Cross-cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-05-06 DOI:10.1111/cch.13270

Shu-Li Lee, Li-Min Wu, Shu-Yuan Lin, Tzu-Han Chen, Wei-Ting Lin

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引用次数: 0

Abstract

Introduction

Chronic physical disease (CPD) makes life filled with many negative events in adolescents, but not all adolescents experiencing negative life events proceed to develop emotional distress, only those with low emotional distress tolerance (EDT). A valid and reliable scale to measure EDT in CPD adolescents is important for caring for their emotional distress. Therefore, the purpose of this study is to translate the 15-item English version Distress Tolerance Scale (DTS) into a Chinese version and then validate the scale for measuring EDT of adolescents with CPD.

Methods

The 15-item English version DTS was translated into a Chinese version using the translation guidelines for cross-cultural research. Two cohorts of adolescents with CPD were recruited from four hospitals in southern Taiwan, with the first cohort including 124 adolescents with CPD employed to conduct exploratory factor analysis, corrected item-total correlation and reliability testing, while the second cohort, consisting of 238 adolescents with CPD, was utilized to examine confirmatory factor analysis and concurrent validity.

Results

The two-factor nine-item Chinese version DTS for Adolescents with CPD (C-DTS-A) was developed. Lower scores of the C-DTS-A were significantly associated with higher diabetes distress, poorer self-management, and worse glycaemic control; their correlation coefficients sequentially were −.40, .17 and −.23. Cronbach's α and the test–retest reliability of the two-factor C-DTS-A ranged from .81 to .87 and from .79 to .89, respectively.

Conclusion

The two-factor nine-item C-DTS-A with good cross-cultural translation quality was a reliable and valid scale to assess EDT for adolescents with CPD.

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针对患有慢性疾病的青少年的压力耐受量表中文版的跨文化翻译与验证

引言慢性躯体疾病（CPD）使青少年的生活充满了许多负面事件，但并非所有经历过负面生活事件的青少年都会产生情绪困扰，只有那些情绪困扰耐受力（EDT）较低的青少年才会产生情绪困扰。一个有效、可靠的量表来测量 CPD 青少年的 EDT，对于关注他们的情绪困扰非常重要。因此，本研究旨在将15个项目的英文版《情绪困扰耐受量表》（Distress Tolerance Scale，DTS）翻译成中文版，并对该量表测量CPD青少年EDT的有效性进行验证。方法根据跨文化研究的翻译指南，将15个项目的英文版DTS翻译成中文版。从台湾南部的四家医院招募了两组患有CPD的青少年，第一组包括124名患有CPD的青少年，用来进行探索性因子分析、校正项目-总相关和信度测试；第二组包括238名患有CPD的青少年，用来检验确认性因子分析和并发效度。结果开发出了双因素九项目的中文版 CPD 青少年 DTS（C-DTS-A）。C-DTS-A得分较低与糖尿病困扰程度较高、自我管理较差和血糖控制较差显著相关；其相关系数依次为-.40、.17和-.23。双因素 C-DTS-A 的 Cronbach's α 和测试-再测可靠性分别为 0.81 至 0.87 和 0.79 至 0.89。结论双因素九项目 C-DTS-A 具有良好的跨文化翻译质量，是评估 CPD 青少年 EDT 的可靠而有效的量表。

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

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.