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).
Carissa Rae Mirano, Oliver Allan Dampil, Hanna Clementine Tan
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Abstract
Background: Diabetes related emotional distress (DRED) is important in diabetes management. There are limited studies involving diabetes distress and its association with glycemic control and other clinicodemographic factors among Filipinos.
Objective: This study aimed to translate the Diabetes Distress Scale (DDS) into Filipino and validate this version among Filipino adult patients with type 2 DM and assess the prevalence of DRED and its association with glycemic control and other factors.
Methodology: A Filipino DDS was constructed through forward and backward translation of the English version and was validated. A subsequent cross-sectional study was conducted among 186 individuals with type 2 diabetes in a single-center tertiary hospital. The prevalence of DRED and its association with HbA1c level and other related factors were assessed.
Results: The overall prevalence of DRED for this study was 34.41% with a mean overall score for the DDS of 2.02. Age (AOR 0.95, 95% CI 0.93-0.98; p = 0.002), higher medication burden, (AOR 1.33, 95% CI 1.01-1.77; p = 0.043) and peripheral artery disease (AOR 6.03, 95% CI 1.79-23.29; p = 0.005) were predictors of DRED.
Conclusion: This Filipino version of the DDS showed that it is a valid instrument in the assessment of diabetes related distress among Filipino patients with type 2 diabetes. Diabetes distress scores were not associated with glycemic control. A younger age of diagnosis of diabetes, a history of PAD, and higher medication burden were found to be associated with development of DRED.
背景：糖尿病相关情绪困扰（DRED）在糖尿病管理中具有重要意义。关于菲律宾人糖尿病窘迫及其与血糖控制和其他临床人口学因素的关系的研究有限。目的：本研究旨在将糖尿病困扰量表（DDS）翻译成菲律宾语，并在菲律宾成年2型糖尿病患者中验证该版本，评估DRED的患病率及其与血糖控制和其他因素的关系。方法：通过英文版本的前向和后向翻译构建菲律宾语DDS，并进行验证。随后在一家单中心三级医院对186名2型糖尿病患者进行了横断面研究。评估DRED的患病率及其与HbA1c水平及其他相关因素的关系。结果：本研究DRED总体患病率为34.41%，DDS平均总分为2.02分。年龄（AOR 0.95, 95% CI 0.93-0.98; p = 0.002）、较高的用药负担（AOR 1.33, 95% CI 1.01-1.77; p = 0.043）和外周动脉疾病（AOR 6.03, 95% CI 1.79-23.29; p = 0.005）是DRED的预测因素。结论：菲律宾版的DDS显示它是评估菲律宾2型糖尿病患者糖尿病相关窘迫的有效工具。糖尿病痛苦评分与血糖控制无关。诊断为糖尿病的年龄较小、有PAD病史和较高的药物负担与DRED的发生有关。
期刊介绍：
The Journal of the ASEAN Federation of Endocrine Societies (JAFES) is an OPEN ACCESS, internationally peer-reviewed, English language, medical and health science journal that is published in print two times a year by the ASEAN Federation of Endocrine Societies. It shall serve as the endocrine window between the ASEAN region and the world, featuring original papers and publishing key findings from specialists and experts of endocrinology.
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