Dimensionality and psychometric properties of the Parent Diabetes Distress Scale-Greek (PDDS-Gr).

Q3 Medicine Psychiatrike = Psychiatriki Pub Date : 2024-10-08 Epub Date: 2023-09-29 DOI:10.22365/jpsych.2023.020
Emmanouil S Benioudakis, Argyroula Kalaitzaki, Eleni Karlafti, Maria A Makri, Theodosia Arvanitaki, Maria-Alexandra Kalpou, Christos Savopoulos, Triantafyllos Didangelos
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Abstract

Type 1 diabetes (T1D) is a chronic disease characterised by insulin deficiency due to autoimmune destruction of beta-pancreatic cells. T1D, formerly known as juvenile diabetes, is the most common form of diabetes in children and adolescents. On diagnosis, parents of children with TID experience considerable stress, because they need to care for a child in a challenging and life-threatening situation that requires adherence to an intensive medical regimen, constant monitoring of, and coping with their child's condition. T1D is a complex condition that affects both children and their parents in many aspects of their daily lives. This study presents the psychometric properties of the Greek translation of the Parent Diabetes Distress Scale (PDDS), which assesses diabetes distress in parents of children with T1D. A sample of 95 parents, mainly mothers (88.4%), with a mean age of their children 12.2 years (± 3.6) and a diabetes duration of 4.7 years (± 3.4), completed the Greek translation of the PDDS. Exploratory factor analysis (EFA) revealed a five-factor model: 'Parent/child relationship distress', 'Personal distress', 'Child diabetes management distress', 'Future distress', and 'Healthcare team distress'. Confirmation Factor Analysis (CFA) confirmed the construct validity of the scale. The internal consistency indices (Cronbach alpha) for the subscales ranged from 0.69 to 0.89, while the unidimensional structure had an alpha of 0.90. Furthermore, convergent validity was shown with moderate positive correlations between the PDDS-Gr and the subscales of the DASS-21 (depression, anxiety, and stress), the child's age (in years), and the HbA1c value. Finally, parents of children with inadequate glycemic control (HbA1c ≥ 7%) presented higher scores on both the unidimensional structure and the subscales 'Parent/child relationship distress' and 'Healthcare team distress' of the PDDS-Gr. The PDDS-Gr is a valid and reliable tool for assessing diabetes distress in parents of children with T1D and can be used in both clinical and research settings.

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父母糖尿病困扰量表的维度和心理测量特性-希腊语(PDDS-Gr)。
1型糖尿病(T1D)是一种慢性疾病,其特征是由于自身免疫性破坏β-胰腺细胞而导致胰岛素缺乏。T1D,以前被称为青少年糖尿病,是儿童和青少年最常见的糖尿病形式。在诊断时,患有TID的儿童的父母会经历相当大的压力,因为他们需要照顾处于具有挑战性和危及生命的情况下的儿童,这需要坚持强化医疗方案,不断监测和应对孩子的病情。T1D是一种复杂的疾病,影响儿童及其父母日常生活的许多方面。本研究介绍了父母糖尿病困扰量表(PDDS)的希腊语翻译的心理测量特性,该量表评估了T1D儿童父母的糖尿病困扰。以95名父母为样本,主要是母亲(88.4%),他们的孩子平均年龄为12.2岁(±3.6),糖尿病持续时间为4.7年(±3.4),完成了PDDS的希腊语翻译。探索性因素分析(EFA)揭示了一个五因素模型:“父母/孩子关系困扰”、“个人困扰”、儿童糖尿病管理困扰、“未来困扰”和“医疗团队困扰”。确认因子分析证实了量表的结构有效性。分量表的内部一致性指数(Cronbachα)在0.69至0.89之间,而一维结构的α为0.90。此外,PDDS-Gr与DAS-21分量表(抑郁、焦虑和压力)、儿童年龄(以年为单位)和HbA1c值之间存在中度正相关,显示出收敛有效性。最后,血糖控制不足(HbA1c≥7%)儿童的父母在PDDS-Gr的一维结构和分量表“父母/儿童关系困扰”和“医疗团队困扰”上都表现出更高的分数。PDDS-Gr是评估T1D儿童父母糖尿病困扰的有效可靠工具,可用于临床和研究环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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