1型糖尿病伊朗青少年中波斯语版接受与行动糖尿病问卷（AADQ）和糖尿病接受与行动量表（DAAS）的心理测量特性。
Psychometric properties of the Persian versions of acceptance and action diabetes questionnaire (AADQ) and the diabetes acceptance and action scale (DAAS), in Iranian youth with type 1 diabetes.
作者信息
Rajaeiramsheh Fereshteh, Rezaie Zeinab, Davoudi Mohammadreza, Ahmadi Seyed Majid, Qorbani-Vanajemi Milad
机构信息
Department of clinical psychology, Faculty of behavioral science, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of clinical psychology, School of Medical, Kashan University of Medical Sciences (KAUMS), Kashan, Iran.
出版信息
J Diabetes Metab Disord. 2021 Apr 12;20(1):655-663. doi: 10.1007/s40200-021-00796-1. eCollection 2021 Jun.
BACKGROUND
Psychological flexibility has considerable effects on medical and psychosocial outcomes in youth with type 1 diabetes mellitus (T1DM). This study aimed to evaluate the psychometric properties of the Persian versions of the Acceptance and Action Diabetes Questionnaire (AADQ) and the Diabetes Acceptance and Action Scale for children and adolescents (DAAS), the measures of diabetes-specific psychological flexibility.
METHODS
196 youth with T1DM completed the DAAS, AADQ (youth-report), Child and Adolescent Mindfulness Measure (CAMM), Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA), and the Avoidance and Fusion Questionnaire for Youths (AFQ-Y8). Also, their parents completed AADQ (parent-report). Data analyzed by SPSS V.26 and LISREL 8.8.
RESULTS
The mean and standard deviation of participants' age was 14.7 ± 2.08.The internal consistency due to Cronbach's alpha method was 0.87, 0.8, 0.84, and 0.83 for DAAS total scores, avoidance, values impairment, and fusion, respectively. The internal consistency of AADQ (both parent-report and youth report) was above 0.8. Test-retest reliability (from 45 participants) with a one-week interval was assessed by the interclass correlation coefficient (ICC). The DAAS, AADQ-parent report, and AADQ-youth report's reliability coefficients were 0.93, 0.82, and 0.92, respectively. The AADQ (both forms) and DAAS evidence good content validity based on correlations with other measures. Confirmatory factor analysis (CFA) and Exploratory Factor Analysis (EFA) showed DAAS has the three-factor model, which strongly a suitable model is fitting. EFA also verified the AADQ model fitting.
CONCLUSIONS
In general, these results support the psychometric properties of the Persian versions of DAAS and AADQ among the Iranian youth patients with T1DM.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s40200-021-00796-1.
背景
心理灵活性对1型糖尿病（T1DM）青少年的医学和心理社会结局有相当大的影响。本研究旨在评估波斯语版糖尿病接纳与行动问卷（AADQ）和儿童青少年糖尿病接纳与行动量表（DAAS）的心理测量特性，这两种量表用于测量糖尿病特异性心理灵活性。
方法
196名T1DM青少年完成了DAAS、AADQ（青少年报告）、儿童青少年正念测量量表（CAMM）、儿童青少年情绪调节问卷（ERQ-CA）和青少年回避与融合问卷（AFQ-Y8）。此外，他们的父母完成了AADQ（父母报告）。数据采用SPSS V.26和LISREL 8.8进行分析。
结果
参与者的年龄均值和标准差为14.7±2.08。采用Cronbach's alpha方法，DAAS总分、回避、价值观损害和融合的内部一致性分别为0.87、0.8、0.84和0.83。AADQ（父母报告和青少年报告）的内部一致性均高于0.8。通过组内相关系数（ICC）评估了45名参与者间隔一周的重测信度。DAAS、AADQ父母报告和AADQ青少年报告的信度系数分别为0.93、0.82和0.92。基于与其他测量方法的相关性，AADQ（两种形式）和DAAS均具有良好的内容效度。验证性因素分析（CFA）和探索性因素分析（EFA）表明DAAS具有三因素模型，该模型拟合良好。EFA也验证了AADQ模型的拟合度。
结论
总体而言，这些结果支持了波斯语版DAAS和AADQ在伊朗T1DM青少年患者中的心理测量特性。
补充信息
在线版本包含可在10.1007/s40200-021-00796-1获取的补充材料。
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