School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Child Care Health Dev. 2024 May;50(3):e13270. doi: 10.1111/cch.13270.
Chronic physical disease (CPD) makes life filled with many negative events in adolescents, but not all adolescents experiencing negative life events proceed to develop emotional distress, only those with low emotional distress tolerance (EDT). A valid and reliable scale to measure EDT in CPD adolescents is important for caring for their emotional distress. Therefore, the purpose of this study is to translate the 15-item English version Distress Tolerance Scale (DTS) into a Chinese version and then validate the scale for measuring EDT of adolescents with CPD.
The 15-item English version DTS was translated into a Chinese version using the translation guidelines for cross-cultural research. Two cohorts of adolescents with CPD were recruited from four hospitals in southern Taiwan, with the first cohort including 124 adolescents with CPD employed to conduct exploratory factor analysis, corrected item-total correlation and reliability testing, while the second cohort, consisting of 238 adolescents with CPD, was utilized to examine confirmatory factor analysis and concurrent validity.
The two-factor nine-item Chinese version DTS for Adolescents with CPD (C-DTS-A) was developed. Lower scores of the C-DTS-A were significantly associated with higher diabetes distress, poorer self-management, and worse glycaemic control; their correlation coefficients sequentially were -.40, .17 and -.23. Cronbach's α and the test-retest reliability of the two-factor C-DTS-A ranged from .81 to .87 and from .79 to .89, respectively.
The two-factor nine-item C-DTS-A with good cross-cultural translation quality was a reliable and valid scale to assess EDT for adolescents with CPD.
慢性躯体疾病（CPD）会使青少年的生活充满许多负面事件，但并非所有经历负面生活事件的青少年都会发展出情绪困扰，只有那些情绪困扰耐受力低的青少年才会如此。对于照顾患有 CPD 的青少年的情绪困扰，一个有效且可靠的测量情绪困扰耐受力的量表非常重要。因此，本研究的目的是将 15 项英文版的痛苦耐受力量表（DTS）翻译成中文版，然后验证该量表在测量患有 CPD 的青少年情绪困扰耐受力方面的有效性。
采用跨文化研究的翻译指南，将英文版 15 项 DTS 翻译成中文版。从台湾南部的四家医院招募了两批患有 CPD 的青少年，第一批包括 124 名患有 CPD 的青少年，用于进行探索性因子分析、校正项目总分相关性和可靠性测试，而第二批包括 238 名患有 CPD 的青少年，用于进行验证性因子分析和同时验证效度。
开发了针对患有 CPD 的青少年的两因素九项中文版 DTS（C-DTS-A）。C-DTS-A 的较低分数与更高的糖尿病困扰、更差的自我管理和更差的血糖控制显著相关；其相关系数依次为-.40、.17 和 -.23。两因素 C-DTS-A 的克朗巴赫 α 和重测信度范围为.81 至.87 和.79 至.89。
具有良好跨文化翻译质量的两因素九项 C-DTS-A 是一种可靠且有效的量表，可用于评估患有 CPD 的青少年的情绪困扰耐受力。
