diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM13150diaendo-13150Research ArticleОригинальные исследованияOriginal StudiesАдаптация шкалы The Diabetes Distress Scale (Шкала дистресса при диабете) на русскоязычной выборке пациентов с сахарным диабетом 1 и 2 типаAdaptation of The Diabetes Distress Scale on a Russian-speaking sample of patients with type 1 and type 2 diabetes mellitushttps://orcid.org/0000-0002-4680-0746ЛиходейН. В.LikhodeyN. V.

Лиходей Наталья Вячеславовна - Scopus Author ID: 56901480400; Author ID: 934400; eLibrary SPIN: 4022-9955.

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Natalia V. Likhodey - MD; Scopus Author ID: 56901480400; Author ID: 934400; eLibrary SPIN: 4022-9955.

8-2 Trubetskaya str., Moscow 119991

nettle_l@yahoo.comhttps://orcid.org/0000-0002-3332-826XЕпишинВ. Е.EpishinV. E.

Епишин Виталий Евгеньевич - к.п.н.; WOS Researcher ID: AAO-5061-2021; Scopus Author ID: 57218626899; AuthorID: 1072083.

Москва

Vitalii E. Epishin - PhD in Psychology; WOS Researcher ID: AAO-5061-2021; Scopus Author ID: 57218626899; AuthorID: 1072083.

Moscow

v.e.epishin@gmail.comhttps://orcid.org/0000-0002-1282-2576КалашниковаМ. Ф.KalashnikovaM. F.

Калашникова Марина Федоровна - д.м.н., профессор; Scopus Author ID: 55512208400; eLibrary: SPIN:3777-4087.

Москва

Marina F. Kalashnikova, MD, PhD, Professor; Scopus Author ID: 55512208400; eLibrary: SPIN:3777-4087.

Moscow

marina_kalash@mail.ruhttps://orcid.org/0000-0002-1973-9361КауроваА. М.KaurovaA. M.

Каурова Александра Михайловна – психолог.

Москва

Aleksandra M. Kaurova - student.

Moscow

alkwa@yandex.ruhttps://orcid.org/0009-0008-3832-2386ТулуповаМ. В.TulupovaM. V.

Тулупова Маргарита Вадимовна - психолог.

Москва

Margarita V. Tulupova - psychologist.

Moscow

margeri.tulupova@yandex.ruhttps://orcid.org/0000-0002-7000-0095СычЮ. П.SychY. P.

Сыч Юлия Петровна - к.м.н., доцент; Scopus Author ID: 57219462677; eLibrary SPIN: 3406-0978.

Москва

Yulia P. Sych - MD, PhD, Associated Professor; Scopus Author ID: 57219462677; eLibrary SPIN: 3406-0978.

Moscow

juliasytch@mail.ruhttps://orcid.org/0000-0002-8436-8931БондареваИ. Б.BondarevaI. B.

Бондарева Ирина Борисовна - д.б.н., профессор.

Москва

Irina B. Bondareva - PhD in Biology, Professor.

Moscow

i_bondareva@yahoo.comСеченовский УниверситетРоссияI.M. Sechenov First Moscow State Medical UniversityRussian FederationРоссийский университет дружбы народов им. Патриса ЛумумбыРоссияPeoples’ Friendship University of Russia named after Patrice LumumbaRussian Federation202420112024275429440Copyright © Лиходей Н.В., Епишин В.Е., Калашникова М.Ф., Каурова А.М., Тулупова М.В., Сыч Ю.П., Бондарева И.Б., 20242024Лиходей Н.В., Епишин В.Е., Калашникова М.Ф., Каурова А.М., Тулупова М.В., Сыч Ю.П., Бондарева И.Б.Likhodey N.V., Epishin V.E., Kalashnikova M.F., Kaurova A.M., Tulupova M.V., Sych Y.P., Bondareva I.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/13150ОБОСНОВАНИЕ

ОБОСНОВАНИЕ. Диабетический дистресс (ДД) относится к негативным эмоциональным или аффективным переживаниям, возникающим в результате жизни в условиях диабета. ДД — одно из самых распространенных психических нарушений наряду с депрессией. Депрессия и диабетический дистресс увеличивают риск смерти при сахарном диабете (СД), способствуют развитию осложнений, связанных с диабетом, снижают качество жизни и увеличивают общие медицинские затраты здравоохранения, являются отрицательным предиктором контроля уровня глюкозы в крови и качества жизни и могут приводить к снижению приверженности к лечению. Выявление данных состояний среди пациентов с сахарным диабетом 1 и 2 типов (СД1) и (СД2) может способствовать их своевременной коррекции. Для диагностики ДД применяются специализированные опросники для скрининга эмоционального состояния и психосоциальных аспектов.

