Pedrero Victor, Alonso Luz Marina, Manzi Jorge
Facultad de Enfermería, Universidad Andrés Bello, Santiago, Chile; Escuela de Psicología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia.
Biomedica. 2022 May 1;42(Sp. 1):41-54. doi: 10.7705/biomedica.6128.
Introduction: The perception of stigma has been negatively associated with the metabolic control and quality of life in patients with type 2 diabetes. The Diabetes Stigma Assessment Scale 2 (DSAS 2) was designed to specifically measure the stigma associated with this type of diabetes. However, the psychometric properties of its Spanish version have not yet been addressed. Objective: To analyze the validity and reliability of the Spanish version of DSAS 2 in a Colombian population. Materials and methods: In total, 501 patients with type 2 diabetes from Barranquilla answered the Spanish version of DSAS 2, a questionnaire with sociodemographic and clinical indicators, as well as instruments to measure depression, self-efficacy, and stress. We performed a factor analysis (exploratory and confirmatory) to determine the internal structure of the DSAS 2 in Spanish and used the alpha coefficient (α) to evaluate its reliability. Additionally, we analyzed the relationship between the DSAS 2 scores and the other variables under study. Results: The three-factor structure (different treatment / judgment, guilt and shame) showed good fit to the data (RMSEA = 0.081, CFI = 0.959, TLI = 0.95) and good reliability (α = 0.76). Significant correlations of the scores of the DSAS 2 Spanish version were observed with self-efficacy (rs=-0.37, p<0.001), stress (rs =0.24 , p<0.001), and depression (rs=0.1, p=0.021). Besides, the scores showed variations associated with sociodemographic and clinical variables. Conclusions: The Spanish version showed certain differences compared with the original version of the DSAS2 but there was adequate evidence of its validity and reliability to be used in Colombia.
耻辱感的认知与2型糖尿病患者的代谢控制和生活质量呈负相关。糖尿病耻辱感评估量表2（DSAS 2）旨在专门测量与这类糖尿病相关的耻辱感。然而，其西班牙语版本的心理测量特性尚未得到研究。目的：分析DSAS 2西班牙语版本在哥伦比亚人群中的有效性和可靠性。材料与方法：来自巴兰基亚的501名2型糖尿病患者回答了DSAS 2西班牙语版本问卷，该问卷包含社会人口统计学和临床指标，以及测量抑郁、自我效能感和压力的工具。我们进行了因子分析（探索性和验证性）以确定DSAS 2西班牙语版本的内部结构，并使用阿尔法系数（α）评估其可靠性。此外，我们分析了DSAS 2得分与其他研究变量之间的关系。结果：三因素结构（不同对待/评判、内疚和羞耻）与数据拟合良好（RMSEA = 0.081，CFI = 0.959，TLI = 0.95）且可靠性良好（α = 0.76）。观察到DSAS 2西班牙语版本得分与自我效能感（rs = -0.37，p < 0.001）、压力（rs = 0.24，p < 0.001）和抑郁（rs = 0.1，p = 0.021）存在显著相关性。此外，得分显示出与社会人口统计学和临床变量相关的差异。结论：西班牙语版本与DSAS2原始版本相比存在一定差异，但有充分证据表明其在哥伦比亚使用具有有效性和可靠性。
