Evidence map›Paper›PMID 40867383›Full record

ArticleBehavioral sciences (Basel, Switzerland)2025

Psychometric Properties of the Diabetes Eating Problem Survey-Revised in Arab Adolescents with Type 1 Diabetes: A Cross-Cultural Validation Study.

Abdullah M Alguwaihes, Shuliweeh Alenezi, Renad Almutawa, Rema Almutawa, Elaf Almusahel, Metib S Alotaibi, Mohammed E Al-Sofiani, Abdulmajeed AlSubaihin

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Article in Behavioral sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Abdullah M AlguwaihesDivision of Endocrinology, Department of Internal Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.ORCID 0000-0001-5800-9970
Shuliweeh AleneziDepartment of Psychiatry, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia.ORCID 0000-0002-7049-0960
Renad AlmutawaDepartment of Internal Medicine, King Fahad Medical City, Riyadh 11525, Saudi Arabia.ORCID 0000-0002-6930-047X
Rema AlmutawaDepartment of Neurology, National Neurosciences Institute, King Fahad Medical City, Riyadh 11525, Saudi Arabia.ORCID 0000-0002-9474-3408
Elaf AlmusahelDepartment of Neurology, National Neurosciences Institute, King Fahad Medical City, Riyadh 11525, Saudi Arabia.ORCID 0009-0002-6289-7629
Metib S AlotaibiUniversity Diabetes Center, King Saud University Medical City, King Saud University, Riyadh 11472, Saudi Arabia.ORCID 0000-0002-2051-8558
Mohammed E Al-SofianiDivision of Endocrinology, Department of Internal Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.ORCID 0000-0003-4420-9378
Abdulmajeed AlSubaihinDivision of Endocrinology, Department of Pediatrics, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.ORCID 0000-0001-5736-0793

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this manuscript is to translate, adapt, and validate an Arabic version of the Diabetes Eating Problem Survey-Revised (DEPS-R) questionnaire to assess disordered eating behaviors (DEBs) in adolescents with T1D in Saudi Arabia. Additionally, the study sought to estimate the prevalence of DEBs and analyze its associations with glycemic control and diabetes-related complications.

methodsA cross-cultural validation study was conducted following the COSMIN guidelines. The DEPS-R questionnaire was translated into Arabic through forward and backward translation involving expert panels, including psychiatrists, diabetologists, and linguists. A sample of 409 people with type 1 diabetes (PwT1D) (58.4% females) aged 12-20 years was recruited from outpatient diabetes clinics in the five main regions of Saudi Arabia. Participants completed the Arabic DEPS-R and the validated Arabic version of the SCOFF questionnaire. Sociodemographic, anthropometric, and biochemical data were collected, and statistical analyses, including confirmatory factor analysis (CFA) and internal consistency tests, were conducted.

resultsThe Arabic DEPS-R exhibits strong internal consistency (Cronbach's alpha = 0.829) and high test-retest reliability (ICC = 0.861), with a CFA supporting a three-factor structure, namely body weight perception, disordered eating behaviors (DEBs), and bulimic tendencies. Notably, higher DEPS-R scores are significantly linked to elevated HbA1c levels, increased BMI, and more frequent insulin use. Alarmingly, 52.8% of participants show high-risk DEB, which is directly associated with poor glycemic control (HbA1c ≥ 8.1%) and a heightened risk of diabetic ketoacidosis (DKA).

conclusionsThe Arabic DEPS-R is a valid and reliable tool for screening DEBs among Saudi adolescents with T1D. Findings underscore the necessity for early identification and intervention to mitigate the impact of EDs on diabetes management and overall health outcomes.

Indexed as

adolescentscross-cultural validationDEPS-Reating disorderstype 1 diabetes mellitus

Identifiers

PMID40867383
PMCPMC12383016

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