ЦЕЛЬ

ЦЕЛЬ. Провести языковую и культурную адаптацию опросника «Шкала дистресса при диабете» (The Diabetes Distress Scale) и оценить психометрические свойства русскоязычной версии опросника DDS на русскоязычной выборке пациентов с СД1 и СД2.

МАТЕРИАЛЫ И МЕТОДЫ

МАТЕРИАЛЫ И МЕТОДЫ. Проведено исследование на выборке из 198 пациентов с СД1 и СД2, собраны данные по применению русскоязычной версии шкалы DDS, а также шкал EQ-5D-5L (Европейского опросника оценки качества жизни), SPANE (Шкалы позитивных и негативных переживаний) и HADS (Госпитальной шкалы тревоги и депрессии). Последние три шкалы использовались для оценки конвергентной валидности адаптируемого опросника. Надежность опросника DDS оценивалась с помощью коэффициента внутренней согласованности Кронбаха и повторного тестирования участников спустя 1–4 месяца.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Факторная структура опросника DDS полностью воспроизводится при включении всех 17 вопросов (показатели пригодности измерительной модели: CFI=0,981, RMSEA=0,055, TLI=0,967). Внутренняя согласованность субшкал (α ϵ [0,836; 0,874]) и опросника в целом (α=0,948) оценивается как высокая. Получены значимые корреляции адаптируемой методики и ее субшкал со шкалами опросников EQ-5D-5L, SPANE, HADS, наиболее тесные связи (Rho ϵ [0,370; 0,437], p<0,01), что говорит о хорошей внешней валидности адаптируемой методики.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Русскоязычная версия анкеты DDS обладает хорошими психометрическими свойствами, является валидным и надежным инструментом для оценки дистресса среди пациентов с СД1 и СД2 и может быть рекомендована к применению в клинической практике для дифференциальной диагностики депрессии и ДД.

BACKGROUND

BACKGROUND: Diabetes distress (DD) is the negative emotional or affective experience resulting from living with diabetes. DD is a negative predictor of blood glucose control and quality of life, and may lead to decreased adherence to treatment. To diagnose DD, questionnaires are used to screen the emotional state and psychosocial aspects. In the study, linguistic, cultural adaptation and assessment of the psychometric properties of the Russian version of the questionnaire “The Diabetes Distress Scale” were conducted among patients suffering from T1DM and T2DM.

Patients with diabetes mellitus (DM) have diabetic distress as one of the most common mental disorders along with depression. Depression and diabetic distress increase the risk of death in diabetes, negatively affect treatment adherence and self-monitoring of glycemia. Identification of these conditions among patients with T1DM and T2DM can contribute to their timely correction.

AIM

AIM: To carry out linguistic and cultural adaptation of the questionnaire “The Diabetes Distress Scale” and evaluate the psychometric properties of the Russian version of the DDS questionnaire on a Russian-speaking sample of patients with T1DM and T2DM.

MATERIALS AND METHODS

MATERIALS AND METHODS: A study was conducted on a sample of 198 patients with T1DM and T2DM; data was collected on the use of the Russian version was collected DDS scales, as well as the EQ-5D-5L (European Quality of Life Questionnaire), SPANE (Positive and Negative Experiences Scale) and HADS (Hospital Anxiety and Depression Scale) scales. The last three scales were used to assess the convergent validity of the adapted questionnaire. Reliability of the DDS questionnaire was assessed using Cronbach’s α coefficient of internal consistency and participant retest after 1–4 months.

RESULTS

RESULTS: The factor structure of The Diabetes Distress Scale questionnaire is fully reproduced when all 17 questions are included (measurement model fit indicators: CFI=0.981, RMSEA=0.055, TLI=0.967). The internal consistency of the subscales (α ϵ [0.836; 0.874]) and the questionnaire as a whole (α=0.948) is assessed as high. Significant correlations of the adapted methodology and its subscales with the scales of the EQ-5D-5L, SPANE, HADS questionnaires were obtained, the closest connections (Rho ϵ [0.370; 0.437], p<0.01), which indicates good external validity of the adapted methodology.

CONCLUSION

CONCLUSION: The Russian version of the DDS questionnaire has good psychometric properties. It is a valid and reliable tool for assessing diabetes distress among patients with T1DM and T2DM and can be recommended for use in clinical practice for timely diagnosing depression and DD.

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The authors declare that there are no conflicts of interest present.