Full-text