土耳其版糖尿病问题领域量表（PAID）的信度和效度：来自土耳其糖尿病 MILES 的结果。

Reliability and validity of the Turkish version of the problem areas in diabetes (PAID) survey: Results from diabetes MILES - Turkey.

机构信息

Department of Medical and Clinical Psychology, Tilburg University, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg, the Netherlands.

Department of Medical and Clinical Psychology, Tilburg University, Center of Research on Psychological disorders and Somatic diseases (CoRPS), Tilburg, the Netherlands; Radboud university medical center, Radboud Institute for Health Sciences, Department of Medical Psychology, Nijmegen, the Netherlands; National treatment and research center for children, adolescents and adults with type 1 diabetes, Diabeter, Rotterdam, the Netherlands.

出版信息

Prim Care Diabetes. 2024 Apr;18(2):218-223. doi: 10.1016/j.pcd.2024.01.001. Epub 2024 Jan 13.

DOI:10.1016/j.pcd.2024.01.001

PMID:38220557

Abstract

BACKGROUND AND AIMS

To 1) assess the reliability and validity of the Turkish version of the Problem Areas in Diabetes (PAID), PAID-5 and PAID-1 survey among Turkish adults with type 1 or type 2 diabetes, 2) estimate the level of elevated diabetes-specific distress (DD), and 3) determine the demographic and clinical correlates of DD-symptom severity.

METHODS AND RESULTS

From 2017-2019, 252 adults with type 1(n = 80) (T1DM) or type 2 diabetes (n = 172) (T2DM) self-reported demographic factors, DD(PAID) and related psychological and clinical questionnaires. We examined PAID internal consistency, structural and convergent validity. Associations of measures with DD were explored with hierarchical linear regression analysis. PCA yielded a 3-factor solution for PAID-20 and a 2-factor solution for PAID-5. Cronbach's α for PAID/PAID-5 subscales ranged from 0.63-0.90. All PAID versions correlated most strongly to BIPQ and HFS. The prevalence of elevated distress (PAID-20 ≥33) was 40% in T1DM and 15% in T2DM. DD severity was significantly positively associated (p < 0.01) with more negative diabetes perceptions (BIPQ) and type 1 diabetes.

CONCLUSIONS

The Turkish translation of the PAID and its short forms appeared to have satisfactory psychometric properties. Elevated diabetes distress was more common in T1DM.

摘要

背景与目的

1）评估土耳其语版问题领域糖尿病量表（PAID）、PAID-5 和 PAID-1 在土耳其 1 型或 2 型糖尿病成人中的信度和效度，2）估计糖尿病特异性困扰（DD）的水平，3）确定 DD 症状严重程度的人口统计学和临床相关因素。

方法和结果

2017-2019 年，252 名 1 型（n=80）（T1DM）或 2 型糖尿病（n=172）（T2DM）成人患者自我报告人口统计学因素、DD（PAID）及相关心理和临床问卷。我们检验了 PAID 的内部一致性、结构和收敛效度。使用分层线性回归分析探讨了各指标与 DD 的关联。PCA 得出 PAID-20 的 3 因素解和 PAID-5 的 2 因素解。PAID/PAID-5 分量表的 Cronbach's α 值范围为 0.63-0.90。所有 PAID 版本与 BIPQ 和 HFS 相关性最强。T1DM 中困扰程度升高（PAID-20≥33）的患病率为 40%，T2DM 中为 15%。DD 严重程度与更消极的糖尿病认知（BIPQ）和 1 型糖尿病呈显著正相关（p<0.01）。