ArticleBMJ open2016
Adaptation and validation of the Distress Scale for Mexican patients with type 2 diabetes and hypertension: a cross-sectional survey.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient-reported outcome measures for assessing health-related quality of life in people with type 2 diabetes: A systematic review.Reviews in endocrine & metabolic disorders · 2022Pooled it
- Expanding Technology-Enabled, Nurse-Delivered Chronic Disease Care : A Pragmatic, Randomized, Effectiveness-Implementation Trial.Annals of internal medicine · 2026Trial
- Diabetes Distress Scale (DDS-17): European Portuguese Validation.Archives of endocrinology and metabolism · 2026Article
- Prevalence and Factors Associated with Diabetes Related Emotional Distress (DRED) Among Filipino Adult Patients with Type 2 Diabetes Mellitus Using A Validated Filipino Version of the Diabetes Distress Scale (DDS).Journal of the ASEAN Federation of Endocrine Societies · 2026Article
- Chronic Illness Self-Management Latent Profiles in Individuals With Comorbid Type 2 Diabetes and Hypertension.The science of diabetes self-management and care · 2025Article
- Psychometric evaluation of the problem areas in diabetes (PAID) scale among people with type 2 diabetes in Ethiopia: a tool validation study.BMC research notes · 2025Article
- EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND): Protocol and Baseline Data for a Randomized Trial.Contemporary clinical trials · 2024Article
- Hypertension-related distress and its associated factors: findings from an urban primary health centre of South Delhi, India.Journal of family medicine and primary care · 2023Article
- Revising the Diabetes Distress Scale for Use Among Adults in the Dominican Republic: Findings From Cognitive Interviews.The science of diabetes self-management and care · 2022Article
- Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults.International journal of environmental research and public health · 2022Article
- A Spanish-language translation for the U.S. of the type 2 diabetes stigma assessment scale (DSAS-2 Spa-US).Frontiers in clinical diabetes and healthcare · 2022Article
- Distress and depression among patients with diabetes mellitus: prevalence and associated factors: a cross-sectional study.Journal of diabetes and metabolic disorders · 2021Article
- Psychometric Properties of the Polish Version of the Diabetes Distress Scale (DDS).Psychology research and behavior management · 2021Article
- Diabetes-Related Distress and Its Associated Factors Among Patients with Diabetes in Vietnam.Psychology research and behavior management · 2020Article
- Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016.Scientific reports · 2018Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to adapt and validate the Distress Scale for Mexican patients with type 2 diabetes and hypertension (DSDH17M).
settingTwo family medicine clinics affiliated with the Mexican Institute of Social Security.
participants722 patients with type 2 diabetes and/or hypertension (235 patients with diabetes, 233 patients with hypertension and 254 patients with both diseases).
designA cross-sectional survey.
methodsThe validation procedures included: (1) content validity using a group of experts, (2) construct validity from exploratory factor analysis, (3) internal consistency using Cronbach's α, (4) convergent validity between DSDH17M and anxiety and depression using the Spearman correlation coefficient, (5) discriminative validity through the Wilcoxon rank-sum test and (6) test-retest reliability using intraclass correlation coefficient.
resultsThe DSDH17M has 17 items and three factors explaining 67% of the total variance. Cronbach α ranged from 0.83 to 0.91 among factors. The first factor of 'Regime-related Distress and Emotional Burden' moderately correlated with anxiety and depression scores. Discriminative validity revealed that patients with obesity, those with stressful events and those who did not adhere to pharmacological treatment had significantly higher distress scores in all DSDH17M domains. Test-retest intraclass correlation coefficient for DSDH17M ranged from 0.92 to 0.97 among factors.
conclusionsDSDH17M is a valid and reliable tool to identify distress of patients with type 2 diabetes and hypertension.
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