AN USEFUL TOOLF FOR DIABETES EMOTIONAL DISTRESS ASSESSMENT: VALIDATION OF THE ROMANIAN VERSION OF DIABETES DISTRESS SCALE
Background and Aims: The aim of the present study was to validate the Diabetes Distress Scale (DDS) on Romanian diabetes patients. Material and Methods: A total number of 529 type 1 and type 2 diabetes outpatients were included in the study. Exploratory and confirmatory factor analyses were used to assess the construct validity, Cronbach’s Alpha for internal consistency and Pearson’s correlation for predictive properties. Results: Distress level was lower in Romanian diabetes patients when compared to other studies. Model fit for the scale was moderate. The four factor structure of the original scale was maintained, with a good internal consistency for the entire scale (0.824) and for the four subscales: emotional burden (0.775), distress related to the physician (0.798), distress related to diabetes regimen (0.708), and interpersonal distress (0.733). Regarding predictive properties, DDS-Ro was positively correlated to depressive symptoms measured with the Beck Depression Inventory (r = 0.415, p < 0.05) and to diabetes self-care activities measured with the Summary of Diabetes-Self-Care Activities, with the strongest correlation between diabetes regimen distress and physical activities (r = - 0.358, p < 0.01). Conclusions: DDS-Ro has good psychometric properties in Romanian diabetes patients and can be used when diabetes emotional impact is assessed.