ArticleBMC family practice2017
The validity and reliability of the English version of the diabetes distress scale for type 2 diabetes patients in Malaysia.
Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines 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
- Content Validity of Patient-Reported Outcome Measures Developed for Assessing Health-Related Quality of Life in People with Type 2 Diabetes Mellitus: a Systematic Review.Current diabetes reports · 2022Pooled it
- Acceptance and Commitment Therapy (ACT) intervention in adolescents with type 1 diabetes: A pilot and feasibility study.Journal of health psychology · 2026Trial
- Trial
- A Virtual Living Lab Platform Codeveloped for Mental Health in Youth-Onset Type 2 Diabetes (BrightSpark Care Lab): Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Exploring the relationship between health knowledge, health literacy, self-care, self-efficacy, and glycemic control among adults with type 2 diabetes mellitus.World journal of diabetes · 2025Article
- Prevalence of diabetes distress and cross-cultural reliability of DDS-17 scale in rural Haryana.Journal of family medicine and primary care · 2023Article
- Reliability and validity of the Chinese version of a short form of the family health scale.BMC primary care · 2022Article
- The Chinese version of the revised Diabetes Distress Scale for adults with type 2 diabetes: Translation and validation study.International journal of nursing sciences · 2022Article
- Psychometric validation of diabetes distress scale in Bangladeshi population.Scientific reports · 2022Article
- Article
- Distress and depression among patients with diabetes mellitus: prevalence and associated factors: a cross-sectional study.Journal of diabetes and metabolic disorders · 2021Article
- Dietary Attitude of Adults with Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia:A Cross-sectional study.Medicina (Kaunas, Lithuania) · 2020Article
- Psychological Predictors of Adherence to Self-Care Behaviour amongst Patients with Type 2 Diabetes Mellitus (T2DM) Visiting Public Hospital, North India.Indian journal of endocrinology and metabolismArticle
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3 authors.
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Abstract
backgroundSeveral disease specific instruments have been developed to identify and assess diabetes distress. In Malaysia, the Problem Areas in Diabetes Scale has been validated in Malay, but it does not have specific domains to assess the different areas of diabetes-related distress. Hence, we decided to use the Diabetes Distress Scale instead. To date, only the Malay version of the Diabetes Distress Scale has been validated in Malaysia. However, English is widely spoken by Malaysians, and is an important second language in Malaysia. Therefore, our aim was to determine the validity and reliability of the English version of the Diabetes Distress Scale among patients with type 2 diabetes in Malaysia.
methodsThe Diabetes Distress Scale was administered to 114 patients with type 2 diabetes, who could understand English, at baseline and 4 weeks later, at a primary care clinic in Malaysia. To assess for convergent validity, the Depression Anxiety Stress Scale was administered at baseline. Discriminative validity was assessed by analysing the total diabetes distress scores of participants with poor (Hb
resultsThe majority of our participants were male 65(57.0%), with a median duration of diabetes of 9.5 years. Exploratory factor analysis showed that the Diabetes Distress Scale had 4 subscales, as per the original Diabetes Distress Scale. The overall Cronbach's α was 0.920 (range = 0.784-0.859 for each subscale). The intraclass correlation ranged from 0.436 to 0.643 for test-retest. The Diabetes Distress Scale subscales were significantly correlated with the different subscales of the Depression Anxiety Stress Scale (spearman's rho range = 0.427-0.509, p < 0.001). Patients with poor glycaemic control had significantly higher diabetes distress score (1.88) compared to those with good glycaemic control (1.50) (p < 0.001).
conclusionsThe English version of the Diabetes Distress Scale was found to be a valid and reliable instrument to evaluate diabetes distress among patients with type 2 diabetes in Malaysia. It can be used in clinical practice to offer a useful indicator of the effect of diabetes-induced distress during clinic visits, especially for patients with poor glycemic control. This would ensure that these patients are provided the care that is required.
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